A nurse is assessing a client who has a heart rate of 56/min.
Which of the following findings should the nurse expect?
Temperature of 39°C (102.2°F).
History of cigarette smoking.
Report of dizziness.
Hypoglycemia.
The Correct Answer is C
Choice A rationale:
A heart rate of 56 beats per minute is within the normal range for an adult, so a high temperature of 39°C (102.2°F) is not directly related to the heart rate. While elevated body temperature can increase heart rate, the given temperature does not indicate a significant fever.
Choice B rationale:
History of cigarette smoking may be a risk factor for cardiovascular issues, but it does not directly correlate with the current heart rate of 56 beats per minute. The low heart rate is more likely related to other factors.
Choice C rationale:
A heart rate of 56 beats per minute is considered bradycardia, which can lead to dizziness, fatigue, and other symptoms. Dizziness is a common finding in individuals with a slow heart rate, and addressing this symptom is essential for patient safety.
Choice D rationale:
Hypoglycemia (low blood sugar) can cause symptoms like dizziness, but the heart rate is not typically affected directly by hypoglycemia. It is important to address both the bradycardia and the reported dizziness to determine the underlying cause and provide appropriate care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
The statement "Identifies viruses across the world" is not an accurate description of the Healthy People 2030 framework. This framework focuses on health objectives and goals for Americans, not the identification of viruses. It is designed to improve the health and well-being of people in the United States, not to identify viruses globally.
Choice C rationale:
The statement "Utilizes health data from the past 20 years" is not a primary purpose of the Healthy People 2030 framework. While it may incorporate historical health data to inform its objectives, the framework's main goal is to set health objectives for the future, not exclusively based on past data. It aims to address current and future health needs and challenges.
Choice D rationale:
The statement "Monitors nonmodifiable risk factors" does not accurately describe the main focus of the Healthy People 2030 framework. While the framework may consider various health risk factors, it primarily concentrates on setting health objectives and goals to improve the health of Americans. The monitoring of nonmodifiable risk factors is not its central purpose.
Correct Answer is D
Explanation
Choice D rationale:
Protecting a client's safety by not causing harm refers to the ethical principle of nonmaleficence. Nonmaleficence emphasizes the duty of healthcare professionals to avoid harm or minimize harm when providing care to clients. This principle is closely related to the concept of "do no harm" and places a high value on the well-being and safety of the client. Nurses must make decisions and take actions that prioritize the client's safety and well-being, even when faced with difficult ethical dilemmas.
Choice A rationale:
Beneficence is the ethical principle that emphasizes doing good and promoting the well-being of the client. While it is an essential ethical principle in nursing, it is not directly related to the concept of not causing harm, as described in the question.
Choice B rationale:
Fidelity, also known as faithfulness or loyalty, pertains to the nurse's obligation to uphold commitments and keep promises made to the client. While fidelity is crucial in nursing practice, it is not the primary principle related to the concept of not causing harm.
Choice C rationale:
Justice is the ethical principle concerned with fairness and the equitable distribution of healthcare resources and treatment. It focuses on providing clients with their due and ensuring that they are treated fairly and without discrimination. Justice is important in healthcare ethics but is not directly associated with the principle of not causing harm.
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