A nurse is caring for a client who has symptomatic sinus bradycardia. The Atropine was given but was not successful. Which one of the following is the next intervention?

External cardiac pacemaker

Amiodarone

Magnesium

Cardioversion

Answer and Explanation

The Correct Answer is A

A. External cardiac pacemaker: If atropine is ineffective in treating symptomatic sinus bradycardia, the next step is the use of an external cardiac pacemaker which helps regulate the heart rate by providing electrical stimulation to the heart, addressing the bradycardia and improving circulation.

B. Amiodarone: Amiodarone is an antiarrhythmic drug used for treating ventricular arrhythmias or atrial fibrillation, not for bradycardia. The priority for bradycardia management is pacing rather than antiarrhythmic medications.

C. Magnesium: Magnesium is primarily used for treating specific arrhythmias like torsades de pointes, particularly in the presence of hypomagnesemia. It is not indicated for symptomatic sinus bradycardia, especially after atropine fails.

D. Cardioversion: Cardioversion is used to treat arrhythmias such as atrial fibrillation or supraventricular tachycardia, not bradycardia. Since the issue is a slow heart rate, not an abnormal rhythm needing electrical shock, cardioversion is not appropriate in this case.

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Correct Answer is C

Explanation

A. Respiratory rate 20/min: A respiratory rate of 20/min is within the normal range for an adolescent. While respiratory function should always be monitored, this finding is not alarming in the context of blunt trauma.

B. Heart rate 72/min: A heart rate of 72/min is within the normal range for an adolescent. This does not indicate immediate concern, and the patient’s heart rate is stable.

C. Blood pressure 89/50 mm Hg: A blood pressure of 89/50 mm Hg is low and indicates potential shock, which is a life-threatening concern. Hypotension following blunt abdominal trauma can suggest internal bleeding or organ injury, which requires immediate intervention.

D. Abdominal pain rated 4 on a scale of 0 to 10: While abdominal pain is a concern, a pain level of 4/10 is not immediately life-threatening. The priority is addressing the low blood pressure, which could indicate shock or internal bleeding, requiring urgent medical attention.

A. Avoid foods that have saturated fats. Fats interfere with the ability of the burn wound to heal B. Select foods that have lots of fiber, such as whole grains and fruits. These will promote removal of toxins from the body that interfere with healing. C. Choose foods that are high in protein, such as meat, eggs and beans. These help the burns to heal D. It is important to choose foods like bread and pasta that are high in carbohydrates. These foods will provide energy and help with healing faster

Correct Answer is C

Explanation

A. Saturated fats do not directly interfere with wound healing. While excessive intake of unhealthy fats should be minimized for overall health, fats themselves are not the primary focus when promoting wound healing in burn patients.

B. Fiber is important for digestive health but does not directly affect wound healing in burn patients. Protein and calories are more important for supporting tissue repair and overall healing.

C. Protein is essential for tissue repair, wound healing, and immune function, making it a priority nutrient for burn patients. High-protein foods support the increased metabolic demands of healing and help rebuild damaged tissues.

D. While carbohydrates are important for energy, protein plays a more significant role in wound healing. A balance of carbohydrates and protein is ideal, but protein is the primary nutrient needed for tissue repair in burn patients.

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A nurse is caring for a client who has symptomatic sinus bradycardia. The Atropine was given but was not successful. Which one of the following is the next intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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