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 ["A","B"]

Explanation

A. Bradypnea: Bradypnea, or slow breathing, is a late sign of increased ICP. As pressure rises, the brainstem becomes compressed, leading to respiratory irregularities such as bradypnea. This can indicate a severe increase in ICP and requires immediate attention.

B. Cushing's triad: Cushing's triad, which consists of hypertension, bradycardia, and irregular respirations is a classic late sign of increased ICP. It occurs due to pressure on the brainstem and is a sign of impending brain herniation, which is a medical emergency.

C. Hypertension: Hypertension can be seen in the early stages of ICP due to compensatory mechanisms aimed at maintaining cerebral perfusion. However, it is not typically a late sign. The late sign would be an abnormal change in blood pressure patterns, as seen in Cushing's triad.

D. Mental status changes slightly: Slight mental status changes are an early sign of increased ICP, not a late one. As ICP rises, more pronounced changes in consciousness and cognition occur, such as confusion, stupor, or coma, signaling a more advanced stage of ICP.

E. Slurred speech: Slurred speech can be an early or moderate sign of ICP, depending on the location and severity of the pressure. However, it is not considered a late sign. More significant neurological impairments occur as ICP continues to increase.

A. CABD B. CADB C. ACBD D. ACDB

Correct Answer is B

Explanation

C. Ease the visitor to the floor: This is the first priority to prevent injury. Safely guiding the person to the ground helps reduce the risk of trauma from falling.

A. Maintain a patent airway: Once on the ground, the nurse should position the person (ideally on their side) to promote airway patency and prevent aspiration.

D. Obtain vital signs: After the seizure ends, assessing vital signs helps evaluate postictal status and detect any complications such as hypoxia or hypotension.

B. Record the seizure activity observed: Documentation of the seizure’s onset, duration, and characteristics is important, but it comes after safety and assessment priorities are addressed.

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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

A nurse is caring for a client who has an intracranial pressure (ICP) reading of 40 mm Hg. Which two of the following findings should the nurse identify as a late sign of ICP? (Select all that apply)

Correct Answer is ["A","B"]

Explanation

The nurse sees a visitor walking in the hallway begin to have a seizure. The nurse should do which of the following in priority order? A. Maintain a patent airway. B. Record the seizure activity observed. C. Ease the visitor to the floor. D. Obtain vital signs.

Correct Answer is B

Explanation

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