A nurse is collecting data on client who has a heart rate of 56/min. Which of the following findings should the nurse expect?

Hypoglycemia

Report of dizziness

Temperature of 39° C (102.2° F).

History of cigarette smoking

Answer and Explanation

The Correct Answer is B

A: Hypoglycemia does not directly correlate with a lower heart rate.

B: A heart rate of 56/min may indicate bradycardia, which can lead to symptoms like dizziness due to decreased cardiac output and subsequently reduced cerebral perfusion.
C: A fever would typically increase the heart rate, not decrease it.

D: Cigarette smoking is more commonly associated with an increased heart rate due to stimulants like nicotine.

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Correct Answer is B

Explanation

A: Subjective information refers to what the patient experiences and reports, not what is sensed by the observer.
B: Objective signs are those that can be observed and measured by someone other than the patient, such as visual inspections, palpations, and auditory cues.
C: Reported by the patient would be subjective data, opposite of what is sensed and recorded by healthcare providers.
D: Hidden signs would imply they are not readily observable, which contradicts the use of senses to identify them.

A. The patient's daughter appears anxious about the patient's hospitalization. B. The patient reports a history of chronic obstructive pulmonary disease. C. The patient's spouse reports the patient has difficulty sleeping. D. The patient's caregiver complains of feeling overwhelmed.

Correct Answer is B

Explanation

A: The daughter's anxiety is secondary information and not directly related to the patient's health status.
B: The patient's self-reported medical history is primary data as it comes directly from the patient and provides essential information for the assessment.
C: The spouse's report of the patient's difficulty sleeping is secondary information and not directly observed or reported by the patient.
D: The caregiver's complaint is secondary information and does not provide direct insight into the patient's health status.

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A nurse is collecting data on client who has a heart rate of 56/min. Which of the following findings should the nurse expect?

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