During defecation, the client experiences decreased cardiac output related to the Valsalva maneuver. After the Valsalva maneuver, the nurse assesses the client's vital signs and expects to observe which of the following?
a slowing of client's heart rate
a decrease in the client's blood pressure
an increase in the client's respiratory rate
a decrease in the client's respiratory rate
The Correct Answer is A
a) A slowing of the client's heart rate: The Valsalva maneuver (straining during defecation) can cause a transient increase in intra-abdominal pressure, which triggers vagal stimulation, leading to a slowing of the heart rate (bradycardia).
b) A decrease in the client's blood pressure: The Valsalva maneuver may initially cause an increase in blood pressure, followed by a drop after the maneuver is released. The immediate effect is a slowing of the heart rate, not a decrease in blood pressure.
c) An increase in the client's respiratory rate: The Valsalva maneuver typically causes a temporary decrease in respiratory rate due to the strain on the body.
d) A decrease in the client's respiratory rate: The Valsalva maneuver does not typically result in a significant decrease in respiratory rate. Instead, it is more likely to cause a brief alteration in heart rate and blood pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a) Dark black visible blood: Dark, black blood is typically a sign of blood that has been digested, often due to gastrointestinal bleeding, but this is not the definition of occult blood.
b) Bright red visible blood: Bright red blood is usually a sign of recent bleeding, often from hemorrhoids or anal fissures. Occult blood refers to blood that is not visible.
c) Blood that contains mucus: Blood with mucus is not the definition of occult blood. Occult blood refers to blood that is hidden and cannot be seen without further testing.
d) Blood that cannot be seen: Occult blood refers to hidden blood that is not visible to the naked eye but can be detected through specific tests, such as a fecal occult blood test (FOBT).
Correct Answer is ["3"]
Explanation
Order: Atropine sulfate 300 mcg IM
Label: 0.5 mg (0.1 mg/mL)
Conversion:
0.5 mg = 500 mcg
Concentration: 0.1 mg/mL = 100 mcg/mL
Desired dose: 300 mcg
Volume to administer: 300 mcg ÷ 100 mcg/mL = 3 mL
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