You are caring for this team of patients. Which patient is the priority to see first to collect data?
80-year-old male patient with a history of atrial fibrillation with rapid ventricular response whose cardiac monitor shows a heart rate of 92
66-year-old female patient with a newly inserted permanent pacemaker whose cardiac monitor shows a heart rate of 50
72-year-old male patient with an implantable cardiac defibrillator that delivered a shock 4 hours ago whose cardiac monitor shows normal sinus rhythm and a heart rate of 68
78-year-old male patient with chronic atrial fibrillation who is prescribed metoprolol (Toprol) whose cardiac monitor shows a heart rate of 58.
The Correct Answer is B
A. While atrial fibrillation with a rapid ventricular response requires attention, it is not an immediate concern unless associated with symptoms such as chest pain, shortness of breath, or hemodynamic instability.
B. A heart rate of 50 in a patient with a newly inserted permanent pacemaker may indicate bradycardia, which could be a sign of pacemaker malfunction or lead dislodgement. This patient requires immediate assessment to rule out complications.
C. While recent implantable cardioverter-defibrillator (ICD) discharge warrants evaluation, the patient is currently in normal sinus rhythm with a heart rate of 68, suggesting stability. This patient's assessment can be prioritized after the patient with the pacemaker issue is seen.
D. A heart rate of 58 in a patient with chronic atrial fibrillation on beta-blocker therapy may not be immediately concerning if the patient is asymptomatic and hemodynamically stable. This patient can be assessed after addressing the more urgent pacemaker issue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. This meal is high in fat, which may be poorly tolerated after a cholecystectomy, as it can exacerbate symptoms such as diarrhea and abdominal discomfort.
B. This meal is high in fat and may be difficult to digest after a cholecystectomy.
Whole milk can also be rich in fat, which may not be well tolerated.
C. This meal is lower in fat and includes easily digestible foods such as roast turkey and rice, which are generally well tolerated after a cholecystectomy. Gelatin dessert provides a light and refreshing option for dessert without adding excess fat.
D. This meal is high in fat, which may be poorly tolerated after a cholecystectomy, as it can exacerbate symptoms such as diarrhea and abdominal discomfort.
Correct Answer is {"A":{"answers":"A,C"},"B":{"answers":"A,B"},"C":{"answers":"A,C"},"D":{"answers":"B"},"E":{"answers":"C"},"F":{"answers":"C"},"G":{"answers":"A,C"}}
Explanation
Elevated BUN and creatinine levels are common indicators of impaired kidney function, which can be seen in chronic kidney disease (CKD) and glomerulonephritis. Flank pain is often associated with UTIs but can also occur in glomerulonephritis. Decreased RBCs (red blood cells) can be a sign of glomerulonephritis due to the loss of blood cells in the urine. Fever is typically associated with infection, making it more indicative of a UTI.
Peripheral edema is is most commonly associated with CKD and glomerulonephritis due to the retention of fluids and sodium. Hypertension is a common finding in CKD and can also be seen in glomerulonephritis.
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