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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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Three or more consecutive premature ventricular contractions (PVCs) on an ECG tracing is indicative of ventricular tachycardia, a serious arrhythmia that requires prompt intervention.
B. Bigeminy refers to a pattern of every other beat being a PVC, not necessarily three or more consecutive PVCs.
C. Ventricular fibrillation is characterized by chaotic, disorganized ventricular activity on the ECG and is not defined by the presence of consecutive PVCs.
D. Trigeminy refers to a pattern of every third beat being a PVC, not necessarily three or more consecutive PVCs.

A. Anemia B. Osteoporosis C. Diabetes mellitus D. COPD

Correct Answer is C

Explanation

A. While anemia may weaken the immune system, it is not directly associated with an increased risk of urinary tract infections.
B. Osteoporosis is a bone-related condition and is not directly related to the risk of urinary tract infections.

C. Diabetes mellitus increases the risk of urinary tract infections due to elevated glucose levels in the urine, which provide a favorable environment for bacterial growth.
D. Chronic obstructive pulmonary disease (COPD) is not directly associated with an increased risk of urinary tract infections.

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You are caring for this team of patients. Which patient is the priority to see first to collect data?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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