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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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Free Nursing Study Resources

Correct Answer is B

Explanation

A. While bone involvement can occur in Hodgkin lymphoma, it is not typically associated with a high risk of spontaneous pathological fractures compared to multiple myeloma.
B. Multiple myeloma is characterized by the destruction of bone tissue, leading to an increased risk of spontaneous pathological fractures.
C. Leukemia primarily affects the bone marrow and may cause bone pain but does not typically lead to spontaneous pathological fractures.
D. Hemophilia is a bleeding disorder characterized by a deficiency in clotting factors and is not directly associated with an increased risk of spontaneous pathological fractures.

A. To prevent abnormalities from being missed B. To increase memory of the analysis steps C. To develop a routine for examining tracings D. To save time

Correct Answer is A

Explanation

A. Using a systematic method for analyzing ECG tracings helps ensure that abnormalities are not overlooked, promoting accurate interpretation and diagnosis. This approach reduces the risk of diagnostic errors and ensures thorough assessment of cardiac rhythm and conduction abnormalities.
B. While using a systematic method may aid memory, its primary purpose is to ensure thoroughness and accuracy in ECG interpretation, rather than solely enhancing memory retention.
C. Indeed, using a systematic method establishes a routine for analyzing ECG tracings, aiding in consistent and comprehensive assessment, which is crucial for detecting subtle changes and abnormalities.
D. While using a systematic method may ultimately save time by preventing errors and ensuring efficiency, its primary purpose is accuracy rather than speed. The focus is on comprehensive analysis rather than expediency.

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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 B

Explanation

The nurse prepares to document an electrocardiogram rhythm. The nurse uses a systematic method for analyzing the electrocardiogram tracing for which of the following reasons

Correct Answer is A

Explanation

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