A client's cardiac telemetry reveals sinus bradycardia at 40 beats/minute. An IV dose of atropine is given per protocol. Which finding should the practical nurse (PN) identify as a therapeutic response? A. A decrease in blood pressure. B. A decrease in premature contractions. C. An increase in heart rate. D. An increase in sensorium. - correct answer C. An increase in heart rate.
Atropine increases heart rate (C) by its anticholinergic effects on the sinoatrial (SA) node.
A client is admitted with a tumor of the hypothalamus. Which finding should the practical nurse (PN) report to the charge nurse?
A. A pulse rate of 98 beats/min. B. Respirations of 20 breaths/min. C. An oral temperature of 101.8° F. D. A blood pressure of 130/80 mm Hg. - correct answer C. An oral temperature of 101.8° F.
The hypothalamus controls body temperature, so variation in the temperature should be reported to determine if the elevation is related to infection or cerebral pathology.
The practical nurse (PN) is reinforcing instructions to a client who is scheduled for a bone marrow aspiration. The PN should prepare the client for the procedure at which site?
A. The femur. B. The scapula. C. The antecubital fossa. D. The posterior iliac crest. - correct answer D. The posterior iliac crest.
Bone marrow samples are commonly aspirated from the posterior iliac crest or sternum, which are readily accessible obtaining a specimen of bone marrow via the biopsy needle.
Which discharge instructions should the practical nurse (PN) reinforce with a client who has acute cholecystitis?
A. Limit oral intake to three regular meals per day.
B. Drink fluids between meals rather than with meals.
C. Consume a low-fat diet in smaller, more frequent meals.
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