The licensed practical nurse is co-assigned with a registered nurse in the care of a client admitted to the cardiac unit with chest pain
The licensed practical nurse is assessing the accuracy of the cardiac monitor, which notes a heart rate of 34 beats/minute. The client appears anxious and states not feeling well. The licensed practical nurse confirms the monitor reading. When consulting with the registered nurse, which of the following is anticipated? A) The registered nurse stating to administer Lanoxin (digoxin)
B) The registered nurse administering atropine sulfate intravenously
C) The registered nurse stating to hold all medication until the pulse rate returns to 60 beats/minute
D) The registered nurse stating to administer all medications accept those which are cardiotonics
B
Feedback:
The licensed practical nurse and registered nurse both identify that client's bradycardia. Atropine sulfate, a cholinergic blocking agent, is given intravenously (IV) to increase a dangerously slow heart rate. Lanoxin is not administered when the pulse rate falls under 60 beats/minute. It is dangerous to wait until the pulse rate increases without nursing intervention or administering additional medications until the imminent concern is addressed.
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