A client has a heart rate of 130 beats per minute. How does the nurse plan to document this heart rate in the medical record?

1. Atrial fibrillation
2. Bradycardia
3. Tachycardia
4. Premature ventricular contraction


3

Rationale 1: Fibrillation is characterized by very rapid, uncoordinated beats.
Rationale 2:Bradycardia is incorrect because it is a slow heart rate lower than 60 beats per minute.
Rationale 3: Tachycardia is a fast heart rate higher than 100 beats per minute.
Rationale 4:Premature ventricular contraction is incorrect because it is an extra beat often originating from a source other than the SA node.

Global Rationale: Tachycardia is a fast heart rate higher than 100 beats per minute. Fibrillation is characterized by very rapid, uncoordinated beats. Bradycardia is incorrect because it is a slow heart rate lower than 60 beats per minute. Premature ventricular contraction is incorrect because it is an extra beat often originating from a source other than the SA node.

Nursing

You might also like to view...

The client is nervous about an upcoming colposcopy and calls the nurse in the office to ask for a repeat explanation of the procedure. The nurse explains that it is an endoscopic procedure to:

a. provide direct visualization of the endome-trium to diagnose or treat a uterine problem b. provide direct visualization of the vagina and cervix to diagnose cervical dsyplasia or cancer of the cervix c. obtain an endometrial biopsy for diagnosis of endometrial tissue abnormalities d. remove a small piece of tissue for microscopic examination to diagnose prostate abnormalities

Nursing

The family of your client, an elderly person whose physical and mental condition has deteriorated, believed that they could no longer care for the client

They thought that the client needed to be placed in a skilled nursing facility. The desired outcome is for the family to realistically appraise their situation and identify and prioritize the needs of each family member. This outcome is an example of planning for which nursing diagnosis? 1. Compromised family coping 2. Disabled family coping 3. Interrupted family processes 4. Readiness for enhanced family coping

Nursing

What is the function of the mucus secreted by the Bartholin glands?

a. Enhancement of the motility of sperm b. Lubrication of the urinary meatus and vestibule c. Maintenance of an acid-base balance to discourage infection d. Enhancement of the size of the penis during intercourse

Nursing

After thyroidectomy, which of the following is the priority assessment to observe laryngeal nerve damage?

a) hoarseness of voice b) difficulty in swallowing c) tetany d) fever

Nursing