Question

The nurse is caring for a client who reports feeling faint and is experiencing the cardiac...

The nurse is caring for a client who reports feeling faint and is experiencing the cardiac rhythm shown (sinus brady cardia) on the EKG. Which of the following action would be appropriate for the nurse to take? Select all that apply?

1. Administer the client's prescribed beta blocker

2.Prepare for tanscutaneous pacing

3.Instruct the client to perform Valsalva's Maneuver

4.Begin chest compression

5.Assess the client for angina

I believe the answer is just 2

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Answer #1

Answer is prepare for transcutaneous pacing.

Patient with prolonged or severe bradycardia can cause heart failure, fainting.

A resting heart rate below 60 is usually considered as bradycardia,it's normal in the case of a healthy person. But persistent sinus bradycardia causes reduced supply of oxygenated blood to the body, In this given scinario patient is having symptoms like fainting and ecg changes also. It can be sign of heart block. So bradycardia should be treated permanently. So in this case patient may require transcutaneous pacing.

Patient with sinus bradycardia beta blocker and valasalva's manaeuver are contraindicated as it again cause bradycardia to aggravate.

Chest compression is not indictation of sinus bradycardia.

Bradycardia is usually rare cause for angina pectoris.

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