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Practice Question

What is the priority nursing intervention for a client with a heart rate of 52 beats per minute?

Answer Choices:

Correct Answer:

Assess the client for symptoms

Rationale:

♦️A heart rate of 52 bpm indicates bradycardia, which may be benign or symptomatic depending on the patient's condition and perfusion status.

♦️The first nursing action is to assess for signs of poor perfusion—such as dizziness, hypotension, chest pain, shortness of breath, or altered level of consciousness—to determine if the bradycardia is clinically significant.

♦️If the client is asymptomatic, no immediate pharmacologic or pacing intervention is necessary; continuous monitoring and evaluation for possible causes (e.g., beta-blocker use, vagal stimulation, or hypoxia) are appropriate.

♦️If symptoms are present, the nurse should promptly notify the provider and prepare for possible atropine administration or temporary pacing per ACLS protocol.

♦️Assessment always precedes intervention to avoid unnecessary treatment and to tailor care to the patient’s specific clinical picture.

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This question is from Exam 3 - Cardiac FA25 which contains 37 questions.

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Exam 3 - Cardiac FA25

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: Examplify Exam(s)
  • Domain: Medical-Surgical
  • Answer Choices: 4
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