Final Exam Med-Surg - Comprehensive Review

**Comprehensive Review -- PNR201 You Got This!!!** 1. **If a nurse assesses a client with a low heart rate, what intervention should be done next?** When a nurse encounters a client with a low heart rate (bradycardia), the following steps should be taken: Assess for Symptoms: Che...

**Comprehensive Review -- PNR201 You Got This!!!** 1. **If a nurse assesses a client with a low heart rate, what intervention should be done next?** When a nurse encounters a client with a low heart rate (bradycardia), the following steps should be taken: Assess for Symptoms: Check if the client is symptomatic (e.g., dizziness, fainting, fatigue, chest pain, shortness of breath). Vital Signs and Monitoring: Verify the heart rate by manual pulse check or electrocardiogram (ECG) to ensure accuracy and assess rhythm. Check for Underlying Causes: Review the client's medications (e.g., beta-blockers, digoxin) and medical history for conditions like hypothyroidism or electrolyte imbalances. Intervene if Needed: If the client is symptomatic, administer oxygen and prepare for potential interventions like atropine (if ordered) or pacing. If the client is asymptomatic and stable, monitor closely and consult with the healthcare provider. 2. **The nurse needs to understand how to assess a client with a low potassium level and the need for replacement therapy.** Assessment for Low Potassium (Hypokalemia): Symptoms to Look For: Muscle weakness, fatigue, cramps, irregular heartbeats, constipation, and, in severe cases, paralysis or cardiac arrhythmias. Electrocardiogram (ECG) Changes: Flattened T waves, prominent U waves, ST segment depression, and potential arrhythmias. History and Lab Values: Review lab results for serum potassium (\