Question

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 all medications accept those which are cardiotonics
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 Lanoxin (digoxin)

Answer 1

The appropriate action in this scenario would be to hold all medication until the pulse rate returns to 60 beats/minute.

Step-by-step explanation:

The licensed practical nurse is assessing the accuracy of the cardiac monitor and notes a heart rate of 34 beats/minute. A heart rate this low, along with the client's symptoms of feeling unwell and anxiety, indicates bradycardia. Bradycardia is a condition characterized by a slow heart rate, usually less than 60 beats/minute.

In consultation with the registered nurse, it is anticipated that the appropriate action would be to hold all medication until the pulse rate returns to 60 beats/minute, as option c suggests. Administering medications or cardiotonics to further slow the heart rate could be detrimental to the client's condition.