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A Nurse Performs an Admission Assessment on a 75-Year-Old Client

Question 19

Multiple Choice

A nurse performs an admission assessment on a 75-year-old client with multiple chronic diseases.The client's blood pressure is 135/75 mm Hg and oxygen saturation is 94% on 2 liters per nasal cannula.The nurse assesses the client's rhythm on the cardiac monitor and observes the reading shown below:
A nurse performs an admission assessment on a 75-year-old client with multiple chronic diseases.The client's blood pressure is 135/75 mm Hg and oxygen saturation is 94% on 2 liters per nasal cannula.The nurse assesses the client's rhythm on the cardiac monitor and observes the reading shown below:   Which action should the nurse take first? A)  Begin external temporary pacing. B)  Assess peripheral pulse strength. C)  Ask the client what medications he or she takes. D)  Administer 1 mg of atropine.
Which action should the nurse take first?


A) Begin external temporary pacing.
B) Assess peripheral pulse strength.
C) Ask the client what medications he or she takes.
D) Administer 1 mg of atropine.

Correct Answer:

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