Difficulty: Medium
Average Score: 95%
Simulated
Passage / Scenario
History and PhysicalNurses Notes
The client is a 75-year-old female admitted to the preoperative area to prepare for pacemaker insertion. The client reports she is having this done because her heart rate has been staying very low. She is always tired, and she has passed out once from a low heart rate. The client has a history of worsening symptomatic bradycardia and a history of atrial fibrillation controlled by medication. She has been off anticoagulants for 4 days to prepare for the procedure.
The nurse would determine what actions to implement in an emergent situation. The client is at immediate risk for developing:
Correct answer
D,E,F
Rationale
The client's bradycardia and atrial fibrillation history increase risks for cardiac arrest and arrhythmias, while vancomycin administration poses an anaphylaxis risk.