Exam (elaborations) NUR 306 (NUR306) Pharmacology Unfolding NextGen Reasoning BRADYCARDIA Suggested Answer Guidelines

Marilyn Fitch is a 78-year-old Caucasian woman with a history of hypercholesteremia, hypertension, and heart failure and has NKDA. She was brought in by her daughter after Marilyn complained of feeling dizzy several times this morning and then almost passed out at home. Marilyn has a six-month history of paroxysmal atrial fibrillation. Her heart rate has been regular and she has had no episodic dizziness since she had a synchronized cardioversion one week prior to this visit. Her initial VS in triage were: T: 98.9 F/37.2 C (oral) P: 52 R: 16 BP: 94/52 and O2 sat: 98% room air. Key Components 1. Develop Critical Thinking By applying and using knowledge most important to practice 2. Develop Clinical Reasoning By recognizing relevant clinical data to identify the nursing priority 3. Develop Clinical Judgment Outcome when student interprets, notices, and responds appropriately