A Nurse Cares for a Client with an Intravenous Temporary

question 4

Multiple Choice

A nurse cares for a client with an intravenous temporary pacemaker for bradycardia.The nurse observes the presence of a pacing spike but no QRS complex on the client's electrocardiogram.Which action should the nurse take next?

• A) Administer intravenous diltiazem (Cardizem).
• B) Assess vital signs and level of consciousness.
• C) Administer sublingual nitroglycerin.
• D) Assess capillary refill and temperature.

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