Which of the following might be a reason an adult patient has a pulse of 48 bpm on admission before surgery?
  1. The patient is experiencing anxiety.
  2. The patient has a fever.
  3. The patient has low thyroid levels.
  4. The patient is in pain.
Explanation
Answer: C-A patient admitted for surgery with a pulse of 48 bpm on admission may have low thyroid levels. Hypothyroidism, when the thyroid gland does not produce enough thyroid hormone, can cause bradycardia. The nurse should check the patient’s history for hormone disorders, medication prescriptions, and any other symptoms that patient may be having to determine if this is the true reason behind the slow heart rate.
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