A client receives a pacemaker to treat a recurring arrhythmia. When monitoring the cardiac rhythm strip, the nurse observes extra pacemaker spikes that don't precede a beat. Which condition should the nurse suspect?
Failure to capture
Which medication is the drug of choice for sinus bradycard...
a client receives a pacemaker to treat a recurring arrhythmia when monitoring the cardiac rhythm strip
the nurse observes extra pacemaker spikes that don
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CH 26 PrepU
A client receives a pacemaker to treat a recurring arrhythmia. When monitoring the
cardiac rhythm strip, the nurse observes extra pacemaker spikes that don't precede a
beat. Which condition should the nurse suspect? - Answer Failure to capture
Which medication is the drug of choice for sinus bradycardia? - Answer Atropine
Which rhythm is also termed a ventricular escape rhythm? - Answer Idioventricular
rhythm
The nurse is caring for a client who had a permanent pacemaker surgically placed
yesterday and is now ready for discharge. Which statement made by the client indicates
the need for more education. - Answer "We will be getting rid of our microwave oven so
it will not affect my pacemaker."
After observing a code blue situation, a nursing student asks a member of the code
team what the treatment of choice is for witnessed ventricular fibrillation. The best
response by the nurse is which of the following? - Answer Defibrillation
A nursing student is giving to a client with heart failure a medication with a positive
inotropic effect on the heart. The student asks what a "positive inotropic" effect is. The
correct response would be which of the following? - Answer It increases the force of the
myocardial contraction.
The staff educator is teaching a class in dysrhythmias. What statement is correct for
defibrillation? - Answer It is used to eliminate ventricular dysrhythmias.
You enter your client's room and find them pulseless and unresponsive. What would be
the treatment of choice for this client - Answer Immediate defibrillation
Which PR interval presents a first-degree heart block? - Answer 0.24 seconds
Your patient is experiencing asymptomatic sinus tachycardia with a rate of 118. The
nurse understands that the treatment of this condition includes: - Answer Treating the
underlying cause
A client reports light-headedness, chest pain, and shortness of breath. They physician
orders tests to ascertain what is causing the client's problems. Which test is used to
identify cardiac rhythms? - Answer electrocardiogram
A client's Holter monitor strip reveals a heart rate with normal conduction but with a rate
consistently above 105 beats/minute. What other conditions can cause this response in
a healthy heart? - Answer All options are correct.
A client presents to the emergency department via ambulance with a heart rate of 210
beats/minute and a sawtooth waveform pattern per cardiac monitor. The nurse is most
, CH 26 PrepU
correct to alert the medical team of the presence of a client with which disorder? -
Answer Atrial flutter
A nurse evaluates a client with a temporary pacemaker. The client's ECG tracing shows
each P wave followed by the pacing spike. What is the nurse's best response - Answer
Document the findings and continue to monitor the client
A client tells the nurse "my heart is skipping beats again; I'm having palpitations." After
completing a physical assessment, the nurse concludes the client is experiencing
occasional premature atrial complexes (PACs). The nurse should instruct the client to -
Answer avoid caffeinated beverages.
A patient with hypertension has a newly diagnosed atrial fibrillation. What medication
does the nurse anticipate administering to prevent the complication of atrial thrombi? -
Answer Warfarin (Coumadin)
A patient experiences a faster-than-normal heart rate when she drinks more than two
cups of coffee in the morning. The nurse knows that an indicator of sinus tachycardia on
an ECG would be which of the following? - Answer Heart rate of 118 bpm
A patient is being examined for medical management of atrial flutter. The nurse reviews
the ECG strip. He expects to see which of the following? - Answer "Sawtooth" pattern to
the waveform
The patient is told that she has second-degree AV block with symptomatic bradycardia.
The patient will be treated with an anticholinergic that blocks the effects of the vagal
nerve. Choose the most likely drug that will be prescribed. - Answer Atropine sulfate
To evaluate a client's atrial depolarization, the nurse observes which part of the
electrocardiogram waveform? - Answer P wave
A nurse is performing discharge teaching with a client who has an implantable
cardioverter defibrillator (ICD) placed. Which client statement indicates effective
teaching? - Answer "I'll keep a log of each time my ICD discharges."
Which dysrhythmia is common in older clients? - Answer Sinus bradycardia
A nursing student is caring for one of the nurse's assigned cardiac clients. The student
asks, "How can I tell the difference between sinus rhythm and sinus bradycardia when I
look at the EKG strip" The best reply by the nurse is which of the following? - Answer
"The only difference is the rate, which will be below 60 bpm in sinus bradycardia."
A nursing student is caring for one of the nurse's assigned cardiac clients. The student
asks, "How can I tell the difference between ventricular tachycardia and ventricular
fibrillation when I look at the EKG strip?" The best reply by the nurse is which of the
following? - Answer "Ventricular fibrillation is irregular with undulating waves and no
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