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CH 26 review Qs, Chapter 26: Caring for Clients with Cardiac Dysrhythmias, Chapter 26: Caring for Clients with Cardiac Dysrhythmias, Chapter 26: Caring for Clients with Cardiac Dysrhythmias, Chapter 26: Caring for Clients with Cardiac Dysrhythmias.$16.99
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CH 26 review Qs, Chapter 26: Caring for Clients with Cardiac Dysrhythmias, Chapter 26: Caring for Clients with Cardiac Dysrhythmias, Chapter 26: Caring for Clients with Cardiac Dysrhythmias, Chapter 26: Caring for Clients with Cardiac Dysrhythmias.
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Course
Caring for Clients with Cardiac Dysrhythmias
Institution
Caring For Clients With Cardiac Dysrhythmias
CH 26 review Qs, Chapter 26: Caring for Clients with Cardiac Dysrhythmias, Chapter 26: Caring for Clients with Cardiac Dysrhythmias, Chapter 26: Caring for Clients with Cardiac Dysrhythmias, Chapter 26: Caring for Clients with Cardiac Dysrhythmias.
CH 26 review Qs, Chapter 26: Caring for Clients
with Cardiac Dysrhythmias, Chapter 26: Caring for
Clients with Cardiac Dysrhythmias, Chapter 26:
Caring for Clients with Cardiac Dysrhythmias,
Chapter 26: Caring for Clients with Cardiac
Dysrhythmias.
A patient comes to the Emergency department with complaints of chest pain after using cocaine. The
nurse assesses the patient and obtains vital signs with results as follows: blood pressure 140/92, heart
rate 128, respiration rate 26, and an oxygen saturation of 98%. What rhythm on the monitor does the
nurse anticipate viewing?
A. Sinus bradycardia
B. Ventricular tachycardia
C. Normal sinus rhythm
D. Sinus tachycardia
D. Sinus tachycardia
The nurse is attempting to determine the ventricular rate and rhythm of a patient's telemetry strip.
What should the nurse examine to determine this part of the analysis?
A. PP interval
B. QT interval
C. RR interval
D. TP interval
C. RR interval
The nurse is monitoring a patient in the post-anesthesia care unit (PACU) following a coronary artery
bypass graft, observing a regular ventricular rate of 82 beats/min and "saw tooth" P waves with an
atrial rate of approximately 300 beats/min. How does the nurse interpret this rhythm?
A. Atrial fibrillation
B. Atrial flutter
C. Ventricular tachycardia
D. Ventricular fibrillation
B. Atrial flutter
A patient with mitral valve stenosis and coronary disease (CAD) is in the telemetry unit with
pneumonia. The nurse assesses a 6-second rhythm strip and determines that the ventricular rhythm is
highly irregular at 88, with no discernible P waves. What does the nurse determine this rhythm to be?
A. Atrial flutter
,B. Ventricular flutter
C. Sinus tachycardia
D. Nonparoxysmal junctional tachycardia
A. Atrial flutter
A patient with hypertension has a newly diagnosed atrial fibrillation. What medication does the murse
anticipate administering to prevent the complication of atrial thrombi?
A. Adenosine (Adenocard)
B. Amiodarone (Pacerone)
C. Warfarin (Coumadin)
D. Atropine
C. Warfarin (Coumadin)
The nurse in the intensive care unit (ICU) hears an alarm sound in the patient's room. Arriving in the
room, the patient is unresponsive, without a pulse, and a flat line on the monitor. What is the first
action by the nurse?
A. Begin cardiopulmonary resuscitation (CPR)
B. Administer epinephrine
C. Administer atropine 0.5 mg
D. Defibrillate with 360 joules (monophasic defibrillator)
A. Begin cardiopulmonary resuscitation (CPR)
The nurse is defibrillating a patient in ventricular fibrillation with paddles on a monophasic
defibbrillator. How much paddle pressure should the nurse apply when defibrillating?
A. 5 to 10 lbs
B. 10 to 15 lbs
C. 15 to 20 lbs
D. 20 to 25 lbs
D. 20 to 25 lbs
A patient with dilated cardiomyopathy is having frequent episodes of ventricular fibrillation. What
choice would be nest to sense and terminate these episodes?
A. Implantable cardioverter defibrillator
B. Pacemaker
C. Atropine
D. Epinephrine
A. Implantable cardioverter defibrillator
The nurse is observing the monitor of a patient with a first-degree atrioventricular (AV) block. What is
then nurse aware characterizes this block?
A. A variable heart rate, usually fewer than 60 bpm
B. An irregular rhythm
C. Delayed conduction, producing a prolonged PR interval
D. P waves hidden with the QRS complex
,C. Delayed conduction, producing a prolonged PR interval
The nurse is assessing vital signs in a patient with a permanent pacemaker. What should the nurse
document about the pacemaker?
A. Date and time of insertion
B. Location of the generator
C. Model number
D. Pacer rate
D. Pacer rate
A patient has had an implantable cardioverter defibrillator inserted. What should the nurse be sure to
include in the education of this patient prior to discharge? (Select all that apply)
A. Avoid magnetic fields such as metal detection booths
B. Call for emergency assistance if feeling dizzy
C. Record events that trigger a shock sensation
D. The patient may have a throbbing pain that is normal
E. The patient will have to schedule monthly x-rays to make sure the device is patent
A. Avoid magnetic fields such as metal detection booths
B. Call for emergency assistance if feeling dizzy
C. Record events that trigger a shock sensation
A patient is 2 days postoperative after having a permanent pacemaker inserted. The nurse observes
that the patient is having continuous hiccups as the patient states, "I thought that was normal." What
does the nurse understand is occurring with this patient?
A. Fracture of the lead wire
B. Lead wire dislodgement
C. Faulty generator
D. Sensitivity is too low
B. Lead wire dislodgement
A patient who had a myocardial infarction is experiencing severe chest pain and alerts the nurse. The
nurse begins the assessment but suddenly the patient becomes unresponsive, no pulse, with the
monitor showing a rapid, disorganized ventricular rhythm. What does the nurse interpret this rhythm
to be?
A. Ventricular tachycardia
B. Atrial fibrillation
c. Third-degree heart block
D. Ventricular fibrillation
D. Ventricular fibrillation
A patient has a persistent thrid-degree heart block and has had several periods of syncope. What
priority treatment should the nurse anticipate for this patient?
A. Insertion of a pacemaker
B. Administration of atropine
, C. Administration of epinephrine
D. Insertion of an implantable cardioverter defibrillator (ICD)
A. Insertion of a pacemaker
A patient has had several episodes of recurrent tachydysrhythmias over the last 5 months and
medication therapy has not been effective. What procedure should the nurse prepare the patient for?
A. Insertion of an ICD
B. Insertion of a permanent pacemaker
C. Catheter ablation therapy
D. Maze procedure
C. Catheter ablation therapy
A nurse is caring for a client who's experiencing sinus bradycardia with a pulse rate of 40
beats/minute. The client's blood pressure is 80/50 mm Hg and the client reports dizziness. Which
medication does the nurse anticipate administering to treat bradycardia?
Atropine
Dobutamine
Amiodarone
Lidocaine
Atropine
The nursing student asks the nurse how to tell the difference between ventricular tachycardia and
ventricular fibrillation on an electrocardiogram strip. What is the best response?
"Ventricular fibrillation is irregular with undulating waves and no QRS complex. Ventricular
tachycardia is usually regular and fast, with wide QRS complexes."
"The two look very much alike; it is difficult to tell the difference."
"The QRS complex in ventricular fibrillation is always narrow, while in ventricular tachycardia the QRS
is of normal width."
"The P-R interval will be prolonged in ventricular fibrillation, while in ventricular tachycardia the P-R
interval is normal."
"Ventricular fibrillation is irregular with undulating waves and no QRS complex. Ventricular tachycardia is
usually regular and fast, with wide QRS complexes."
The nurse witnesses a client experiencing ventricular fibrillation. What is the nurse's priority action?
defibrillation
cardioversion
IV bolus of atropine
IV bolus of dobutamine
defibrillation
A client asks the nurse what causes the heart to be an effective pump. The nurse informs the client
that this is due to the:
inherent rhythmicity of cardiac muscle tissue.
inherent rhythmicity of all muscle tissue.
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