ExamI2:INSGI320/INSG320I(NewI2024/I
2025IUpdate)IAdultIHealthINursingIII
CompleteIReviewIwithIQsI&IAsI|I100%I
Correct|IGradeIAI(VerifiedIAnswers)-IGCU
QUESTION
WhatIdoesInoIcardiacIoutputImean?
Answer:
InoIcardiacIoutputImeansInoIpulse,IwhichIalsoImeansInoIperfusion
QUESTION
HowItoIobtainIECGIinformationI(3-5Ilead)
Answer:
I-clientIwearsIaI3IorI5IleadIECG,IwhichIisItheImostIcommonIwayItoImonitorItheIheart
-oftenIcontinuouslyImonitored
-
leadsIconnectItoIaIteleImonitorIthatItransmitsItheIdataItoIaIbankIofImonitors,IwhereIsomeoneI
watchesIthemIforIchanges
QUESTION
HowItoIobtainIECGIinformationI(12Ilead)
Answer:
I-clientIisItemporarilyIconnectedItoIaI12IleadIECG
-usedItoIdiagnoseIspecificItypesIofIdysrhythmiasIandIheartIattacks
-oneItimeItestIthatIlastsIaboutIaIminute
-notIusedIforIcontinuousImonitoring
QUESTION
,WhyIdoIweImeasureItheIdifferentIpartsIofItheIheart'sIelectricalIactivityIwaveIform?
Answer:
I-itIprovidesIspecificIinformationIaboutIeachIpartIofItheIheart
-itIhelpsItoIdetermineIwhatIareasIofItheIheartIhaveIbeenIdamagedIbyIischemia
-
whenItheIamountIofItimeIchangesIitIhelpsIprovidersIidentifyItheIlocation/typeIofIMIIorIischem
icIcardiacItissueIandIareasIofIscarringIorIdeadItissueIthatIinterfereIwithItheImovementIofItheIel
ectricalIsignalIthroughItheIheart
QUESTION
SinusIrhythms
Answer:
I-originateIfromItheISAInodeIandIareI"normal"Irhythms
-PIwavesIandIQRSIcomplexIareIpresentIandIappearsIatIregularItimeIintervals
-EachIPIwaveIisIfollowedIbyIaIQRSIcomplex
QUESTION
SAInode
Answer:
IconductsIfirstIinIaI"normal"Iheart;IrepresentsIatriumIandIPIwave
QUESTION
SinusItachycardia
Answer:
I-HRIofI100-150Ibpm
-consistentIPIwave
-PIwaveIisIconstantIandIfollowedIbyIaInormalIQRSIcomplexI(widthIisIslim)
-TheIintervalsIbetweenIQRSIcomplexesIareIequal
-causesIincludeIexercise,Ifever,Icaffeine,IandIstimulants
-dataIcollection:Irapid,IregularIpulse,IpossibleIpalpation
-toItreat,ItreatItheIcause
,QUESTION
NSR
Answer:
InormalIsinusIrhythm
I
QUESTION
SinusIbradycardia
Answer:
I-HRI<60Ibpm
-consistentIPIwave
-PIwaveIisIconstantIandIfollowedIbyIaInormalIQRSIcomplexI(widthIisIslim)
-TheIintervalsIbetweenIQRSIcomplexesIareIequal
-causesIincludeIsleep,Ivomiting,IMIIdrug,IandIhypothermia
-dataIcollection:Ifatigue,Ilightheadedness,Isyncope,Isymptomatic
-treatItheIcauseI(arousal,Iwarmth,ImedIchange)
QUESTION
AtrialIfibrillation
Answer:
I-disorganizedIelectricalIactivityIinItheIatria
-canIcomeIfromImultipleIdifferentIareasIofItheIatrialImyocardium
-absenceIofIinconsistentIPIwave
-appearsIirregular,IoftenIchangesIspeedIofItheIheartIrate
-causesIincludeIsurgery,IlongstandingIHTN,IPE,IheartIdisease,ICOPD,IvalveIdis-Iease
-
dataIcollection:IirregularIpulse,IchangeIinILOC,Idyspnea,IasymptomaticIorIsyncopeItreatItheIc
ause:Iantidysrhytmics
QUESTION
transcutaneousIpacemaker
, Answer:
IAIdeviceIthatIdepolarizesImyocardialItissueIbyIsendingIaIsmallIelectricalIchargeIthroughItheIs
kinIofItheIchestIbetweenIoneIexter-InallyIplacedIpacingIpadIandIanother
-usedIforIbradycardia
QUESTION
cardioversionI(defibrillation)
Answer:
IrestorationIofIaInormalIheartIrhythmIbyIelectricIshock
-usedIforIatrialIfibrillation
QUESTION
prematureIventricularIcontractionI(PVC)
Answer:
I-abnormalIheartIbeatsIstartingIfromItheIventricles
-takesIplaceIinIconjunction/additionItoItheIunderlyingIrhythm
-wideIQRSIcomplex
-causedIbyItheIheartsIdemandIforIO2
-dataIcollection:IalmostIalwaysIasymptomatic,InoticedIonIteleIstrip
-
treatmentIdoneIifIPVC'sIareIveryIfrequentIwithIsymptoms:ILidocaine,IautomaticIimplantableIc
ardioverter-defibrillatorI(AICD)
QUESTION
ventricularItachycardia
Answer:
I-whenI3IorImoreIPVC'sIoccurIconsecutively
-ventricularIrateIisI>100
-regularItoIslightlyIirregularIrhythm,
-causesIincludeIhypoxemia,IelectrolyteIimbalance,IandIdrugItoxicity