Cardio - Concepts of care for patients wit dysrhythmias QUESTIONS

While suctioning a client with a tracheostomy, the client becomes diaphoretic and nauseous and the heart rate decreases to 37 beats/min. What is the PRIORITY nursing action? A. Continue to clear the airway B. Stop suctioning the patient C. Administer atropine D. Call the healthcare provider immediately

B. Stop suctioning the patient Excessive vagal stimulation to the heart causes a decreased rate of sinus node discharge. It may result from carotid sinus massage, vomiting, suctioning, Valsalva maneuvers (bearing down to poo), ocular pressure or pain.

The primary healthcare provider prescribes warfarin for a client with atrial fibrillation. Which client statement indicates that further education is needed? A. "I need to go to the clinic once a week to have my blood level checked" B. "If my stools turn black, I will contact my primary healthcare provider" C. "I'm glad I don't need to change my diet, salads are my favorite food" D. "I need to stop taking my herbal supplement"

C. "I'm glad I don't need to change my diet, salads are my favorite food" Patients on warfarin should avoid foods high in vitamin K and avoid herbs such as ginger, ginseng, goldenseal, gingko biloba, and St. Johns wart because they can interfere with the drug's action.

The nurse is assessing the client's cardiac rhythm and notes the following: HR 64, regular rhythm, PR interval 0.20, QRS 0.10. How will the nurse document this rhythm interpretation in the electronic health record? A. Sinus Tachycardia B. Sinus bradycardia C. Normal sinus rhythm D. Sinus arrythmia

C. Normal sinus rhythm Rate: 60-100 BPM Rhythm: Atrial and ventricular rhythms regular P waves: Present, consistent configuration, one P wave before each QRS complex PR interval: 0.12-0.20 seconds and constant QRS duration: 0.06-0.10 seconds and constant

Upon entering a client's room, the nurse finds the client unresponsive. In what order will the nurse provide care? A. Begin chest compressions B. Check carotid pulse C. Notify the rapid response team D. Get the crash cart/AED E. Provide rescue breaths

C. Notify the rapid response team D. Get the crash cart/AED B. Check carotid pulse A. Begin chest compressions E. Provide rescue breaths

A client in the telemetry unit is on a cardiac monitor. The monitor technician alerts the nurse that there are no ECG complexes, and the alarm is sounding. What is the first action by the nurse? A. Suspend the alarm. B. Call the emergency response team. C. Press the record button to get an ECG strip. D. Assess the client and check lead placement.

D. Assess the client and check lead placement. Always make sure everything is in place before freaking out

The nurse is caring for a client who is experiencing occasional premature ventricular contractions. What assessment data are MOST concerning to the nurse? A Potassium 4.8 mEq/L B. Magnesium 2 mEq/L C. Heart rate 90 D. History of smoking

D. History of smoking Sympathomimetic agents, such as anesthesia drugs, stress, nicotine, caffeine, alcohol, infection, or surgery can cause PVC's, especially in older adults.