MSN 377: Ch 26 Workbook Questions
D
A patient comes to the ED with complaints of chest pain after using cocaine. The nurse assesses the patient and obtains vital signs with the results as follows: blood pressure 140/92, HR 128, RR 26, and O2 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
C
A patient has had several episodes of recurring 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
A, B, C
A patient has has 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 chest x-rays to make sure this device is patent
D
A patient who has an MI 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
C
A patient with HTN has a newly diagnosed atrial fibrillation. What medication does the nurse anticipate administering to prevent the complication of atrial thrombi? A. adenosine (adenocard) B. amiodarone (pacerone) C. warfarin (coumadin) D. atropine
A
A patient with dilated cardiomyopathy is having frequent episodes of ventricular fibrillation. What choice would be best to sense and terminate these episodes? A. implantable cardioverter defibrillator B. pacemaker C. atropine D. epinephrine
A
A patient with mitral valve stenosis and coronary artery disease is in the telemetry unit with pneumonia. The nurse assesses a 6-second rhythm stirp 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. non paroxysmal junctional tachycardia
A
A pt has a persistent third-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)
B
A pt is 2 days post-op after having a permanent pacemaker inserted. THe nurse observes that the pt is having continuous hiccups as that patient states "I thought this was normal". What does the nurse understand is occurring with this patient? A. fracture of the lead wire B. lead wire dislodegment C. faulty generator D. sensitivity is too low
D
The nurse is assessing VS 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
C
The nurse is attempting to determine the ventricular rate and rhythm of a patient's telemetry strip. What should the nurse examine to determine the part of the analysis? A. PP interval B. QT interval C. RR interval D. TP interval
D
The nurse is defibrillating a patient in ventricular fibrillation with paddles on a monophasic defibrillator. How much paddle pressure should the nurse apply when defibrillating? A. 5-10 lbs B. 10-15 lbs C. 15-20 lbs D. 20-25 lbs
A
The nurse is in the ICU hears an alarm 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 CPR B. administer epinephrine C. administer atropine 0.5 mg D. defibrillate with 360 joules (monophasic defibrillator)
B
The nurse is monitoring a pt in the PACU following a coronary artery bypass graft, observing a regular ventricular rate of 82 beats/min and "sawtooth" 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. centricular tachycardia D. ventricular fibrillation
C
The nurse is observing the monitor of a patient with first-degree atrioventricular block. What is the 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