EKG adaptive quizzing

When the nurse needs to determine atrial rate and rhythm, which component of the EKG will be used? a) P waves b) PR intervals c) T waves d) QRS complexes

a) P waves

Which nursing intervention is important when caring for clients receiving intravenous (IV) digoxin? SELECT ALL THAT APPLY a) monitor the heart rate closely b) check the blood levels of digoxin c) administer the dose over 1 minute d) monitor the serum potassium level e) give the medication with other infusing medications

a) monitor the heart rate closely b) check the blood levels of digoxin d) monitor the serum potassium level

Which action would the nurse take when assessing an infant on digoxin who has an apical pulse of 88 beats/minute? a) notify the HCP immediately b) tell the mother to continue giving the digoxin c) expect the HCP to lower the dose d) ask the mother whether this is the infant's usual heart rate

a) notify the HCP immediately

Which action is essential for the nurse to include in the plan of care for a client with atrial fibrillation? a) take pulse apically for a full minute b) monitor blood pressure at least every 2 hours c) ask client to call for assistance when ambulating d) teach client to avoid taking over-the-counter aspirin

a) take pulse apically for a full minute

Which client response must the nurse monitor to determine the effectiveness of amiodarone? a) absence of ischemic chest pain b) decrease in cardiac dysrhythmias c) improvement in fasting lipid profile d) maintenance of blood pressure control

b) decrease in cardiac dysrhythmias

Which finding for a client who has a diagnosis of paroxysmal atrial fibrillation is MOST important to report quickly to the HCP? a) irregular heartbeat b) right arm weakness c) client report of palpitations d) client report of lightheadedness

b) right arm weakness Rationale: a stroke symptom

Which action would the nurse take FIRST after obtaining a radial pulse rate of 136 beats/minute in a client with chronic atrial fibrillation? a) ask about any new stressors in the client's life b) take the clients apical pulse for a full minute c) notify the HCP about the heart rate d) ask whether prescribed medications have been taken

b) take the clients apical pulse for a full minute

Which is the PRIORITY nursing intervention immediately after a client has a ventricular demand pacemaker inserted? a) encourage fluids b) assess the implant size c) monitor the heart rate and rhythm d) encourage turning and deep breathing

c) monitor the heart rate and rhythm

Which response would the nurse provide to a client receiving digoxin who calls the clinic and complains of "yellow vision"? a) "This is related to your illness rather than to your medication" b) "This is an expected side effect; you will become accustomed to it over time" c) "This side effect is only temporary. You should continue the medication" d) "The medication may need to be discontinued. Come to the clinic this afternoon"

d) "The medication may need to be discontinued. Come to the clinic this afternoon" Rationale: yellow vision indicated digoxin toxicity

Which client statement indicates an understanding of the nurse's instructions concerning a Holter monitor? a) "The only time the monitor should be taken off are for showering and sleep" b) "The monitor will record my activities and symptoms if an abnormal rhythm occurs" c) "The results from the monitor will be used to determine the side and shape of my heart" d) "The monitor will record any abnormal heart rhythms while I go about my usual activities"

d) "The monitor will record any abnormal heart rhythms while I go about my usual activities"

The nurse is assessing an ECG rhythm strip. Which component of the tracing will the nurse observe to determine ventricular depolarization? a) P wave b) T wave c) PR interval d) QRS complex

d) QRS complex

A client with paroxysmal supreventricular tachycardia reports a mild "fluttering feeling" in their chest and has a blood pressure of 110/55 mmHg/ Which potential treatment by the HCP would the nurse question? a) intravenous adenosine b) intravenous metoprolol c) carotid sinus massage d) synchronized cardioversion

d) synchronized cardioversion Rationale: only experiencing mild symptoms and is stable