Nursing 5- Dysrhythmias ATI
a nurse is an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. the nurse finds a rapid and irregular HR with significant pulse deficit. which of the following dysrhythmias should the nurse except to find on the ECG?
A-fib : disorganized twitching of atrial muscles
a nurse is performing an ECG on a patient who is experiencing chest pain. which of the following statements should the nurse make?
I will need to apply electrodes to your chest and extremities.
a nurse is caring for a patient who recently had surgery for the insertion of a permanent pacemaker. which of the following prescriptions should the nurse clarify?
MRI of the chest
a nurse is reviewing lab results of a client who has A-fib and is taking warfarin. For which of the following results should the nurse notify the provider?
PT 45 seconds
a nurse is interpreting a patient's ECG strip. which of the following components of the ECG should the nurse determine the time it takes for ventricular depolarization and repolarization?
QT interval
a nurse is caring for a client who is on warfarin therapy for AFib. the patient's INR is 5.2. which of the following medications should the nurse prepare to administer?
Vitamin K (it reverses the effects of warfarin)
a nurse is caring for a client who has A-fib and is receiving heparin. which of the following findings is the nurses priority?
a client experiences sudden weakness of one arm and leg.
a nurse is reviewing the EKG strip of a client who has prolonged vomiting. which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?
abnormally prominent U wave
what is an important action for the nurse to take after delivering a shock with defibrillator?
assess the client's response to the shock.
a nurse is interpreting the ECG strip of a patient who has bradycardia. Which of the following cardiac components should the nurse identify as the role of the P wave?
atrial depolarization.
a nurse is caring for a client a nurse is caring for a client who has cardiopulmonary arrest. the nurse anticipates the emergency response team will administer which of the following medications if the clients restored rhythm is symptomatic bradycardia?
atropine
a nurse is caring for a client who has an elevated potassium level and is on the cardiac monitor. where is the T-wave?
click on the t-wave
a nurse is caring for a patient who develops a V-Fib rhythm. the patient is unresponsive, pulseless, and apneic. which of the following actions is the nurses priority?
defibrillation: to increase the cardiac output
a nurse is caring for a client who has who has pericarditis and reports feeling a new onset of palpitations and SOB. which of the following assessments should indicate to the nurse the client may have developed A-Fib?
different apical and radial pulses.
a nurse is caring for a patient who reports heart palpitations. an ECG confirms the patient is experiencing VT. the nurse should anticipate the need for taking which of the following actions?
elective cardioversion.
a nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. for which of the following adverse effects should the nurse monitor when giving this medication?
hypotension.
a nurse is caring for a client that was admitted recently and has symptomatic bradycardia.
incisional site bleeding and bradycardia
a nurse is assisting with obtaining an ECG for a patient that has A-fib. Which of the following actions should the nurse take?
inspect the electrode pads instruct the client not to talk during the test
what is an important aspect of discharge teaching for a patient with a newly implanted defibrillator?
instruct the patient to keep a diary of any shocks delivered by the ICD
a nurse is assessing a patient who has A-Fib. which of the following pulse characteristics should the nurse expect?
irregular
a nurse is caring for a patient who has A-Fib and receives digoxin daily. Before administering this medication, which of the following acitons should the nurse take?
measure the patient's apical pulse
which of the following is a crucial nursing intervention for a patient with a newly implanted pacemaker?
monitoring the insertion site for signs of infection.
a nurse is caring for a patient with a ventricular pacemaker who is on ECG monitoring. the nurse understands that the pacemaker is functioning properly when which of the following appears on the monitor strip?
pacemaker spikes before each QRS complex
which of the following is the most appropriate initial management for a patient experiencing ventricular fibrillation?
performing immediate defibrillation
a nurse is a coronary care unit is admitting a client who has had CPR following a cardiac arrest. the client is receiving lidocaine IV at 2mg/min. when the client asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions
prevents dysrhythmias
a nurse is teaching a patient who has a new diagnosis of A-fib. the nurse should instruct the patient to monitor for which of the following complications?
pulmonary embolism
a nurse is caring for a client who has serum potassium level of 5.5. the provider prescribes polystyrene sulfonate. if this medication is effective the nurse should expect which of the following changes in the patient's ECG?
reduction of T-wave
make sure you know where the P wave is
select P wave = atrial depolarization
a nurse is monitoring a client who is on telemetry. which of the following findings on the ECG strip should the nurse recognize as normal sinus rhythm?
the p wave falls before the QRS complex.
a nurse is preparing to administer dabigatran to a patient who has A-Fib. the nurse should explain that the purpose of this med is which of the following?
to reduce the risk of stroke in clients who have A-fib
