Perfusion 2
A nurse in a provider's office is assessing a client who reports dyspnea and fatigue. Physical assessment reveals tachycardia and weak peripheral pulses. The nurse should recognize these findings as manifestations of which of the following conditions?
Heart failure
A nurse is performing an ECG on a client who is experiencing chest pain. Which of the following statements should the nurse make?
"I will need to place electrodes on your chest and extremities"
A nurse is preparing to perform a 12-lead ECG. Which of the following instructions should the nurse provide to the client?
"Try to remain still once I have attached the gel pads
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- clients with hypokalemia can have a flattened T wave, prolonged PR interval, prominent U wave, or ST depression
A nurse is interpreting the ECG strip of a client who has bradycardia. Which of the following cardiac components should the nurse identify as the role of the P wave?
Atrial depolarization
A nurse in 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 a significant pulse deficit. Which of the following dysrhythmias should the nurse expect to find on the ECG?
Atrial fibrillation
A nurse is caring for a client who has cardiopulmonary arrest. The nurse anticipates the emergency response team will admin which of the following meds if the client's restored rhythm is symptomatic bradycardia?
Atropine
A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations and SOB. Which of the following assessments should indicate to the nurse that the client may have developed atrial fibrillation?
Different radial and apical pulses
A nurse is assisting with obtaining an ECG for a client who has afib. Which of the following actions should the nurse take?
Inspect the electrode pads Instruct the client to not talk during the exam
A nurse on a telemetry unit is caring for a client who has premature ventricular contractions (PVCs). While sitting in a chair, the client reports feeling lightheaded. If the client is having PVCs, which of the following findings should the nurse expect when auscultating the client's apical pulse?
Irregular pulsations-
A nurse is caring for a client who has atrial fibrillation and receives digoxin daily. Before administering this medication, which of the following actions should the nurse take?
Measure the client's apical pulse
A nurse is reviewing lab results of a client who has afib and is taking warfarin. For which of the following results should the nurse notify the provider?
PT 45 sec- expected reference range is 11-12.5 seconds
What lab finding is associated with the T wave
Potassium
A nurse is caring for a young adult client who has somatic symptom disorder and is being evaluated for chest pain. The client's lab results are all within the expected reference ranges, the ECG is unremarkable, and the client has no identified risk factors. Which of the following actions should the nurse take?
Provide reassurance to the client
A nurse is teaching a client who has a new diagnosis of atrial fibrillation. The nurse should instruct the client to monitor for which of the following complications?
Pulmonary embolism
A nurse is interpreting a clint's ECG strip. Which of the following components of the ECG should the nurse examine to determine the time it takes for ventricular depolarization and repolarization?
QT interval- Should measure from the start of the QRS complex to the end of the T wave
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 caring for a client who has atrial fibrillation and is receiving heparin. Which of the following findings is the nurse's priority?
The client experiences sudden weakness of one arm and leg- these symptoms can be manifestations of a stroke
A nurse is caring for a client 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?
The pacemaker spikes before each QRS complex- the pacemaker fires, showing a spike on the monitor strip, which stimulates the ventricle, and the QRS complex appears, indicating that depolarization has occurred
A nurse is preparing to administer dabigatran to a client who has atrial fibrillation. The nurse should explain that the purpose of this medication is which of the following?
To reduce the risk of stroke in clients who have afib
A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is 5.2. Which of the following meds should the nurse prepare to administer?
Vit k- reverses the effects of warfarin
A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics should the nurse expect?
irregular
A nurse is assessing a client who has bradycardia. Which of the following findings should the nurse expect?
lightheadedness due to decreased cerebral perfusion
