Exam 25: Nursing Care of Patients With Cardiac Dysrhythmias

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The nurse is reinforcing teaching for a patient who has had a pacemaker implanted in the right side of the chest. Which patient statement indicates correct understanding of the discharge teaching?

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D

The nurse is caring for a patient recovering from cardioversion. For what should the nurse monitor in this patient? (Select all that apply.)

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A,B,D,E,F

The nurse is reinforcing discharge teaching for a patient who has had a permanent pacemaker inserted. What is important for the nurse to include? (Select all that apply.)

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B,C,D,F

After reviewing an electrocardiogram, the nurse determines that an electrical impulse originated in a patient's sinoatrial node. What did the nurse see on this tracing?

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The nurse is conducting a community health screening. Which individual should the nurse recognize as being the highest risk for atrial fibrillation?

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A patient is experiencing palpitations that are found to be PVCs. Which manifestation should the nurse expect to observe in this patient?

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The nurse is caring for a group of patients on the telemetry unit. Which patient should the nurse see first?

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The nurse is reviewing orders for a patient and notes an order for epinephrine. Which medication in the patient's history should cause the nurse to question this order?

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The nurse is preparing to administer atropine sulfate (Atropine) 2 mg IV. Available vials are 0.4 mg/mL. How many mL will the nurse administer? Enter the numeral only.

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The nurse is caring for a patient who develops sinus tachycardia. What action should the nurse take?

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The nurse is reviewing laboratory results for a patient with ventricular fibrillation. The nurse should anticipate which finding?

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The nurse is caring for a patient receiving warfarin (Coumadin). Which finding would be of most concern to the nurse?

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The nurse is preparing to administer adenosine (Adenocard) 6 mg IV. Available is 6 mg/2 mL. How many mL will the nurse administer? Enter the numeral only.

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The nurse is preparing to administer digoxin (Lanoxin). The nurse assesses the apical pulse and notes a rate of 54 beats/min. Which action should the nurse take?

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The nurse is reinforcing teaching for a patient with premature ventricular contractions (PVCs) and is being discharged. Which lifestyle recommendation should be the most important for the nurse to include?

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A patient is diagnosed with ventricular fibrillation. For which emergency intervention should the nurse anticipate preparing?

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The nurse is reviewing laboratory results for a patient receiving warfarin (Coumadin) and notes the international normalized ratio (INR) is 6.

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The nurse notices that the ST segment is depressed on a patient reporting chest pain. What action should the nurse take?

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The nurse is caring for a group of patients. Which patient is at risk for developing premature atrial contractions (PACs)?

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A patient recovering from an acute MI has a heart rate of 30 beats/min. Which area of the heart should the nurse consider as pacing this patient's heart rate?

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