Exam 25: Nursing Care of Patients With Cardiac Dysrhythmias

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The nurse observes two PACs in 1 minute on a patient's cardiac monitor. The patient is asymptomatic. What action is required by the nurse?

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The nurse is reinforcing teaching for a patient who has a pacemaker. Which measure should the nurse include when explaining how the pulse should be monitored?

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Place in order, from 1 to 6, the six-step process for arrhythmia interpretation. A) ____ QRS interval B) ____ P waves C) ____ Heart rate D) ____ Regularity of the rhythm E) ____ PR Interval F) ____ QT interval

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The nurse is caring for a patient in respiratory acidosis who also had a myocardial infarction (MI). For which rhythm should the nurse assess?

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The nurse is reading a cardiac monitor of a patient and observes a regular rhythm, a flutter of P waves with a sawtooth pattern, QRS interval 0.08 second, and an atrial rate of 300 beats/min. The nurse recognizes this as which arrhythmia?

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The nurse is sitting at the desk watching the telemetry monitors and notes a patient's rhythm suddenly shows asystole. Which action should the nurse take first?

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The nurse is reviewing the cardiac strip for a patient and notes the following: No identifiable P waves, QRS complex measures 0.06 second and irregular, and heart rate 120 beats/min. The nurse should interpret this as which arrhythmia?

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Place in order, from 1 to 5, the sequence for normal electrical impulse movement through the cardiac conduction system. A) ____ Internodal tracts B) ____ SA node C) ____ AV node D) ____ Purkinje fibers E) ____ Bundle of His

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The nurse is caring for a patient with failure of the SA node and the AV node is unable to initiate an impulse. The ventricular rate ranges from 20 to 40 beats/min. Which clinical manifestations can the nurse expect to document? (Select all that apply.)

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The nurse is interpreting a cardiac strip. The strip reveals a regular QRS complex and regular P wave. The PR interval is 0.16 second and the QRS complex measures 0.06 second. The patient's heart rate is 62 beats/min. Which is the correct interpretation of this rhythm?

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