Exam 34: Care of Patients with Dysrhythmias

A nurse cares for a client who has a heart rate averaging 56 beats/min with no adverse symptoms.Which activity modification should the nurse suggest to avoid further slowing of the heart rate?

A nurse prepares to defibrillate a client who is in ventricular fibrillation.Which priority intervention should the nurse perform prior to defibrillating this client?

The nurse is caring for a client on the medical-surgical unit who suddenly becomes unresponsive and has no pulse.The cardiac monitor shows the rhythm below: After calling for assistance and a defibrillator,which action should the nurse take next?

A nurse cares for a client with an intravenous temporary pacemaker for bradycardia.The nurse observes the presence of a pacing spike but no QRS complex on the client's electrocardiogram.Which action should the nurse take next?

A nurse cares for a client with atrial fibrillation who reports fatigue when completing activities of daily living.What interventions should the nurse implement to address this client's concerns?

A nurse assesses a client with atrial fibrillation.Which manifestation should alert the nurse to the possibility of a serious complication from this condition?

A nurse prepares to discharge a client with cardiac dysrhythmia who is prescribed home health care services.Which priority information should be communicated to the home health nurse upon discharge?

A nurse assesses a client with tachycardia.Which clinical manifestation requires immediate intervention by the nurse?

A nurse cares for a client with congestive heart failure who has a regular cardiac rhythm of 128 beats/min.For which physiologic alterations should the nurse assess? (Select all that apply.)

A nurse evaluates prescriptions for a client with chronic atrial fibrillation.Which medication should the nurse expect to find on this client's medication administration record to prevent a common complication of this condition?

A nurse assesses a client's electrocardiogram (ECG)and observes the reading shown below: How should the nurse document this client's ECG strip?

A nurse assesses a client's electrocardiograph tracing and observes that not all QRS complexes are preceded by a P wave.How should the nurse interpret this observation?

A nurse is teaching a client with premature ectopic beats.Which education should the nurse include in this client's teaching? (Select all that apply.)

A nurse teaches a client who experiences occasional premature atrial contractions (PACs)accompanied by palpitations that resolve spontaneously without treatment.Which statement should the nurse include in this client's teaching?

A nurse teaches a client with a new permanent pacemaker.Which instructions should the nurse include in this client's teaching? (Select all that apply.)

A nurse administers prescribed adenosine (Adenocard)to a client.Which response should the nurse assess for as the expected therapeutic response?

A nurse performs an admission assessment on a 75-year-old client with multiple chronic diseases.The client's blood pressure is 135/75 mm Hg and oxygen saturation is 94% on 2 liters per nasal cannula.The nurse assesses the client's rhythm on the cardiac monitor and observes the reading shown below: Which action should the nurse take first?

After teaching a client who has an implantable cardioverter-defibrillator (ICD),a nurse assesses the client's understanding.Which statement by the client indicates a correct understanding of the teaching?

A nurse supervises an unlicensed assistive personnel (UAP)applying electrocardiographic monitoring.Which statement should the nurse provide to the UAP related to this procedure?

A nurse cares for a client who is on a cardiac monitor.The monitor displayed the rhythm shown below: Which action should the nurse take first?