Exam 36: Nursing Management: Dysrhythmias

The nurse notes that a patient's cardiac monitor shows that every other beat is earlier than expected,has no visible P wave,and has a QRS complex that is wide and bizarre in shape.How will the nurse document the rhythm?

When preparing to defibrillate a patient.In which order will the nurse perform the following steps? (Put a comma and a space between each answer choice [A,B,C,D,E].) A) Turn the defibrillator on. B) Deliver the electrical charge. C) Select the appropriate energy level. D) Place the paddles on the patient's chest. E) Check the location of other staff and call out "all clear."

A 20-year-old has a mandatory electrocardiogram (ECG)before participating on a college soccer team and is found to have sinus bradycardia,rate 52.Blood pressure (BP)is 114/54,and the student denies any health problems.What action by the nurse is most appropriate?

After providing a patient with discharge instructions on the management of a new permanent pacemaker,the nurse knows that teaching has been effective when the patient states

Which laboratory result for a patient with multifocal premature ventricular contractions (PVCs)is most important for the nurse to communicate to the health care provider?

A patient who is on the progressive care unit develops atrial flutter,rate 150,with associated dyspnea and chest pain.Which action that is included in the hospital dysrhythmia protocol should the nurse do first?

A patient has a normal cardiac rhythm and a heart rate of 72 beats/minute.The nurse determines that the P-R interval is 0.24 seconds.The most appropriate intervention by the nurse would be to

The nurse needs to quickly estimate the heart rate for a patient with a regular heart rhythm.Which method will be best to use?

A 19-year-old student comes to the student health center at the end of the semester complaining that,"My heart is skipping beats." An electrocardiogram (ECG)shows occasional premature ventricular contractions (PVCs).What action should the nurse take next?

A patient develops sinus bradycardia at a rate of 32 beats/minute,has a blood pressure (BP)of 80/42 mm Hg,and is complaining of feeling faint.Which actions should the nurse take next?

The nurse obtains a rhythm strip on a patient who has had a myocardial infarction and makes the following analysis: no visible P waves,P-R interval not measurable,ventricular rate 162,R-R interval regular,and QRS complex wide and distorted,QRS duration 0.18 second.The nurse interprets the patient's cardiac rhythm as

A patient with dilated cardiomyopathy has new onset atrial fibrillation that has been unresponsive to drug therapy for several days.The priority teaching needed for this patient would include information about

After the nurse gives IV atropine to a patient with symptomatic type 1,second-degree atrioventricular (AV)block,which finding indicates that the medication has been effective?

A patient has ST segment changes that support an acute inferior wall myocardial infarction.Which lead would be best for monitoring the patient?

Which nursing action can the registered nurse (RN)delegate to experienced unlicensed assistive personnel (UAP)working as a telemetry technician on the cardiac care unit?

A patient whose heart monitor shows sinus tachycardia,rate 132,is apneic and has no palpable pulses.What is the first action that the nurse should take?

Which intervention by a new nurse who is caring for a patient who has just had an implantable cardioverter-defibrillator (ICD)inserted indicates a need for more education about care of patients with ICDs?

When analyzing the rhythm of a patient's electrocardiogram (ECG),the nurse will need to investigate further upon finding a(n)

A patient has a junctional escape rhythm on the monitor.The nurse will expect the patient to have a heart rate of _____ beats/minute.

Which action will the nurse include in the plan of care for a patient who was admitted with syncopal episodes of unknown origin?