Exam 35: Dysrhythmias

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A patient who was admitted with a myocardial infarction experiences a 45-second episode of ventricular tachycardia,then converts to sinus rhythm with a heart rate of 98 beats/min. Which action should the nurse take next?

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C

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

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B

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

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C

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 teaching about the care of patients with ICDs?

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The nurse knows that discharge teaching about the management of a new permanent pacemaker has been most effective when the patient states

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

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

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A 20-yr-old patient 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 mm Hg,and the student denies any health problems. What action by the nurse is most appropriate?

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

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A patient's heart monitor shows a pattern of undulations of varying contours and amplitude with no measurable ECG pattern. The patient is unconscious,apneic,and pulseless. Which action should the nurse take first?

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Which action by a new registered nurse (RN)who is orienting to the telemetry unit indicates a good understanding of the treatment of heart dysrhythmias?

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Which action should the nurse perform when preparing a patient with supraventricular tachycardia for cardioversion who is alert and has a blood pressure of 110/66 mm Hg?

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

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A patient who is complaining of a "racing" heart and feeling "anxious" comes to the emergency department. The nurse places the patient on a heart monitor and obtains the following electrocardiographic (ECG)tracing. A patient who is complaining of a racing heart and feeling anxious comes to the emergency department. The nurse places the patient on a heart monitor and obtains the following electrocardiographic (ECG)tracing.   Which action should the nurse take next? Which action should the nurse take next?

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

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The nurse has received change-of-shift report about the following patients on the progressive care unit. Which patient should the nurse see first?

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A patient reports dizziness and shortness of breath for several days. During heart monitoring in the emergency department (ED),the nurse obtains the following electrocardiographic (ECG)tracing. The nurse interprets this heart rhythm as

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

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A patient who is on the telemetry 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?

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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].)

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