Exam 19: Advanced Cardiovascular Care

Which client is the best candidate for telemetry monitoring?

A nurse caring for a client who has a pacemaker sees the following rhythm on the cardiac monitor. What action by the nurse is best?

A client is told that his/her cardiac ejection fraction is 62% and asks the nurse what that means. What response from the nurse is best?

A client's cardiac monitor has been displaying artifact much of the time. What actions does the nurse take? (Select all that apply.)

What assessment data indicates that a goal for a client related to cardiac monitoring has been met?

A client has been defibrillated and the monitor shows a normal sinus rhythm. What action by the nurse is most appropriate?

During a code situation, what action is best to ensure safety for the responding staff?

When caring for clients on cardiac monitors, what action by the nurse is most important for client safety?

A child in the Emergency Department is in cardiac arrest and the monitor shows ventricular fibrillation. The child weight 72 pounds. What is the proper dose of joules for the first attempt at defibrillation?

The nurse is applying cardiac monitoring leads to a client with large, pendulous breasts. What action by the nurse is most appropriate?

A client has a temporary pacemaker. Which settings are matched with their correct function? (Select all that apply.)

The student learns that which are characteristics of cardiac conduction? (Select all that apply.)

A client has a transcutaneous pacemaker and the nurse notes random pacemaker spikes on the ECG. What action does the nurse take?

The student hears in handoff report that a client has a lot of artifact on the cardiac monitor. The student asks the faculty to explain. What response by the faculty is best?

The nurse is admitting a client for an acute myocardial infarction. What part of the ECG does the nurse assess for signs of ischemia?

The nurse in the coronary care unit knows that all dysrhythmias have the potential to cause which of the following? (Select all that apply.)

A client is admitted to have a biventricular pacemaker inserted. When asked by a student what this device does, which answer by the nurse is best?

A client is being cardioverted. What action by the nurse is most important to ensure a successful outcome?

A client had a cardiac catheterization 4 hours ago via the femoral approach and reports worsening dull flank pain. What action does the nurse take first?

The nurse is assessing a client's chest pain using the PQRST format. Which letter is matched with the correct meaning? (Select all that apply.)