Exam 38: Nursing Management Dysrhythmias

The nurse is caring for a client who was admitted with a myocardial infarction and experiences a 50-second episode of ventricular tachycardia, then converts to sinus rhythm with a heart rate of 98 beats/minute. Which of the following actions should the nurse take next?

The nurse is caring for a young adult client who had a mandatory electrocardiogram (ECG) before participating on a college swim team and is found to have sinus bradycardia, rate 52. BP is 114/54 mm Hg, and the student denies any health problems. Which of thefollowing actions by the nurse is best?

Which of the following actions should the nurse take when preparing for cardioversion of a client with supraventricular tachycardia who is alert and has a blood pressure of 110/66 mm Hg?

The nurse is caring for a client who has a ST segment change that indicates an acute inferior wall myocardial infarction. Which of the following leads is best for monitoring the client?

The nurse is caring for a client who has been experiencing dizziness and shortness of breath for several days. During cardiac monitoring in the emergency department (ED), the nurse obtains the following electrocardiographictracing. Which of the following cardiac rhythms should the nurse identify?

The nurse needs to estimate quickly the heart rate for a client with a regular heart rhythm. Which of the following methods is best to use?

The nurse is analyzing an electrocardiographic rhythm strip of a client with a regular cardiac rhythm and finds there are 25 small blocks from one R wave to the next. The nurse calculates the client's heart rate as beats per minute.

The nurse is caring for a client with dilated cardiomyopathy who has an atrial fibrillation that has been unresponsive to drug therapy for several days. Which of the following actions should the nurse anticipate?

The nurse administers IV atropine to a client with symptomatic type 1, second-degree atrioventricular (AV) block. Which of the following findings indicate that the medication has been effective?

The nurse is caring for a client who is on the telemetry unit and develops atrial flutter, rate 150, with associated dyspnea and diaphoresis. Which of the following actions that are included in the hospital dysrhythmia protocol should the nurse take first?

When analyzing the waveforms of a client's electrocardiogram (ECG), the nurse will need to investigate further upon assessing which of the following findings?

The nurse is caring for a client whose cardiac monitor shows sinus tachycardia, rate 102, and is apneic with no pulses are palpable by the nurse. Which of the following actions should the nurse do first?

The nurse is caring for a client who requires defibrillation. In which order will the nurse accomplish the following steps?

The nurse is providing instruction to a client on the management of a new implantable cardioverter-defibrillator (ICD). Which of the following client statements indicate that the teaching has been effective?

The nurse has received change-of-shift report about the following clients on the telemetry unit. Which of the following clients should the nurse see first?

The nurse is interpreting an ECG strip to determine whether there is a delay in impulse conduction through the atria. Which of the following components of an ECG strip should the nurse measure?

Which of the following information will the nurse include when teaching a client who is scheduled to have a permanent pacemaker inserted for treatment of chronic atrial fibrillation with slow ventricular response?

The nurse obtains a monitor strip on a client who has had a myocardial infarction and makes the following analysis: P wave not apparent, ventricular rate 162, R-R interval regular, P-R interval not measurable, and QRS complex wide and distorted, QRS duration 0.18 second. Which of the following cardiac rhythms should the nurse interpret from these findings?

The nurse is caring for a client whose cardiac monitor shows sinus rhythm, rate 60-70. The P-R interval is 0.18 seconds at 1:00 A.M., 0.20 seconds at 2:30 P.M., and 0.23 seconds at 4:00 P.M. Which of the following actions should the nurse take at this time?

Which of the following actions by a new nurse who is caring for a client who has just had an implantable cardioverter-defibrillator (ICD) inserted indicates a need for more education about care of clients with ICDs?