Exam 32: Nursing Management: Ecg Monitoring and Arrhythmias

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

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

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

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

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?

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?

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

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?

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?

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?

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?

To determine whether there is a delay in impulse conduction through the atria,the nurse will measure the duration of the patient's

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

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

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

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].)

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 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