Exam 57: Management of Clients with Dysrhythmias

The nurse working on a telemetry floor would recognize that most dangerous dysrhythmias are

A client is being discharged after unsuccessful cardioversion for atrial fibrillation. An important self-care measure the nurse should include in the discharge teaching plan is to tell the client to

A young athletic client has occasional episode of syncope. On further questioning, the nurse discovers the client has several relatives who had sudden cardiac death. The nurse should suggest the client be screened for

A client in the CCU goes into sudden ventricular fibrillation. The priority action by the nurse would be to immediately administer

At the ambulatory care clinic, the nurse counseling a client who has presented with frequent episodes of paroxysmal atrial tachycardia would advise the client to

When a client develops sinus bradycardia after a myocardial infarction (MI), the nurse would anticipate the administration of

If a client admitted to the hospital for treatment of atrial fibrillation complains of dyspnea and chest pain, the nurse would suspect

The nurse would be most concerned about premature ventricular contractions (PVCs) that

When a client in the CCU develops ventricular tachycardia and loses consciousness, the priority action by the nurse would be to immediately administer

The nurse would assess a heart rate of 55 beats/min as a normal finding in a client who

For a client being prepared to receive an automatic implantable cardioverter-defibrillator (AICD) after surviving two episodes of ventricular fibrillation, the nurse would address the client's

Before the insertion of a temporary pacemaker, the nurse should assess the client's (Select all that apply)

Before a client receives cardioversion, the nurse should ensure that the client

When the normal pacemaker is impaired and latent pacemaker cells in the AV node initiate the cardiac cycle, the nurse would clarify that this pacemaker is called the

The client who is to receive cardioversion in 3 days for treatment of continuous atrial fibrillation has laboratory values of Na 139 mEq/L, K 4.0 mEq/L, and Cl 98 mEq/L and is receiving digoxin 0.125 mg daily. Before the procedure the nurse would

A client with a serum potassium level of 6.6 mEq/L would have a characteristic ECG configuration of

When a client in the cardiac care unit (CCU) suddenly develops paroxysmal atrial tachycardia (PAT) of 200 beats/min and clinical manifestations of severe dizziness, the nurse would help decrease the heart rate by

When the nurse in charge of the code is ready to defibrillate a client, the nurse assisting with the defibrillation would

The client's ECG shows normal-appearing P waves that occur at regular intervals. Every third impulse from the atria is missing a QRS complex. The nurse would recognize this pattern as the dysrhythmia of

The nurse would clarify to a client that sinus arrest differs from sinus block in that with sinus arrest, the