Exam 26: Cardiac Care

ECG tracings that cannot be interpreted are known as _________________.

The nurse is caring for a patient who has chest discomfort.While obtaining the 12-lead ECG,the patient complains of feeling very anxious.Which of the following interventions should the nurse take in caring for the patient's anxiety?

The nurse is preparing to apply electrodes for continuous cardiac monitoring to a newly admitted adult with syncope.Which action by the nurse follows appropriate procedure?

The nurse recognizes the following indications as appropriate for continuous cardiac monitoring.

The nurse is reviewing the patient's Do Not Resuscitate orders when the cardiac alarm sounds.The rhythm is chaotic with no identifiable waves and the rate cannot be determined.Based on these clinical findings,the nurse determines that the patient is in which of the following cardiac rhythms?

The nurse determines the needs to obtainment of a 12-lead ECG on a patient.The nurse assesses two identifiers to ensure patient safety.This practice is in compliance with which safety organization?

The nurse is observing a nursing assistive personnel (NAP)perform a 12-lead ECG tracing on a newly admitted patient.The nurse recognizes that the NAP requires additional training on this skill when she observes which of the following erroneous lead placements?

The nurse is caring for a patient on continuous cardiac monitoring who is experiencing occasional premature ventricular contractions.Which of the following actions demonstrate appropriate protocol?

The nurse is caring for a 6-year-old child after open-heart surgery.When assessing the patient,the nurse notes that the position of the leads may be different in the pediatric population.Which lead placement explains this special consideration?

The nurse is reviewing the patient's medications and recognizes that which of the following medications can cause dysrhythmias?

The student nurse is preparing to perform a 12-lead ECG on an adult patient.Which action by the student should the nursing instructor question?

The nurse analyzes the patient's cardiac rhythm as follows: regular rhythm,rate 108 beats per minute,normal PQRS complex.The nurse interprets that the clinical significance of this cardiac rhythm is most likely related to which indication?

The nurse is assessing several patients who have returned from surgery when a 12-lead ECG is ordered for a newly admitted patient.Prioritizing patient needs,the nurse determines that obtaining the 12-lead ECG can be most appropriately delegated to which member of the health care team?

A patient is being monitored on a continuous cardiac monitor.The nurse directs the nursing assistive personnel (NAP)to immediately report which of the following patient findings?

The nurse is assessing if the patient needs a 12-lead ECG.Which of the following indications,if identified,indicates that a 12-lead ECG should be obtained?