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Exam 4: Interpretation and Management of Basic Dysrhythmias

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Question 21

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A patient is experiencing a new onset of the following rhythm. With complications related to this rhythm in mind, which intervention is a priority?

A) Monitor for sudden onset of ventricular tachycardia.
B) Perform neurologic checks every 4 hours.
C) Monitor for deterioration to third-degree block.
D) Assess skin turgor for dehydration.

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Question 22

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A patient with atrial fibrillation is scheduled for elective cardioversion. What teaching should the nurse prepare for this patient?

A) Short-term use of beta blockers
B) Short-term use of anticoagulant therapy
C) Long-term use of calcium channel blockers
D) Long-term use of antiarrhythmic medication

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Question 23

Multiple Choice

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The nurse is interpreting an ECG strip. What would describe paroxysmal supraventricular tachycardia (PSVT) ? Select all that apply.

A patient with sick sinus syndrome loses consciousness for 15 seconds during periods of asystole. What should the nurse expect to be prescribed for this patient?

The nurse reviews synchronized cardioversion with a new graduate. What should the nurse include when reviewing this procedure? Select all that apply.

When evaluating the health history of a patient with complete heart block, what should the nurse identify as potential causes for this health problem? Select all that apply.

A patient is demonstrating second-degree heart block (Wenckebach [type I]) . What characteristic of this rhythm should the nurse recognize?

CPR is started on a patient who has developed ventricular fibrillation. The patient is defibrillated once with the resulting rhythm. Which intervention should the nurse implement next?

A patient in the emergency department is in supraventricular tachycardia. Which actions should be taken for this patient? Select all that apply.

A patient receiving procainamide develops pulseless ventricular tachycardia. What should the nurse expect to be done for this patient?

A patient is experiencing chest pain, shortness of breath, and lethargy. The patient's vital signs are BP 88/58, HR 40, RR 20. Which nursing action is a priority for this patient?

A patient is placed on continuous cardiac monitoring. What should the nurse realize is occurring when the rhythm displays a flat, isoelectric line?

What best describes the ECG rhythm of atrial fibrillation?

The nurse reviews a patient's prescribed scheduled and PRN medications. Which medication affects cardiac contractility? Select all that apply.

The nurse reviews the characteristics of a normal QRS complex on a patient's cardiac rhythm strip. What should the nurse identify as characteristics of this complex? Select all that apply.

A patient has the following rhythm on the monitor. The patient is alert and oriented and denies any complaints at present. What should the nurse do first?

In order to correctly manage ventricular dysrhythmias, the nurse should expect to implement which treatment?

A patient is scheduled for surgery to implant a cardioverter-defibrillator (ICD) . What should the nurse expect to see documented in the patient's medical record?

The ECG strip of a patient with a transvenous ventricular demand pacemaker shows QRS complexes without pacer spikes. What should the nurse do?