Module 2 - Code Flashcards
Your patient is alert and talking to you when you notice the following rhythm. The patient’s BP is 90/44 mm Hg. You should:
V TACH
begin advanced life support.
treat with IV amiodarone per protocol.
defibrillate immediately.
begin basic life support.
treat w IV amiodarone
You are reading the cardiac monitor and notice that the patient’s heart rhythm is extremely irregular and that there are no discernible P waves. The ventricular rate is 90 beats per minute and the patient is hemodynamically stable. You realize that the patient’s rhythm is ________________.
a flutter
PVC
A fib
V tach
A fib
Sinus bradycardia is a symptom of which of the following? (select all that apply)
Beta blocker medication
Calcium channel blocker medication
Athletic conditioning
Hypothermia
Hyperthyroidism
BB
CCB
Athletic
Hypothermia
You are calculating the rate for a regular rhythm. There are 20 small boxes between each P wave and 20 small boxes between each R wave. What is the ventricular rate?
75 beats/min
80 beats/min
100 beats/min
50 beats/min
75 bpm
Your patient’s heart rate is 165 beats per minute. The cardiac monitor shows a rapid rate with narrow QRS complexes. The P waves cannot be seen, but the rhythm is regular. Your patient’s BP has dropped from 124/62 mm Hg to 78/30 mm Hg. Your patient’s skin is cold and diaphoretic and your patient is complaining of nausea. What is your priority action?
Prepare your patient for an emergent cardioversion
Prepare your patient for a transcutaneous pacemaker insertion
Administer atropine
Administer a beta blocker per protocol
Prepare for emergent cardioversion
Your patient’s heart rhythm shows an inverted P wave with a PR interval of 0.06 seconds. The heart rate is 54 beats per minute. You recognize that the rhythm is due to the _________________.
increased rate of the AV node
increased rate of the SA node
decreased rate of the AV node
loss of sinus node activity
Loss of sinus node activity
You are caring for a patient who has atrial fibrillation. Sequelae that place your patient at greater risk for mortality/morbidity include which of the following (select all that apply):
CVA
Pulmonary emboli
Decreased cardiac output
Prolonged PR interval
Hyperkalemia
CVA
Pulmonary Emboli
Decreased Cardiac Output
Your patient is admitted to the coronary care unit with an inferior wall myocardial infarction and develops symptomatic bradycardia with premature ventricular contractions every third beat (trigeminy). Which medication would be a priority medication to administer?
Atropine
Magnesium
Amiodarone
Lidocaine
Atropine
You are assisting in a code. In what correct locations would you place the paddles for anterior defibrillation?
Second intercostal space, right sternal border and fifth intercostal space, left midaxillary line
Second intercostal space, left sternal border and fourth intercostal space, left midclavicular line
Fourth intercostal space, right sternal border and fifth intercostal space, left midclavicular line
Second intercostal space, right sternal border and fourth intercostal space, left midaxillary line
Second intercostal space, right sternal border and fifth intercostal space, left midaxillary line
The code team has just defibrillated a patient in ventricular fibrillation. Following CPR for 2 minutes, what is the next action to take?
Prepare for transcutaneous pacing
Administer lidocaine
Administer amiodarone
Assess rhythm and pulse
Assess rhythm and pulse
Your patient has pulseless electrical activity (PEA). What action should be a priority?
Attach the patient to a transcutaneous pacemaker
Begin high-quality CPR
Prepare equipment for a pericardiocentesis
Assist with chest tube placement
Begin high quality CPR
Your patient has been admitted to a critical care unit with a diagnosis of acute myocardial infarction. Suddenly the monitor alarms and the screen shows a flat line. What action should you take first?
Administer epinephrine by intravenous push
Begin chest compressions
Defibrillate at 360 J
Check patient for unresponsiveness
Check for patient unresponsivness
During a code situation, the nurse would prepare to use which preferred intravenous fluid?
5% dextrose in water
Dopamine infusion
Normal saline
5% dextrose in 0.45% normal saline
Normal Saline
A nursing home patient is admitted to the critical care unit with a severe case of pneumonia. No living will or designation of health care surrogate is noted on the chart. In the event this patient needs intubation and/or cardiopulmonary resuscitation, what should be the nurse’s action?
Call the nursing home to determine the patient’s or family’s wishes
Code the patient for 5 minutes and then cease efforts
Initiate intubation and/or cardiopulmonary resuscitation efforts
Activate the code team, but initiate a “slow” code
Initiate intubation and/or cardiopulmonary resuscitation efforts
