Quiz 3 Flashcards
If you give blood pressure medications via IV push what is a possible side effect you need to monitor for?
Hypotension
A nurse is providing teaching to a client who has atrial fibrillation and reports dizziness and palpitations. Which of
the following should the nurse understand is the cause of these manifestations?
A. The heart’s electrical signals are rapid, chaotic, and irregular.
DX: V-Tach
Actions: do and EKG and prepare for a Cardioversion
Monitor: look at cardiac rhythm and potassium levels
A nurse is monitoring a client who is on telemetry. Which of the following findings on the ECG strip should the nurse recognize as normal sinus rhythm?
The P wave falls before the QRS complex.
Rationale: The nurse should recognize that in normal sinus rhythm the P wave, representing atrial
depolarization, falls before the QRS wave.
A nurse is caring for a client with a ventricular pacemaker who is on ECG monitoring. The nurse understands that
the pacemaker is functioning properly when which of the following appears on the monitor strip?
Pacemaker spikes before each QRS complex
Rationale: The pacemaker fires, showing a spike on the monitor strip, which stimulates the ventricle, and
the QRS complex appears, indicating that depolarization has occurred.
A nurse on a telemetry unit is caring for a client who has premature ventricular contractions (PVCs). While sitting in a chair, the client feeling reports feeling lightheaded. If the client is having PVCs, which of the following findings should the nurse expect when auscultating the client’s apical pulse?
Irregular pulsations
A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations and shortness of
breath. Which of the following assessments should indicate to the nurse that the client may have developed atrial
fibrillation?
Different apical and radial pulses.
A nurse is assisting with obtaining an electrocardiogram (ECG) for a client who has atrial fibrillation. Which of the
following actions should the nurse take? (Select all that apply.)
Inspect the electrode pads
Tell the patient to not talk
A nurse is teaching a newly licensed nurse about evaluating a cardiac rhythm. Which of the following options
should the nurse identify as the P wave in the ECG complex?
The P wave on the EKG is the first
A nurse is caring for a client who recently had surgery for insertion of a permanent pacemaker. Which of the following prescriptions should the nurse clarify?
MRI of the chest
A nurse is providing discharge teaching to a client who has an implantable cardioverter/defibrillator (ICD). Which of the following information should the nurse include?
The client should hold his cell phone on the side opposite the ICD.
A nurse is teaching a client who is postoperative following the insertion of a permanent pacemaker. Which of the following instructions should the nurse include? (Select all that apply.)
Count your pulse for 1 min each morning
Do not wear tight clothing over the insertion area
SATA) What are reportable findings to the HCP for patients with pacemakers?
-Bleeding or hematoma at the insertion site
-Bradycardia.
A nurse is caring for a client who reports heart palpitations. An ECG confirms the client is experiencing ventricular
tachycardia (VT). The nurse should anticipate the need for taking which of the following actions?
Elective cardioversion
A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurse’s priority?
Defibrillation
A patient just received CPR following cardiac arrest. They were given lidocaine. Why?
To prevent dysrhythmias
A nurse is caring for a client who has a cardiopulmonary arrest. The nurse anticipates the emergency response
team will administer which of the following medications if the client’s restored rhythm is symptomatic bradycardia?
Atropine
A patient is getting an ECG. They are unconscious, apneic, and pulseless. What do you do?
Defibrillate. Put on AED.
What medication should you expect to give before you cardiovert a patient with vtach?
Midazolam (versed)
This will hurt like hell so sedate them prior to cardioverting
A 20yr old athlete is in the clinic for a checkup. The blood pressure is good, but the HR is
below 60. What should the nurse recommend?
Recommend that they can still run and play soccer. We’re not concerned
Possible ECG. The PR interval is too close or spaced out. There are a lot of boxes indicating bradycardia or low HR. They may have a block. Can we give scheduled med
for blood pressure?
No hold the beta blocker and notify HCP
Which patient should you see first?
The patient with defibrillator that fired twice and they’re due for amiodarone
A patient with possible atrial flutter is experiencing dyspnea, painful SOB and chest pain. What should the nurse do first?
Adminster oxygen
A patient is showing sinus tachycardia, HR >100, and they have no palpable pulse. What do you do?
Start CPR
A nurse is interpreting a client’s ECG strip. Which of the following components of the ECG should the nurse examine to determine the time it takes for ventricular depolarization and repolarization?
QT interval
EKG reading. The strip has an irregular p-wave. The HR is in range 60-100.
AFIB
