Complex Health Quiz 1 4 Questions with Answers Graded A
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Course
NU1426
Institution
NU1426
Complex Health Quiz 1 - 4 Questions with Answers Graded A
The telemetry nurse is unable to read the telemetry monitor at the nurse's station. Which intervention should the telemetry nurse implement first?
1. Go to the client's room to check the client.
2. Instruct the primary nurse to assess the...
Complex Health Quiz 1 - 4 Questions with
Answers Graded A
1). The telemetry nurse is unable to read the telemetry monitor at the nurse's station. which
intervention should the telemetry nurse implement first?
1. go to the client's room to check the client.
2. instruct the primary nurse to assess the client.
3. contact the client on the client call system.
4. request the nursing assistant to take the crash cart to the client's room.
Ans: 3. Contact the client
If the client answers the call light and is not experiencing chest pain, then there is
probably monitor artifact, which is not a life-threatening emergency. After talking with the
client, send a nurse to the room to check the monitor.
2). The client shows ventricular fibrillation on the telemetry at the nurse's station. which action
should the telemetry nurse implement first?
1. administer epinephrine ivp.
2. prepare to defibrillate the client.
3. call a stat code.
4. start cardiopulmonary resuscitation.
Ans: 3. Call a STAT code.
The nurse must call a code that activates the crash cart being brought to the room & a
team of healthcare providers that will care for the client according to an established
protocol.
3). The client is experiencing multifocal premature ventricular contractions. which
antidysrhythmic medication would the nurse expect the healthcare provider to order for this
client?
1. amiodarone
2. atropine
3. digoxin
4. adenosine
Ans: 1. Amiodarone
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, Amiodarone suppresses ventricular ectopy & is the drug of choice for ventricular
dysrhythmias.
4). The client is exhibiting sinus bradycardia, is complaining of syncope and weakness, and has
a bp of 98/60. which collaborative treatment should the nurse anticipate being
implemented?
1. administer a thrombolytic medication.
2. assess the client's cardiovascular status.
3. prepare for insertion of a pacemaker.
4. obtain a permit for synchronized cardioversion.
Ans: 3. Prepare for insertion of a pacemaker.
The client is symptomatic & will require a pacemaker.
5). Which intervention should the nurse implement when defibrillating a client who is in
ventricular fibrillation?
1. defibrillate the client at 50, 100, and 200 joules.
2. do not remove the oxygen source during defibrillation.
3. place petroleum jelly on the defibrillator pads.
4. shout "all clear" prior to defibrillating the client.
Ans: 4. Shout "all clear" prior to defibrillating the client.
If any member of the team is touching the client or the bed during defibrillation, that
person could possibly be shocked.
6). The client has chronic atrial fibrillation. which discharge teaching should the nurse
discuss with the client?
1. instruct the client to use a soft-bristle toothbrush.
2. discuss the importance of getting a monthly partial thromboplastin time (ptt).
3. teach the client about signs of pacemaker malfunction.
4. explain to the client the procedure for synchronized cardioversion.
Ans: 1. Instruct the client to use a soft-bristle toothbrush.
A client with chronic a fib will be taking an anticoagulant to help prevent clot formation.
Therefore, the client is at risk for bleeding.
7). The client is exhibiting ventricular tachycardia. which intervention should the nurse
implement first?
1. administer amiodarone, an antidysrhythmic, ivp.
2. prepare to defibrillate the client.
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