Exam (elaborations)
Nurs 422 Exam 2 With Complete Solution
- Course
- Institution
Nurs 422 Exam 2 With Complete Solution...
[Show more]
Content preview
Nurs 422 Exam 2 WithComplete Solution
Atrial fibrillation - ANSWER While assessing a client with dilated
cardiomyopathy, the nurse notices that the electrocardiogram rhythm has no
p waves, on a fine, wavy line. The ventricular rhythm is irregular with a QRS
duration of 0.08 seconds, and a heart rate of 110 BPM. This rhythm is:
atrial fibrillation
ventricular fibrillation
atrial flutter
sinus tachycardia
pulse rate has increased to 70 BPM - ANSWER The vital signs of a patient are:
BP 100/78, pulse 46 BPM, RR 18 breaths/min. Atropine is administered IV
push. What assessment indicates a therapeutic response to the medication?
systolic blood pressure has increased by 20 mmHg
pupils are dilated
oral secretions have decreased
pulse rate has increased to 70 BPM
ventricular tachycardia - ANSWER A nurse is watching the cardiac monitor
and notices that a patient has no p-waves, the QRS complexes are wide, and
the ventricular rate is regular but over 100. The nurse determines that the
,patient is experiencing:
premature ventricular contractions (PVCs)
ventricular tachycardia
ventricular fibrillation
sinus tachycardia
blood pressure and peripheral perfusion - ANSWER A client is having
frequent premature ventricular contractions. The nurse would place a priority
on assessment of which of the following items?
sensation of palpitations
causative factors such as caffeine
blood pressure and peripheral perfusion
precipitating factors such as infection
hypotension and dizziness - ANSWER A client has developed atrial
fibrillation, with a ventricular rate of 150 BPM. A nurse assesses the client for:
nausea and vomiting
hypotension and dizziness
hypertension and headache
flat neck veins
vagus nerve to slow the heart rate - ANSWER A client with rapid rate atrial
fibrillation asks a nurse why the physician is going to preform carotid
,massage. The nurse responds that this procedure may stimulate the:
vagus nerve to increase the heart rate; overriding the rhythm
diaphragmatic nerve to slow the heart rate
vagus nerve to slow the heart rate
diaphragmatic nerve to override the rhythm
ventricular fibrillation - ANSWER A nurse notes that a client with sinus
rhythm has a PVC that falls on the T wave preceding a beat. The client's
rhythm suddenly changes to one with no p-waves or definable QRS
complexes. Instead there are coarse wavy lines of varying amplitude. This is:
ventricular fibrillation
ventricular tachycardia
atrial fibrillation
asystole
notify the physician promptly - ANSWER When caring for a client who has
sustained an MI, the nurse notes eight PVCs in 1 minute on the cardiac
monitor. The client is receiving an IV infusion of LR and oxygen at 2L/min.
The nurses first action is to:
, increase the IV infusion rate
notify the physician promptly
increase the oxygen concentration
administer the prescribed analgesic
syncope and slow ventricular rate - ANSWER A client with a complete heart
block may exhibit:
nausea and vertigo
flushing and slurred speech
cephalalgia and blurred vision
syncope and slow ventricular rate
the RR intervals are relatively consistent
one P wave precedes each QRS complex - ANSWER What criteria should the
nurse use to determine normal sinus rhythm for a client on a cardiac
monitor? Select all that apply.
the RR intervals are relatively consistent
one P wave precedes each QRS complex
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Newsolution. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
73091 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now