Exam (elaborations)
Chapter 25. Nursing Care of Patients with Cardiac Dysrhythmias Questions with correct Answers
- Course
- Institution
Chapter 25. Nursing Care of Patients with Cardiac Dysrhythmias
[Show more]
Content preview
Chapter 25. Nursing Care of Patientswith Cardiac Dysrhythmias
After reviewing an electrocardiogram, the nurse determines that an electrical impulse
originated in a patient's sinoatrial node. What did the nurse see on this tracing?
1. An upright T wave
2. An inverted T wave
3. A positive P wave before a QRS complex
4. A negative P wave before a QRS complex
Page: 437 - answerANS: 3
Feedback
1 This wave does not indicate that the electrical impulse originated in the sinoatrial (SA)
node.
2 This wave does not indicate that the electrical impulse originated in the SA node.
3 A positive P wave before a QRS complex indicates that an electrical impulse
originated in the SA node.
4 This wave does not indicate that the electrical impulse originated in the SA node.
The nurse is reinforcing teaching for a patient who has a pacemaker. Which measure
should the nurse include when explaining how the pulse should be monitored?
1. Take radial pulse for 1 minute.
2. Take apical pulse for 1 minute.
3. Take jugular pulse for 30 seconds.
4. Take brachial pulse for 30 seconds.
Page: 451 - answerANS: 1
Feedback
1 Patients are taught to take a radial pulse, as it is easier to learn than an apical pulse,
for 1 minute and to report if it is five beats over or under the set pacemaker rate
2 It is difficult for a patient to learn how to take his or her own apical pulse.
3 This pulse point is difficult for the patient to learn.
4 This pulse point is difficult for the patient to learn.
The nurse is sitting at the desk watching the telemetry monitors and notes a patient's
rhythm suddenly shows asystole. Which action should the nurse take first?
1. Start cardiopulmonary resuscitation (CPR).
2. Document the rhythm as normal.
, 3. Prepare to administer adenosine (Adenocard).
4. Prepare the patient for cardioversion.
Page: 450 - answerANS: 1
Feedback
1 When the rhythm reads asystole, CPR is started immediately.
2 When the rhythm reads asystole, CPR is started immediately.
3 When the rhythm reads asystole, CPR is started immediately.
4 When the rhythm reads asystole, CPR is started immediately.
The nurse is caring for a patient receiving warfarin (Coumadin). Which finding would be
of most concern to the nurse?
1. The patient reports blood in the urine.
2. The patient reports nausea.
3. The patient's apical heart rate is 72 beats/min.
4. The patient has a dry cough.
Page: 447 - answerANS: 1
Feedback
1 Hematuria indicates the patient may be receiving too much Coumadin.
2 Nausea is not a priority.
3 The heart rate is normal.
4 Dry cough is not the most concerning effect.
A patient is diagnosed with ventricular fibrillation. For which emergency intervention
should the nurse anticipate preparing?
1. Defibrillation
2. Endotracheal intubation
3. Synchronized cardioversion
4. Cardiopulmonary resuscitation
Page: 450 - answerANS: 1
Feedback
1 Defibrillation is the best treatment for ventricular fibrillation to terminate it and increase
survival.
2 Endotracheal intubation will ensure oxygenation; however, it will not affect the lethal
heart rhythm.
3 Synchronized cardioversion is not indicated for this heart rhythm.
4 CPR may need to be started if defibrillation is not effective.
The nurse is reviewing the cardiac strip for a patient and notes the following: No
identifiable P waves, QRS complex measures 0.06 second and irregular, and heart rate
120 beats/min. The nurse should interpret this as which arrhythmia?
1. Normal sinus rhythm
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 jw638729. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now