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Ch. 26 Cardiac Questions & answers latest update 2024/2025 with complete solution
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Ch. 26 Cardiac Questions & answers latest update 2024/2025 with complete solution
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STUVIA 2024/2025Ch. 26 Cardiac
a. Keep the arm on the side of the pacemaker higher than the head - ✔✔Which postimplantation
instruction must a nurse provide to a client with a permanent pacemaker?
a. Keep the arm on the side of the pacemaker higher than the head
b. Delay activities such as swimming and bowling for at least 3 weeks
c. Keep moving the arm on the side where the pacemaker is inserted
d. Avoid sources of electrical interference
a. "I should ask for a handheld device search when I go through airport security." - ✔✔The nurse is
caring for a client who is being discharged after insertion of a permanent pacemaker. Which question
by the client indicates a need for clarification?
a. "I should ask for a handheld device search when I go through airport security."
b. "I should avoid large magnetic fields, such as an MRI machine or large motors."
c. "I should avoid contact sports."
d. "I'll watch the incision for swelling or redness and will report if either occurs."
a. "Please come to the clinic right away so that we may interrogate the pacemaker to see if it is
malfunctioning." - ✔✔The nurse receives a telephone call from a client with an implanted pacemaker
who reports that his pulse is 68 beats per minute, but his pacemaker rate is set at 72 beats per
%
minute. The best response by the nurse is which of the following?
a. "Please come to the clinic right away so that we may interrogate the pacemaker to see if it is
malfunctioning."
b. "Don't worry. The pacemaker's rate is often higher than the client's actual heart rate."
c. "This is okay as long as you are not having any symptoms."
d. "Try walking briskly for about 5 minutes to see if that gets your heart rate to increase."
a. Twiddler syndrome
b. Hiccuping
d. Local infection - ✔✔You are discussing complications of a pacemaker with a group of nursing
students. One of the students asks about complications associated with use of a cardiac pacemaker.
Which of the following items are considered complications of a pacemaker? Choose all that apply.
a. Twiddler syndrome
b. Hiccuping
c. Positive Kernig's
d. Local infection
e. Negative Babinski
a. Cordarone - ✔✔You are taking a pre-nursing pharmacology class. Today you are learning about
anti-dysrhythmic drugs. What drug is a potassium channel blocker?
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a. Cordarone
b. Lidacaine
c. Tambocor
d. Isoprel
a. Elective electrical cardioversion - ✔✔Your client has been diagnosed with an atrial dysrhythmia.
The client has come to the clinic for a follow-up appointment and to talk with the physician about
options to stop this dysrhythmia. What would be a procedure used to treat this client?
a. Elective electrical cardioversion
b. Chemical cardioversion
c. Mace procedure
d. Elective electrical defibrillation
d. Clients with recurrent life-threatening tachydysrhythmias - ✔✔You are caring for a client who has
been admitted to have a cardioverter defibrillator implanted. You would know that implanted
cardioverter defibrillators are used in what clients?
a. Clients with recurrent life-threatening bradycardias
b. Clients with sinus tachycardia
c. Clients with ventricular bradycardia
d. Clients with recurrent life-threatening tachydysrhythmias
%
a. Right side of sternum, fourth intercostal space - ✔✔The nurse is placing electrodes for a 12-lead
electrocardiogram (ECG). The nurse would be correct in placing an electrode on which area for V1?
a. Right side of sternum, fourth intercostal space
b. Left side of sternum, fourth intercostal space
c. Midway between V2 and V4
d. Mid-clavicular line, fifth intercostal space
a. Coumadin - ✔✔Which medication is indicated for the patient with atrial fibrillation who is at high
risk for stroke?
a. Coumadin
b. Aspirin
c. Lovenox
d. Plavix
a. Fluttering - ✔✔The nurse is caring for a client who has premature ventricular contractions. What
sign or symptom is observed in this client?
a. Fluttering
b. Nausea
c. Hypotension
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