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NURS 24 EXAM 3 CHAPTER 26 QUESTIONS AND VERIFIED DETAILED ANSWERS
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NURS 24 EXAM 3 CHAPTER 26 QUESTIONS ANDVERIFIED DETAILED ANSWERS
A home care nurse is visiting a left-handed client with an ICD implanted in the left chest.
The client plans to go rifle hunting. How should the nurse respond? -Answer "You
cannot shoot a rifle left-handed because the recoil of the rifle will traumatize the site of
the ICD."
The client comes to the clinic for a follow-up visit after receiving a permanent
pacemaker and complains of tenderness and throbbing around the incision site. The
nurse notices mild swelling, erythema, and warmth at the pacemaker insertion site.
What does the nurse suspect? -Answer: pacemaker site infection
A nurse is teaching the client about the etiologies of tachycardia. Which client statement
indicates additional teaching should be provided by the nurse? - Answer "I will restrict
my coffee intake to two meals per day."
A nurse enters a client's room and finds the client pulseless and without breath sounds.
What would be the best course of therapy for this client? - Answer Immediate CPR
The nurse is caring for a client with a dysrhythmia and knows that the P wave on an
electrocardiogram (ECG) reflects which event of the cardiac cycle? - Answer Atrial
depolarization
The licensed practical nurse is co-assigned with a registered nurse in the care of a
client admitted to the cardiac unit with chest pain. The licensed practical nurse is
checking the cardiac monitor's accuracy, which reflects a heart rate of 34 beats/minute.
The client is restless and states he feels badly. The licensed practical nurse checks the
accuracy of the reading on the monitor. When the registered nurse is consulted, the
following can be expected: The registered nurse to have given atropine sulfate
intravenously
Atropine sulfate, a cholinergic blocking agent is given IV to increase a dangerously slow
heart rate. Lanoxin is not administered when the pulse rate falls below 60 beats/minute.
, It is unsafe to wait until the pulse rate improves on its own with no nursing intervention
or any extra medication is given until the pending concern has been treated.
A client is admitted to the emergency department reporting chest pain and shortness of
breath. The nurse notices an irregular rhythm on the bedside electrocardiograph
monitor. The nurse counts 9 RR intervals on the client's 6-second rhythm tracing. The
nurse correctly identifies the client's heart rate as - Answer 90 bpm
The ICU nurse is notified that there is an alarm in the patient's room. The nurse enters
the patient's room and discovers that the patient is unresponsive, pulseless, and
asystolic-flat line on the monitor. What is the first action by the nurse? Response Begin
CPR
The nurse is explaining to the patient with PACs that there are many causes, some of
which are modifiable. Select all that apply. - Answer Hypoxemia
Atrial ischemia
Alcohol
Anxiety
All of these causes stimulate or increase electrical impulses in the heart except for
hyperkalemia.
A client who has been diagnosed with heart failure asks the nurse how dobutamine
impacts the circulation of the body. Which is the best response by the nurse? - Answer
The medication increases the force of the myocardial contraction.
A nurse should order serum levels of which two of the following electrolytes in a client
experiencing frequent bouts of ventricular tachycardia? - Answer Magnesium and
potassium
The nurse is caring for a client who had a permanent pacemaker surgically placed and
is now ready for discharge. Which statement by the client indicates a need for further
education? Answer "We will be getting rid of our microwave oven so it will not affect my
pacemaker."
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