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Cardiac, Immune, Cancer, Endocrine, Sensory, Neuro Disorders Terms in this set (165) While caring for a client who has sustained a myocardial infarction, the nurse notes 8 premature ventricular contractions in 1 minute on the cardiac monitor. The £7.94
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Cardiac, Immune, Cancer, Endocrine, Sensory, Neuro Disorders Terms in this set (165) While caring for a client who has sustained a myocardial infarction, the nurse notes 8 premature ventricular contractions in 1 minute on the cardiac monitor. The
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Module
CGFO - Certified Government Finance Officer
Institution
CGFO - Certified Government Finance Officer
Cardiac, Immune, Cancer, Endocrine, Sensory, Neuro Disorders
Terms in this set (165)
While caring for a client who has sustained a myocardial infarction, the nurse notes 8 premature ventricular contractions in 1 minute on the cardiac monitor. The client is receiving an IV infusion o...
While caring for a client who has sustained a B. PVCs are often a precursor of life-threatening arrhythmias, including ventricular
myocardial infarction, the nurse notes 8 tachycardia and ventricular fibrillation. An occasional PVC is not considered dangerous,
premature ventricular contractions in 1 but if PVCs occur at a rate greater than 5 or 6 per minute in the post-MI client, the
minute on the cardiac monitor. The client is physician should be notified immediately. More than 6 PVCs per minute is considered
receiving an IV infusion of 5% dextrose in serious and usually calls for decreasing ventricular irritability by administering
water and oxygen at 2 L/min. The nurse's first medications such as lidocaine. Increasing the IV infusion rate would not decrease the
course of action should be to: number of PVCs. Increasing the oxygen concentration should not be the nurse's first
A. Increase the IV infusion rate course of action; rather, the nurse should notify the physician promptly. Administering a
B. Notify the physician promptly prescribed analgesic would not decrease ventricular irritability.
C. Increase the oxygen concentration
D. Administer a prescribed analgesic
Which of the following is an expected D. By day 2 of hospitalization after an MI, clients are expected to be able to perform
outcome for a client on the second day of personal care without chest pain. Severe chest pain should not be present on day 2
hospitalization after an MI? the client: after an MI. Day 2 of hospitalization may be too soon for clients to be able to identify
A. Continues to have severe chest pain risk factors for MI or to begin a walking program; however, the client may be sitting up
B. Can identify risk factors for MI in a chair as part of the cardiac rehab program.
C. Participates in a cardiac rehabilitation
walking program
D. Can perform personal self-care activities
without pain
Which of the following is the most B. Recommended dietary principles in the acute phase of MI include avoiding large
appropriate diet for a client during the acute meals because small, easily digested foods are better tolerated. Fluids are given
phase of an NSTEMI? according to the client's needs, and sodium restrictions may be prescribed, especially
A. Liquids as desired for clients with manifestations of heart failure. Cholesterol restrictions may be
B. Small, easily digested meals prescribed as well. Clients are not prescribed diets of liquids only or restricted to NPO
C. Three regular meals a day unless their condition is very unstable.
D. Nothing by mouth
1/11
, 8/6/24, 7:59 AM
During physical assessment, the nurse B. Characteristics of atrial fibrillation include pulse rate greater than 100 bpm, totally
should further assess the client for signs of irregular rhythm, and no definite P waves on the ECG. During assessment, the nurse is
atrial fibrillation when the palpation of the likely to note the irregular rate and should report it to the physician. A weak, thread
radial pulse reveals: pulse is characteristic of a client in shock. Two regular beats followed by an irregular
A. Two regular beats followed by one beat may indicate a premature ventricular contraction.
irregular beat
B. An irregular rhythm with pulse greater
than 100
C. Pulse rate below 60
D. A weak, thread pulse
When teaching a client about self-care A. The nurse must teach the client how to take and record the pulse daily. The
following placement of a new permanent pacemaker metal casing does not set off airport security alarms, so there are no travel
pacemaker to the upper left chest, the nurse restrictions. Prolonged immobilization is not required. Microwave ovens are safe to use
should include which information? and do not alter pacemaker function.
A. Take and record daily pulse rate
B. Avoid air travel because of airport security
alarms
C. Immobilize the affected arm for 4 to 6
weeks
D. Avoid using a microwave oven
A client has been admitted to the coronary A. Transcutaneous pacemaker therapy provides an adequate heart rate to a client in an
care unit. The nurse observes third-degree emergency situation. Defibrillation and a lidocaine infusion are not indicated for the
heart block at a rate of 35 bpm on the treatment of third-degree heart block. Transcutaneous pacing is used temporarily until
client's cardiac monitor. The client has a a transvenous or permanent pacemaker can be inserted.
blood pressure of 90/60. The nurse should
take which of the following actions first?
A. Prepare for transcutaneous pacing
B. Prepare to defibrillate the client at 200 J
C. Administer an IV lidocaine infusion
D. Schedule the operating room for insertion
of a permanent pacemaker
An older adult is admitted to the telemetry B. Maintaining cardiac conduction stability to prevent arrhythmias is a priority
unit for placement of a permanent immediately after artificial pacemaker implantation. The client should have continuous
pacemaker because of sinus bradycardia. A electrocardiographic monitoring until proper pacemaker functioning is verified. Skin
priority goal for the client within 24 hours integrity, while important, is not an immediate concern. The pacemaker is used to
after insertion of a permanent pacemaker is increase heart rate and cardiac output, not decrease it. The client should limit activity
to: for the first 24 to 48 hours after pacemaker insertion. The client should also restrict
A. Maintain skin integrity movement of the affected extremity for 24 hours.
B. Maintain cardiac conduction stability
C. Decrease cardiac output
D. Increase activity level
When teaching the client about A. Atrial fibrillation occurs when the SA node no longer functions as the heart's
complications of atrial fibrillation, the nurse pacemaker and impulses are initiated at sites within the atria. Because conduction
should instruct the client to avoid which of through the atria is disturbed, atrial contractions are reduced and stasis of blood in the
the following? atria occurs, predisposing to emboli. Some estimates predict that 30% of clients with
A. Stasis of blood in the atria atrial fibrillation develop emboli. Atrial fibrillation is not associated with increased
B. Increased cardiac output cardiac output, elevated BP, or decreased pulse rate.
C. Decreased pulse rate
D. Elevated blood pressure
2/11
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