Which finding will help to support a diagnosis of pulseless electrical activity (PEA) in a
patient? Select all that apply.
A)Hypoxia
B)Hypovolemia
C)Hyperthermia
D)Hyperkalemia
E)Hyperglycemia - answerA)Hypoxia
B)Hypovolemia
D)Hyperkalemia
pg 561
A)P waves are regular.
D)Ventricular rate is about 40 beats per minute.
pg 589 - answerThe nurse is caring for a patient with this rhythm on the monitor. How
would the nurse interpret this rhythm? Select all that apply.
A)P waves are regular.
B)Atrial rate is about 80 beats per minute.
C)QRS complexes are irregular.
D)Ventricular rate is about 40 beats per minute.
E)The ventricular conduction follows the atrial conduction.
B)It is a 100% paced rhythm.
D)The pacemaker rate is around 80 beats per minute.
pg 589 - answerThe nurse is caring for a patient with this rhythm on the monitor. How
would the nurse interpret this rhythm? Select all that apply.
A)P waves are regular.
B)It is a 100% paced rhythm.
C)It is ventricular tachycardia (VT).
D)The pacemaker rate is around 80 beats per minute.
E)There are no P waves.
Which are true regarding a third-degree atrioventricular (AV) or complete heart block?
Select all that apply.
A)The P waves will be equal to the QRS complexes.
B)The atrial rate is between 60 and 100 bpm; ventricular rate is less than or equal to 40
bpm.
C)The P waves should march throughout the rhythm strip at an irregular rate.
D)The ventricles and atria do not have any communication.
, E)The permanent pacemaker may be inserted as per the order. - answerB)The atrial
rate is between 60 and 100 bpm; ventricular rate is less than or equal to 40 bpm.
D)The ventricles and atria do not have any communication.
E)The permanent pacemaker may be inserted as per the order.
pg 584
The nurse is caring for a patient who suddenly develops dizziness and sweating. He
has had similar symptoms in the past and has fainted. Which type of heart block should
the nurse consider is causing these symptoms?
A)First-degree atrioventricular block (AVB)
B)Second-degree, type I, atrioventricular block (AVB), asymptomatic
C)Second-degree, type I, atrioventricular block (AVB), symptomatic
D)Third-degree complete heart block, asymptomatic - answerC)Second-degree, type I,
atrioventricular block (AVB), symptomatic
pg 581
An RN is teaching a nursing student about the heart rates in patients with atrial
fibrillation. Which statement made by the nursing student indicates the need for further
teaching?
A)"Atrial rates in patients with atrial fibrillation can range from 300 to 600 beats per
minute."
B)"A heart rate of 110 beats per minute is considered to be uncontrolled atrial
fibrillation."
C)"Heart rate of 95 beats per minute indicates atrial fibrillation with rapid ventricular
response."
D)"When the atrioventricular (AV) node maintains the heart rate at less than 100 beats
per minute, the condition is referred to as controlled atrial fibrillation." - answerC)"Heart
rate of 95 beats per minute indicates atrial fibrillation with rapid ventricular response."
pg 570
A patient with an irregular pulse is admitted for the sudden onset of right-sided
weakness and slurred speech. What is the likely cause?
A)Arial fibrillation (AF)
B)Complete heart block (CHB)
C)Bigeminal premature ventricular contractions (PVCs)
D)Ventricular fibrillation (VF) - answerA)Arial fibrillation (AF)
pg 589
A nurse administers adenosine to a patient with supraventricular tachycardia (SVT).
What rhythm should the nurse anticipate immediately after administration?
A)There is no change in the SVT
B)Normal sinus rhythm
C)Ventricular tachycardia
D)Asystole - answerD)Asystole
pg 573
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