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Ch. 26 Cardiac Questions &Exam (elaborations) answers 100% satisfaction guarantee
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STUVIA 2024/2025a. "I need to take a cardiopulmonary resuscitation (CPR) class now that I have an ICD." - ✔✔A nurse
has provided discharge instructions to a client who received an implantable cardioverter defibrillator
(ICD). Which statement, made by the client, indicates the need for further teaching?
a. "I need to take a cardiopulmonary resuscitation (CPR) class now that I have an ICD."
b. "I will document the date and time if my ICD fires."
c. "I can play golf with my son in about 2 or 3 weeks."
d. "I should tell close friends and family members that I have an ICD."
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?
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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. 0.2 - ✔✔Electrocardiogram (ECG) waveforms are printed on graph paper that is divided by light
and dark vertical and horizontal lines at standard intervals. When the nurse is interpreting the heart
rhythm, he or she understands that each large block equals how many seconds?
a. 0.2
b. 0.1
c. 0.3
d. 0.4
A. Atrial flutter - ✔✔Which dysrhythmia has an atrial rate between 250 and 400, with saw-toothed P
waves?
a. Atrial flutter
b. Atril fibrillation
c. Ventricular fibrillation
d. Ventricular tachycardia
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, STUVIA 2024/2025
a. Atrial rate of 300 to 400 - ✔✔Electrocardiogram (ECG) characteristics of atrial fibrillation include
which of the following?
a. Atrial rate of 300 to 400
b. Normal PR interval
c. Regular rhythm
d. P wave resent before each QRS
a. avoid magnetic fields such as detection booths
b. call for emergency assistance if feeling dizzy
c. record events that trigger a shock sensation - ✔✔a patient has had an implantable cardioverter
defibrillator inserted. what should the nurse be sure to include in the education of this patient prior to
discharge?
a. avoid magnetic fields such as detection booths
b. call for emergency assistance if feeling dizzy
c. record events that trigger a shock sensation
d. the patient may have a throbbing pain that is normal
e. the patient will have to schedule monthly chest xrays to make sure the devise is patent
a. begin CPR - ✔✔the nurse in the ICU hears an alarm sound in the patient's room. arriving in the
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room the patient is unresponsive, without a pulse, and a flat line on the monitor. what is the first action
by the nurse?
a. begin CPR
b. administer epinephrine
c. administer atropine 0.5mg
d. defibrillate within 360 joules
a. Bigeminy - ✔✔The licensed practical nurse is monitoring the waveform pattern on the cardiac
monitor ofthe client admitted following a myocardial infarction. The nurse notes that every other beat
includes a premature ventricular contraction (PVC). The nurse notes which of the following in the
permanent record?
a. Bigeminy
b. Couplets
c. Multifocal PVCs
d. R-on-T phenomenon
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?
a. Cordarone
b. Lidacaine
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