Question 1

The nurse is assessing a client who is diagnosed with pulseless electrical activity. Which of the following will the nurse include in this assessment? (Select all that apply.)

Accepted Answer

A)   Hypovolemia
B)   Hypoxia
C)   Hypothermia
D)   Tamponade
E)   ThrombosisF)  Throat painG) A) and B)
H) A) and F)

Question 2

A client is unresponsive and has no pulse. The nurse notes that the electrocardiogram tracing shows continuous large and bizarre QRS complexes measured greater than
0) 12 each. This rhythm is identified as:

Accepted Answer

A)   premature ventricular complexes.
B)   torsades de pointes.
C)   ventricular fibrillation.
D)   ventricular tachycardia.E) A) and B)
F) C) and D) D

Question 3

A client's electrocardiogram rhythm strip is a straight line. Which of the following should the nurse do to help this client? (Select all that apply.)

Accepted Answer

A)   Assess for loose leads.
B)   Assess for power to the monitor.
C)   Assess the strip for possible fine ventricular fibrillation.
D)   Begin cardiopulmonary resuscitation once verified the client has no pulse.
E)   Raise the head of the bed.F)  Stop intravenous fluid infusion.G) A) and B)
H) A) and C)

Question 4

Which of the following interventions would be appropriate for a client recovering from a pacemaker insertion? (Select all that apply.)

Accepted Answer

A)   Monitor vital signs every 15 minutes until stable.
B)   Assess for chest pain.
C)   Restrict movement of affected extremity.
D)   Monitor electrocardiogram every 8 hours.
E)   Begin intravenous fluid infusion at 150 mL/hr.F)  Reinforce dressing with excessive bleeding.G) All of the above
H) A) and F)

Question 5

Which of the following should the nurse instruct a client who has been diagnosed with an arrhythmia?

Accepted Answer

A)   Exercise level
B)   Avoidance of calorie-dense foods
C)   How to take his own pulse
D)   Reasons why fatigue is expectedE) A) and B)
F) None of the above

Question 6

Which of the following should be implemented to ensure the safe use of a defibrillator? (Select all that apply.)

Accepted Answer

A)   Do not place over monitoring electrodes.
B)   Do not place over an implanted pacemaker.
C)   Place the paddles at ½ inch from the implanted pacemaker site.
D)   Apply transdermal medication to the chest before using the paddles.
E)   Insert an oral airway before using the paddles.F)  Have another person hold the client's airway open while using the paddles.G) D) and F)
H) B) and D)

Question 7

A client is recovering from insertion of a pacemaker to pace the activity of the ventricles. At which point on the electrocardiogram tracing will the nurse assess pacer spikes?

Accepted Answer

A)   Before the QRS complex
B)   Before the P wave
C)   After the QRS complex
D)   After the P waveE) B) and D)
F) None of the above

Question 8

An elderly client is demonstrating a change in heart rate that occurs with respirations. When planning care for the client, the nurse knows that treatment may include:

Accepted Answer

A)   Oxygen therapy
B)   Analgesics
C)   Antibiotics
D)   Pacemaker insertionE) C) and D)
F) A) and C)

Question 9

A client's electrocardiogram tracing shows a sawtooth pattern with F waves. The nurse realizes this client is demonstrating:

Accepted Answer

A)   atrial flutter.
B)   atrial fibrillation.
C)   premature atrial contractions.
D)   atrial tachycardia.E) A) and B)
F) B) and C)

Question 10

A client is experiencing an alteration in heart rate. The nurse realizes this client is experiencing a disorder of which part of the heart?

Accepted Answer

A)   Atrioventricular node
B)   Bundle branches
C)   Purkinje fibers
D)   Sinoatrial nodeE) A) and D)
F) A) and C)

Question 11

The nurse notes that on a client's electrocardiogram tracing, there is one P wave for every QRS complex and a delay in the impulse transmission at the AV node. This regular rhythm is identified as:

Accepted Answer

A)   first-degree AV block.
B)   second-degree AV block type I.
C)   second-degree AV block type II.
D)   complete heart block.E) A) and B)
F) None of the above

Question 12

The electrocardiogram tracing for a client shows premature junctional complexes. Which of the following should the nurse do to assist this client?

Accepted Answer

A)   Administer oxygen
B)   Increase intravenous fluids
C)   Check on the serum digoxin level
D)   Assist the client to a side-lying positionE) A) and C)
F) B) and C)

Question 13

The nurse is analyzing a client's electrocardiogram tracing. Which of the following complexes is not normally seen on an electrocardiogram tracing?

Accepted Answer

A)   P wave
B)   QRS complex
C)   T wave
D)   U waveE) A) and D)
F) A) and B) D

Question 14

A client with a heart rate of 40 who is experiencing shortness of breath and nausea is diagnosed with second-degree AV block type II. Which of the following will be included in this client's treatment? (Select all that apply.)

Accepted Answer

A)   Administer digoxin
B)   Administer antiemetic
C)   Administer atropine sulfate
D)   Insert external pacemaker
E)   Decrease intravenous fluidsF)  Lower the head of the bedG) A) and B)
H) A) and C) C,D

Question 15

A client is suspected of having cardiac damage. The nurse realizes that which of the following diagnostic tests is most commonly used to help diagnose this client's possible cardiac damage or disease?

Accepted Answer

A)   12-lead electrocardiogram
B)   Arterial blood gases
C)   Cardiac angiogram
D)   Cardiac enzymesE) B) and C)
F) None of the above

Question 16

A client is diagnosed with supraventricular tachycardia. The nurse should prepare to administer which of the following medications?

Accepted Answer

A)   Procainamide
B)   Amiodarone
C)   Verapamil
D)   AdenosineE) C) and D)
F) None of the above

Exam 26: Arrhythmias: Nursing Management

The nurse is assessing a client who is diagnosed with pulseless electrical activity. Which of the following will the nurse include in this assessment? (Select all that apply.)

Correct Answer
verified

A client is unresponsive and has no pulse. The nurse notes that the electrocardiogram tracing shows continuous large and bizarre QRS complexes measured greater than 0) 12 each. This rhythm is identified as:

Correct Answer
verified
D

A client's electrocardiogram rhythm strip is a straight line. Which of the following should the nurse do to help this client? (Select all that apply.)

Correct Answer
verified

Which of the following interventions would be appropriate for a client recovering from a pacemaker insertion? (Select all that apply.)

Correct Answer
verified

Which of the following should the nurse instruct a client who has been diagnosed with an arrhythmia?

Correct Answer
verified

Which of the following should be implemented to ensure the safe use of a defibrillator? (Select all that apply.)

Correct Answer
verified

A client is recovering from insertion of a pacemaker to pace the activity of the ventricles. At which point on the electrocardiogram tracing will the nurse assess pacer spikes?

Correct Answer
verified

An elderly client is demonstrating a change in heart rate that occurs with respirations. When planning care for the client, the nurse knows that treatment may include:

Correct Answer
verified

A client's electrocardiogram tracing shows a sawtooth pattern with F waves. The nurse realizes this client is demonstrating:

Correct Answer
verified

A client is experiencing an alteration in heart rate. The nurse realizes this client is experiencing a disorder of which part of the heart?

Correct Answer
verified

The nurse notes that on a client's electrocardiogram tracing, there is one P wave for every QRS complex and a delay in the impulse transmission at the AV node. This regular rhythm is identified as:

Correct Answer
verified

The electrocardiogram tracing for a client shows premature junctional complexes. Which of the following should the nurse do to assist this client?

Correct Answer
verified

The nurse is analyzing a client's electrocardiogram tracing. Which of the following complexes is not normally seen on an electrocardiogram tracing?

Correct Answer
verified
D

A client with a heart rate of 40 who is experiencing shortness of breath and nausea is diagnosed with second-degree AV block type II. Which of the following will be included in this client's treatment? (Select all that apply.)

Correct Answer
verified
C,D

A client is suspected of having cardiac damage. The nurse realizes that which of the following diagnostic tests is most commonly used to help diagnose this client's possible cardiac damage or disease?

Correct Answer
verified

A client is diagnosed with supraventricular tachycardia. The nurse should prepare to administer which of the following medications?

Correct Answer
verified

Exam 26: Arrhythmias: Nursing Management

The nurse is assessing a client who is diagnosed with pulseless electrical activity. Which of the following will the nurse include in this assessment? (Select all that apply.)

Correct AnswerverifiedShow Answer

A client is unresponsive and has no pulse. The nurse notes that the electrocardiogram tracing shows continuous large and bizarre QRS complexes measured greater than 0) 12 each. This rhythm is identified as:

Correct AnswerverifiedD

A client's electrocardiogram rhythm strip is a straight line. Which of the following should the nurse do to help this client? (Select all that apply.)

Correct AnswerverifiedShow Answer

Which of the following interventions would be appropriate for a client recovering from a pacemaker insertion? (Select all that apply.)

Correct AnswerverifiedShow Answer

Which of the following should the nurse instruct a client who has been diagnosed with an arrhythmia?

Correct AnswerverifiedShow Answer

Which of the following should be implemented to ensure the safe use of a defibrillator? (Select all that apply.)

Correct AnswerverifiedShow Answer

A client is recovering from insertion of a pacemaker to pace the activity of the ventricles. At which point on the electrocardiogram tracing will the nurse assess pacer spikes?

Correct AnswerverifiedShow Answer

An elderly client is demonstrating a change in heart rate that occurs with respirations. When planning care for the client, the nurse knows that treatment may include:

Correct AnswerverifiedShow Answer

A client's electrocardiogram tracing shows a sawtooth pattern with F waves. The nurse realizes this client is demonstrating:

Correct AnswerverifiedShow Answer

A client is experiencing an alteration in heart rate. The nurse realizes this client is experiencing a disorder of which part of the heart?

Correct AnswerverifiedShow Answer

The nurse notes that on a client's electrocardiogram tracing, there is one P wave for every QRS complex and a delay in the impulse transmission at the AV node. This regular rhythm is identified as:

Correct AnswerverifiedShow Answer

The electrocardiogram tracing for a client shows premature junctional complexes. Which of the following should the nurse do to assist this client?

Correct AnswerverifiedShow Answer

The nurse is analyzing a client's electrocardiogram tracing. Which of the following complexes is not normally seen on an electrocardiogram tracing?

Correct AnswerverifiedD

A client with a heart rate of 40 who is experiencing shortness of breath and nausea is diagnosed with second-degree AV block type II. Which of the following will be included in this client's treatment? (Select all that apply.)

Correct AnswerverifiedC,D

A client is suspected of having cardiac damage. The nurse realizes that which of the following diagnostic tests is most commonly used to help diagnose this client's possible cardiac damage or disease?

Correct AnswerverifiedShow Answer

A client is diagnosed with supraventricular tachycardia. The nurse should prepare to administer which of the following medications?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified
D

Correct Answer
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Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
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D

Correct Answer
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C,D

Correct Answer
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Correct Answer
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