Evolve NCLEX Review Questions For Care of Patients with Dysrhythmias

Evolve NCLEX Review Questions For Care of Patients with Dysrhythmias (Chapter 34) ScienceMedicineNursing magnolia601 Save epic adult med surg nurse 100 asses...Teacher 19 terms SportshellPreview Spinal Cord Injury NCLEX Questions...53 terms Maria_Coronado22 Preview

Chapter 32: Concepts of Care for Pa...

40 terms Shayia_1Preview NUR33 34 terms ess The nurse is caring for a patient with acute coronary syndrome (ACS) and atrial fibrillation who has a new prescription for metoprolol (Toprol).Which monitoring is essential when administering the medication?

• ST segment
• Heart rate
• Troponin
• Myoglobin
• Heart rate

What teaching does the nurse include for a patient with atrial fibrillation who has a new prescription for warfarin?

• "It is important to consume a diet high in green leafy vegetables."
• "You would take aspirin or ibuprofen for headache."
• "Report nosebleeds to your provider immediately."
• "Avoid caffeinated beverages."
• "Report nosebleeds to your provider immediately."

How does the nurse recognize that atropine has produced a positive outcome for the patient with bradycardia?

• The patient states he is dizzy and weak.
• The nurse notes dyspnea.
• The patient has a heart rate of 42 beats/min.
• The monitor shows an increase in heart rate.
• The monitor shows an increase in heart rate.

The nurse is caring for a patient on a telemetry unit who has a regular heart rhythm and rate of 60 beats/min; a P wave precedes each QRS complex, and the PR interval is 0.20 second. Additional vital signs are as follows: blood pressure 118/68 mm Hg, respiratory rate 16 breaths/min, and temperature 98.8°F (37°C). All of these medications are available on the medication record. What action does the nurse take?

• Administer atropine.
• Administer digoxin.
• Administer clonidine.
• Continue to monitor.
• Continue to monitor.

A patient's rhythm strip shows a heart rate of 116 beats/min, one P wave occurring before each QRS complex, a PR interval measuring 0.16 second, and a QRS complex measuring 0.08 second. How does the nurse interpret this rhythm strip?

• Normal sinus rhythm
• Sinus bradycardia
• Sinus tachycardia
• Sinus rhythm with premature ventricular contractions
• Sinus tachycardia

The nurse is caring for a patient with atrial fibrillation (AF). In addition to an antidysrhythmic, what medication does the nurse plan to administer?

• Heparin
• Atropine
• Dobutamine
• Magnesium sulfate
• Heparin

The nurse receives a report that a patient with a pacemaker has experienced loss of capture. Which situation is consistent with this?

• The pacemaker spike falls on the T wave.
• Pacemaker spikes are noted, but no P wave or QRS complex follows.
• The heart rate is 42 beats/min, and no pacemaker spikes are seen on the rhythm strip.
• The patient demonstrates hiccups.
• Pacemaker spikes are noted, but no P wave or QRS complex follows.

Which teaching is essential for a patient who has had a permanent pacemaker inserted?

• Avoid talking on a cell phone.
• Avoid operating electrical appliances over the pacemaker.
• Avoid sexual activity.
• Do not take tub baths.
• Avoid operating electrical appliances over the pacemaker.

The nurse is teaching a patient with a new permanent pacemaker. Which statement by the patient indicates a need for further discharge education?

• "I will be able to shower again soon."
• "I need to take my pulse every day."
• "I might trigger airport security metal detectors."
• "I no longer need my heart pills."
• "I no longer need my heart pills."

The nurse is caring for a patient with heart rate of 143 beats/min. For which manifestations does the nurse observe? (Select all that apply.)

• Palpitations
• Increased energy
• Chest discomfort
• Flushing of the skin
• Hypotension
• Palpitations
• Chest discomfort
• Hypotension

A patient admitted after using crack cocaine develops ventricular fibrillation. After determining unresponsiveness, which action does the nurse take next?

• Prepare for defibrillation.
• Establish IV access.
• Place an oral airway and ventilate.
• Start cardiopulmonary resuscitation (CPR).
• Place an oral airway and ventilate.

Which waveform indicates proper function of the sinoatrial (SA) node?

• The QRS complex is present.
• The PR interval is 0.24 second.
• A P wave precedes every QRS complex.
• The ST segment is elevated.
• A P wave precedes every QRS complex.

A patient with atrial fibrillation (AF) with rapid ventricular response has received medication to slow the ventricular rate. The pulse is now 88 beats/min. For which additional therapy does the nurse plan?

• Synchronized cardioversion
• Electrophysiology studies (EPS)
• Anticoagulation
• Radiofrequency ablation therapy
• Anticoagulation

The nurse is caring for a patient who has developed a bradycardia. Which possible causes does the nurse investigate? (Select all that apply.)

• Bearing down for a bowel movement
• Possible inferior wall myocardial infarction (MI)
• Patient stating that he just had a cup of coffee
• Patient becoming emotional when visitors arrived
• Diltiazem (Cardizem) administered 1 hour ago
• Bearing down for a bowel movement
• Possible inferior wall myocardial infarction (MI)
• Diltiazem (Cardizem) administered 1 hour ago

In teaching patients at risk for bradydysrhythmias, what information does the nurse include?

• "Avoid potassium-containing foods."
• "Stop smoking and avoid caffeine."
• "Take nitroglycerin for a slow heartbeat."
• "Use a stool softener."
• "Use a stool softener."

The nurse is caring for a patient with unstable angina whose cardiac monitor shows ventricular tachycardia. Which action is appropriate to implement first?

• Defibrillate the patient at 200 joules.
• Check the patient for a pulse.
• Cardiovert the patient at 50 joules.
• Give the patient IV lidocaine.
• Check the patient for a pulse.

Which risk factors are known to contribute to atrial fibrillation? (Select all that apply.)

• Use of beta-adrenergic blockers
• Excessive alcohol use
• Advancing age
• High blood pressure
• Palpitations
• Excessive alcohol use
• Advancing age
• High blood pressure