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FREE NURSING AND STUDY GAMES ABOUT CARDIAC
DYSRHYTHMIA EXAM QUESTIONS
Actual Qs and Ans Expert-Verified Explanation
This Exam contains:
-Guarantee passing score -59 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: PACs: tx
Answer:
none needed
Question 2: four reasons a pacemaker is placed
Answer:
drug toxicity, electrolye imbalance, complications of MI or OH, dysrhythmias Question 3: MEd: amiodarone (PACERONE)- adverse reactions
Answer:
malaise, fatigue, tremor, proarrhythmic effect, N/V, constipation, ataxia, anorexia, bradycardia, photosensitivity
Question 4: def of AV conduction blocks
Answer:
conduction defects that cause delayed or blocked transmission of sinus impulses through the AV node.There are three degrees ranges from benign to severe
Question 5: Atrial fibrillation: tx
Answer:
synchronized CV medsto slow ventricular rate, anticoagulants to decrease the risk for stroke
Question 6: what is a demand rate pacemaker
Answer:
compensation piece is turned on as needs Question 7: Pacemakers: Post op nursing care
Answer:
restrict movement of affected arm and shoulder for 24 hours, assist with gentle ROM after 24 hours, instruct pt to carry info on type of pacemaker at all times
Question 8: difference between the single or dual chamber pacemakers
Answer:
single is in 1 chamber of the heart, duel is two chambers Question 9: Pacemakers: what are the two functions of pacemakers
Answer:
sensing and pacing Question 10: v-fib: def
Answer:
grossly irregular, rate too rapid to count, no p wave, QRS bizarre and variable
Question 11: What node do the electrical impulses origonate in?
Answer:
the sinoatrial node (SA) Question 12: supraventricular rhythms: What are they (6)
Answer:
normal sinus rhythm (normal), sinus tachycardia, sinus bradycardia, premature atrial contractions (PACs), Atrial flutter, Atrial fibrillation
Question 13: Where do supraventricular rhythms originate
Answer:
above the ventrice
Question 14: Def of Cardiac dysrhythmia
Answer:
a disturbance or irregularit in the electrical system of the heart Question 15: Sinus Bradycardia: Def
Answer:
<60 bpm, regular Question 16: sinus tachycardia: tx
Answer:
only if sympotomatic
Question 17: Why are anitdysrhythmic drugs used
Answer:
tx of acute or chronic dysrhythmias, to maintain an effective cardiac output by stabilizing cardiac rhythm Question 18: PACs: Def
Answer:
irregular ectopic atrial beat occuring earlier then expected
Question 19: Are all dysrythmias life threatening
Answer:
no Question 20: pt with pacemakers: why should they have an ID card/ med alert
Answer:
for emergency, they should also have what kind of pacemaker they have on them
Question 21: ICD: how big is the shoc k
Answer:
25 joules Question 22: Pacemakers: what causes it to pace
Answer:
it occurs when the pt HR falls outside the programmed limits Question 23: pt with pacemakers: what is the electrical cautions
Answer:
no MRI, Question 24: Atrial fibrillation: def
Answer:
irregularly irregular, no identifiable p wave, variable ventricular rate Question 25: Sinus Bradycardia: tx
Answer:
only if sympotomatic, pacemaker or atropine Question 26: v-fib: tx
Answer:
immediate defibrillate Question 27: what type of rhythms are fatal supraventricular or ventricular rhythms
Answer:
ventricular
Question 28: What is defibrillation used for
Answer:
to treat rhythms that effect cardiac output and the client's welfare (electrical shock is administered to depolarize all cells of the heart at the same time) it stops the abnormal rhythm
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