NUR 631 Exam 3

NUR 631 Exam 3
1. If the patient reports a skipped or missed beat(s), particularly with the sensation that the
heart stopped momentarily, this may indicate the presence of
Answer
ectopic atrial beats (which are very common and mostly benign) occurring with excessive
caffeine, alcohol, or tobacco use
2. In the elderly population, a report of palpitations should prompt what test in addition to
ECG?
Answer
TSH level
3. On some occasions, atrial ectopic beats are precursors to (2)
Answer
atrial tachy- cardia or atrial fibrillation
4. Supraventricular arrhythmias occur most commonly in patients with (4)
Answer
-
COPD
rheumatic heart disease valvular dysfunction hypothyroidism
5. Ventricular ectopy is more likely to be caused by cardiac pathology than atrial ectopy and
may lead to sudden death.These are (3)
Answer
- premature ventric- ular contractions
- ventricular tachycardia
- ventricular fibrillation
6. PVCs are very common and, if isolated or asymptomatic, do not require an extensive
workup. However, investigation is indicated if the patient reports that the palpitations /
tachycardia lasted how long?
Answer
> 30 seconds

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