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A nurse notices frequent artifact on the ECG monitor for a client whose leads are connected by cable to a console at the bedside. The nurse examines the client to determine the cause. Which of the following items is unlikely to be responsible for the artifact? 3. A nurse is watching the cardiac monitor
and notices that the rhythm suddenly changes. There are no P waves, the QRS complexes are wide, and the ventricular rate is regular but over 100. The nurse determines that the client is experiencing: 4. A nurse is viewing the cardiac monitor in a client’s room and notes that the client has just gone into ventricular
tachycardia. The client is awake and alert and has good skin color. The nurse would prepare to do which of the following?
5. A nurse is caring for a client with unstable ventricular tachycardia. The nurse instructs the client to do which of the following, if prescribed, during an episode of ventricular tachycardia?
6. A client is having frequent premature ventricular contractions. A nurse would place priority on assessment of which of the following items?
7. A client has developed atrial fibrillation, which a ventricular rate of 150 beats per minute. A nurse assesses the client for:
8. A nurse is watching the cardiac monitor, and a client’s rhythm suddenly changes. There are no P waves; instead there are wavy lines. The QRS complexes measure 0.08 second, but they are irregular, with a rate of 120 beats a minute. The nurse interprets this rhythm as:
9. A client with rapid rate atrial fibrillation asks a nurse why the physician is going to perform carotid massage. The nurse responds that this procedure may stimulate the:
10. A nurse notes that a client with sinus rhythm has a premature ventricular contraction that falls on the T wave of the preceding beat. The client’s rhythm suddenly changes to one with no P waves or definable QRS complexes. Instead there are coarse wavy lines of varying amplitude. The nurse assesses this rhythm to be:
11. While caring for a client who has sustained an MI, the nurse notes eight PVCs in one minute on the cardiac monitor. The client is receiving an IV infusion of D5W and oxygen at 2 L/minute. The nurse’s first course of action should be to:
12. The adaptations of a client with complete heart block would most likely include:
13. A client with a bundle branch block is on a cardiac monitor. The nurse should expect to observe:
14. When ventricular fibrillation occurs in a CCU, the first person reaching the client should:
15. What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor? Check all that apply.
16. When auscultating the apical pulse of a client who has atrial fibrillation, the nurse would expect to hear a rhythm that is characterized by:
When ventricular fibrillation occurs in an ICU the first person reaching the client should?First call 911 or your local emergency number. Then start CPR by pushing hard and fast on the person's chest — about 100 to 120 compressions a minute. Let the chest rise completely between compressions. Continue CPR until an automated external defibrillator (AED) is available or emergency personnel arrive.
When ventricular fibrillation occurs in the CCU the first person reaching the client should quizlet?When ventricular fibrillation appears, the nurse must immediately initiate CPR until the defibrillator is engaged, and should defibrillate up to three times if needed.
What do you do when a patient has ventricular fibrillation?Call 911 or your local emergency number. If the person is unconscious, check for a pulse. If no pulse, begin CPR to help keep blood flowing through the body until an automated external defibrillator (AED) is available.
What is the first line treatment for ventricular fibrillation?If the patient remains in ventricular fibrillation, pharmacological treatment should begin. Epinephrine is the first drug given and may be repeated every 3 to 5 minutes. If epinephrine is not effective, the next medication in the algorithm is amiodarone 300 mg.
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