Practice Question
The patient’s cardiac rhythm suddenly changes on the monitor. There are no P waves, instead there are fibrillatory waves before each QRS complex. How would the nurse interpret the rhythm?
Answer Choices:
Correct Answer:
Atrial Fibrillation
Rationale:
💎 Atrial fibrillation is identified by the absence of P waves and the presence of fibrillatory waves before QRS complexes.
💎 The ventricular rhythm is usually irregularly irregular, with variable R-R intervals.
💎 AF disrupts atrial contraction, increasing the risk for thrombus formation.
💎 Causes include heart disease, electrolyte imbalances, and hyperthyroidism.
💎 Treatment focuses on rate control, rhythm control, and anticoagulation.
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This question is from Medical-surgical Nursing 2 (NURSA 225 OIC- UNIVERSITY OF CHARLETON) which contains 42 questions.
More Questions from This Exam
When assisting with defibrillating an adult client who has gone into ventricular fibrillation, what must the nurse do?
Answer Choices:
A. Call “all clear” once before discharging the defibrillator
B. Maintain firm contact between paddles and client skin
C. Ensure the defibrillator is in the sync mode
D. Apply a layer of water as a conducting agent
A client converts from normal sinus rhythm at 80 bpm to atrial fibrillation with a ventricular response at 165 bpm. Blood pressure is 162/74 mm Hg. Respiratory rate is 20 breaths per minute with normal chest expansion and clear lungs bilaterally. IV heparin and Diltiazem are given. What is the main goal of treatment?
Answer Choices:
A. Maintain anticoagulation
B. Improve oxygenation
C. Control ventricular heart rate
D. Decrease SA node conduction
The nurse is doing discharge teaching with a client who has coronary artery disease. The client asks why he has to take an aspirin every day if he doesn’t have any pain. What would be the nurse’s best response?
Answer Choices:
A. Taking an aspirin every day is an easy way to help restore the normal function of your heart
B. An aspirin a day eventually helps your blood carry more oxygen than it would otherwise
C. Taking an aspirin every day is a simple way to make your blood penetrate your heart more freely
D. An aspirin a day can help prevent some of the blockages that can cause chest pain or heart attacks
E. An aspirin a day can help prevent some of the blockages that can cause chest pain or heart attacks
A nurse is describing the process by which blood is ejected into circulation as the chambers of the heart become smaller. How does the nurse categorize this action of the heart?
Answer Choices:
A. Repolarization
B. Systole
C. Diastole
D. Ejection fraction
An older adult client’s assessment reveals the following data: Lying BP 144/82 mm Hg, sitting BP 121/69 mm Hg, standing BP 98/56 mm Hg.What nursing diagnosis should be identified in the client’s plan of care?
Answer Choices:
A. Risk for ineffective breathing pattern related to hypotension
B. Risk for falls related to orthostatic hypotension
C. Risk for ineffective role performance related to hypotension
D. Risk for imbalanced fluid balance related to hemodynamic variability
From Exam
Medical-surgical Nursing 2 (NURSA 225 OIC- UNIVERSITY OF CHARLETON)
42 Questions
View Full Exam Start PracticingQuestion Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: Medical-surgical📚
- Answer Choices: 4