ECG rhythm rate 80bpm, regular 1:1 relationship of P:QRS, PR interval of 0.16, QRS measurement of 0.08. This is evidence of what kind of rhythm?
Normal sinus rhythm
Client has a pacemaker that creates a pacer spike before each QRS when intrinsic HR falls below 70. The nurse knows that this is:
Normal, because demand pacemaker is responding to heartrate drop at the preset level
It is significant when a pt who is being
examined for heart failure states:
I have to prop myself up on 3 pillows to sleep at night. I cannot breath otherwise
The appropriate landmark when calibrating leveling hemodynamic monitoring equipment is:
Right atrial position at the 4th intercostals space, midclavicular line
Patient in ICU, what type of monitoring is
used to watch the patients fluid volume?
Patient with dyspnea, orthopnea, cyanosis,
clammy skin, productive cough with pink frothy sputum and crackles, what should
the nurse look for?
Most important first action the nurse should initiate on a client who arrives at the hospital in pulmonary edema is?
o2 and pulse ox
cardiac tamponade is tx with
Mrs Jones is pulseless with rhythm with visible P waves, a narrow QRS, a rate of 130 bpm. What is the description of her rhythm?
normal PR interval
A rhythm originating in (SA) node with a rate of 112 is:
A sawtooth waveform of atrial flutter is formed by a irritable focus in the:
Quivering of the atria in atrial fibrillation results in:
loss of atrial kick
What is assessed to monitor for injury to cardiac muscle?
What is a complication of prolonged tachycardia?
Which patient could possibly require a pacemaker?
45year old male with Hx of acute MI, heart rate 45 , bp 80/50
vagal stimulation results in
temporary demand type ventricular pacemaker set at 60 b/min. What is a concern?
A pacemaker spike is seen on the T wave of the preceding beat.
spike not followed by QRS, what complication is this
failure to capture
Nurse is caring for a patient following
insertion of an arterial line. To reduce risk of complications, what is the
priority nursing intervention?
ensure all tubing connection are tightened
CVC which requires nursing action
numbness and tingling
normal QRS duration
insert L sub CV what requires immediate action
diminished breath sounds of the L lung
to tx vent dysrhytmia for a layperson is to use
pt with dx of AMI, the ECG monitor shows a flatline. what should the nurse do first
check the pt for unresponsiveness
pt with abrupt onset of SVT. drug with short half life to use is
monitor..stat, pt has rapid, chaotic rhythm VT, what is the first action
check pt's meds
an emergency indication for subq pacemaker is
bradycardia with HTN-syncope
the drug of choice w/ ventricular ectopy
what is an appropriate intervention for a pt what a transcutaneious pacemaker
provde adequate sedation and analgesia
pt with pea pericardial tamponade, the tx is
what is the most characteristic with L sided heart failure
dyspnea and crackels
pt come to ed 48 yo CP for 2 hr, HR 70 what is not indicated
emergent pacemaker insertion
72 yo woman in ed, family states she just isnt herself. resp are slightly labored. sinus tach 110, frequent premature contractions, denies CP, jaw pain back pain or nausea. troponin levels elevated. elevated ST segment. Dx:
pt present to ed just left hospital week ago after having stroke, chest pressure started 12 hrs ago, ST depression in inferior leads. troponin and CK-MB are both elevated. what is true of thrombolysis