Cardiac Dysrhythmias Nursing Interventions Stokke

20 Questions  I  By KimW1234
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  • 1. 
    If your patient has Sinus tachycardia, which of the following is not a concerning sign/symptom?
    • A. 

      Diaphoresis

    • B. 

      Chest pain

    • C. 

      Unaware it is happening

    • D. 

      None of the above


  • 2. 
    The goal of caring for a patient with sinus tachycardia (HR 120) is to _________________ and nursing care tasks that can do that are ________________________.
    • A. 

      Slow the heart rate down; call the doctor right away, there is nothing a nurse can do to help the patient.

    • B. 

      Relax the patient; encourage him/her to lay down, give medications to promote sleep

    • C. 

      Slow the heart rate; encourage the patient to rest, give ordered medications for heart rate and pain, and provide O2 if indicated


  • 3. 
    Which scenario is concerning even if a patient seems to be tolerating it well?
    • A. 

      A patient who just walked up 4 flights of stairs and has a HR of 190

    • B. 

      A sleeping patient with a HR of 55

    • C. 

      A sleeping patient with a HR of 190


  • 4. 
    You are caring for a patient who has had a HR of 70 all day, then after you give him his afternoon dose of Beta blocker, it suddenly falls to 50 though he is not asleep, he seems to be comfortable; which of the following would be indicated?
    • A. 

      No changes because the patient is lying in bed. He is probably just relaxing.

    • B. 

      Go in and take his pulse by hand to be sure it is not just equipment/positioning issue, then call the doctor with the results and ask for atropine to raise the heart rate

    • C. 

      Go in and take his pulse by hand, then monitor the rhythm, and check his vitals every 15 minutes for the next hour, then call the doctor and request a lower dose of the Beta blocker. Encourage the patient to stay in bed.


  • 5. 
    Most patients tolerate PACs with no necessary interventions.
    • A. 

      True

    • B. 

      False


  • 6. 
    You are caring for a patient with PACs after a shoulder surgery in the hospital. When documenting the heart rate and rhythm, it is important to:
    • A. 

      Print off a strip and put it in the chart with a note for the doctor.

    • B. 

      Note the underlying rhythm

    • C. 

      Note whether the PACs are frequent, rare, or occasional.

    • D. 

      All of the above


  • 7. 
    Atrial fibrillation with a HR > 100 is considered an uncontrolled A-fib with rapid ventricular rhythm (RVR).
    • A. 

      True

    • B. 

      False


  • 8. 
    In A Fib, the _________ is/are in control because the __________ is not firing.
    • A. 

      SA node; AV node

    • B. 

      Ventricles; SA node

    • C. 

      AV node; SA node


  • 9. 
    An appropriate nursing response to A Fib would be to:
    • A. 

      Nothing unless the patient is not tolerating it; if not tolerating, go with option B or C.

    • B. 

      Chemical cardioversion with digoxen, Ca channel blockers, or diltiazem

    • C. 

      Electrocardioversion with a defibrillator set on synchronise

    • D. 

      Both b and c

    • E. 

      All of the above


  • 10. 
    Patients with A Fib are often
    • A. 

      Given long-term treatment with medications like digoxen, Beta blockers, and Cumadin

    • B. 

      Sent straight to long-term care because they are too much at risk to be at home

    • C. 

      Cured after one defibrillation and sent home with no meds


  • 11. 
    The treatment for Atrial Flutter is the same as for A Fib except the physician can do a carotid massage to slow the HR down.
    • A. 

      True

    • B. 

      False


  • 12. 
    Patients with a 1st degree AV block usually _____________, but sometimes _______________.
    • A. 

      Tolerate it; need a pacemaker

    • B. 

      Need a pacemaker; tolerate it

    • C. 

      Respond well to meds; need electrocardioconversion


  • 13. 
    When caring for a patient with atrial flutter, it is important to take his/her pulse for _____________ to get an accurate HR.
    • A. 

      30 seconds and multiply it by two

    • B. 

      1 minute

    • C. 

      2 minutes and divide it by two


  • 14. 
    With a patient with an AV block, it is important to keep in mind that ______________________________.
    • A. 

      Potassium channel blockers may prolong the PR interval and you may have to lower the dose.

    • B. 

      Digoxen and Calcium channel blockers may prolong the PR interval and you may have to lower the dose.

    • C. 

      Potassium and Calcium channel blockers may shorten the PR interval and you may have to increase the dose.


  • 15. 
    Most patients with a 2nd degree AV block __________, but some ___________.
    • A. 

      Tolerate it; need a pacemaker

    • B. 

      Need a pacemaker; tolerate it

    • C. 

      Respond well to meds; need electrocardioconversion


  • 16. 
    A patient who is not tolerating a 3d degree AV block will show which of the following signs and symptoms?
    • A. 

      Decreased BP, SOB, decreased O2, decreased HR, mentation changes

    • B. 

      Diaphoresis, angina, SOB, "crackles" in lungs, dizziness

    • C. 

      Orthostatic hypotension, increased HR, increased temp, and SOB


  • 17. 
    If a patient with a 3d degree AV block is hemodynamically unstable, what will be the treatment?
    • A. 

      Pacemaker

    • B. 

      Cardioconversion

    • C. 

      All of the above


  • 18. 
    Hemodynamically unstable means decreased CO, decreased BP, and decreased pulse.
    • A. 

      True

    • B. 

      False


  • 19. 
    If your patient has a short burst of Ventricular Tachycardia, it is important to _______________________
    • A. 

      Put a strip in his chart and make a note for the doctor to look at it.

    • B. 

      Call the physician right away and notify him.

    • C. 

      Do nothing if patient is tolerating it except monitor for a decline in condition.


  • 20. 
    If your patient goes into Ventricular Fibrillation, it is important to ________________________.
    • A. 

      Call the doctor right away and have him come see the patient.

    • B. 

      Monitor the patient's condition for 5 minutes, if his condition does not improve, then call the doctor.

    • C. 

      Call a code; the patient needs to be cardioconverted right away.


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