Cardiac Dysrhythmias Nursing Interventions Stokke
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Pick the best answer Normal disclaimer. . .
- 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.
- 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.
- 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.
- 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.
- 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.
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.
- 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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