SOLVED

 Question 11 A patient’s atrial fibrillation has been refractory to treatment. The nurse would prioritize which discharge instructions? 1. Avoiding stressful situations 2. Anticoagulant therapy precautions 3. The importance of daily weights 4. How to check blood pressure at home Question 12 A patient has a normal QRS complex on an electrocardiogram which is followed by the P wave. Heart rate is 80 bpm and regular and the patient has no complaints. What nursing action is indicated? 1. Document presence of atrial escape rhythm. 2. Review the patient’s medication history. 3. STAT page the patient’s health care provider. 4. Notify the nurse manager that it may become necessary to call the rapid response team. Question 13 A patient’s cardiac rhythm strip reveals rate of 78, PR interval of 0.08 seconds, a normally configured QRS, and an upright T wave. Which medication does the nurse recognize as most often associated with development of this rhythm? 1. Potassium supplement 2. Warfarin 3. Digoxin 4. Tocainide Question 14 A patient is having multifocal premature ventricular contractions (PVCs). What nursing interventions are indicated? 1. Administer oxygen. 2. Withhold the next digoxin dose. 3. Administer atropine. 4. Monitor the patient closely for other dysrhythmias. 5. Consult with the health care provider. Question 15 The nurse notes this rhythm on the patient’s cardiac monitor. What is the nurse’s priority intervention? 1. Check the patient’s pulse. 2. Administer oxygen. 3. Call a code blue. 4. Prepare to cardiovert the patient. Question 16 A patient develops ventricular tachycardia on the cardiac monitor. The patient says “My heart is racing” as the nurse determines a rapid pulse is present. What is the nurse’s priority intervention? 1. Call respiratory therapy to prepare a mechanical ventilator. 2. Draw blood for arterial blood gases. 3. Prepare to for a change in intravenous fluid being administered. 4. Monitor the patient for loss of consciousness. Question 17 A patient, experiencing ventricular fibrillation, was resuscitated with lidocaine, then magnesium, and lastly amiodarone. Which medication will the nurse most likely provide as a continuous infusion for this patient? 1. Lidocaine 2. Magnesium 3. Atropine 4. Amiodarone Question 18 A patient’s cardiac monitor reveals heart rate of 40 bpm with an irregular rate. The PR intervals are constant and there are P waves with no QRS to follow. The QRS complexes are wider than normal. The patient complains of severe dizziness and nausea. Which nursing interventions are indicated? 1. Administer atropine. 2. Prepare to cardiovert the patient. 3. Prepare for placement of a temporary pacemaker. 4. Administer epinephrine. 5. Ask the patient to cough forcefully. Question 19 A patient has a new onset of a left bundle branch block (LBBB) seen on a 12 lead ECG. What is the nurse’s primary intervention? 1. Increase oxygen. 2. Elevate the head of the bed to a 30-degree angle. 3. Ask the patient if he is having chest pain. 4. Reposition the chest leads and assess for any changes. Question 20 A patient with a temporary pacemaker has this cardiac rhythm. What nursing intervention is indicated? 1. Turn the impulse generator off, wait 30 seconds, and turn it back on. 2. Call for a STAT portable chest x-ray. 3. Check for a damaged lead wire. 4. Decrease the pacemaker sensitivity.