Question
3 studiers recently

Which action is most helpful in encouraging the expression of feelings in a pediatric client who is abused?

using play to reduce stress
interacting with other victims of abuse
providing a hug or caring behaviors
talking in a private space

Answer

using play to reduce stress

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The patient asks the nurse what will happen if the pacemaker quits functioning. What is the nurse's best response?
- “Monitoring for pacemaker malfunctioning and battery failure is something the nurse caring for you does.”
The patient asks the nurse what will happen if the pacemaker quits functioning. What is the nurse's best response?
- The nurse should explain that if the pacemaker quits functioning, the patient may experience symptoms such as dizziness, fainting, or shortness of breath. The healthcare team will closely monitor the patient and take appropriate action to address the issue.
For what is an electrophysiology study primarily performed?
- To diagnose the dysrhythmia
Which medication does the nurse anticipate administering to treat bradycardia?
- Atropine
A client asks the nurse what causes the heart to be an effective pump. The nurse informs the client that this is due to the:
- inherent rhythmicity of cardiac muscle tissue.
The nurse is observing the monitor of a patient with a first-degree atrioventricular (AV) block. What is the nurse aware characterizes this block?
- Delayed conduction, producing a prolonged PR interval
What is the drug of choice for a stable client with ventricular tachycardia?
- Amiodarone
The nurse is planning discharge teaching for a client with a newly inserted permanent pacemaker. What is the priority teaching point for this client?
- Avoid exposure to strong electromagnetic fields.
A client has been living with an internal, fixed-rate pacemaker. When checking the client's readings on a cardiac monitor the nurse notices an absence of spikes. What should the nurse do?
- Double-check the monitoring equipment.
A client has an irregular heart rate of around 100 beats/minute and a significant pulse deficit. What component of the client's history would produce such symptoms?
- atrial fibrillation
The nurse should instruct the client to
- request sublingual nitroglycerin.
- apply supplemental oxygen.
- lie down and elevate the feet.
- avoid caffeinated beverages.
The nurse should instruct the client to
- request sublingual nitroglycerin.
- apply supplemental oxygen.
- lie down and elevate the feet.
- avoid caffeinated beverages.
The nurse is working on a telemetry unit, caring for a client who develops dizziness and a second-degree heart block, Mobitz Type 1. What will be the initial nursing intervention?
- Administer an IV bolus of atropine.
Which dysrythmia should the nurse document?
- ventricular tachycardia
- junctional rhythm
- ventricular asystole
- atrial fibrillation
A nurse provides morning care for a client in the intensive care unit (ICU). Suddenly, the bedside monitor shows ventricular fibrillation and the client becomes unresponsive. After calling for assistance, what action should the nurse take next?
- Begin cardiopulmonary resuscitation
A client is admitted to the cardiac care unit for an electrophysiology (EP) study. What goal should guide the planning and execution of the client's care?
- Diagnose the dysrhythmia.
A client’s electrocardiogram (ECG) tracing reveals a atrial rate between 250 and 400, with saw-toothed P waves. The nurse correctly identifies this dysrhythmia as
- Atrial flutter
The nurse is providing teaching to a client with an implanted cardiac device. Which client statement indicates that teaching has been effective?
- “I will not place my cell phone in my chest pocket.”
The nurse correctly identifies this rhythm as
What does the nurse identify on the electrocardiogram as an indicator of sinus tachycardia?
- heart rate of 118 bpm
How should the nurse best interpret this finding?
- Recognize this as a therapeutic goal of the procedure.
The nursing educator is presenting a case study of an adult client who has abnormal ventricular depolarization. This pathologic change would be most evident in what component of an electrocardiogram (ECG)?
- QRS complex
A nurse is caring for a client who is exhibiting ventricular tachycardia (VT). Because the client is pulseless, the nurse should prepare for what intervention?
- Defibrillation
The nurse is caring for a client who is displaying a third-degree AV block on the EKG monitor. What is the priority nursing intervention for the client?
- alerting the healthcare provider of the third-degree heart block
The nursing student asks the nurse how to tell the difference between ventricular tachycardia and ventricular fibrillation on an electrocardiogram strip. What is the best response?
- Ventricular fibrillation is irregular with undulating waves and no QRS complex. Ventricular tachycardia is usually regular and fast, with wide QRS complexes.
The nurse cares for a client with a dysrhythmia and understands that the P wave on an electrocardiogram (ECG) represents which phase of the cardiac cycle?
- Atrial depolarization
What does the nurse interpret this rhythm to be?
- a rapid, disorganized ventricular rhythm
The nurse is assessing vital signs in a patient with a permanent pacemaker. What should the nurse document about the pacemaker?
- Pacer rate
Which nursing intervention must a nurse perform when administering prescribed vasopressors to a client with a cardiac dysrhythmia?
- Monitor vital signs and cardiac rhythm
A patient with hypertension has a newly diagnosed atrial fibrillation. What medication does the nurse anticipate administering to prevent the complication of atrial thrombi?
- Warfarin
The nursing student asks the nurse to describe the difference between sinus rhythm and sinus bradycardia on the electrocardiogram strip. What is the nurse's best reply?
- "The only difference is the heart rate."
What is an important aspect of defibrillating that the educator stresses to their class?
- Use a conducting medium between the multifunction paddles and the skin.
What rhythm on the monitor does the nurse anticipate viewing?
A client will be undergoing elective electrical cardioversion. Which nursing intervention will be included in the client's plan of care?
- Ensure the client has not eaten or drunk before the procedure.
A healthy adult client is seeing a health care provider for an annual physical examination. While the nurse is taking the client's vital signs, the client states, “Occasionally, my heart skips a beat.” The nurse believes that the client is experiencing what condition?
- Premature atrial contraction
The nurse is preparing a client for upcoming electrophysiology (EP) studies and possible ablation for treatment of atrial tachycardia. What information will the nurse include in the teaching?
- During the procedure, the dysrhythmia will be reproduced under controlled conditions.
The nurse is caring for a client who is displaying a third-degree AV block on the EKG monitor. What is the priority nursing intervention for the client?
- Alerting the healthcare provider of the third-degree heart block
Which is not a likely origination point for cardiac arrhythmias?
- bundle of His
The nurse recognizes which as being true of cardioversion?
- Defibrillator should be set to deliver a shock during the QRS complex.
To evaluate a client's atrial depolarization, the nurse observes which part of the electrocardiogram waveform?
- P wave
A patient with hypertension has a newly diagnosed atrial fibrillation. What medication does the nurse anticipate administering to prevent the complication of atrial thrombi?
- Warfarin
The nurse assesses a client with a heart rate of 120 beats per minute. What are the known causes of sinus tachycardia?
- hypovolemia
A client with heart failure asks the nurse how dobutamine affects the body’s circulation. What is the nurse’s best response?
- The medication increases the force of the myocardial contraction.
The members of the team are caring for a client who converted to ventricular fibrillation (VF). The client was defibrillated unsuccessfully and the client remains in VF. According to national standards, the nurse should anticipate the administration of what medication?
- Epinephrine 1 mg IV push
A client’s electrocardiogram (ECG) tracing reveals a atrial rate between 250 and 400, with saw-toothed P waves. The nurse correctly identifies this dysrhythmia as
- Atrial flutter
The nurse is speaking with a client admitted with a dysrhythmia. The client asks the nurse to explain the “F waves” on the electrocardiogram. What is the nurse’s best response?
- “The F waves are flutter waves representing atrial activity.”
Which ECG waveform characterizes conduction of an electrical impulse through the left ventricle?
- QRS complex
A client who is a candidate for an implantable cardioverter defibrillator (ICD) asks the nurse about the purpose of this device. What would be the nurse's best response?
- “To detect and treat dysrhythmias such as ventricular fibrillation and ventricular tachycardia.”
Which postimplantation instruction must a nurse provide to a client with a permanent pacemaker?
- Avoid sources of electrical interference
A client’s electrocardiogram reveals an irregular rhythm of 75 bpm with a normal QRS and P wave. The nurse who is caring for the client should anticipate:
- no immediate treatment.
The nurse is caring for a client who has had a dysrhythmic event. The nurse is aware of the need to assess for signs of diminished cardiac output (CO). What change in status may signal to the nurse a decrease in cardiac output?
- Changes in level of consciousness
Which dysrhythmia has an atrial rate between 250 and 400, with saw-toothed P waves?
- Atrial flutter
The nurse is caring for a client who has just had an implantable cardioverter defibrillator (ICD) placed. What is the priority area for the nurse’s assessment?
- Vigilant monitoring of the client's ECG
An adult client experiencing third-degree atrioventricular (AV) block is admitted to the cardiac care unit and placed on continuous cardiac monitoring. What rhythm characteristic will the electrocardiogram (ECG) most likely show?
- Fewer QRS complexes than P waves
The nurse is providing discharge teaching with a client about pacemaker surveillance. Which client statement indicates a need for further teaching?
- “I will take acetaminophen prior to the appointment to lessen the interrogation pain.”
A client has undergone diagnostic testing and received a diagnosis of sinus bradycardia attributable to sinus node dysfunction. When planning this client's care, which nursing diagnosis is most appropriate?
- Risk for activity intolerance
The client asks the nurse to explain what is meant by a ventricular bigeminy cardiac rhythm. What is the best response by the nurse?
- The rhythm has a normal beat, then a premature beat pattern.
A client with dilated cardiomyopathy is having frequent episodes of ventricular fibrillation. What medical treatment does the nurse anticipate the client will have to terminate the episode of ventricular fibrillation?
- internal cardioverter defibrillator insertion
When the nurse observes an electrocardiogram (ECG) tracing on a cardiac monitor with a pattern in lead II and observes a bizarre, abnormal shape to the QRS complex, the nurse has likely observed which of the following ventricular dysrhythmias?
- Premature ventricular contraction (PVC)
Which nursing intervention is required to prepare a client with cardiac dysrhythmia for an elective electrical cardioversion?
- Instruct the client to restrict food and oral intake
The nurse caring for a client who has had an electrocardiogram (ECG), notes that leads I, II, and III differ from one another on the cardiac rhythm strip. How should the nurse best respond?
- Recognize that the view of the electrical current changes in relation to the lead placement.
What does the nurse interpret this rhythm to be?
The nurse discusses the client's symptoms, indicating that the most common cause of cardiac arrhythmias is:
- ischemic heart disease.
A client with an implantable cardioverter defibrillator (ICD) is concerned about “being defibrillated too often.”. The nurse acknowledges the concern knowing that what is the most frequent complication of ICD therapy?
- Oversensing of dysrhythmias
How will the nurse explain the need to monitor the client's electrocardiogram (ECG) strip to the spouse?
- "The small box will transmit the heart rhythm to the central monitor all the time."
A cardiac care nurse is caring for a client who is experiencing positive chronotropy. What effect should the nurse prepare for?
- Increased heart rate
How can the nurse best explain this procedure to the patient?
- “Cardioversion will essentially 'reset' the cells in your heart that control the electrical activity.”
The nurse is caring for a patient with systolic blood pressure of 135 mm Hg. This finding would be classified as?
- elevated.
The nurse is aware that the difference between primary hypertension and secondary hypertension is which of the following?
- Secondary hypertension has a specific cause.
An older adult is newly diagnosed with primary hypertension and has just been started on a beta-blocker. Which topic should the nurse include in health education?
- Use of strategies to prevent falls stemming from orthostatic hypotension
An older adult is newly diagnosed with primary hypertension and has just been started on a beta-blocker. Which topic should the nurse include in health education?
- Use of strategies to prevent falls stemming from orthostatic hypotension
What does a blood pressure reading indicate?
- All of the options are correct.
What is the primary rationale behind that advice to the client?
- Tobacco use increases the client's concurrent risk of heart disease.
An older adult client has newly diagnosed stage 2 hypertension. The health care provider has prescribed Chlorothiazide and Benazepril. What will the nurse monitor this client for?
- Postural hypotension and resulting injury
The nurse is caring for a client who is prescribed medication for the treatment of hypertension. The nurse recognizes that which medication conserves potassium?
- Spironolactone

Question 3 studiers recently

Which action is most helpful in encouraging the expression of feelings in a pediatric client who is abused?

Answer

Aceify Homework Helper

Students also studied these questions

The patient asks the nurse what will happen if the pacemaker quits functioning. What is the nurse's best response?

The patient asks the nurse what will happen if the pacemaker quits functioning. What is the nurse's best response?

For what is an electrophysiology study primarily performed?

Which medication does the nurse anticipate administering to treat bradycardia?

A client asks the nurse what causes the heart to be an effective pump. The nurse informs the client that this is due to the:

The nurse is observing the monitor of a patient with a first-degree atrioventricular (AV) block. What is the nurse aware characterizes this block?

What is the drug of choice for a stable client with ventricular tachycardia?

The nurse is planning discharge teaching for a client with a newly inserted permanent pacemaker. What is the priority teaching point for this client?

A client has been living with an internal, fixed-rate pacemaker. When checking the client's readings on a cardiac monitor the nurse notices an absence of spikes. What should the nurse do?

A client has an irregular heart rate of around 100 beats/minute and a significant pulse deficit. What component of the client's history would produce such symptoms?

The nurse should instruct the client to

The nurse should instruct the client to

The nurse is working on a telemetry unit, caring for a client who develops dizziness and a second-degree heart block, Mobitz Type 1. What will be the initial nursing intervention?

Which dysrythmia should the nurse document?

A nurse provides morning care for a client in the intensive care unit (ICU). Suddenly, the bedside monitor shows ventricular fibrillation and the client becomes unresponsive. After calling for assistance, what action should the nurse take next?

A client is admitted to the cardiac care unit for an electrophysiology (EP) study. What goal should guide the planning and execution of the client's care?

A client’s electrocardiogram (ECG) tracing reveals a atrial rate between 250 and 400, with saw-toothed P waves. The nurse correctly identifies this dysrhythmia as

The nurse is providing teaching to a client with an implanted cardiac device. Which client statement indicates that teaching has been effective?

The nurse correctly identifies this rhythm as

What does the nurse identify on the electrocardiogram as an indicator of sinus tachycardia?

How should the nurse best interpret this finding?

The nursing educator is presenting a case study of an adult client who has abnormal ventricular depolarization. This pathologic change would be most evident in what component of an electrocardiogram (ECG)?

A nurse is caring for a client who is exhibiting ventricular tachycardia (VT). Because the client is pulseless, the nurse should prepare for what intervention?

The nurse is caring for a client who is displaying a third-degree AV block on the EKG monitor. What is the priority nursing intervention for the client?

The nursing student asks the nurse how to tell the difference between ventricular tachycardia and ventricular fibrillation on an electrocardiogram strip. What is the best response?

The nurse cares for a client with a dysrhythmia and understands that the P wave on an electrocardiogram (ECG) represents which phase of the cardiac cycle?

What does the nurse interpret this rhythm to be?

The nurse is assessing vital signs in a patient with a permanent pacemaker. What should the nurse document about the pacemaker?

Which nursing intervention must a nurse perform when administering prescribed vasopressors to a client with a cardiac dysrhythmia?

A patient with hypertension has a newly diagnosed atrial fibrillation. What medication does the nurse anticipate administering to prevent the complication of atrial thrombi?

The nursing student asks the nurse to describe the difference between sinus rhythm and sinus bradycardia on the electrocardiogram strip. What is the nurse's best reply?

What is an important aspect of defibrillating that the educator stresses to their class?

What rhythm on the monitor does the nurse anticipate viewing?

A client will be undergoing elective electrical cardioversion. Which nursing intervention will be included in the client's plan of care?

A healthy adult client is seeing a health care provider for an annual physical examination. While the nurse is taking the client's vital signs, the client states, “Occasionally, my heart skips a beat.” The nurse believes that the client is experiencing what condition?

The nurse is preparing a client for upcoming electrophysiology (EP) studies and possible ablation for treatment of atrial tachycardia. What information will the nurse include in the teaching?

The nurse is caring for a client who is displaying a third-degree AV block on the EKG monitor. What is the priority nursing intervention for the client?

Which is not a likely origination point for cardiac arrhythmias?

The nurse recognizes which as being true of cardioversion?

To evaluate a client's atrial depolarization, the nurse observes which part of the electrocardiogram waveform?

A patient with hypertension has a newly diagnosed atrial fibrillation. What medication does the nurse anticipate administering to prevent the complication of atrial thrombi?

The nurse assesses a client with a heart rate of 120 beats per minute. What are the known causes of sinus tachycardia?

A client with heart failure asks the nurse how dobutamine affects the body’s circulation. What is the nurse’s best response?

The members of the team are caring for a client who converted to ventricular fibrillation (VF). The client was defibrillated unsuccessfully and the client remains in VF. According to national standards, the nurse should anticipate the administration of what medication?

A client’s electrocardiogram (ECG) tracing reveals a atrial rate between 250 and 400, with saw-toothed P waves. The nurse correctly identifies this dysrhythmia as

The nurse is speaking with a client admitted with a dysrhythmia. The client asks the nurse to explain the “F waves” on the electrocardiogram. What is the nurse’s best response?

Which ECG waveform characterizes conduction of an electrical impulse through the left ventricle?

A client who is a candidate for an implantable cardioverter defibrillator (ICD) asks the nurse about the purpose of this device. What would be the nurse's best response?

Which postimplantation instruction must a nurse provide to a client with a permanent pacemaker?

A client’s electrocardiogram reveals an irregular rhythm of 75 bpm with a normal QRS and P wave. The nurse who is caring for the client should anticipate:

The nurse is caring for a client who has had a dysrhythmic event. The nurse is aware of the need to assess for signs of diminished cardiac output (CO). What change in status may signal to the nurse a decrease in cardiac output?

Which dysrhythmia has an atrial rate between 250 and 400, with saw-toothed P waves?

The nurse is caring for a client who has just had an implantable cardioverter defibrillator (ICD) placed. What is the priority area for the nurse’s assessment?

An adult client experiencing third-degree atrioventricular (AV) block is admitted to the cardiac care unit and placed on continuous cardiac monitoring. What rhythm characteristic will the electrocardiogram (ECG) most likely show?

The nurse is providing discharge teaching with a client about pacemaker surveillance. Which client statement indicates a need for further teaching?

A client has undergone diagnostic testing and received a diagnosis of sinus bradycardia attributable to sinus node dysfunction. When planning this client's care, which nursing diagnosis is most appropriate?

The client asks the nurse to explain what is meant by a ventricular bigeminy cardiac rhythm. What is the best response by the nurse?

A client with dilated cardiomyopathy is having frequent episodes of ventricular fibrillation. What medical treatment does the nurse anticipate the client will have to terminate the episode of ventricular fibrillation?

When the nurse observes an electrocardiogram (ECG) tracing on a cardiac monitor with a pattern in lead II and observes a bizarre, abnormal shape to the QRS complex, the nurse has likely observed which of the following ventricular dysrhythmias?

Which nursing intervention is required to prepare a client with cardiac dysrhythmia for an elective electrical cardioversion?

The nurse caring for a client who has had an electrocardiogram (ECG), notes that leads I, II, and III differ from one another on the cardiac rhythm strip. How should the nurse best respond?

What does the nurse interpret this rhythm to be?

The nurse discusses the client's symptoms, indicating that the most common cause of cardiac arrhythmias is:

A client with an implantable cardioverter defibrillator (ICD) is concerned about “being defibrillated too often.”. The nurse acknowledges the concern knowing that what is the most frequent complication of ICD therapy?

How will the nurse explain the need to monitor the client's electrocardiogram (ECG) strip to the spouse?

A cardiac care nurse is caring for a client who is experiencing positive chronotropy. What effect should the nurse prepare for?

How can the nurse best explain this procedure to the patient?

The nurse is caring for a patient with systolic blood pressure of 135 mm Hg. This finding would be classified as?

The nurse is aware that the difference between primary hypertension and secondary hypertension is which of the following?

An older adult is newly diagnosed with primary hypertension and has just been started on a beta-blocker. Which topic should the nurse include in health education?

An older adult is newly diagnosed with primary hypertension and has just been started on a beta-blocker. Which topic should the nurse include in health education?

What does a blood pressure reading indicate?

What is the primary rationale behind that advice to the client?

An older adult client has newly diagnosed stage 2 hypertension. The health care provider has prescribed Chlorothiazide and Benazepril. What will the nurse monitor this client for?

The nurse is caring for a client who is prescribed medication for the treatment of hypertension. The nurse recognizes that which medication conserves potassium?

Question
3 studiers recently