verified solutions-2023-2026
The resuscitation team suspects that hyperkalemia is the cause of cardiac arrest
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in a patient brought to the emergency department. Which finding on a 12-lead
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ECG would confirm this suspicion?
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Wide-complex ventricular rhythm or tall, pointed T waves x2 x2 x2 x2 x2 x2 x2
A patient with dyspnea and a change in mental status arrives at the emergency
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department. The healthcare team completes the necessary assessments and
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begins to care for the patient, including initiating cardiac monitoring, pulse
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oximetry, supplemental oxygen and vascular access. The team reviews the
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patient's ECG rhythm strip, as shown in the following figure. Which agent would
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the team most likely administer?
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Atropine 0.5 mg every 4 to 5 minutes
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A patient experiencing an unstable bradyarrhythmia does not respond to atropine
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or transcutaneous pacing. Which intervention would the healthcare provider use
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next?
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Administration of an epinephrine infusion x2 x2 x2 x2
A patient's ECG reveals a tachyarrhythmia. The patient is hemodynamically stable
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and has a heart rate ranging from 120 to 135 beats per minute. Based on the
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findings of the secondary assessment, which statement(s) by the patient would
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the team interpret as a possible contributing cause?
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1. "I've had a terrible cold with a horrible cough and fever the past week."
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2. "I've been so anxious lately because I just lost my job."
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3. "I've been vomiting for the past 2 days from a gastrointestinal bug."
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, A patient's ECG reveals a narrow QRS complex with a regular rhythm, indicating
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a narrow-complex supraventricular tachyarrhythmia. The patient is
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hemodynamically stable. Which intervention would be initiated first?
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Vagal maneuvers x2
A patient in the telemetry unit is stable. Cardiac monitoring indicates the patient
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has ventricular tachycardia with a pulse. Further assessment reveals that the
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corrected QT interval is greater than 0.46 seconds. Which treatment would be
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appropriate at this time?
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Synchronized cardioversion x2
An ECG strip of a patient in the emergency department reveals the following
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rhythm. Which feature would the healthcare provider interpret as indicating
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atrial fibrillation?
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Absence of discrete P waves and presence of irregularly irregular QRS
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x2 complexes A patient is brought into the emergency department. The patient
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does not have a
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pulse. The cardiac monitor shows the following rhythm. The team interprets this
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as which condition?
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Ventricular tachycardia x2
A patient with acute renal failure experiences cardiac arrest. Just before the
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cardiac arrest, the patient's ECG showed peaked T waves. What might be
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causing the patient's cardiac arrest?
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Hyperkalemia
A member of the resuscitation team is preparing to defibrillate a patient in
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cardiac arrest using a biphasic defibrillator. The team member would set the
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energy dose according to the manufacturer's recommendations, which is usually:
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120 to 200 joules
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