NUR390 Nursing Care of the Adult 1
EKG Rhythm Interpretation Packet
Failure to complete all components of assignment can result in up to a 50%-point reduction.
Instructions – First complete the questions below, then complete the EKG packet!
Please read the following areas of your text to help you answer the questions below:
Harding, M.M., Kwong, J., Hagler, D., & Reinisch, C. (2023). Lewis’s medical-surgical nursing:
Assessment and management of clinical problems (12th ed.). Elsevier.
The following sections of Chapter 37:
● Diagnostic Studies: Cardiac Catheterization (Starting on pg. 836)
● Acute Coronary Syndrome (Starting on pg. 840)
Also- do not forget in your Didactic Shell, you have a “EKG PowerPoint” embedded in the Week 5
announcement. This will help you with both the questions below and your EKG packet.
Question Student Answer
Describe nursing care of the post angioplasty Patients will need to remain flat for several hours
patient. after the procedure. Nurses will need to continue
to monitor vital signs, incision sites, pain, nausea,
vomiting, pain, circulation, and sensation of
extremities. (Harding et al., 2023)
Identify possible complications and their causes Bleeding and bruising at the insertion site:
following coronary stent placement and nursing Nursing care would include a compression
care designed to prevent these complications. dressing at the insertion site.
Blood clots that can form within the stent. Anti
platelet and anticoagulant medication are given.
Along with compression stockings or SCDs are
applied.
Allergic reaction related to the contrast in
imaging. Prevention would be to assess current
allergies prior to imaging.
Kidney damage- Assess kidney function prior to
contrast.
(Harding et al., 2023)
Describe administration, pharmacokinetics, and Administration- sublingual tablet. Place tablet in
the desired effect of nitroglycerin. cheek do not chew or swallow. Allow tablets to
completely dissolve. Repeat every 5 minutes if
needed but no more than 3 doses in 15 minutes.
Pharmacokinetics: Reduces cardiac oxygen
needed by decreasing the left ventricle preload
Downloaded by harun mburu ()
, NUR390 Nursing Care of the Adult 1
EKG Rhythm Interpretation Packet
Failure to complete all components of assignment can result in up to a 50%-point reduction.
and lessen the afterload and increase blood flow
throughout the collateral coronary vessels.
Desired Effect: relieve angina.
(Lippincott® Solutions, n.d.)
What should be included in a complete Assessing all pulses below the incision site.
neurovascular assessment of the lower Assessing skin color, temperature, cap refill,
extremities following cardiac catheterization? sensation of the incision site and below. Ensure
that the nurse is comparing the surgical side and
non-surgical side. Pain, swelling. (Harding et al.,
2023)
What are the signs and symptoms of myocardial Chest pain is described as tight, burning,
infarction? constricted, or crushing. May or may not radiate
down either arm, neck, back and lower jaw. In
women chest pain may be in back and neck. May
be more of a discomfort than a pain. Shortness of
breath, indigestion, fatigue, dysrhythmia,
dizziness, pulmonary edema, change in mental
status, nausea, vomiting, increased heart rate,
increased blood pressure, fever. (Harding et al.,
2023)
What laboratory values and trends reflect a Troponin T- increase over 4-6 hours after onset.
positive myocardial infarction?
Troponin 1- Increases over 4-6 hours after onset.
Troponin HS- can show an increase within 1 hour
and can stay high for 7-14 days.
CK- levels begin to rise after 6 hours after MI and
return to normal between 24-36 hours. (Harding
et al., 2023)
Describe drug eluting stents and the rationale They are used to prevent narrowing of the artery.
for their use. The reasoning is that the medication in the stent
slowly releases medication to prevent scar tissue
from building up. They can last longer than metal
stents. (Harding et al., 2023)
Describe the ECG changes that may occur with a ST-elevations on the lead where the infarct is.
myocardial infarction.
Pathologic Q wave which is a Q wave that is 1/3rd
the height of the R wave on the same lead.
(Harding et al., 2023)
Downloaded by harun mburu ()
, NUR390 Nursing Care of the Adult 1
EKG Rhythm Interpretation Packet
Failure to complete all components of assignment can result in up to a 50%-point reduction.
Downloaded by harun mburu ()
EKG Rhythm Interpretation Packet
Failure to complete all components of assignment can result in up to a 50%-point reduction.
Instructions – First complete the questions below, then complete the EKG packet!
Please read the following areas of your text to help you answer the questions below:
Harding, M.M., Kwong, J., Hagler, D., & Reinisch, C. (2023). Lewis’s medical-surgical nursing:
Assessment and management of clinical problems (12th ed.). Elsevier.
The following sections of Chapter 37:
● Diagnostic Studies: Cardiac Catheterization (Starting on pg. 836)
● Acute Coronary Syndrome (Starting on pg. 840)
Also- do not forget in your Didactic Shell, you have a “EKG PowerPoint” embedded in the Week 5
announcement. This will help you with both the questions below and your EKG packet.
Question Student Answer
Describe nursing care of the post angioplasty Patients will need to remain flat for several hours
patient. after the procedure. Nurses will need to continue
to monitor vital signs, incision sites, pain, nausea,
vomiting, pain, circulation, and sensation of
extremities. (Harding et al., 2023)
Identify possible complications and their causes Bleeding and bruising at the insertion site:
following coronary stent placement and nursing Nursing care would include a compression
care designed to prevent these complications. dressing at the insertion site.
Blood clots that can form within the stent. Anti
platelet and anticoagulant medication are given.
Along with compression stockings or SCDs are
applied.
Allergic reaction related to the contrast in
imaging. Prevention would be to assess current
allergies prior to imaging.
Kidney damage- Assess kidney function prior to
contrast.
(Harding et al., 2023)
Describe administration, pharmacokinetics, and Administration- sublingual tablet. Place tablet in
the desired effect of nitroglycerin. cheek do not chew or swallow. Allow tablets to
completely dissolve. Repeat every 5 minutes if
needed but no more than 3 doses in 15 minutes.
Pharmacokinetics: Reduces cardiac oxygen
needed by decreasing the left ventricle preload
Downloaded by harun mburu ()
, NUR390 Nursing Care of the Adult 1
EKG Rhythm Interpretation Packet
Failure to complete all components of assignment can result in up to a 50%-point reduction.
and lessen the afterload and increase blood flow
throughout the collateral coronary vessels.
Desired Effect: relieve angina.
(Lippincott® Solutions, n.d.)
What should be included in a complete Assessing all pulses below the incision site.
neurovascular assessment of the lower Assessing skin color, temperature, cap refill,
extremities following cardiac catheterization? sensation of the incision site and below. Ensure
that the nurse is comparing the surgical side and
non-surgical side. Pain, swelling. (Harding et al.,
2023)
What are the signs and symptoms of myocardial Chest pain is described as tight, burning,
infarction? constricted, or crushing. May or may not radiate
down either arm, neck, back and lower jaw. In
women chest pain may be in back and neck. May
be more of a discomfort than a pain. Shortness of
breath, indigestion, fatigue, dysrhythmia,
dizziness, pulmonary edema, change in mental
status, nausea, vomiting, increased heart rate,
increased blood pressure, fever. (Harding et al.,
2023)
What laboratory values and trends reflect a Troponin T- increase over 4-6 hours after onset.
positive myocardial infarction?
Troponin 1- Increases over 4-6 hours after onset.
Troponin HS- can show an increase within 1 hour
and can stay high for 7-14 days.
CK- levels begin to rise after 6 hours after MI and
return to normal between 24-36 hours. (Harding
et al., 2023)
Describe drug eluting stents and the rationale They are used to prevent narrowing of the artery.
for their use. The reasoning is that the medication in the stent
slowly releases medication to prevent scar tissue
from building up. They can last longer than metal
stents. (Harding et al., 2023)
Describe the ECG changes that may occur with a ST-elevations on the lead where the infarct is.
myocardial infarction.
Pathologic Q wave which is a Q wave that is 1/3rd
the height of the R wave on the same lead.
(Harding et al., 2023)
Downloaded by harun mburu ()
, NUR390 Nursing Care of the Adult 1
EKG Rhythm Interpretation Packet
Failure to complete all components of assignment can result in up to a 50%-point reduction.
Downloaded by harun mburu ()
