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MDC3 Rasmussen Final Questions and
Correct Answers the Latest Update and
Recommended Version
What does A Fib ECG look like?
• -impulse rate of 350-600 times per minute
• -no P waves
• -no atrial contractions
• -loss of atrial kick
• -irregular ventricular response
How often do you assess vital signs on a patient with a dysrhythmia
(gray box)
• at least every 4 hours
Nursing Safety Priority for Sinus tachycardia what to assess
(gray box)
• -fatigue, weakness, SOB, orthopnea, decreased O2, increased HR, decreased BP,
angina, palpitations
• -ECG: T wave inversion or ST elevation/depression
• -decreased cerebral perfusion may occur. Symptoms: restlessness and anxiety
• -impaired renal function may occur symptoms: decreased urine output.
The nurse is assessing the client's cardiac rhythm and notes the following: HR 64, regular
rhythm, PR interval 0.20; QRS 0.10. How will the nurse document this rhythm interpretation in
the electronic health record?
|
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A. Sinus tachycardia
B. Sinus bradycardia
C. Normal sinus rhythm
D. Sinus arrhythmia
• C
NURSING SAFETY PRIORITY
patient education with permanent pacemakers include
• -Avoid strong electromagnetic fields (magnets and telecommunication transmitters)
• -carry pacemaker identification card
• -medical alert bracelet
A fib may lead to
• -DVT or PE due to blood pooling
• -HF
A fib signs and symptoms
• -symptoms depend on ventricular rate*
• -some patients are asymptomatic*
• irregular pulse, poor perfusion, fatigue, weakness, SOB, diiness, anxiety, syncope,
palpitations, chest pain/discomfort, and hypotensionzz
Nursing intervention for a PE
|
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• -stay with patient
• -monitor for SOB, chest pain, and hypotension
• -initiate a rapid
• -notify the provider
T/F patients on anticoagulation should report bleeding gums to their provider immediately
• T
NURSING SAFETY PRIORITY
before a cardioversion what needs to be turned off and removed from patient
• Oxygen
what does the nurse assess for in a patient with a dysrthymia?
• Angina, hypotension, HF, decreased cerebral profusion, and decreased renal
profusion.
How to decrease/prevent dysthymias
• -avoid vagus nerve stimulation
• -take medications
• -stop smoking
• -avoid caffeine
• -alcohol in moderation
• -manage stress
The nurse is caring for client who is experiencing occasional premature ventricular contractions.
What assessment data are most concerning to the nurse?
|
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• © 2024 TestTrackers • Your Success is Our Mission!
• Customer Support: [+254707240657]
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A. Potassium 4.8 mEq/L
B. Magnesium 2 mEq/L
C. Heart rate 90
D. History of smoking
• D
Nursing Safety Priority
1. V tach stable nursing intervention:
2. V tach unstable nursing intervention:
• 1. administer O2 and confirm with 12 lead ECG (possible amiodarone/lidocaine
administration)
• 2. may case cardiac arrest, assess ABCs, LOC, and O2
T/F ventricular asystole is shockable rythm.
• FALSE
• no electrical impulses are present to disrupt
T/F
V tach and V fib are shockable rhythms.
• True
• disrupt chaotic rhythm allowing SA node signals to restart
Upon entering a client's room, the nurse finds the client unresponsive. In what order will the
nurse provide care?
|
• Thank You for Choosing Us! • Resources & Updates: [Testtrackers - Stuvia US]
• © 2024 TestTrackers • Your Success is Our Mission!
• Customer Support: [+254707240657]
MDC3 Rasmussen Final Questions and
Correct Answers the Latest Update and
Recommended Version
What does A Fib ECG look like?
• -impulse rate of 350-600 times per minute
• -no P waves
• -no atrial contractions
• -loss of atrial kick
• -irregular ventricular response
How often do you assess vital signs on a patient with a dysrhythmia
(gray box)
• at least every 4 hours
Nursing Safety Priority for Sinus tachycardia what to assess
(gray box)
• -fatigue, weakness, SOB, orthopnea, decreased O2, increased HR, decreased BP,
angina, palpitations
• -ECG: T wave inversion or ST elevation/depression
• -decreased cerebral perfusion may occur. Symptoms: restlessness and anxiety
• -impaired renal function may occur symptoms: decreased urine output.
The nurse is assessing the client's cardiac rhythm and notes the following: HR 64, regular
rhythm, PR interval 0.20; QRS 0.10. How will the nurse document this rhythm interpretation in
the electronic health record?
|
• Thank You for Choosing Us! • Resources & Updates: [Testtrackers - Stuvia US]
• © 2024 TestTrackers • Your Success is Our Mission!
• Customer Support: [+254707240657]
, TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today!
A. Sinus tachycardia
B. Sinus bradycardia
C. Normal sinus rhythm
D. Sinus arrhythmia
• C
NURSING SAFETY PRIORITY
patient education with permanent pacemakers include
• -Avoid strong electromagnetic fields (magnets and telecommunication transmitters)
• -carry pacemaker identification card
• -medical alert bracelet
A fib may lead to
• -DVT or PE due to blood pooling
• -HF
A fib signs and symptoms
• -symptoms depend on ventricular rate*
• -some patients are asymptomatic*
• irregular pulse, poor perfusion, fatigue, weakness, SOB, diiness, anxiety, syncope,
palpitations, chest pain/discomfort, and hypotensionzz
Nursing intervention for a PE
|
• Thank You for Choosing Us! • Resources & Updates: [Testtrackers - Stuvia US]
• © 2024 TestTrackers • Your Success is Our Mission!
• Customer Support: [+254707240657]
, TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today!
• -stay with patient
• -monitor for SOB, chest pain, and hypotension
• -initiate a rapid
• -notify the provider
T/F patients on anticoagulation should report bleeding gums to their provider immediately
• T
NURSING SAFETY PRIORITY
before a cardioversion what needs to be turned off and removed from patient
• Oxygen
what does the nurse assess for in a patient with a dysrthymia?
• Angina, hypotension, HF, decreased cerebral profusion, and decreased renal
profusion.
How to decrease/prevent dysthymias
• -avoid vagus nerve stimulation
• -take medications
• -stop smoking
• -avoid caffeine
• -alcohol in moderation
• -manage stress
The nurse is caring for client who is experiencing occasional premature ventricular contractions.
What assessment data are most concerning to the nurse?
|
• Thank You for Choosing Us! • Resources & Updates: [Testtrackers - Stuvia US]
• © 2024 TestTrackers • Your Success is Our Mission!
• Customer Support: [+254707240657]
, TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today!
A. Potassium 4.8 mEq/L
B. Magnesium 2 mEq/L
C. Heart rate 90
D. History of smoking
• D
Nursing Safety Priority
1. V tach stable nursing intervention:
2. V tach unstable nursing intervention:
• 1. administer O2 and confirm with 12 lead ECG (possible amiodarone/lidocaine
administration)
• 2. may case cardiac arrest, assess ABCs, LOC, and O2
T/F ventricular asystole is shockable rythm.
• FALSE
• no electrical impulses are present to disrupt
T/F
V tach and V fib are shockable rhythms.
• True
• disrupt chaotic rhythm allowing SA node signals to restart
Upon entering a client's room, the nurse finds the client unresponsive. In what order will the
nurse provide care?
|
• Thank You for Choosing Us! • Resources & Updates: [Testtrackers - Stuvia US]
• © 2024 TestTrackers • Your Success is Our Mission!
• Customer Support: [+254707240657]
