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=an
nouncement.=This=will=help=you=with=both=the=questions=below=and=your=EKG=packet.
Question Student=Answer
Describe=nursing=care=of=the=post=angioplasty=pa Patients=will=need=to=remain=flat=for=several=hou
tient. rs=after=the=procedure.=Nurses=will=need=to=conti
nue=to=monitor=vital=signs,=incision=sites,=pain,=n
ausea,=vomiting,=pain,=circulation,=and=sensation
=of=extremities.=(Harding=et=al.,=2023)
Identify=possible=complications=and=their=caus Bleeding=and=bruising=at=the=insertion=site:=Nur
es=following=coronary=stent=placement=and=nu sing=care=would=include=a=compression=dressing
rsing=care=designed=to=prevent=these=complica =at=the=insertion=site.
tions.
Blood=clots=that=can=form=within=the=stent.=Anti=
platelet=and=anticoagulant=medication=are=given.=
Along=with=compression=stockings=or=SCDs=are=a
pplied.
Allergic=reaction=related=to=the=contrast=in=imag
ing.=Prevention=would=be=to=assess=current=aller
gies=prior=to=imaging.
Kidney=damage-
=Assess=kidney=function=prior=to=contrast.
(Harding=et=al.,=2023)
Describe=administration,=pharmacokinetics,=and= Administration-
the=desired=effect=of=nitroglycerin. =sublingual=tablet.=Place=tablet=in=cheek=do=not=c
hew=or=swallow.=Allow=tablets=to=completely=diss
olve.=Repeat=every=5=minutes=if=needed=but=no=
more=than=3=doses=in=15=minutes.=Pharmacokine
tics:=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=neurov Assessing=all=pulses=below=the=incision=site.=As
ascular=assessment=of=the=lower=extremities=foll sessing=skin=color,=temperature,=cap=refill,=sen
owing=cardiac=catheterization? sation=of=the=incision=site=and=below.=Ensure=t
hat=the=nurse=is=comparing=the=surgical=side=a
nd=non-
surgical=side.=Pain,=swelling.=(Harding=et=al.,=20
23)
What=are=the=signs=and=symptoms=of=myocardia Chest=pain=is=described=as=tight,=burning,=constri
l=infarction? cted,=or=crushing.=May=or=may=not=radiate=dow
n=either=arm,=neck,=back=and=lower=jaw.=In=wo
men=chest=pain=may=be=in=back=and=neck.=May=
be=more=of=a=discomfort=than=a=pain.=Shortness=
of=breath,=indigestion,=fatigue,=dysrhythmia,=dizz
iness,=pulmonary=edema,=change=in=mental=stat
us,=nausea,=vomiting,=increased=heart=rate,=incre
ased=blood=pressure,=fever.=(Harding=et=al.,=202
3)
What=laboratory=values=and=trends=reflect=a=pos Troponin=T-=increase=over=4-
itive=myocardial=infarction?
6=hours=after=onset.=Troponin=1-
=Increases=over=4-6=hours=after=onset.
Troponin=HS-
=can=show=an=increase=within=1=hour=and=can=s
tay=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=arter
=for=their=use. y.=The=reasoning=is=that=the=medication=in=the=st
ent=slowly=releases=medication=to=prevent=scar=ti
ssue=from=building=up.=They=can=last=longer=than
=metal=stents.=(Harding=et=al.,=2023)
Describe=the=ECG=changes=that=may=occur=with= ST-elevations=on=the=lead=where=the=infarct=is.
a=myocardial=infarction.
Pathologic=Q=wave=which=is=a=Q=wave=that=is=1/3r
d
=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=(
=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=an
nouncement.=This=will=help=you=with=both=the=questions=below=and=your=EKG=packet.
Question Student=Answer
Describe=nursing=care=of=the=post=angioplasty=pa Patients=will=need=to=remain=flat=for=several=hou
tient. rs=after=the=procedure.=Nurses=will=need=to=conti
nue=to=monitor=vital=signs,=incision=sites,=pain,=n
ausea,=vomiting,=pain,=circulation,=and=sensation
=of=extremities.=(Harding=et=al.,=2023)
Identify=possible=complications=and=their=caus Bleeding=and=bruising=at=the=insertion=site:=Nur
es=following=coronary=stent=placement=and=nu sing=care=would=include=a=compression=dressing
rsing=care=designed=to=prevent=these=complica =at=the=insertion=site.
tions.
Blood=clots=that=can=form=within=the=stent.=Anti=
platelet=and=anticoagulant=medication=are=given.=
Along=with=compression=stockings=or=SCDs=are=a
pplied.
Allergic=reaction=related=to=the=contrast=in=imag
ing.=Prevention=would=be=to=assess=current=aller
gies=prior=to=imaging.
Kidney=damage-
=Assess=kidney=function=prior=to=contrast.
(Harding=et=al.,=2023)
Describe=administration,=pharmacokinetics,=and= Administration-
the=desired=effect=of=nitroglycerin. =sublingual=tablet.=Place=tablet=in=cheek=do=not=c
hew=or=swallow.=Allow=tablets=to=completely=diss
olve.=Repeat=every=5=minutes=if=needed=but=no=
more=than=3=doses=in=15=minutes.=Pharmacokine
tics:=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=neurov Assessing=all=pulses=below=the=incision=site.=As
ascular=assessment=of=the=lower=extremities=foll sessing=skin=color,=temperature,=cap=refill,=sen
owing=cardiac=catheterization? sation=of=the=incision=site=and=below.=Ensure=t
hat=the=nurse=is=comparing=the=surgical=side=a
nd=non-
surgical=side.=Pain,=swelling.=(Harding=et=al.,=20
23)
What=are=the=signs=and=symptoms=of=myocardia Chest=pain=is=described=as=tight,=burning,=constri
l=infarction? cted,=or=crushing.=May=or=may=not=radiate=dow
n=either=arm,=neck,=back=and=lower=jaw.=In=wo
men=chest=pain=may=be=in=back=and=neck.=May=
be=more=of=a=discomfort=than=a=pain.=Shortness=
of=breath,=indigestion,=fatigue,=dysrhythmia,=dizz
iness,=pulmonary=edema,=change=in=mental=stat
us,=nausea,=vomiting,=increased=heart=rate,=incre
ased=blood=pressure,=fever.=(Harding=et=al.,=202
3)
What=laboratory=values=and=trends=reflect=a=pos Troponin=T-=increase=over=4-
itive=myocardial=infarction?
6=hours=after=onset.=Troponin=1-
=Increases=over=4-6=hours=after=onset.
Troponin=HS-
=can=show=an=increase=within=1=hour=and=can=s
tay=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=arter
=for=their=use. y.=The=reasoning=is=that=the=medication=in=the=st
ent=slowly=releases=medication=to=prevent=scar=ti
ssue=from=building=up.=They=can=last=longer=than
=metal=stents.=(Harding=et=al.,=2023)
Describe=the=ECG=changes=that=may=occur=with= ST-elevations=on=the=lead=where=the=infarct=is.
a=myocardial=infarction.
Pathologic=Q=wave=which=is=a=Q=wave=that=is=1/3r
d
=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=(
