PALS PRE-ASSESSMENT FOR ARRHYTHMIAS|UPDATED&VERIFIED|100% SOLVED|GUARANTEED SUCCESS

Arrhythmias with a pulse can be further characterized by whether perfusion is adversely affected or not. True or False? True The healthcare provider identifies that a pediatric patient is experiencing tachycardia with inadequate perfusion and 12-lead ECG reveals wide QRS complex ventricular tachycardia. What is the first action the provider should implement? Synchronized electrical cardioversion A child is brought to the emergency department by the parents with complaints of a rapid heart rate and sweating. Cardiac monitoring and 12-lead ECG reveal the following rhythm. Vagal maneuvers and administration of adenosine have been unsuccessful and the child is now displaying signs of inadequate perfusion. Which intervention should be performed next? Synchronized electrical cardioversion Which action should the healthcare provider perform to best assess the adequacy of perfusion in a child with an arrhythmia? Check the capillary refill. Tachycardias can be further distinguished based on which ECG characteristic? The width of the QRS complex A newly admitted patient's ECG reveals a wide-complex tachycardia and the patient has adequate perfusion. Which initial pharmacologic intervention could be considered for this arrhythmia if the rhythm is regular and QRS monomorphic? Adenosine The pediatric charge nurse is training a newly hired RN. The charge nurse notes that the new hire documents a 10-year-old patient's heart rate is "within normal limits for age." The charge nurse would question this documentation when noting the patient's heart rate to be which value? 55 When reviewing the data of a pediatric patient, the healthcare provider notes the child has a history of second-degree AV block, type I. The provider understands this is which type of arrhythmia? Bradyarrhythmia Vagal maneuvers are appropriately used as an initial therapy for which cardiac arrhythmia? Supraventricular tachycardia (SVT) with adequate perfusion. While reviewing the health history of patients recently discharged from the pediatric cardiac care unit, the healthcare provider understands which arrhythmias may be normal findings in children? 1. First-degree atrioventricular (AV) block 2. Sinus bradycardia A 9-year-old patient is experiencing supraventricular tachycardia (SVT) with adequate perfusion, but vagal maneuvers have been unsuccessful. Which pharmacologic treatment should be initiated? Adenosine The healthcare provider is caring for a patient with bradycardia with inadequate perfusion. While providing BVM ventilations with O2, the heart rate decreases to 51 bpm. Which is the priority action the provider should implement? Initiate CPR. The healthcare provider understands that which rhythm is the most common symptomatic arrhythmia in children? Supraventricular tachycardia (SVT) Which statement correctly describes the progression of first degree to third degree atrioventricular (AV) block? Progress does not occur linearly. A newly admitted patient's ECG reveals the following image. Which intervention is recommended for this arrhythmia? ECG - Sinus Tachycardia... Identifying and treating the underlying cause