ECCO: Caring for Patients with Cardiovascular Disorders Part 2 100% Pass

ECCO: Caring for Patients with Cardiovascular Disorders Part 2 100% Pass A patient reports ripping chest pain that radiates to the neck, and shortness of breath. Which interventions should the nurse anticipate? NOT decrease BP NOT CT NOT administer dys... A nurse observes a patient's jugular venous distention, tachycardia, and elevated CVP. ECHO identifies a large pericardial effusion and onset of atrial collapse. What intervention should the nurse initially anticipate? Prepare for pericardiocentesis You note a wide pacemaker spike followed by a wide QRS complex and a T wave with the opposite deflection on a patient with a temporary transcutaneous pacemaker. Palpate for a pulse corresponding with the QRS A patient has a transvenous temporary pacemaker in place at a rate of 70 and mA of 5. The patient's rhythm is junctional with a rate of 55. No pacemaker spikes are noted on the ECG. Which is initially indicated? NOT increase mA Which should the nurse include in preparing a patient for an electrophysiology study? sedated Which of these can indicate carotid artery stenosis? neurologic dysfunction lasting 1-2 hours Which are required to assist before and during pericardiocentesis? NOT position flat NOT ECG alligator clamp NOT VS A patient has a transvenous temporary pacemaker in place. Pacemaker spikes are noted on the ECG, but they are not followed by a P wave or QRS complex. Which is initially indicated? Check the connections A patient with a stab wound to the chest has VS: BP 80/40 (53), HR 112, and RR 24. Diminished heart sounds, dizziness, JVD, and weak pulses are noted. Which should the nurse anticipate? NOT: fluids, pericard, and high fowlers NOT: fluids, dopamine For which of the following patients should the nurse suspect a diagnosis of myocarditis? with a recent upper respiratory virus and chest pain A patient with a recent MI reports stabbing chest pain that increases with deep breathing and is relieved by leaning forward. SpO2 is 94%. Which should the nurse initially anticipate? NOT pericardiocentesis NOT steroids NOT Nitro A nurse notes bradycardia in a patient admitted with subarachnoid hemorrhage and vomiting. What medications may increase the patient's risk of sudden cardiac death? antibiotics or antidysrhythmics What should be the nurse's priorities in caring for a patient after surgical repair of a thoracic Type A dissection? Manage hypertension, monitor for signs What should a nurse's priorities be in caring for a patient post-carotid endarterectomy? Assess, Assess, and Monitor A new nurse asks why it is important to check the pacing threshold on a patient with a temporary transcutaneous pacemaker. The best response is, "We need to..." Know the amount of energy needed to trigger depolarization A patient with repair of the descending aorta is at risk for which of the following? Spinal ischemia A nurse finds a patient unresponsive and without a palpable pulse. Which of the following assessments is an indication for defibrillation? Ventricular fibrillation A patient with carotid artery stenosis undergoes stent placement. For which complication should the nurse observe? bradycardia To set up a ventricular demand pacemaker, a nurse ensures that the leads are connected to the pacemaker, then turns on and sets the mode as ordered. What are the next steps? Set rate at 60-80 or as ordered and adjust mA For a patient with long QT syndrome (LQTS) and hypokalemia, the provider ordered overdrive pacing at 80 bpm until causative medicines are out of the patient's system. What other treatment should the nurse anticipate? NOT replace, replace NOT replace causative, be prepared Which of these modes should the nurse expect to see with a temporary transcutaneous pacemaker? VVI Which patient has indications for synchronized cardioversion? A patient with: Not Vtach Which of the following is an accurate statement about temporary transcutaneous pacing? It is indicated for symptomatic bradycardia unresponsive to meds A patient with a history of cocaine use reports headache, blurred vision, severe chest pain, nausea, and vomiting. Vital signs are: BP 214/136, HR 106, RR 24. Which priority is initially indicated? Nitroprusside The initial symptoms of a patient with myocarditis have been stabilized. What additional treatment should the nurse anticipate? Administer, Monitor, Monitor A patient with a history of CAD reports sudden, steady abdominal pain. The nurse finds faintly palpable pedal pulses bilaterally, right popliteal BP 94/46 (62), and left 87/38 (54). What should the nurse do next? Evaluate medications for bleeding risk A patient reports sudden onset of chest pain, and dyspnea. Which assessment would differentiate whether the cause is ACS or pericarditis? All but headache A patient's ICD defibrillates and the nurse assesses the patient's rhythm and vital signs. What should be the nurse's next step? Watch to see Which patient is at greatest risk for development of torsades de pointes? NOT QTc of 0.40 with hypercalcemia