Rasmussen Final MDC3 Questions And Well Detailed Anwsers

Rasmussen Final MDC3 What does A Fib ECG look like? - Answer--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) - Answer-at least every 4 hours Nursing Safety Priority for Sinus tachycardia what to assess (gray box) - Answer--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? A. Sinus tachycardia B. Sinus bradycardia C. Normal sinus rhythm D. Sinus arrhythmia - Answer-C NURSING SAFETY PRIORITY patient education with permanent pacemakers include - Answer--Avoid strong electromagnetic fields (magnets and telecommunication transmitters) -carry pacemaker identification card -medical alert bracelet A fib may lead to - Answer--DVT or PE due to blood pooling -HF A fib signs and symptoms - Answer--symptoms depend on ventricular rate* -some patients are asymptomatic* irregular pulse, poor perfusion, fatigue, weakness, SOB, dizziness, anxiety, syncope, palpitations, chest pain/discomfort, and hypotension Nursing intervention for a PE - Answer--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