Dysrhythmias: Treatment Exam Questions With Accurate
Answers.
What are the signs of a patient that is hemodynamically compromised? -
accurate answers-- change in mental status (restlessness, confusion)
- light-headed, syncope
- low blood pressure
- chest pain
- SOA
- cold, clammy skin
- pulmonary congestion
- fall in urine output
What is blood pressure an indirect measure of? - accurate answers-cardiac
output
What does the treatment of sinus bradycardia depend on? - accurate answers-
if the patient is symptomatic or not
The nurse walks in to a patient's room and notices the patient is restless,
dizzy, and has tachypnea. The vital signs are HR: 44, BP: 90/68, RR: 28, and O2
sat 96%. What does the nurse expect to use to treat the patient and why? -
accurate answers-the patient is in sinus bradycardia - IV Atropine 0.5 mg q3-5
minutes (2 mg max)
What is the MOA of IV Atropine? - accurate answers-it is a parasympathetic
nervous system INHIBITOR so heart rate can increase
If the patient is symptomatic r/t sinus bradycardia, what will be the FIRST
treatment option used? - accurate answers-IV Atropine
A patient is being treated for sinus bradycardia after becoming symptomatic.
IV atropine was given, and the HR remains to be 56. What treatment option, if
any, is warranted next? - accurate answers-transcutaneous pacing of heart - or
permanent pacemaker
What is the difference between a permanent pacemaker and transcutaneous
pacing of the heart? - accurate answers-a transcutaneous pacemaker is
, needed if the patient's sinus brady is not relieved by IV atropine, and the
permanent pacemaker is a surgical procedure that is warranted later on
What does the treatment for sinus tachycardia depend on? - accurate
answers-depends on the underlying cause
A patient is hypovolemic and in sinus tachycardia. What will be the expected
treatment for this patient? - accurate answers-fluid replacement (e.g. IV fluid
bolus)
The nurse is taking care of a patient post-op from a LLE ORIF. After walking in
to a patient's room, the nurse notes the patient is anxious, fatigued, and
experiencing severe leg pain that is a 10/10. The vital signs are HR 124, BP
88/64, RR 28, and O2 sat 92%. What should the nurse expect to be the
treatment for this patient and why? - accurate answers-an analgesic because
the patient is in severe leg pain that is causing him to be in sinus tachycardia
The nurse is taking care of a patient post-op from a right BKA. After walking in
to a patient's room, the nurse notes the patient is SOA, pale, and experiencing
palpitations. The vital signs are HR 124, BP 88/64, RR 28, O2 sat 92%, and
temp 104.6. What should the nurse expect to be the treatment for this patient
and why? - accurate answers-anti-pyretic (e.g. NSAID or acetaminophen)
because the patient has a very high fever that is leading to his sinus tachy
The nurse is in a patient's room that suffers from panic disorder. All of a
sudden, the patient gets SOA, restless, and has delayed cap refill. Vital signs
are HR 146, BP 100/74, RR 30, O2 sat 88%. What should the nurse expect the
patient to be given and why? - accurate answers-the patient is having a panic
attack that is causing sinus tachycardia. give an anxiolytic (e.g.
benzodiazepine)
Why are beta blockers given to treat sinus tachycardia? - accurate answers-
they reduce HR and decrease myocardial oxygen consumption, which
decreases the workload of the heart
What is the PRIMARY goal of treating afib or aflutter? - accurate answers-
ventricular rate control
Answers.
What are the signs of a patient that is hemodynamically compromised? -
accurate answers-- change in mental status (restlessness, confusion)
- light-headed, syncope
- low blood pressure
- chest pain
- SOA
- cold, clammy skin
- pulmonary congestion
- fall in urine output
What is blood pressure an indirect measure of? - accurate answers-cardiac
output
What does the treatment of sinus bradycardia depend on? - accurate answers-
if the patient is symptomatic or not
The nurse walks in to a patient's room and notices the patient is restless,
dizzy, and has tachypnea. The vital signs are HR: 44, BP: 90/68, RR: 28, and O2
sat 96%. What does the nurse expect to use to treat the patient and why? -
accurate answers-the patient is in sinus bradycardia - IV Atropine 0.5 mg q3-5
minutes (2 mg max)
What is the MOA of IV Atropine? - accurate answers-it is a parasympathetic
nervous system INHIBITOR so heart rate can increase
If the patient is symptomatic r/t sinus bradycardia, what will be the FIRST
treatment option used? - accurate answers-IV Atropine
A patient is being treated for sinus bradycardia after becoming symptomatic.
IV atropine was given, and the HR remains to be 56. What treatment option, if
any, is warranted next? - accurate answers-transcutaneous pacing of heart - or
permanent pacemaker
What is the difference between a permanent pacemaker and transcutaneous
pacing of the heart? - accurate answers-a transcutaneous pacemaker is
, needed if the patient's sinus brady is not relieved by IV atropine, and the
permanent pacemaker is a surgical procedure that is warranted later on
What does the treatment for sinus tachycardia depend on? - accurate
answers-depends on the underlying cause
A patient is hypovolemic and in sinus tachycardia. What will be the expected
treatment for this patient? - accurate answers-fluid replacement (e.g. IV fluid
bolus)
The nurse is taking care of a patient post-op from a LLE ORIF. After walking in
to a patient's room, the nurse notes the patient is anxious, fatigued, and
experiencing severe leg pain that is a 10/10. The vital signs are HR 124, BP
88/64, RR 28, and O2 sat 92%. What should the nurse expect to be the
treatment for this patient and why? - accurate answers-an analgesic because
the patient is in severe leg pain that is causing him to be in sinus tachycardia
The nurse is taking care of a patient post-op from a right BKA. After walking in
to a patient's room, the nurse notes the patient is SOA, pale, and experiencing
palpitations. The vital signs are HR 124, BP 88/64, RR 28, O2 sat 92%, and
temp 104.6. What should the nurse expect to be the treatment for this patient
and why? - accurate answers-anti-pyretic (e.g. NSAID or acetaminophen)
because the patient has a very high fever that is leading to his sinus tachy
The nurse is in a patient's room that suffers from panic disorder. All of a
sudden, the patient gets SOA, restless, and has delayed cap refill. Vital signs
are HR 146, BP 100/74, RR 30, O2 sat 88%. What should the nurse expect the
patient to be given and why? - accurate answers-the patient is having a panic
attack that is causing sinus tachycardia. give an anxiolytic (e.g.
benzodiazepine)
Why are beta blockers given to treat sinus tachycardia? - accurate answers-
they reduce HR and decrease myocardial oxygen consumption, which
decreases the workload of the heart
What is the PRIMARY goal of treating afib or aflutter? - accurate answers-
ventricular rate control
