Rasmussen College MDC 3 Final Exam
Questions And Outlined Answers
Answers
\Q\.What does A Fib ECG look like? - ANSWERS✔--impulse rate of 350-600 times per minute
-no P waves
-no atrial contractions
-loss of atrial kick
-irregular ventricular response
\Q\.How often do you assess vital signs on a patient with a dysrhythmia
(gray box) - ANSWERS✔-at least every 4 hours
\Q\.Nursing Safety Priority for Sinus tachycardia what to assess
(gray box) - ANSWERS✔--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.
\Q\.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 - ANSWERS✔-C
\Q\.NURSING SAFETY PRIORITY
patient education with permanent pacemakers include - ANSWERS✔--Avoid strong
electromagnetic fields (magnets and telecommunication transmitters)
-carry pacemaker identification card
-medical alert bracelet
\Q\.A fib may lead to - ANSWERS✔--DVT or PE due to blood pooling
-HF
\Q\.A fib signs and symptoms - ANSWERS✔--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
\Q\.Nursing intervention for a PE - ANSWERS✔--stay with patient
-monitor for SOB, chest pain, and hypotension
-initiate a rapid
-notify the provider
\Q\.T/F patients on anticoagulation should report bleeding gums to their provider immediately -
ANSWERS✔-T
, \Q\.NURSING SAFETY PRIORITY
before a cardioversion what needs to be turned off and removed from patient - ANSWERS✔-
Oxygen
\Q\.what does the nurse assess for in a patient with a dysrthymia? - ANSWERS✔-Angina,
hypotension, HF, decreased cerebral profusion, and decreased renal profusion.
\Q\.How to decrease/prevent dysthymias - ANSWERS✔--avoid vagus nerve stimulation
-take medications
-stop smoking
-avoid caffeine
-alcohol in moderation
-manage stress
\Q\.The nurse is caring for client who is experiencing occasional premature ventricular
contractions. What assessment data are most concerning to the nurse?
A. Potassium 4.8 mEq/L
B. Magnesium 2 mEq/L
C. Heart rate 90
D. History of smoking - ANSWERS✔-D
\Q\.Nursing Safety Priority
1. V tach stable nursing intervention:
2. V tach unstable nursing intervention: - ANSWERS✔-1. administer O2 and confirm with 12 lead
ECG (possible amiodarone/lidocaine administration)
2. may case cardiac arrest, assess ABCs, LOC, and O2
Questions And Outlined Answers
Answers
\Q\.What does A Fib ECG look like? - ANSWERS✔--impulse rate of 350-600 times per minute
-no P waves
-no atrial contractions
-loss of atrial kick
-irregular ventricular response
\Q\.How often do you assess vital signs on a patient with a dysrhythmia
(gray box) - ANSWERS✔-at least every 4 hours
\Q\.Nursing Safety Priority for Sinus tachycardia what to assess
(gray box) - ANSWERS✔--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.
\Q\.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 - ANSWERS✔-C
\Q\.NURSING SAFETY PRIORITY
patient education with permanent pacemakers include - ANSWERS✔--Avoid strong
electromagnetic fields (magnets and telecommunication transmitters)
-carry pacemaker identification card
-medical alert bracelet
\Q\.A fib may lead to - ANSWERS✔--DVT or PE due to blood pooling
-HF
\Q\.A fib signs and symptoms - ANSWERS✔--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
\Q\.Nursing intervention for a PE - ANSWERS✔--stay with patient
-monitor for SOB, chest pain, and hypotension
-initiate a rapid
-notify the provider
\Q\.T/F patients on anticoagulation should report bleeding gums to their provider immediately -
ANSWERS✔-T
, \Q\.NURSING SAFETY PRIORITY
before a cardioversion what needs to be turned off and removed from patient - ANSWERS✔-
Oxygen
\Q\.what does the nurse assess for in a patient with a dysrthymia? - ANSWERS✔-Angina,
hypotension, HF, decreased cerebral profusion, and decreased renal profusion.
\Q\.How to decrease/prevent dysthymias - ANSWERS✔--avoid vagus nerve stimulation
-take medications
-stop smoking
-avoid caffeine
-alcohol in moderation
-manage stress
\Q\.The nurse is caring for client who is experiencing occasional premature ventricular
contractions. What assessment data are most concerning to the nurse?
A. Potassium 4.8 mEq/L
B. Magnesium 2 mEq/L
C. Heart rate 90
D. History of smoking - ANSWERS✔-D
\Q\.Nursing Safety Priority
1. V tach stable nursing intervention:
2. V tach unstable nursing intervention: - ANSWERS✔-1. administer O2 and confirm with 12 lead
ECG (possible amiodarone/lidocaine administration)
2. may case cardiac arrest, assess ABCs, LOC, and O2
