FADavis Quiz Nursing Assessment and Care of Patients with Cardiac Dysrhythmias PDF

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FADavis Quiz Nursing Assessment and Care of Patients with Cardiac Dysrhythmias...

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Nursing Assessment and Care of Patients with Cardiac Dysrhythmias

Question 1. The nurse is reinforcing discharge teaching for a client being prescribed metoprolol succinate. Which client statement indicates teaching is effective? 1. “I will move slowly when I get out of bed each morning.” 2.“I will have to stop the medication if I develop glaucoma.” 3. “The medication will affect my blood pressure but not my heart rate.” 4. “I may bruise and bleed easily while taking this medication.” Question 2. A client has no palpable pulse and no waveform activity on an electrocardiogram (ECG) tracing. Which action should the nurse make the top priority? 1. Administer intravenous (IV) epinephrine 2. Assist with endotracheal intubation 3. Prepare for immediate defibrillation 4. Start chest compressions Question 3. A client is scheduled to be placed on a cardiopulmonary bypass pump (CBP). Which of the following causes the nurse to intervene immediately? 1. Warfarin is administered for anticoagulation 2. Partial thromboplastin time (PTT) is five to six times greater than normal 3. The CBP is primed with lactated Ringer’s solution 4. Protamine sulfate is scheduled for administration before the client comes off CBP Question 4. A client is scheduled for a computed tomography (CT) scan with contrast to view blood vessels in the heart. Which laboratory tests should the nurse prepare to check? 1. Sodium and potassium

2. Glomerular filtration rate and creatinine 3. Glucose and blood urea nitrogen (BUN) 4. Magnesium and calcium Question 5. A client with heart failure has a resting heart rate of 70 beats per minute. The client’s stroke volume is 60 mL/beat. The client weighs 220 pounds. Calculate the client’s cardiac output per minute. Record your answer in liters (L). Enter the numeral only. Answer - 4.2 Question 6. A client who is asymptomatic has an irregularly irregular rhythm with no identifiable P waves. Which initial order should the nurse expect? Select all that apply. 1. Catheter ablation 2. Anticoagulant therapy 3. Synchronized cardioversion 4. Beta blocker 5. Calcium channel blocker Question 7. A client’s sinoatrial (SA) and atrioventricular (AV) nodes have failed to fire. Which of these results should the nurse expect as the ventricles take over and initiate impulses? Select all that apply. 1. Change in level of consciousness 2. Hypertension 3. Dyspnea 4. Bounding peripheral pulses 5. Tachycardia Question 8. A client is being discharged with Holter monitoring for 48 hours. Which client statement indicates teaching is effective? 1. “I will perform light activities while being monitored.”

2. “I will push the event button when I start having symptoms.” 3. “The results of the monitoring will determine if I have heart failure.” 4. “A shock will be sent to my heart when I have slow heartbeat.” Question 9. A client undergoing cardiopulmonary bypass is ready to come off the pump. Which medication should the nurse prepare to administer? 1. Vitamin K 2. Nifedipine 3. Protamine sulfate 4. Amiodarone Question 10. A client taking warfarin for atrial fibrillation has a critically high international normalized ratio (INR). Which order should the nurse expect? 1. Vitamin K 2. Rivaroxaban 3. Dabigatran 4. Protamine sulfate...