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NURS MISC Chapter 25 Nursing Care of Patients With Cardiac Dysrhythmia WITH FULL ANSWERS AND RATIONALE 2023NURS MISC Chapter 25 Nursing Care of Patients With Cardiac Dysrhythmia WITH FULL ANSWERS AND RATIONALE 2023 NURS MISC Chapter 25 Nursing Care of Patients With Cardiac Dysrhythmia WITH FULL ANSWERS AND RATIONALE 2023NURS MISC Chapter 25 Nursing Care of Patients With Cardiac Dysrhythmia WITH FULL ANSWERS AND RATIONALE 2023 NURS MISC Chapter 25 Nursing Care of Patients With Cardiac Dysrhythmia WITH FULL ANSWERS AND RATIONALE 2023NURS MISC Chapter 25
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(^3) A positive P wave before a QRS complex indicates that an electrical impulse originated in the SA node. (^4) This wave does not indicate that the electrical impulse originated in the SA node.
PTS: 1 CON: Perfusion
ANS: 1 Chapter: Chapter 25. Nursing Care of Patients With Cardiac Dysrhythmias Objective: 6. Plan nursing care for patients with an implanted device. Page: 451 Heading: Nursing Care of Patients With Pacemakers Integrated Process: Clinical Problem-Solving Process (Nursing Process) Client Need: PHYS—Reduction of Risk Potential Cognitive Level: Application (Applying)
Difficulty: Moderate Feedback (^1) When the rhythm reads asystole, CPR is started immediately. (^2) When the rhythm reads asystole, CPR is started immediately. (^3) When the rhythm reads asystole, CPR is started immediately. (^4) When the rhythm reads asystole, CPR is started immediately.
PTS: 1 CON: Perfusion
ANS: 1 Chapter: Chapter 25. Nursing Care of Patients With Cardiac Dysrhythmias Objective: 3. Explain current medical treatments for cardiac arrhythmias. Page: 447 Heading: Medications Used in Treatment of Arrhythmias (Table 25.2)
Integrated Process: Clinical Problem-Solving Process (Nursing Process) Client Need: PHYS—Pharmacological Therapies Cognitive Level: Application (Applying) Concept: Safety Difficulty: Moderate Feedback (^1) Hematuria indicates the patient may be receiving too much Coumadin. (^2) Nausea is not a priority. (^3) The heart rate is normal. (^4) Dry cough is not the most concerning effect.
PTS: 1 CON: Safety
ANS: 1 Chapter: Chapter 25. Nursing Care of Patients With Cardiac Dysrhythmias Objective: 5. Plan nursing care for patients with an arrhythmia. Page: 450 Heading: Therapeutic Measures Integrated Process: Clinical Problem-Solving Process (Nursing Process) Client Need: PHYS—Physiological Adaptation Cognitive Level: Application (Applying)
Chapter: Chapter 25. Nursing Care of Patients With Cardiac Dysrhythmias Objective: 2. List the six steps used for arrhythmia interpretation. Page: 447 Heading: Atrial Fibrillation Rules Integrated Process: Clinical Problem-Solving Process (Nursing Process) Client Need: PHYS—Reduction of Risk Potential Cognitive Level: Analysis (Analyzing) Concept: Perfusion Difficulty: Moderate Feedback (^1) This describes atrial fibrillation. (^2) This describes atrial fibrillation. (^3) This describes atrial fibrillation. (^4) This describes atrial fibrillation.
PTS: 1 CON: Perfusion
ANS: 1 Chapter: Chapter 25. Nursing Care of Patients With Cardiac Dysrhythmias Objective: 5. Plan nursing care for patients with an arrhythmia.
Page: 448 Heading: Therapeutic Measures Integrated Process: Teaching/Learning Client Need: Health Promotion and Maintenance Cognitive Level: Application (Applying) Concept: Perfusion Difficulty: Moderate Feedback (^1) The ingestion of caffeine is a common cause of PVCs. The patient should be instructed to avoid caffeine. (^2) Exercise, dietary fat, body weight, and fluid level are not identified as causes for PVCs. (^3) Exercise, dietary fat, body weight, and fluid level are not identified as causes for PVCs. (^4) Exercise, dietary fat, body weight, and fluid level are not identified as causes for PVCs.
PTS: 1 CON: Perfusion
ANS: 4 Chapter: Chapter 25. Nursing Care of Patients With Cardiac Dysrhythmias Objective: 6. Plan nursing care for patients with an implanted device. Page: 451 Heading: Cardiac Pacemakers Integrated Process: Teaching/Learning Client Need: PHYS—Basic Care and Comfort Cognitive Level: Evaluation (Evaluating) Concept: Perfusion Difficulty: Moderate Feedback (^1) The patient is going to have activity, limb movement, and weight-lifting restrictions after the insertion of a pacemaker. (^2) The patient is going to have activity, limb movement, and weight-lifting restrictions after the insertion of a pacemaker. (^3) The patient is going to have activity, limb movement, and weight-lifting restrictions after the insertion of a pacemaker.
(^4) Grounded microwave ovens may be safely used around pacemakers, which are now encased for protection.
PTS: 1 CON: Perfusion
ANS: 3 Chapter: Chapter 25. Nursing Care of Patients With Cardiac Dysrhythmias Objective: 5. Plan nursing care for patients with an arrhythmia. Page: 445 Heading: Etiology Integrated Process: Clinical Problem-Solving Process (Nursing Process) Client Need: PHYS—Reduction of Risk Potential Cognitive Level: Analysis (Analyzing) Concept: Perfusion Difficulty: Moderate Feedback (^1) Patients with respiratory acidosis and an MI are at risk for ventricular tachycardia. (^2) Patients with respiratory acidosis and an MI are at risk for ventricular tachycardia.
Concept: Perfusion Difficulty: Moderate Feedback (^1) Headache, confusion, and tingling extremities are not manifestations of PVCs. (^2) Headache, confusion, and tingling extremities are not manifestations of PVCs. (^3) Lightheadedness is a manifestation of PVCs. (^4) Headache, confusion, and tingling extremities are not manifestations of PVCs.
PTS: 1 CON: Perfusion
ANS: 1 Chapter: Chapter 25. Nursing Care of Patients With Cardiac Dysrhythmias Objective: 5. Plan nursing care for patients with an arrhythmia. Page: 445 Heading: Etiology Integrated Process: Clinical Problem-Solving Process (Nursing Process) Client Need: PHYS—Reduction of Risk Potential Cognitive Level: Analysis (Analyzing) Concept: Perfusion Difficulty: Moderate Feedback
(^1) Smoking and digoxin (Lanoxin) places a patient at risk for PACs. (^2) This patient is not at risk for PACs. (^3) This patient is not at risk for PACs. (^4) This patient is not at risk for PACs.
PTS: 1 CON: Perfusion
ANS: 3 Chapter: Chapter 25. Nursing Care of Patients With Cardiac Dysrhythmias Objective: 5. Plan nursing care for patients with an arrhythmia Page: 445 Heading: Premature Atrial Contractions Integrated Process: Clinical Problem-Solving Process (Nursing Process) Client Need: PHYS—Physiological Adaptation
Concept: Perfusion Difficulty: Moderate Feedback (^1) This medication is not the reversal agent for Coumadin. (^2) This medication is not the reversal agent for Coumadin. (^3) Vitamin K is the reversal agent for Coumadin. (^4) This medication is not the reversal agent for Coumadin.
PTS: 1 CON: Perfusion
ANS: 2 Chapter: Chapter 25. Nursing Care of Patients With Cardiac Dysrhythmias Objective: 5. Plan nursing care for patients with arrhythmia.
Page: 445 Heading: Atrial Flutter Rules Integrated Process: Clinical Problem-Solving Process (Nursing Process) Client Need: PHYS—Reduction of Risk Potential Cognitive Level: Analysis (Analyzing) Concept: Perfusion Difficulty: Moderate Feedback (^1) This describes atrial flutter. (^2) This describes atrial flutter. (^3) This describes atrial flutter. (^4) This describes atrial flutter.
PTS: 1 CON: Perfusion
ANS: 1 Chapter: Chapter 25. Nursing Care of Patients With Cardiac Dysrhythmias Objective: 5. Plan nursing care for patients with an arrhythmia. Page: 452 Heading: Medications Used in Treatment of Arrhythmias (Table 25.2) Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Chapter: Chapter 25. Nursing Care of Patients With Cardiac Dysrhythmias Objective: 5. Plan nursing care for patients with an arrhythmia. Page: 439 Heading: ST Segment Integrated Process: Clinical Problem-Solving Process (Nursing Process) Client Need: PHYS—Basic Care and Comfort Cognitive Level: Application (Applying) Concept: Perfusion Difficulty: Moderate Feedback (^1) Reviewing the ECG recordings in the patient’s chart is wasting valuable time. (^2) Auscultating chest sounds and other physical assessment parameters is wasting time. (^3) The nurse should alert the supervising RN and patient’s physician immediately as the ST segment depression indicates cardiac ischemia. The patient requires prompt treatment to prevent complications. (^4) Continuing to monitor the cardiac tracing could lead to a potentially lethal situation.
PTS: 1 CON: Perfusion
Chapter: Chapter 25. Nursing Care of Patients With Cardiac Dysrhythmias Objective: 5. Plan nursing care for patients with an arrhythmia. Page: 439 Heading: Signs and Symptoms Integrated Process: Clinical Problem-Solving Process (Nursing Process) Client Need: SECE—Coordinated Care Cognitive Level: Analysis (Analyzing) Concept: Perfusion Difficulty: Moderate Feedback (^1) There is nothing indicating this patient is unstable. (^2) There is nothing indicating this patient is unstable. (^3) There is nothing indicating this patient is unstable. (^4) This patient is reporting dyspnea and should be seen first.
PTS: 1 CON: Perfusion