Exam 9: Basic Cardiac Rhythm Monitoring

The nurse notes this rhythm on the patient's cardiac monitor.What is the nurse's priority intervention?

A patient has a new onset of a left bundle branch block (LBBB)seen on a 12-lead ECG.What is the nurse's primary intervention?

The nurse interpreting a patient's electrocardiogram has just examined the P waves.What is the nurse's next step?

A patient in the emergency department has a heart rate of 140 beats per minute.Which nursing interventions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient's electrocardiogram ST segment tracing is deflected from baseline.The nurse would conduct assessment for which condition?

A patient is diagnosed with hypermagnesemia.The nurse would assess for which changes on the patient's cardiac rhythm strip? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient develops ventricular tachycardia on the cardiac monitor.The patient says,"My heart is racing" as the nurse determines a rapid pulse is present.What is the nurse's priority intervention?

A patient is having multifocal premature ventricular contractions (PVCs).What nursing interventions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

The nurse has determined that the patient has a bundle branch block.Which condition likely exists?

A patient in the emergency department has a cardiac rhythm strip that reveals a junctional rhythm with rate of 128,PR interval of 0.08 seconds,a normally configured QRS,and an upright T wave.The patient is awake and alert with warm,dry skin.Which nursing intervention is indicated?

A patient has been diagnosed with premature ventricular contractions.The nurse realizes that this dysrhythmia can result from a weaker than normal stimulus during which action potential period?

A patient's cardiac monitor reveals heart rate of 40 beats per minute with an irregular rate.The PR intervals are constant and there are P waves with no QRS to follow.The QRS complexes are wider than normal.The patient complains of severe dizziness and nausea.Which nursing interventions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient's admission vital signs were blood pressure 128/64 mmHg; heart rate 86 beats per minute,respirations 16,and temperature 98.6°F.The patient has spiked a temperature of 101.6°F.Which change in heart rate would the nurse anticipate?

A patient has been prescribed flecainide (Tambocor)for treatment of ventricular dysrhythmia.Which finding should the nurse discuss with the prescriber prior to initiating this therapy?

A patient presents to the emergency department and says,"I am so dizzy that it is scaring me." Monitoring reveals the patient's blood pressure is 78/52 mmHg and heart rate is 44 beats per minutes.Which nursing intervention is indicated?

A patient with a temporary pacemaker has this cardiac rhythm.What nursing intervention is indicated?

A patient's atrial fibrillation has been refractory to treatment.The nurse would prioritize which discharge instructions?

A patient's cardiac monitor reveals a regular rhythm with a rate of 240 beats per minute.No P waves are distinguishable.The patient is alert and says,"My heart is racing." What nursing intervention is indicated?

A patient's cardiac monitor frequently sounds false rate alarms.Which nursing intervention is indicated?

A patient has a normal QRS complex on an electrocardiogram,which is followed by the P wave.Heart rate is 80 beats per minute and regular and the patient has no complaints.What nursing action is indicated?