Exam 26: Cardiac Care

The nurse is reviewing the patient's medications and recognizes that which of the following medications can cause dysrhythmias? (Select all that apply. )

The nurse understands that it is a priority to obtain the 12-lead ECG on the patient newly admitted with chest pain because the ECG must be obtained within how many minutes of the onset of pain?

The nurse is caring for a patient on continuous cardiac monitoring who is experiencing occasional premature ventricular contractions.Which of the following actions demonstrate appropriate protocol? (Select all that apply. )

The student nurse is preparing to perform a 12-lead ECG on an adult patient.Which action by the student should the nursing instructor question?

The nurse is preparing to apply electrodes for continuous cardiac monitoring to a newly admitted adult with syncope.Which action by the nurse follows appropriate procedure?

The nurse is obtaining a 12-lead ECG on a patient and notices that the ECG cannot be interpreted.Which of the following interventions are appropriate for the nurse to take? (Select all that apply. )

Identify the first step toward establishing appropriate alarms and response expectations.

The nurse has explained to the patient that a 12-lead ECG is indicated.The patient refused to have the procedure done citing that she fears that the electrodes will cause harm to her heart.The nurse recognizes that which of the following patient rationales are contraindications for a 12-lead ECG?

Proper placement of the ECG electrodes is essential for which reason?

While the nurse is performing a 12-lead ECG tracing,the patient complains of crushing chest pain.The nurse recognizes that the timing of the chest pain is important to note for which of the following reasons?

The nurse is obtaining a 12-lead ECG on a patient with chest discomfort and interprets the results as a very thick-lined waveform tracing.The nurse troubleshoots this tracing by performing which appropriate intervention?

_______________ develops when a person is exposed to an excessive number of alarms.

The nurse is caring for a patient who has chest discomfort.While obtaining the 12-lead ECG,the patient complains of feeling very anxious.Which of the following interventions should the nurse take in caring for the patient's anxiety? (Select all that apply. )

In order to determine the patient and family caregiver's level of understanding of the rationale for obtaining the 12-lead ECG,the nurse most effectively utilizes which of the following statements?

Some patients may have allergies,or more commonly,sensitivities to the adhesive used to affix the leads.In these cases,_____________ are available from various manufacturers.

The nurse is obtaining a 12-lead ECG on a patient with syncope.Which of the following actions,if taken by the nurse,are effective at reducing the presence of artifact in the ECG tracing?

The nurse analyzes the patient's cardiac rhythm as follows: regular rhythm,rate 108 beats per minute,normal PQRS complex.The nurse interprets that the clinical significance of this cardiac rhythm is most likely related to which indication?

When applying ECG electrodes to a woman,it is important to give special consideration to which of the following objectives?

The nurse is assessing several patients who have returned from surgery when a 12-lead ECG is ordered for a newly admitted patient.Prioritizing patient needs,the nurse determines that obtaining the 12-lead ECG can be most appropriately delegated to which member of the health care team?

The nurse is reviewing the patient's Do Not Resuscitate orders when the cardiac alarm sounds.The rhythm is chaotic with no identifiable waves and the rate cannot be determined.Based on these clinical findings,the nurse determines that the patient is in which of the following cardiac rhythms?