Nokea
A patient with no structural heart disease: a wide QRS tachycardia of RBBB morphology at a rate of 160 bpm, QRS axis of (-) 40 degrees and AV dissociation was recorded during palpitation. What is the likely diagnosis?
- A. RV outflow ventricular tachycardia
- B. Posterior fascicular VT
- C. Anterior fascicular VT
- D. Antidromic AVRT
Correct Answer: A
Rationale: RV outflow ventricular tachycardia is the likely diagnosis given the RBBB morphology and QRS axis.
You may also like to solve these questions
In utero heart failure, often with fetal pleural and pericardial effusions and generalized ascites (nonimmune hydrops fetalis) may occur in
- A. ventricular septal defect
- B. coarctation of aorta
- C. d-Transposition of great arteries
- D. single ventricle
Correct Answer: D
Rationale: Single ventricle anatomy can lead to in utero heart failure and hydrops fetalis.
A nurse obtains the health history of a client who is newly admitted to the medical unit. Which statement by the client should alert the nurse to the presence of edema?
- A. I wake up to go to the bathroom at night.
- B. My shoes fit tighter by the end of the day.
- C. I seem to be feeling more anxious lately.
- D. I drink at least eight glasses of water a day.
Correct Answer: B
Rationale: Tight-fitting shoes by the end of the day suggest fluid retention (edema), a common sign of cardiovascular or renal issues.
Neurodegenerative diseases include the following:
- A. Niemann-Pick disease
- B. Metachromatic leukodystrophy
- C. Leigh's encephalopathy
- D. Canavan disease
Correct Answer: A
Rationale: The correct answer is A because Niemann-Pick disease is a neurodegenerative disorder. The other options (b-e) are also neurodegenerative diseases.
A client who has a history of long-standing back pain treated with methadone (Dolophines), is admitted to the surgical unit following urological surgery. Which modifications in the plan of care should the nurse make for this client's pain management during the postoperative period?
- A. Consult with surgeon about increasing methadone in lieu of parenteral opioids.
- B. Use minimal parenteral opioids for surgical pain, in addition to oral methadone
- C. Maintain client's methadone, and medicate surgical pain based on pain rating
- D. Make no changes in the standard pain management for the surgery and hold methadone.
Correct Answer: C
Rationale: Maintaining the client's methadone regimen while addressing surgical pain ensures effective pain control without risking withdrawal or inadequate pain relief.
The nurse calculates the body mass index (BMI) for an obese adult. Which additional assessment finding places the client at high risk for cardiac disease?
- A. Large waist circumference with central fat
- B. High serum insulin level
- C. Hyperpigmentation on neck skin folds
- D. Poor muscle tone
Correct Answer: A
Rationale: A large waist circumference with central fat is associated with an increased risk for cardiac disease due to visceral fat accumulation.