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The nurse is caring for a client with the following tracing on the electrocardiogram (ECG). The nurse identifies this tracing as
- A. sinus tachycardia.
- B. supraventricular tachycardia.
- C. ventricular tachycardia.
- D. atrial flutter.
Correct Answer: C
Rationale: Ventricular tachycardia is a life-threatening arrhythmia requiring immediate intervention, characterized by wide QRS complexes on ECG.
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The nurse is caring for a client with the following tracing on the electrocardiogram (ECG). The nurse should anticipate a prescription for which medication? See the image below.
- A. Adenosine
- B. Atropine
- C. Labetalol
- D. Amiodarone
Correct Answer: D
Rationale: Amiodarone is used for ventricular arrhythmias (e.g., ventricular tachycardia), which may be indicated by the ECG.
Which action should the nurse prepare to take for a client experiencing a myocardial infarction? Select all that apply.
- A. Start a peripheral vascular access device (VAD)
- B. Obtain a prescription for albuterol via nebulizer
- C. Obtain a prescription for chewable aspirin
- D. Obtain a prescription for nitroglycerin
- E. Obtain an order for a chest radiograph (x-ray)
- F. Establish continuous cardiac monitoring
Correct Answer: A,C,D,F
Rationale: IV access is needed for medications. B: Incorrect - Albuterol is for respiratory issues, not MI. C: Correct - Aspirin reduces clot formation. D: Correct - Nitroglycerin relieves chest pain and reduces preload. E: Incorrect - Chest X-ray is not a priority in acute MI. F: Correct - Cardiac monitoring detects arrhythmias.
The nurse is teaching a client who is scheduled for an exercise electrocardiography (ECG) test. Which of the following statements by the client would require follow-up?
- A. I should wear loose, comfortable clothing with non-slip athletic footwear.
- B. I may have a small cup of coffee before the exam.
- C. I will have my blood pressure, heart rate, and rhythm obtained before, during, and after the stress test.
- D. I should not do any strenuous activity before the test.
Correct Answer: B
Rationale: Caffeine can affect heart rate and ECG results, so coffee should be avoided before an exercise ECG test.
The nurse is caring for a client with congestive heart failure (CHF). The nurse should anticipate a prescription for which medication?
- A. Enalapril
- B. Verapamil
- C. Lovastatin
- D. Gemfibrozil
Correct Answer: A
Rationale: Enalapril, an ACE inhibitor, reduces afterload and preload in CHF, improving cardiac function.
The nurse is caring for a client with the following tracing on the electrocardiogram (ECG). It would be correct for the nurse to document this tracing as.
- A. sinus bradycardia.
- B. normal sinus rhythm with first degree block.
- C. atrial flutter.
- D. atrial fibrillation.
Correct Answer: D
Rationale: Atrial fibrillation is characterized by an irregular rhythm and absent P waves, as described.