Nokea
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.
You may also like to solve these questions
The nurse in the emergency department (ED) is triaging a client with acute chest pain. The nurse should initially
- A. insert a peripheral venous access device (VAD).
- B. obtain a 12-lead electrocardiogram (ECG).
- C. obtain a point-of-care troponin level.
- D. auscultate lung sounds.
Correct Answer: B
Rationale: A 12-lead ECG is the initial step in evaluating acute chest pain to identify myocardial ischemia or infarction.
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.
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.
The nurse is caring for a client who appears to be developing heart failure (HF). Which of the following laboratory tests would the nurse expect the primary health care provider (PHCP) to prescribe to confirm the diagnosis?
- A. Basic metabolic panel (BMP)
- B. B-type natriuretic peptide (BNP)
- C. Lipid profile
- D. Troponin
Correct Answer: B
Rationale: BNP is a specific biomarker elevated in heart failure, reflecting ventricular stress and fluid overload.
A 45-year-old client is admitted to the medical telemetry unit to observe for possible dysrhythmias. After waking in the morning, the client asks the nurse for coffee. Which of the following would be the best response by the nurse?
- A. Hot beverages are not allowed because of the condition of your heart.
- B. Coffee is not included in your diet ordered by your health care provider (HCP).
- C. We don't have coffee on the unit. I can bring you some tea if you would like.
- D. Currently, you cannot have coffee as it contains caffeine, which can adversely affect your heart.
Correct Answer: D
Rationale: Caffeine can exacerbate dysrhythmias by stimulating the heart, making it contraindicated in this context.