Question

M 23. A telemetry strip display a regular rate of 84, with a PR interval of U.20C nplex measuring 0,08 seconds and an A V ratio of 1:1. The nurse would document this rhythm as a. Sinus rhythm with bundle branch block b. Sinus rhythm with 1" degree AV block c. Sinus rhythm with frequent PVC's d. Sinus rhythm no ectopy noted 24. A patient on telemetry is in complete heart block, and is hypotensive and complaining of dizziness. Which intervention should the nurse prepare for first? a. Continuous IV Amiodarone drip b. Transcutaneous pacing c. 40 mEq Potassium PO d. Defibrillate with 100 joules 25. A telemetry monitor displays a rhythm with a series of wide, bizarre QRS complexes not associated with a P wave, and a rate of 150. The monitor is displaying which life threatening rhythm? a. Asystole b. Ventricular Tachycardia c. Ventricular Fibrillation d. Complete heart block 26. Which of the following are modifiable risk factors for the development of coronary artery disease? (Select all that apply) a. Tobacco use b. Age c. Hypertension d. Being transgender e. Type 2 diabetes 27. A patient arrives to the Emergency Department with new onset chest pain that occurred at rest. The chest pain was not relieved with administration of nitroglycerine. This type of chest pain is known as a. chronic stable angina b. prinzmetal's angina c. microvascular angina d. unstable angina 28. A patient is admitted to a cardiac step-down unit after a percutaneous balloon angioplasty and stent placement to the right coronary artery. Which of the following interventions can the nurse safely delegate to an unlicensed assistive personnel (UAP)? a. Evaluate femoral dressing for sanguineous drainage b. Assess peripheral pulses hourly c. Document frequent vital signs d. Document response to pain medication

Answer 1

24.The best line of treatment for complete heart block is pacing which can be dine on a temporary basis. This is fixed transcutaneously and the heart rate and rhythms are paced

Amiodorone will be effective to treat arrhythmia, defibrillator can be used only in case of cardiac arrest.Giving potassium can be helpful to maintain heart rate

Ans:b.Transcutaneous pacing

25.In asystole there are no P or QRS complex

In ventricular tachycardia the heart rate is above 100 to 250 and have a wide QRS complex

In ventricular fibrillation the P ways are impossible to be seen after QRS complex

In complete heart block there will be bradycardia with more P waves with no relationships with QRS complex

Ans:Ventricular Tachycardia

26.Modifiable risk factors are one which can be stopped to lead a disease free life like alcohol, tobacco,smoking, sedentary life,poor dietary habits ,substance abuses, certain diseases like hypertension, high cholesterol level,diabetes

Age , transgender are non modifiable risk factor

Ans:Tobacco use,Hypertension, Type 2 Diabetes

27.

Chronic stable angina has specific duration and intensity and can be relieved with NTG and rest

Prinzmetal angina occurs in midnight usually at rest and have  repeated chest pain and settles diem with nitrates,calcium agonist

Microvascular angina the chest pain is severe during exercise ,radiating pain,dyspnea

Unstable angina occurs in rest may be frequent and severe ,here surgery and blood thinners are given

Ans: unstable angina