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N320 Exam 4
Terms in this set (18)
pt with acute coronary syndrome and a fib who has a new prescription for metoprolol, monitoring is essential?
how does the nurse recognize that atropine has produced a positive outcome for the pt with bradycardia?
monitor shows an increase in heart rate
pt with telemetry unit, regular heart rhythm and rate of 60, p wave exceeds QRS, PR. internal is .2, bp 118/68, resp 16, temp 98.8, next step?
continue to monitor
a fib, irregular rhythm
hypertension (side effect of bradycardia)
rhythm strip shows a heart rate of 116 bpm, one p wave before QRS, pr interval .16 second, QRS measuring .08 second? interpret?
pt w atrial fib, what medication?
nurse receives a report that a patient with a pacemaker has experienced loss of capture. which situation is consistent with this?
pacemaker spikes are noted, but no P wave or QRS complex follows
which teaching is essential for a patient who has had a permanent pacemaker inserted
avoid operating electrical appliances
pt with a new permanent pacemaker. what indicates a need for further discharge education
I no longer need my heart pills
the nurse is caring for a patient with hr of 143 bpm, nurse observes which manifestation
palpitations, chest discomfort, hypotension
a patient admitted after using cocaine develops v fib, unresponsive, action is next?
prepare for defibrillation
waveform indicated function of SA
a P wave precedes every QRS complex
pt w a fib w rapid ventricular response received meds to slow ventricular rate, pulse is 88, additional therapy?
patient with bradycardia, possible causes?
bearing down for a bowel movement, possible inferior wall MI, Diltiazem administered a hour ago
pt with a risk for bradydysrhythmias, info does the nurse include?
use a stool softener
nurse administers amiodarone to pt w ventricular tachycardia. which monitoring is needed
QT interval, heart rate, heart rhythm
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