Title WORKBOOK - CARDIO (KEY) ✅

3 | Page A. Temporary pacemaker B. Administer lidocaine C. Cardioversion D. Administer atropine 30. Due to multiple episodes of myocardial infarction, a permanent pacemaker was placed on Ynes. The nurse should include which of the following in the plan of care? A. Instruct the client to avoid lifting the arm on the pacemaker side above shoulder height B. Encourage the client to exercise the shoulder and arm on the side of the pacemaker four times a day C. Encourage the client to wash the pacemaker incision with warm soapy water twice a day D. Instruct the client to avoid the use of microwave ovens 31. Nurse Heidi is a staff nurse in the telemetry unit. Which of the following cases can be delegated to the LPN? A. ventricular tachycardia. B. sinus bradycardia. C. ventricular fibrillation. D. sinus rhythm with a second-degree A-V block type II (Mobitz II). 32. Nurse Maya is a nurse in the medical-surgical floor. She is handling multiple cardiac patients. A number of ECG alarms rang. Which of the following patients should be her priority? A. Sinus rhythm with a first-degree A-V block B. Supraventricular tachycardia (SVT) C. Atrial fibrillation D. Idioventricular rhythm (ventricular escape rhythm) 33. The nurse prioritizes the following clients with dysrhythmias in order of their care. Prioritize the following clients, from highest to lowest priority, in the order in which care should be performed. 1. A client with sinus bradycardia 2. A client with atrial flutter 3. A client with ventricular fibrillation 4. A client with sinus tachycardia A. 1,2,3,4 B. 4,3,1,2 C. 3,2,4,1 D. 3,4,2,1 34. Sara Lee’s SO rushed to the nurses station after she suddenly lost consciousness. The nurse checked the ECG tracing and she was experiencing atrial flutter. In caring for a client with atrial flutter, which of the following goals would have priority? A. Reduce the ventricular rate to below 100 beats per minute B. Identify and treat the underlying cause C. Control the heart rate and maintain cardiac output D. Increase the heart rate 35. Marrieta’s ECG tracing has the following characteristics: Ventricular and atrial rate: 112 bpm Ventricular and atrial rhythm: Regular QRS shape and duration: Normal P wave: Normal and consistent shape; PR interval: 0.16 seconds P:QRS ratio: 1:1 Which of the following should the nurse include in the plan of care for a client? A. Administer lidocaine B. Assess the client C. Administer atropine D. Cardioversion 36. A client is admitted to an emergency department with chest pain unrelieved by nitroglycerin. After an hour of waiting for a bed to open up, the patient’s vital signs are as follows: BP: 70/50, RR: 30, HR: 105. After another hour, the patient has the following VS: BP: 60/40 mmHg, HR: 115, RR: 35. However after 30 minutes, the patient has no palpable BP. Which of the following could have explained the progression? A. Cardiogenic shock B. Cardiac tamponade C. Pulmonary embolism D. Dissecting thoracic aortic aneurysm 37. Satur shall undergo cardiac catheterization. Upon review of history, he has a 3 vessel coronary artery and history of type 2 diabetes mellitus is scheduled for cardiac catheterization. Which of the following medications would need to be withheld for 48 hours before and after the procedure? A. Regular insulin B. Glipizide (Glucotrol) C. Repaglinide (Prandin) D. Metformin (Glucophage) 38. Elisa, a patient with hypothyroidism has a heart rate of 45 beats/min, complains of dizziness, and has a blood pressure of 70/60 mm Hg. Which of the following should the nurse anticipate will be prescribed? A. Defibrillate the client. B. Administer digoxin (Lanoxin). C. Continue to monitor the client. D. Prepare for transcutaneous pacing. 39. Nurse Adela is currently monitoring Paul, a patient with sinus rhythm has a premature ventricular contraction that falls on the T wave of the preceding beat. The client’s rhythm suddenly changes to one with no P waves, no definable QRS complexes, and coarse wavy lines of varying amplitude. How would the nurse correctly interpret this rhythm? A. Asystole B. Atrial fibrillation C. Ventricular fibrillation D. Ventricular tachycardia 40. Mang Isko is a patient with myocardial infarction. However, due to staff shortage, he wasn’t attended urgently until he became tachycardic, shows signs of air hunger, and begins coughing frothy, pink-tinged sputum. Which of the following would the nurse anticipate when auscultating the client’s breath sounds? A. Stridor B. Crackles C. Scattered rhonchi D. Diminished breath sounds 41. A client with myocardial infarction is developing cardiogenic shock. Because of the risk of myocardial ischemia, for which of the following should the nurse carefully assess the client? A. Bradycardia B. Ventricular dysrhythmias C. Rising diastolic blood pressure D. Falling central venous pressure 42. A client who had cardiac surgery 24 hours ago has a urine output averaging 20 mL/hr for 2 hours. The client received a single bolus of 500 mL of intravenous fluid. Urine output for the subsequent hour was 25 mL. Daily laboratory results indicate that the blood urea nitrogen level is 45 mg/dL and the serum creatinine level is 2.2 mg/dL. Based on these findings, the nurse would anticipate that the client is at risk for which of the following? A. Hypovolemia B. Acute renal failure C. Glomerulonephritis D. Urinary tract infection 43. Student Louie is studying a patient’s ECG. The P waves and QRS complexes are regular. The PR interval is 0.16 second, and QRS complexes measure 0.06 second. The overall heart rate is 78 beats/min. Which of the following would be a correct interpretation based on these characteristics? A. Sinus bradycardia B. Sick sinus syndrome C. Normal sinus rhythm D. First-degree heart block 44. Nurse Gerry is currently charting a patient’s care when suddenly a continuous cardiac monitor began to sound its alarm. There were no electrocardiographic complexes on the screen. Which of the following should be the priority action of the nurse? A. Call a code blue. B. Call the physician. C. Check the client status and lead placement. D. Press the recorder button on the electrocardiogram console. 45. However, after an hour, the monitor sounded its alarm again. There are no P waves, the QRS complexes are wide, and the ventricular rate is regular but is at 127 bpm. The nurse determines that the client is experiencing which of the following dysrhythmias? A. Sinus tachycardia B. Ventricular fibrillation