The nurse is caring for a client with atrial fibrillation. Which of the following client findings requires immediate follow-up by the nurse?
Electrocardiografia

Quiz
•
Special Education
•
Professional Development
•
Hard
US NURSES EVALUACIONES
FREE Resource
5 questions
Show all answers
1.
MULTIPLE CHOICE QUESTION
2 mins • 1 pt
A. Irregular QRS complexes on telemetry reading
B. Irregular peripheral pulse
C. Reports of intermittent palpitations
D. Blurred vision
Answer explanation
Choice D is correct. Blurred vision is an unexpected manifestation of atrial fibrillation and may signify that the client has had a stroke. Ischemic stroke is a significant complication of atrial fibrillation which explains why most clients with atrial fibrillation will be prescribed anticoagulants to prevent this life-threatening complication.
Choice A is incorrect. Irregular QRS complexes are expected in atrial fibrillation because this is an irregular rhythm.
Choice B is incorrect. Since atrial fibrillation is irregularly irregular, the client is expected to have an irregular peripheral pulse.
Choice C is incorrect. Intermittent palpitations or fluttering is an expected finding with atrial fibrillation.
2.
MULTIPLE CHOICE QUESTION
2 mins • 1 pt
An emergency department (ED) nurse establishes continuous cardiac monitoring for a client. The following tracing is observed on the monitor. The nurse should take which initial action? See the image below.
A. Establish vascular access and request a prescription for atropine
B. Assess the client's blood pressure and level of consciousness
C. Obtain and review the client's current medications
D. Document the findings and reassess the client in one hour
Answer explanation
Choice B is correct. The nurse should prioritize assessing the client's vital signs and level of consciousness. This tracing reflects sinus bradycardia. While sinus bradycardia may be benign, if the client should experience unstable blood pressure or dizziness, the nurse will need to act by establishing vascular access and administering atropine. However, this is predicated on the client's overall stability, which can only be discerned by assessment.
Choices A, C, and D are incorrect. These actions are plausible but do not prioritize assessing the client and their overall condition. Reviewing the client's current medications may determine the origin of the bradycardia but will not yield clues as to the client's current level of stability. Documentation should only occur once the nurse has determined that the client is stable.
3.
MULTIPLE CHOICE QUESTION
2 mins • 1 pt
The nurse is caring for a client with the following tracing on the electrocardiogram. When reviewing the client’s medical history, which condition could be causing this dysrhythmia? See the image below.
A. Graves' disease
B. Increased intracranial pressure
C. Severe hypothermia
D. Myxedema coma
Answer explanation
Choice A is correct. This tracing reflects sinus tachycardia (ST). ST can be caused by an array of conditions such as dehydration, hypo- and hyperglycemia, stress, anxiety, and thyroid conditions such as hyperthyroidism. Graves’ disease is the most common cause of hyperthyroidism, and this increased metabolic and sympathetic activity would cause tachycardia.
Choices B, C, and D are incorrect. Increased intracranial pressure would manifest with bradycardia. Hypothermia causes a slowing of metabolic and sympathetic activity; thus, bradycardia is a feature of this condition. Myxedema coma is an endocrine emergency marked by severe hypothyroidism. The hallmark of severe hypothyroidism is life-threatening bradycardia.
4.
MULTIPLE SELECT QUESTION
2 mins • 1 pt
The nurse is caring for a client with the following tracing on the electrocardiogram (ECG). The client has an oral temperature of 101 o F (38.3o C). The nurse should be prepared to obtain which prescription from the primary healthcare provider (PHCP)? Select all that apply. See the image below.
0.9% saline bolus
Enalapril
Levothyroxine
Metoclopramide
Acetaminophen
Answer explanation
Choices A and E are correct. This reflects sinus tachycardia (ST). ST can be caused by various conditions, such as a febrile illness likely to induce dehydration. The appropriate action for the nurse is to obtain prescriptions for fluids to rehydrate the client and acetaminophen to mitigate the fever.
Choices B, C, and D are incorrect. Enalapril is an ACE inhibitor that may decrease the client's blood pressure but would not directly impact the client's heart rate. Levothyroxine would worsen tachycardia because levothyroxine increases thyroid hormone, thereby increasing metabolic and sympathetic processes. Metoclopramide is a medication that causes gastric emptying and is not related to the treatment of ST.
5.
MULTIPLE CHOICE QUESTION
2 mins • 1 pt
What EKG rhythm represents a third-degree heart block?
Answer explanation
Choice A is correct. This rhythm represents a 3rd-degree heart block because there is no QRS complex after every other p wave. This is because the AV node has no conduction during a 3rd-degree heart block. Therefore, the p waves and QRS complexes are not interacting with each other.
Choice B is incorrect. This rhythm represents a 1st-degree heart block. This rhythm occurs when the AV conduction is slowed, therefore creating a more extended time between the p wave and the QRS complex.
Choice C is incorrect. This rhythm represents a 2nd-degree heart block or Mobitz type 2. This occurs when the AV node is taking longer to conduct. The PR interval may be regular or lengthened. This rhythm indicates problems in the Purkinje system.
Choice D is incorrect. This rhythm is sinus tachycardia, which is a heart rate over 100 bpm.
Similar Resources on Quizizz
10 questions
positive thoughts

Quiz
•
7th Grade - Professio...
10 questions
DP-100 Day 5_6

Quiz
•
University - Professi...
10 questions
TEST MODUL 5

Quiz
•
Professional Development
10 questions
Psychiatric Nursing

Quiz
•
University - Professi...
10 questions
Go LIVE! Client Central

Quiz
•
Professional Development
10 questions
OUVERTURE - MAY MODULES

Quiz
•
Professional Development
6 questions
Engineering safety 2

Quiz
•
Professional Development
10 questions
bilan noel

Quiz
•
Professional Development
Popular Resources on Quizizz
10 questions
Chains by Laurie Halse Anderson Chapters 1-3 Quiz

Quiz
•
6th Grade
20 questions
math review

Quiz
•
4th Grade
15 questions
Character Analysis

Quiz
•
4th Grade
12 questions
Multiplying Fractions

Quiz
•
6th Grade
30 questions
Biology Regents Review #1

Quiz
•
9th Grade
20 questions
Reading Comprehension

Quiz
•
5th Grade
20 questions
Types of Credit

Quiz
•
9th - 12th Grade
50 questions
Biology Regents Review: Structure & Function

Quiz
•
9th - 12th Grade