A patient reporting palpitations has multiple premature ventricular contractions (PVCS) on an electrocardiogram (ECG) tracing. Which patient statement Indicates teaching is effective?

"I will drink more energy drinks."

"I will drink red wine with dinner."

"I will eat fewer potassium-rich foods."

"I will drink decaffeinated coffee."

Answer and Explanation

The Correct Answer is D

A.   Energy drinks containing caffeine can exacerbate palpitations and should be avoided.
B.   Alcohol, including red wine, can trigger or worsen palpitations and should be limited or avoided.
C.   Potassium-rich foods are not typically associated with palpitations. In fact, maintaining normal potassium levels is important for heart health.
D.   Caffeine can trigger palpitations in susceptible individuals, so switching to decaffeinated coffee may help reduce symptoms.

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Free Nursing Study Resources

Correct Answer is ["C","D","E"]

Explanation

A. Digoxin typically decreases the heart rate by increasing vagal tone and reducing conduction through the atrioventricular node.
B. Digoxin may have minimal effects on blood pressure, primarily by improving cardiac output in patients with heart failure, but its primary action is on cardiac contractility and rhythm.
C. Digoxin has a negative chronotropic effect, meaning it slows the heart rate by increasing parasympathetic tone and decreasing conduction through the atrioventricular node.
D. Digoxin has a positive inotropic effect, meaning it increases the force of cardiac contractions, which can be beneficial in patients with heart failure.
E. Digoxin can suppress ectopic beats (abnormal heart rhythms originating outside the sinoatrial node) by slowing conduction through the atrioventricular node and enhancing vagal tone

A. A patient with sinus bradycardia with a heart rate of 53 beats/minute B. A patient with premature atrial contractions who is asymptomatic C. A patient with atrial fibrillation reporting dyspnea D. A patient with sinus tachycardia with a heart rate of 108 beats/minute

Correct Answer is C

Explanation

A. Sinus bradycardia may not require immediate intervention if the patient is asymptomatic and stable.
B. Asymptomatic premature atrial contractions may not require immediate attention unless they are associated with significant symptoms or hemodynamic instability.
C. Dyspnea in a patient with atrial fibrillation may indicate heart failure or other complications and requires prompt assessment and intervention.
D. Sinus tachycardia may not require immediate intervention if the patient is asymptomatic and stable.

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A patient reporting palpitations has multiple premature ventricular contractions (PVCS) on an electrocardiogram (ECG) tracing. Which patient statement Indicates teaching is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a patient about digoxin. The nurse would evaluate the patient as understanding the teaching if the patient made which of these statements? Select all that apply.

Correct Answer is ["C","D","E"]

Explanation

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Correct Answer is C

Explanation

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