Examine the attached ECG image and identify the type of arrhythmia present.
The ECG shows a series of wide QRS complexes occurring at a rapid rate.
Supraventricular Tachycardia.
Ventricular Tachycardia.
Atrial Fibrillation.
First Degree AV Block.
The Correct Answer is B
Choice A rationale
Supraventricular tachycardia usually presents with narrow QRS complexes originating above the ventricles, unlike the wide QRS complexes seen in this ECG, indicating a ventricular origin for the arrhythmia.
Choice B rationale
Ventricular tachycardia is characterized by a rapid rate and wide QRS complexes. This rhythm originates in the ventricles and can lead to a decrease in cardiac output and possible deterioration into ventricular fibrillation.
Choice C rationale
Atrial fibrillation presents with an irregularly irregular rhythm without distinct P waves and narrow QRS complexes. This is not consistent with the wide, rapid QRS complexes seen in the provided ECG.
Choice D rationale
First-degree AV block is characterized by a prolonged PR interval (>200ms) without changes to the QRS complex morphology. This does not align with the presentation of wide QRS complexes at a rapid rate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A"]
Explanation
Choice A rationale
Pregnancy increases venous pressure, leading to stasis and a higher risk of DVT due to hormonal changes and decreased venous return.
Choice B rationale
Oral contraceptive use elevates estrogen levels, increasing blood coagulability and the risk of clot formation, predisposing individuals to DVT.
Choice C rationale
Trauma can damage blood vessel walls, initiating clotting cascades and increasing the likelihood of deep vein thrombosis formation.
Choice D rationale
Immobility causes venous stasis, as muscle contractions that promote blood return are reduced, heightening the risk of DVT due to stagnant blood flow.
Correct Answer is A
Explanation
Choice A rationale
Intermittent claudication, characterized by muscle pain during exercise relieved by rest, indicates early-stage peripheral arterial disease due to decreased blood flow. It is an early symptom resulting from insufficient oxygen supply to muscles.
Choice B rationale
Rest pain occurs in more advanced peripheral arterial disease and indicates critical limb ischemia. It is a late-stage symptom, usually present even at rest due to severely compromised blood flow.
Choice C rationale
Foot ulcers are signs of advanced peripheral arterial disease, often developing due to poor circulation and delayed wound healing. These ulcers indicate severe disease progression and significant arterial insufficiency.
Choice D rationale
Dependent rubor, a red discoloration of the skin when the leg is lowered, occurs in advanced peripheral arterial disease. It results from chronic ischemia and dilatation of the small blood vessels in response to prolonged tissue hypoxia.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.