Identify the following Cardiac Rhythm:

Sinus Tachycardia

Ventricular Tachycardia

Complete Heart Block

Idioventricular Rhythm

Answer and Explanation

The Correct Answer is B

A. A sinus tachycardia is characterized by a sinus P wave at a rate of more than 100 per minute followed by a narrow QRS complex unlike in the strip depicted above.

B. The above ECG strip shows a ventricular tachycardia based on the wide QRS with a rate more than 120 bpm, AV dissociation and the fusion beats.

C. A complete heart block is characterized by QRS complexes being conducted at their own rates and totally independent of the P wave.

D. An idioventricular rhythm is characterized by a slow regular ventricular rhythm with a rate less than 50 bpm unlike in the above strip. It also has a prolonged QRS interval with no P wave.

Nursing Test Bank

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Correct Answer is ["A","B","D"]

Explanation

Rationale:

A. Fluid overload can lead to increased blood pressure due to the excess fluid circulating in the body.

B. Increased heart rate is a compensatory mechanism in response to fluid volume overload.

C. Increased hematocrit is not typically associated with fluid volume overload.

D. Increased respiratory rate is a compensatory mechanism in response to fluid volume overload.

E. Increased temperature is not typically associated with fluid volume overload.

A. Swelling at the insertion site and cool extremity B. Oozing blood from the insertions site C. The client has not voided since returning to recovery. D. Blood pressure reading of 110/70 and heart rate of 90

Correct Answer is A

Explanation

Rationale:

A. Swelling at the insertion site and cool extremity may indicate bleeding or hematoma formation at the site.

B. Oozing blood from the insertion site is expected immediately after a cardiac catheterization.

C. The client has not voided since returning to recovery is not related to the cardiac catheterization.

D. Blood pressure reading of 110/70 and heart rate of 90 are within normal limits.

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Identify the following Cardiac Rhythm:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a heart failure client with a history of dietary non compliance. The nurse suspects the client has fluid volume overload. Which of the following findings should the nurse expect? (SELECT ALL THAT APPLY))

Correct Answer is ["A","B","D"]

Explanation

A nurse is caring for a client post cardiac catheterization via the right groin site. The nurse is aware that which of the following findings needs to be reported to the interventional cardiologist as soon as it is identified.

Correct Answer is A

Explanation

A nurse is caring for a client with heart failure who takes furosemide 20mg daily at home and is receiving 40mg of furosemide IV daily in the hospital. The nurse is aware that this patient is at risk for what electrolyte imbalance?

Identify the following Cardiac Rhythm:

A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?

A nurse is caring for a patient with a history of hypertension. The client reports compliance with the prescribed Thiazide medication but is complaining of generalized weakness and palpitations. The nurse should monitor the client for which potential complications of diuretics.

A nurse is caring for a client who is receiving intravenous heparin therapy for deep vein thrombosis. The nurse evaluates for side effects of this drug by observing for:

A nurse is caring for a client with right sided heart failure. Which of the following symptoms should the nurse include in teaching the client about signs of worsening heart failure? (SELECT ALL THAT APPLY)

A nurse is caring for a client with a possible acute myocardial infarction (AMI). The electrocardiogram (ECG) shows no ST segment elevations or depression. The nurse is aware that an elevation of which lab result will determine if there has been cardiac injury?

A nurse is giving a presentation about preventing deep-vein thrombosis (DVT). Which of the following should the nurse include as a risk factor for this disorder? (Select all that apply.)