The nurse is assessing the client with a recent pacemaker placement. The client's monitor is displaying what type of rhythm?
The pacemaker is pacing abnormally
Biventricular, pacing in both ventricles
Atrial paced rhythm
Atrial and ventricular pacing
The Correct Answer is D
A. This would be concerning, but it is not the correct choice. If a pacemaker is functioning abnormally, it would require an assessment and troubleshooting, not simply a routine rhythm.
B. This is typical for biventricular pacemakers used in heart failure patients, but it would not apply to a patient with a standard pacemaker unless specified. A recent pacemaker placement does not necessarily indicate biventricular pacing.
C. This is correct if only the atrium is paced; however, in the case of a typical pacemaker like DDD (dual- chamber pacemaker), both the atrium and ventricle are paced.
D. This is correct for dual-chamber pacemakers (like DDD), which pace both the atrium and the ventricle to coordinate the heart's rhythm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"C"}
Explanation
Ventricular fibrillation (VF) is characterized by a chaotic, rapid, and irregular electrical activity on the ECG, with no identifiable QRS complexes, P waves, or T waves. The heart quivers ineffectively, leading to no blood flow or cardiac output, which results in rapid loss of consciousness and is life-threatening.
Immediate defibrillation is required to restore a normal rhythm. A high-energy shock is delivered to the heart to reset the electrical activity, potentially allowing the heart's natural pacemaker to regain control and resume normal function.
Correct Answer is A
Explanation
A. Weigh daily on the same scale at the same time of day - Daily weight measurement is critical for clients with heart failure to monitor for fluid retention, which can indicate worsening heart failure.
B. Restrict foods that are high in potassium - This is not recommended unless the client is on certain medications (e.g., potassium-sparing diuretics) that cause high potassium levels. Generally, potassium- rich foods are beneficial for heart health.
C. Engage in aerobic activity for one hour each day - Although exercise is important, the intensity and duration should be individualized, and clients with heart failure may need to start with lower-intensity activity.
D. Monitor sugar intake - While important for diabetes management, monitoring sugar intake is not a primary focus for clients with heart failure unless they also have diabetes.
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