The nurse is preparing a client for an electrophysiology procedure. What statements would the nurse include when explaining this procedure to a client? Select All That Apply

Facilitates the insertion of a pacemaker

Assesses the function of the SA node

Evaluates the effectiveness of prescribed antiarrhythmic medication

Identifies the location of abnormal sites within cardiac muscle

Treats certain arrhythmias through the process of ablation

Answer and Explanation

Correct Answer : B,C,D,E

A. Facilitates the insertion of a pacemaker: This is not the purpose of an electrophysiology study (EPS). A pacemaker may be considered based on the results, but EPS itself does not insert the device.

B. Assesses the function of the SA node: EPS is used to assess the electrical activity of the heart, including the function of the SA node.

C. Evaluates the effectiveness of prescribed antiarrhythmic medication: EPS can help evaluate how well antiarrhythmic medications are controlling arrhythmias.

D. Identifies the location of abnormal sites within cardiac muscle: EPS is often used to locate areas of the heart responsible for abnormal electrical conduction and arrhythmias.

E. Treats certain arrhythmias through the process of ablation: One of the therapeutic purposes of EPS is to perform ablation, which can treat certain arrhythmias by destroying abnormal tissue.

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Correct Answer is D

Explanation

A. Pacemaker: Pacemakers are used for bradyarrhythmias or heart block, not typically for atrial flutter.

B. Cardiac catheterization: This is used for diagnostic or interventional procedures, not for rhythm correction.

C. Pulmonary artery pressure monitoring: This is a monitoring tool for critically ill clients with heart failure or pulmonary hypertension, not a treatment for atrial flutter.

D. Cardioversion: Cardioversion is often used for atrial flutter when drug therapy fails. It delivers synchronized electrical energy to restore normal sinus rhythm.

A. "Brain death has occurred if there is no spontaneous breathing or brainstem reflexes. B. “If respiratory efforts cease and no apical pulse is audible, brain death is present." C. "Brain death has occurred if a person has flaccid muscles and does not awaken. D. “CPR does not restore a heartbeat; the brain cannot function."

Correct Answer is A

Explanation

A. “Brain death has occurred if there is no spontaneous breathing or brainstem reflexes.” Brain death is defined as the irreversible cessation of all functions of the entire brain, including the brainstem. The absence of spontaneous breathing and brainstem reflexes (such as pupillary response, gag reflex, and eye movements) are critical criteria used to confirm brain death.

B. “If respiratory efforts cease and no apical pulse is audible, brain death is present.” While the cessation of respiratory efforts is a key component of brain death, the presence or absence of an apical pulse alone is not sufficient for determining brain death. Brain death is determined based on the complete absence of brain function, including brainstem reflexes.

C. “Brain death has occurred if a person has flaccid muscles and does not awaken.” Muscle flaccidity and lack of consciousness may be signs of severe brain injury, but they do not necessarily confirm brain death. Brain death is diagnosed based on the absence of brainstem reflexes and spontaneous breathing.

D. “CPR does not restore a heartbeat, the brain cannot function.” While it is true that CPR may not restore circulation in brain-dead patients, this statement is incomplete and not a precise definition of brain death. Brain death is determined by the irreversible cessation of all brain activity, not just by the failure of CPR to restore circulation.

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The nurse is preparing a client for an electrophysiology procedure. What statements would the nurse include when explaining this procedure to a client? Select All That Apply

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Naxlex Comprehensive Predictor Exams

A client with new-onset atrial flutter is unresponsive to drug therapy and is scheduled to receive further treatment. Which intervention should the nurse prepare the client to receive?

Correct Answer is D

Explanation

Correct Answer is A

Explanation

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