Term
| The nurse is teaching a class on rhythm abnormalities to clients who have experienced dysrhythmias. The nurse knows that teaching has been effective when a client makes which statement? |
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Definition
| “Dysrhythmias interrupt the normal electrical pathways in the heart so it can’t beat properly.” |
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Term
| The client tells the nurse, “This educational video you gave me shows normal electrical conduction through the heart, but I still don’t understand it. Can you explain it to me?” What is (are) the nurse’s best response(s)? Select all that apply. |
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Definition
“Conduction begins in the sinoatrial (SA) node and travels to the atrioventricular (AV) node.
“Conduction travels from the atrioventricular (AV) node through the bundle of His.”
“Conduction continues through the bundle branches to the Purkinje fibers.” |
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Term
| The client tells the nurse, “My doctor says I have atrial fibrillation. Is this serious and how is it treated?” What is (are) the best response(s) by the nurse? Select all that apply. |
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Definition
1.“This is very common; your doctor will discuss the best treatment with you.”
2.“Depending upon your symptoms, your doctor may use an electrical shock.” |
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Term
| The nurse has been teaching a class on dysrhythmias to a group of clients with this disorder. The nurse determines that teaching has been effective when a client makes which statement? |
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Definition
| “Our sodium, potassium, and calcium levels must be okay for our hearts to have an electrical impulse.” |
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Term
| The client asks the nurse, “My doctor said I need cardioversion for my dysrhythmia. Why can’t I just take medication?” What is the nurse’s best response? |
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Definition
| “Antidysrhythmic medications have many side effects; cardioversion is considered safer.” |
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Term
| The client says to the nurse, “My neighbor said my antidysrhythmic drug can actually cause me to have irregular heart beats. How can this be?” What is the nurse’s best answer? |
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Definition
| “Your medication blocks the flow of the electrolytes in your heart, and this can cause irregular beats.” |
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Term
| The nurse is managing care for a group of clients receiving antidys-rhythmic medication. Which assessment data will the nurse report to the physician? |
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Definition
| Palpitations, chest pain, weakness, and fatigue |
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Term
| The client is receiving procainamide hydrochloride (Pronestyl) for treatment of a dysrhythmia. What is the best client outcome for medication compliance? |
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Definition
| The client will take his medication as directed, even if he is feeling well. |
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Term
| The male client has been receiving propranolol (Inderal) for treatment of a dysrhythmia for 6 weeks. What is an important question for the nurse to ask the client when assessing medication compliance? |
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Definition
| “Have you noticed any changes in your sexual functioning?” |
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Term
| The client with diabetes mellitus, type 1 is receiving propranolol (Inderal). What is the best outcome for this client? |
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Definition
| The client will maintain blood glucose within normal limits. |
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Term
| The nurse completes medication education with a client who receives propranolol (Inderal). The nurse evaluates the education as effective when the client makes which statement? |
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Definition
| “I must take my pulse every day and call my doctor if it is less than 60.” |
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Term
| The client receives amiodarone (Cordarone). The nurse would be concerned about which additional medication that a consulting physician might order? |
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Definition
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Term
| The physician has ordered amiodarone (Cordarone). Prior to starting this medication, the nurse would alert the physician to which laboratory result? |
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Definition
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Term
| The client receives verapamil (Calan). The client tells the nurse that he is nervous about taking this medicine. What is the best response by the nurse? |
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Definition
| “This medicine is safe, and most clients do very well with it.” |
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Term
| The client receives verapamil (Calan). The client asks the nurse if it is okay to take herbal supplements with this medicine. What is the best response by the nurse? |
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Definition
| “Using herbal supplements may lower your blood pressure too much.” |
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Term
| Which of the following statements best explains what happens to cardiac output when the heart rate gets extremely high? |
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Definition
| 3. Cardiac output lowers when the rapid rate doesn’t allow enough time for complete filling of the heart chambers. |
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Term
| In a person with a sinus rhythm, the primary purpose of the AV node is to: |
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Definition
| 4. Delay the impulse from the SA node. |
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Term
| A person with a heart rate of 170 bpm and a normal QRS duration would most likely be experiencing a: |
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Definition
| 1. Tachydysrhythmia originating from the atria. |
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Term
| Depolarization occurs when which two electrolytes rush into the cell? |
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Definition
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Term
| Which adverse effect is shared among all antidysrhythmic drugs? |
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Definition
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Term
| Which of the following drugs is the primary agent for paroxysmal supraventricular tachycardia (PSVT)? |
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Definition
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Term
| Which antidysrhythmic agent also dilates coronary arteries, and is frequently used to treat angina? |
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Definition
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Term
| Which drug would be indicated for treating ventricular tachycardia? |
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Definition
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