EKG practice - arrhythmias

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45 Terms

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sinus tachycardia

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sinus tachycardia

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sinus bradycardia

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sinus bradycardia

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premature ventricular contraction

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premature ventricular contraction

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atrial flutter

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atrial flutter

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atrial fibrillation

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atrial fibrillation

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supraventricular tachycardia

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supraventricular tachycardia

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ventricular fibrillation

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ventricular fibrillation

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ventricular tachycardia

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ventricular tachycardia

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asystole

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An impulse is coming from the SA node, conducting through the AV node to the ventricles with both the atria and ventricles contracting at a rate of 55.  What is this rhythm? 

Sinus Bradycardia

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Which of the following rhythms is appropriate to defibrillate? 

Atrial fibrillation with rapid ventricular response (RVR)

Pulseless ventricular tachycardia

Asystole

Paroxysmal Supraventricular Tachycardia

Pulseless ventricular tachycardia

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<p>Identify this rhythm?</p>

Identify this rhythm?

Sinus bradycardia

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A patient has had a rhythm change.  The nurse should assess for which of the following?  Select All That Apply 

Complaints of palpitations

Complaints of shortness of breath

Diaphoresis

Hyperglycemia

Fever

Complaints of palpitations

Complaints of shortness of breath

Diaphoresis

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Sinus Tacycardia

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Sinus Rhythm with PAC

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Failure to capture

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Atrial Paced

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Ventricular Paced

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Atrial and Ventricular Paced

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Your patient has just gone from Sinus Rhythm with frequent PVCs into Ventricular Tachycardia.  Which of the following is true regarding this situation.

-This happens commonly and carries little risk for your patient.

-The nurse's initial response should be cardioversion. 

-The patient's rhythm may deteriorate into ventricular fibrillation.

-There is a predictable hemodynamic response to this rhythm for most patients.

-The patient's rhythm may deteriorate into ventricular fibrillation.

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A nurse is analyzing a patient's ECG and identifies the following characteristics: irregularly irregular rhythm, no distinct P waves, and a narrow QRS complex. What does the nurse recognize this rhythm as?

Atrial fibrillation

Sinus arrhythmia

Atrial flutter

Ventricular tachycardia

Atrial fibrillation

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Which of the following electrolyte imbalances is a cause of ventricular dysrhythmias? 

Hypophosphatemia

Hypernatremia

Hypercalcemia

Hypomagnesemia

Hypomagnesemia

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<p>What rhythm is this?</p>

What rhythm is this?

Sinus bradycardia

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A 65-year-old patient presents with complaints of dizziness and shortness of breath. The EKG shows an irregular rhythm, absent P waves, and a narrow QRS complex with a rate of 110 beats per minute.

What is the most likely cardiac rhythm, and what is the initial nursing intervention?

Atrial fibrillation; assess the patient for signs of hemodynamic instability

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<p>What rhythm is this?</p>

What rhythm is this?

Sinus rhythm with PVC

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<p>What rhythm is this?</p>

What rhythm is this?

Ventricular fibrillation

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<p>What rhythm is this?</p>

What rhythm is this?

Monomorphic Ventricular tachycardia

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<p>What rhythm is this?</p>

What rhythm is this?

Normal Sinus Rhythm

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<p>The nurse observes the following rhythm in a client. What is the appropriate identification for this rhythm?</p>

The nurse observes the following rhythm in a client. What is the appropriate identification for this rhythm?

Normal sinus rhythm with a PAC

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<p>What rhythm is this?</p>

What rhythm is this?

Asystole

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<p>What rhythm is this?</p>

What rhythm is this?

Sinus Rhythm with a run of Ventricular Tachycardia

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<p>What rhythm is this?</p>

What rhythm is this?

Polymorphic Ventricular Tachycardia

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A monitor tech calls the RN stating that his patient in room #42 has changed from sinus rhythm with frequent PVCs into ventricular tachycardia.  Which of the following responses by the RN is appropriate?  

"Thanks.  I will go check on that patient right now."

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<p><span>The nurse observes the following rhythm in a client. What is the appropriate identification for this rhythm?</span></p>

The nurse observes the following rhythm in a client. What is the appropriate identification for this rhythm?

Sinus tachycardia with premature ventricular contractions (PVCs)

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<p><span>The nurse observes the following rhythm in a client. What is the appropriate identification for this rhythm?</span></p>

The nurse observes the following rhythm in a client. What is the appropriate identification for this rhythm?

Ventricular fibrillation

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<p>You review your client's EKG strip and notice the rhythm below. What is your appropriate recommendation after calling the provider?</p>

You review your client's EKG strip and notice the rhythm below. What is your appropriate recommendation after calling the provider?

Diltiazem

nondihydropyridine calcium channel blocker, It relaxes blood vessels, lowers blood pressure, and decreases heart workload

45
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<p><span>The nurse observes the following rhythm in a client. What is the appropriate identification for this rhythm?</span></p>

The nurse observes the following rhythm in a client. What is the appropriate identification for this rhythm?

Atrial flutter