ECG/Heart
Conductivity
Strip Reading
Cardiac Monitoring
PIV/NG
100
Correctly identify the 5 colors location for lead placement in the 5 lead ECG
White (UR) Green (LR) Black (UL) Red (LL) Brown (Midline)
100
Sinus tachycardia and decreased cardiac output is related to which ventricular factor?
Decreased fill time
100
What should you do when you see this on the monitor of a unresponsive pulseless patient?
Start chest compressions.
100
Interpret the rhythm.
NS with PVC's
100
Before inserting an IV, what should the nurse consider for the patient.
Planned therapy for the IV.
200
A patient in sinus bradycardia is hypotensive and dizzy. What condition are these symptoms associated with
Decreased cardiac output.
200
When monitoring a densely hairy male patient, what intervention by the nurse with improve conduction?
Clipping or shaving the dense hair where the leads will be placed.
200
What heart block is identidfied in the rythym below.
Second-Degree type I (Wenckebach)
200
What is the normal distance of the PR interval in NSR?
0.12-0.20 seconds
200
Before removing an NG tube, what action should be taken by the nurse.
Complete abdominal assessment.
300
What should the nurse do after noticing a patient on 5 lead telemetry in first degree heart block.
Monitor closely for a more serious block or possible progression.
300
Trace the conduction system on a healthy heart beat starting at the SA node
SA node -> AV node -> Bundle of HIS -> L and R Bundle Branches -> Purkinje Fibers
300
Describe the rhythm above:
Atrial rate is faster than the ventricular rate
Normal p waves
Gradually lengthening PR Intervals
Dropped QRS complexes
QRS <0.12 seconds
300
During a type I second degree AV block, what occurs in the PR interval?
Drop in the QRS due to progressive lengthening of the PR interval
300
Best time to remove the tourniquet after inserting the PIV?
Immediately after advancing the catheter.
400
Which complex characteristics during PVC's make them dangerous (2)
Multiformed with increased frequency
400
What is the treatment of choice for a patient admitted for an MI with increasing PVC's?
Defibrillation/Cardioversion
400
Identify the interpretation of the strip.
Atrial flutter
400
What can b causes of a Third-Degree Heart block?
Congenital heart disease, Digoxin Toxicity, Heart valve damage, worsening heart block
400
Which important step should be taken before removing an NG tube to prevent aspiration?
Flush a small bolus of air in the tube.
500
A nurse caring for an MI patient notes and increased HR of 200 beats with decreased cardiac output and SOB. What ifs the priority action.
Apply oxygen to the patient.
500
Which phenomenon is this
R on T
500
Identify the hallmark of a rhythm strip on a patient with Atrial fib or flutter
Sawtooth baseline
500
If someone has ischemia of the heart, how with the T wave be interpreted?
T wave inverted after the QRS complex
500
What are some symptoms of speed shock
Facial flushing and chest tightness