what is this rhythm?
ekg questions
other cardio questions
100
atrial flutter
"saw tooth comb"
tx :
rate control : beta blockers and calcium channel blockers
rhythm control : antiarrhythmics or electrical cardioversion
anticoagulation : to prevent thromboembolism
100
the nurse in the emergency department is caring for a client who is experiencing torsades de pointes. Which of the following medications should the nurse recognize is used to treat this cardiac dysrhythmia?
1. adenosine
2. dopamine
3. magnesium
4. propranolol
3. magnesium
100
the nurse is assisting with cardioversion for a clietn with svt who has become hemodynamically unstable. it would be a priority for the nurse to
1. sedate the client
3. select the energy level
3. charge the defibrillator
4. turn on the synchronize function
4. turn on the synchronize function
200
sinus brady
tx
IF SYMPTOMATIC atropine
than if that doesnt work than pacing
200
The nurse is caring for a client who has a single-chamber atrial pacemaker. Which of the following findings would the nurse expect to observe on the client's EKG strip ?
1. pacemaker on the twave
2. pacemaker spike before the p wave
3. occasional wide and distorted qrs complex
4. prolonged pr interval with normal qrs complex
2. pacemaker spike before the p wave 
200
The nurse is caring for a client who has a permanent pacemaker. The client reports feeling dizzy and has a blood pressure of 75/55 mm Hg. The nurse notes failure to capture on the continuous cardiac monitor. Which of the following actions should the nurse take?
1. request a prescription for IV dopamine for the client
2. request a prescription for IV atropine for hte client
3. prepare the client for synchronized cardioversion
4. prepare the client for transcutaneous pacing
4. prepare the client for transcutaneous pacing 
300
patient was in afib, than heart rate increased to 150
afib rvr
tx :
beta blockers
calcium channel blockers
digoxin
amiodarone
electrical cardioversion
anticoagulation
300
what are the only two rhythms you shock?
vfib
pulseless vtach
300
a client is being discharged after receiving an implantable cardioverter defibrillator. Which statement by the client indicates that teaching has been effective ?
1. im not worried about the device firing now because i know it wont hurt
2. i will let my daughter fix my hair until my hcp says i can do it
3. i will look into public transportation because I wont be able to drive again
4. I will notify my travel agent that i can no longer travel by plane
2. i will let my daughter fix my hair until my hcp says i can do it 
400
NSR
400
the nurse in the emergency department is caring for a client who is experiencing supraventricular tachycardia. The clients heart rate is 170 / min and blood pressure is 110/60 mm Hg. Which of the following actions should the nurse take first ?
1. request a prescription fo iv metoprolol
2. prepare to administer IV adenosine to the client
3. apply defibrillation pads for synchronized cardioversion
4. ask the client to bear down as if having a bowel movement
4. ask the client to bear own as if having a bowel movement
400
The nurse is caring for a client who has an implantable cardioverter defibrillator. The ICD has delivered 2 shocks, but the client does not have a pulse. Which of the following actions should the nurse take next?
1. administer iv epi
2. deactivate the icd with a magnet
3. initiate chest compressions
4. continue to monitor the cardiac rhythms
3. initiate chest compressions 