ECG BABY
An ECG shows no distinct P waves and an irregularly irregular rhythm. What dysrhythmia is this?
What is a fib
Which chamber of the heart pumps oxygenated blood into the systemic circulation through the aorta?
What is the left ventricle?
A client with COPD receiving oxygen becomes increasingly drowsy and difficult to arouse. SpO₂ is 94%. What is the nurse's priority concern?
What is worsening hypercapnia/CO₂ retention?
A client with asthma is prescribed propranolol. Why should the nurse question this prescription?
What is nonselective β-blockade can cause bronchoconstriction?
A patient with peripheral arterial disease suddenly develops a cold, pale, pulseless foot with severe pain.
What is notifying the provider immediately for acute limb ischemia? 🚨
A client with crushing chest pain has ST-segment elevation on the ECG. What does this finding suggest?
What is acute myocardial injury/infarction?
In COPD, destruction of the alveolar walls causes loss of elastic recoil and makes it difficult for the client to fully exhale. Which condition does this describe?
What is emphysema?
A client with a chest tube for pneumothorax has continuous bubbling in the water-seal chamber. What should the nurse do first?
What is assess the system for an air leak?
A client with asthma uses albuterol several times every day. What does this pattern suggest?
What is poor asthma control requiring reassessment of the treatment plan?
Patient has 50 bpm and it’s time to administer digoxin
What is hold med and notify provider
An MI is diagnosed with elevated troponin, but the ECG shows ST-segment depression/T-wave changes without ST elevation. What is this?
What is NSTEMI
When blood pressure or renal perfusion drops, which hormone is released by the kidneys to begin the RAAS cascade?
What is renin?
A client with active TB has been taking isoniazid, rifampin, pyrazinamide, and ethambutol. Which new finding requires the nurse's priority follow-up: orange urine, blurred vision, mild nausea, or reddish-orange tears?
What is blurred vision? — ethambutol can cause optic neuritis. 👁️🚨
A client taking warfarin has an INR of 6.2 and reports black, tarry stools. What is the priority concern?
What is serious bleeding from excessive anticoagulation? 🚨
Patient has pink frothy sputum
What is pulmonary edema? Put patient in high Fowler and assess an administer oxygen.
The ECG shows a rapid rhythm with wide, bizarre QRS complexes and no clearly identifiable P waves. The patient has a pulse but is hypotensive and experiencing chest pain.
What is ventricular tachycardia, requiring immediate synchronized cardioversion? 🚨
Stimulation of β₂ receptors in the lungs causes the bronchial smooth muscle to relax, resulting in what effect?
What is bronchodilation?
A client with severe asthma has a respiratory rate of 32/min and is using accessory muscles. Suddenly, the client's wheezing disappears. What does this indicate?
What is severely decreased air movement/impending respiratory failure?
A patient taking this medication develops yellow-green halos, nausea, and an apical pulse of 48/min. The nurse should suspect toxicity.
What is digoxin?
Asthma patient who is severely dyspneic and suddenly has no wheezing or breath sounds.
What is administering oxygen and preparing for emergency airway support? 🚨
Two patients arrive with chest pain. Patient A has an elevated troponin without ST elevation. Patient B has ST elevation with crushing chest pain and diaphoresis. Who should be prioritized?
Who is Patient B — STEMI requiring immediate reperfusion?
During the fight-or-flight response, activation of the sympathetic nervous system causes vasoconstriction in many blood vessels. Which neurotransmitter primarily causes this effect?
What is norepinephrine?
A client has an ABG of pH 7.28, PaCO₂ 55, HCO₃⁻ 24.
What is respiratory acidosis?
A patient with hypertension and atrial fibrillation is prescribed a calcium channel blocker that slows AV-node conduction. Which medication would the nurse expect to administer?
What is verapamil?
Which client should the nurse see first?
What is C — ventricular tachycardia with a pulse? 🚨