Adult. EKG for nurses exam

A 58-year-old patient is admitted to the cardiac telemetry unit with complaints of palpitations and mild shortness of breath that started a few hours ago. Upon review of the telemetry strip, the nurse identified a sawtooth pattern in the atrial rhythm. 

Based on the patient's presentation, which five medical interventions should the nurse anticipate for this patient?

A 63-year-old patient was admitted to the emergency department at 9:00 PM.
During the initial assessment, the nurse gathers various pieces of information from the patient's history, current medications, and preliminary diagnostic tests.

Which of the following findings is most critical to relay to the health care provider who is considering the use of fibrinolytic therapy with tissue plasminogen activator for this patient?

A 72-year-old patient presents to the cardiology outpatient clinic for a routine follow-up. The nurse performs an initial assessment and notices a slow heart rate on the monitor. The patient is alert, and oriented, and reports feeling "just fine" with no noticeable symptoms. 

Given the patient's presentation, which nursing interventions are most appropriate? Select all that apply

A 68-year-old patient with a known history of chronic kidney disease presents to the emergency department after experiencing episodes of dizziness. On telemetry, the nurse observes a polymorphic ventricular tachycardia with a characteristic twisting pattern around the baseline. The rhythm is sporadic and self-terminating but recurs intermittently.
Based on the patient's presentation, which interventions should the nurse anticipate?                            Select all that apply

A 78-year-old female with a past medical history of hypertension, type 2 diabetes, and a recent ischemic stroke 6 months ago presents to the outpatient clinic. She complains of increasing episodes of fatigue, occasional lightheadedness, and an "irregular heartbeat" over the last two weeks.
She states that she's been adherent to her antihypertensive medications and oral hypoglycemic agents. On examination, her pulse is irregularly irregular, and the nurse suspects atrial fibrillation.

Given the patient's history and current symptoms, which of the following pharmacological interventions might be considered for her potential condition?               Select all that apply

A 67-year-old patient is admitted to the telemetry unit with recurrent episodes of palpitations and shortness of breath. The 12-lead ECG identifies a dysrhythmia. The physician prescribes amiodarone, and the nurse administers the first dose. One hour post-administration, the nurse reviews the telemetry to evaluate the medication's effect.
Which finding from the telemetry indicates that the amiodarone administered to the patient is producing the desired therapeutic effect?

Patient B is a 45-year-old male who presents to the emergency department with sudden onset of chest pain, shortness of breath, and palpitations. He has a history of hypertension and alcohol abuse. The following strip is obtained.

Which of the following 3 factors determines whether defibrillation or cardioversion should be used in the management of this condition?

A patient in the emergency department who is being monitored with a portable cardiac monitor/defibrillator develops this rhythm.

Which action will the nurse take first?

A 70-year-old patient is brought to the emergency department after experiencing bouts of dizziness. During the assessment, the nurse decides to evaluate the heart rate using the 6-second strip method. On the EKG strip, the nurse counts 4 R waves (QRS complexes) in a 6-second period.

Based on this method, what is the estimated heart rate of the patient?

A 72-year-old patient presents to the emergency department with complaints of weakness and palpitations for the past 24 hours. 

Based on the patient's presentation, which interventions should the nurse anticipate?                         Select all that apply

The nurse is caring for the client admitted to the ED.
What additional priority information does the nurse need to determine the problem?
Complete the following table by choosing the priority test per body system that the nurse should anticipate completing.
Each category should have at least one option selected.

Option categories                                                                            Options

Cardiopulmonary                                                                 

A 52-year-old female undergoing post-operative monitoring after a total knee replacement is observed on the telemetry monitor by the nurse. 

In which of the following scenarios should the nurse report the observed findings to the physician?

A 68-year-old patient is admitted to the telemetry unit for observation after complaining of occasional fatigue. The patient is otherwise hemodynamically stable with no complaints of chest pain, dizziness, or palpitations.
Given the patient's presentation, what would be the most appropriate nursing actions?

A 55-year-old patient is brought into the emergency department following episodes of palpitations and lightheadedness. On the monitor, the nurse identifies a wide complex tachycardia. The patient appears alert but is symptomatic with a blood pressure slightly on the lower side.

Given the patient's presentation, which intervention involving lidocaine might the nurse anticipate?

A 58-year-old patient is rushed into the emergency department with complaints of chest pain, dizziness, and nausea that started several hours ago. 

Based on the observed cardiac rhythm, what is the nurse's two priority action for this patient? 

The nurse is diligently observing the cardiac monitors in the coronary care unit. Four patients present with varying cardiac rhythms, and the nurse is evaluating the urgency of each situation.

Based on the observed rhythms, which patient requires immediate nursing intervention?

A 58-year-old patient in the intensive care unit suddenly becomes unresponsive during a routine vital signs check.
The nurse immediately checks for a pulse but cannot palpate one.
Upon glancing at the telemetry monitor, the nurse observes a flat line without any electrical activity.

In this scenario, which interventions are most appropriate for the nurse to consider?

A 60-year-old patient presents to the emergency department with complaints of severe, crushing chest pain radiating to the left arm, which started approximately 3 hours ago. The patient is sweaty and appears in distress.
A 12-lead ECG is immediately performed to evaluate the cardiac rhythm and potential ischemic changes.

What electrocardiographic changes might the nurse anticipate on this patient's ECG? Select all that apply

A 68-year-old male undergoing a routine health check-up is hooked up to an EKG monitor. The nurse observes a strange and inconsistent pattern on the EKG tracing. The patient is calm and denies any chest pain or discomfort.
What are the appropriate nursing interventions to identify the cause of this EKG tracing? Select all that apply