A nurse in the Emergency Department is evaluating a patient’s cardiac rhythm. What is the correct interpretation of the rhythm and the appropriate treatment?
Atrial Flutter - Cardioversion
Ventricular Tachycardia - Cardioversion
Atrial Fibrillation - Cardioversion
Ventricular Fibrillation - Defibrillation
The Correct Answer is D
Choice A rationale
Atrial Flutter is a type of arrhythmia where the atria beat regularly, but much faster than usual. The treatment for Atrial Flutter is typically medication, not cardioversion.
Choice B rationale
Ventricular Tachycardia is a fast, abnormal heart rate. It starts in your heart’s lower chambers, or ventricles. Ventricular Tachycardia is a serious condition and can be life-threatening. While cardioversion can be used in some cases, it is not the primary treatment.
Choice C rationale
Atrial Fibrillation is when the upper chambers of the heart (atria) beat irregularly. This causes the atria to twitch, leading to an abnormal heart rhythm. The treatment for Atrial Fibrillation is typically medication, not cardioversion.
Choice D rationale
Ventricular Fibrillation is a life-threatening heart rhythm that results in a rapid, erratic heartbeat. During Ventricular Fibrillation, the heart quivers and can’t pump any blood, causing cardiac arrest. The treatment for Ventricular Fibrillation is Defibrillation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice c. Carry out immediate defibrillation.
Choice A rationale:
Initiating cardiopulmonary resuscitation (CPR) is essential for a client who is unresponsive and without a pulse. However, in the presence of ventricular fibrillation, immediate defibrillation is the priority to restore a viable heart rhythm.
Choice B rationale:
Establishing intravenous (IV) access is important for administering medications during resuscitation. However, it is not the immediate priority when defibrillation is indicated.
Choice C rationale:
Immediate defibrillation is the priority action for a client with ventricular fibrillation who is unresponsive and without a pulse. Defibrillation can quickly restore a normal heart rhythm, which is critical in saving the client’s life.
Choice D rationale:
Checking the client’s latest electrolyte levels can provide valuable information for ongoing treatment but is not the immediate priority in an emergency situation where defibrillation is indicated. Immediate action to restore the heart rhythm is more critical.
Correct Answer is B
Explanation
Choice A rationale
A pleural friction rub is an audible raspy breathing sound, a medical sign present in some patients with pleurisy and other conditions affecting the chest cavity. It is not a typical symptom of cardiac tamponade.
Choice B rationale
Distended neck veins are a result of the collapsed blood vessels that should return blood to the heart. This is a common symptom of cardiac tamponade.
Choice C rationale
Widening pulse pressure occurs with valvular heart disease, not typically with cardiac tamponade.
Choice D rationale
Bradycardia, or a slower-than-normal heart rate, is not typically associated with cardiac tamponade.
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