A nurse is reviewing cardiac rhythms and heart blocks for a critical care course. The nurse is aware that which of the following describes first-degree heart block?

R-R is irregular

There are absent P waves

PR interval greater than 0.20 seconds in duration.

The PR interval gets longer then drops.

Answer and Explanation

The Correct Answer is C

A. First-degree heart block has a regular R-R interval, meaning the rhythm is typically regular.
B. The presence of P waves is a distinguishing feature of first-degree heart block. Absent P waves are more characteristic of atrial fibrillation or junctional rhythms.
C. First-degree heart block is characterized by a prolonged PR interval greater than 0.20 seconds, but all impulses are still conducted to the ventricles.
D. A progressively lengthening PR interval followed by a dropped QRS complex is indicative of second-degree Mobitz Type I (Wenckebach) heart block, not first-degree heart block.

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Correct Answer is C

Explanation

A. Holding all medications is not necessary; only certain medications that affect heart rate or blood pressure are held.
B. Keflex (Cephalexin) is an antibiotic and does not affect stress test results, so it should not be held.
C. Tenormin (Atenolol) is a beta-blocker that reduces heart rate and can interfere with the stress test by blunting the expected heart rate response. Beta-blockers are typically held before an exercise stress test.
D. Heparin is an anticoagulant and does not impact the stress test results.

A. Ask the client if any other foods cause such a reaction. B. Notify the provider of the client's allergy. C. Notify the dietary department of the client's allergy. D. Attach a wrist band indicating the client's allergy.

Correct Answer is B

Explanation

A. While gathering more information about other allergies is useful, it is not the priority action.
B. The priority is to notify the provider because a shellfish allergy may indicate sensitivity to iodine-based contrast dye, which is used in cardiac catheterization. The provider may need to order premedication or an alternative contrast agent.
C. While notifying the dietary department is necessary for food allergies, it does not address the immediate concern of potential contrast dye reaction.
D. Attaching a wristband is important but should be done after the provider is notified and appropriate precautions are in place.

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A nurse is reviewing cardiac rhythms and heart blocks for a critical care course. The nurse is aware that which of the following describes first-degree heart block?

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Naxlex Comprehensive Predictor Exams

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