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A nurse is teaching a client who has a new diagnosis of atrial fibrillation. The nurse should include which of the following in the education?

Check your skin for increased bruising

Missing 1 dose of medication is not a risk

The client may develop hypothyroidism.

Hypertension is not a risk factor

Answer and Explanation

The Correct Answer is A

Rationale:

A. This is important because AFib can lead to blood clots, which may cause bruising or other skin changes.

B. Missing doses of medication can increase the risk of complications in atrial fibrillation.

C. Hypothyroidism is not directly related to AFib. Therefore, this information is not relevant for AFib education.

D. Hypertension is a risk factor for atrial fibrillation.

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Correct Answer is D

Explanation

A. Regular pacemaker checks are scheduled periodically, not only when the battery needs replacement.
B. Modern pacemakers are well-shielded and are not affected by household microwaves.
C. Clients should check their pulse daily to ensure proper pacemaker function, not just weekly.
D. Many pacemakers can be checked remotely using telephone or wireless technology, allowing for convenient monitoring.

A. Sinus Tachycardia B. Ventricular Tachycardia C. Complete Heart Block D. Idioventricular Rhythm

Correct Answer is B

Explanation

A. A sinus tachycardia is characterized by a sinus P wave at a rate of more than 100 per minute followed by a narrow QRS complex unlike in the strip depicted above.

B. The above ECG strip shows a ventricular tachycardia based on the wide QRS with a rate more than 120 bpm, AV dissociation and the fusion beats.

C. A complete heart block is characterized by QRS complexes being conducted at their own rates and totally independent of the P wave.

D. An idioventricular rhythm is characterized by a slow regular ventricular rhythm with a rate less than 50 bpm unlike in the above strip. It also has a prolonged QRS interval with no P wave.

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A nurse is teaching a client who has a new diagnosis of atrial fibrillation. The nurse should include which of the following in the education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a permanent pacemaker and has just had the initial pacemaker check. Which of the following client statements indicates to the nurse that the teaching was effective?

Correct Answer is D

Explanation

Identify the following Cardiac Rhythm:

Correct Answer is B

Explanation

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