The nurse is reading a cardiac monitor of a patient and observes a regular rhythm, and the P waves have a sawtooth pattern. The nurse recognizes this as which arrhythmia?

Atrial flutter

Ventricular tachycardia

Atrial fibrillation

Sinus tachycardia

Answer and Explanation

The Correct Answer is A

A.   Atrial flutter is characterized by a regular rhythm with rapid atrial contractions (flutter waves) that have a sawtooth appearance on the ECG tracing.
B.   Ventricular tachycardia typically presents with a wide QRS complex and is often associated with hemodynamic instability.
C.   Atrial fibrillation is characterized by irregularly irregular rhythm with no distinct P waves and irregular ventricular response.
D.   Sinus tachycardia is characterized by a regular rhythm with a heart rate greater than 100 beats per minute originating from the sinus node.

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Correct Answer is C

Explanation

A. While a splenectomy can lead to increased workload on the liver, it does not directly predispose the patient to liver disease.
B. A history of splenectomy does not specifically increase the risk of lupus.

C. Patients who have undergone splenectomy are at increased risk of certain infections, particularly encapsulated bacteria such as Streptococcus pneumoniae, which can cause pneumonia.
D. A history of splenectomy does not directly increase the risk of renal disease.

A. cranberry juice B. chocolate bar C. jello (a gelatin dessert) D. an orange E. grapefruit juice

Correct Answer is ["A","C"]

Explanation

A. Cranberry juice is typically low in potassium and would be suitable for a patient instructed to limit potassium intake.
B. Chocolate is generally high in potassium and would not be a suitable snack for a patient limiting potassium intake.
C. Jello is typically low in potassium and can be a suitable snack for a patient limiting potassium intake.
D. Oranges are high in potassium and would not be suitable for a patient instructed to limit potassium intake.
E. Grapefruit juice is high in potassium and would not be suitable for a patient limiting potassium intake.

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The nurse is reading a cardiac monitor of a patient and observes a regular rhythm, and the P waves have a sawtooth pattern. The nurse recognizes this as which arrhythmia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

Correct Answer is C

Explanation

A patient with acute kidney injury has been instructed to limit potassium intake. The nurse recognizes while reinforcing teaching that the teaching has been effective if the patient chooses which of the following snacks? Select all that apply

Correct Answer is ["A","C"]

Explanation

The nurse is giving discharge instructions to a patient on the medical-surgical unit. Which patient should be taught about the possibility of an overwhelming infection?

Which of the following beverages should a patient with Hodgkin's disease be instructed to avoid?

Which of the following are characteristics of Hodgkin's disease? (Select All that Apply.)

Which of the following describe the function of the kidneys? Select all that apply.

The nurse is reviewing a patient's electrocardiogram (ECG) tracing. Which of the following are characteristics of normal sinus rhythm (NSR?

The nurse is creating a plan of care for a patient on the oncology unit. Which patient is at highest risk for developing spontaneous pathological fractures?

Which of the following are rules for atrial fibrillation? Select all that apply