The nurse who is caring for a client in ICU on a ventilator assesses a need for suctioning and is aware that the most common cardiac arrhythmia occurring during endotracheal suctioning is:
Ventricular tachycardia
Sinus tachycardia
Supraventricular tachycardia
Sinus bradycardia
The Correct Answer is D
A. Ventricular tachycardia is less commonly triggered by suctioning.
B. Sinus tachycardia may occur but is not the most common arrhythmia during suctioning.
C. Supraventricular tachycardia is not typically associated with suctioning.
D. Sinus bradycardia is the most common arrhythmia caused by vagal stimulation during endotracheal suctioning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. PVCs during suctioning may indicate hypoxia or irritation; the priority is to stop suctioning and ventilate the patient with 100% oxygen to prevent worsening arrhythmias.
B. Medications may be needed later, but immediate action is oxygenation and stopping suctioning.
C. Adjusting suction pressure is important but secondary to ensuring patient oxygenation.
D. Documentation is necessary but not the priority when PVCs are noted.
Correct Answer is B
Explanation
A. Ongoing cardiac care is still necessary after valvuloplasty to monitor valve function and complications.
B. Mechanical valve replacements require lifelong anticoagulant therapy to prevent thromboembolism, which is an important consideration when comparing with valvuloplasty.
C. Biologic valves do not require immunosuppressive drugs because they are derived from animal tissue.
D. Mechanical valves are durable and often last longer than 5 years, usually 10-20 years or more before replacement might be needed.
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