A nurse is examining the ECG of a client who has frequent premature ventricular contractions (PVCs).
Which of the following QRS changes should the nurse
... [Show More] expect to see on the client's ECG?
A. Narrower than usual QRS complexes
B. Much greater amplitude than the usual QRS complexes
C. Same polarity as the usual QRS complexes
D. Immediate resumption of the usual rhythm (Correct Answer) - ✅ B. Much greater amplitude than
the usual QRS complexes
The QRS complexes unusually have greater amplitude in height and depth in clients with PVCs.
A nurse is caring for a client who is experiencing autonomic dysreflexia due to a C5 spinal cord injury.
After checking the client's vital signs, which of the following actions should the nurse perform next?
A. Administer nifedipine
B. Place the client in a high-Fowler's position
C. Check for urinary retention
D. Check for a fecal impaction (Correct Answer) - ✅ B. Place the client in a high-Fowler's position
According to evidence-based practice, the nurse should first place the client in a high-Fowler's position
to decrease the client's blood pressure and reduce the risk of end-organ damage from the sudden rise in
blood pressure.
A nurse is monitoring a client for reperfusion following thrombolytic therapy to treat acute myocardial
infarction (MI). Which of the following indicators should the nurse identify to confirm reperfusion?
A. Ventricular dysrhythmias
B. Appearance of Q waves
C. Elevated ST segments
D. Recurrence of chest pain (Correct Answer) - ✅ A. Ventricular dysrhythmias
The appearance of ventricular dysrhythmias following thrombolytic therapy is a sign of reperfusion of
the coronary artery.
A nurse is teaching a newly licensed nurse about caring for a client who is scheduled for an
esophagogastric balloon tamponade tube to treat bleeding esophageal varices. Which of the following
pieces of information should the nurse include in the teaching?
A. The client will be placed on mechanical ventilation prior to this procedure.
B. The tube will be inserted into the client's trachea.
C. The client will receive a bowel preparation with cathartics prior to this procedure.
D. The tube allows the application of a ligation band to the bleeding varices. (Correct Answer) - ✅ A.
The client will be placed on mechanical ventilation prior to this procedure.
The client will require intubation and mechanical ventilation prior to this procedure to protect the
airway.
A nurse is preparing an in-service presentation about the management of myocardial infarction (MI).
Death following MI is often a result of which of the following complications?
A. Cardiogenic shock
B. Dysrhythmias
C. Heart failure
D. Pulmonary edema (Correct Answer) - ✅ B. Dysrhythmias [Show Less]