The nurse is caring for an older adult patient who is displaying alterations in the conduction of impulses in the SA node which the nurse assesses as what?

A) Cardiac gallop
B) Tachycardia
C) Cardiac dysrhythmias
D) Heart murmurs


C
Feedback:
Alterations in the generation of conduction of impulses in the heart cause arrhythmias (dysrhythmias), which can upset the normal balance in the cardiovascular system and lead to a decrease in cardiac output, affecting all of the cells of the body. Tachycardia is only one of the possible arrhythmias that may result. Cardiac gallop and murmurs in the older adult with no history of congenital anomalies is usually caused by a poorly functioning heart valve and not by an alteration in conduction.

Nursing

You might also like to view...

A 42-year-old woman complains that she has noticed several small, slightly raised, bright red dots on her chest. On examination, the nurse expects that the spots are probably:

a. Anasarca. b. Scleroderma. c. Senile angiomas. d. Latent myeloma.

Nursing

A patient with asthma is receiving a bronchodilator medication. If this therapy is helpful to the patient, the nurse would expect to find which of the following?

A) Increased productiveness of cough B) More intense wheezing C) Persistent tachycardia D) Reduced peak expiratory flow rate

Nursing

The client with hypercalcemia from advanced cancer is being treated with intravenous mithramycin. Which clinical manifestation indicates to the nurse that the treatment is effec-tive?

A. Bowel sounds are present and active in all four quadrants. B. The client's serum sodium level is 138 mmol/L. C. The pulse rate is 68 and bounding. D. Urine output has increased.

Nursing

Using a stepwise approach to managing asthma, a nurse teaches a patient who is at step 1 to use albuterol MDI [Proventil] at which of these times?

A. Whenever needed (PRN) as a quick-relief agent B. Twice daily combined with an inhaled glucocorticoid C. Only with a long-acting beta2 agonist (LABA) D. If nighttime awakenings occur more than 2 days a week

Nursing