When explaining a new diagnosis of complete heart block to a client/family, the nurse should include which of the following statements?
A) "This means that your atria are not contracting normally, they are quivering."
B) "One consequence of this type of block is a very slow heart rate that limits circulation to the brain."
C) "This type of arrhythmia requires defibrillation, which will occur in the cardiac catheter lab later today."
D) "It's pretty common for everyone to experience this arrhythmia, especially during times of stress in their lives."
Ans: B
Feedback:
In complete heart block, the atria and ventricles beat independently of each other. The most serious effect of some forms of AV block is a slowing of heart rate to the extent that circulation to the brain is compromised. Atria fibrillation is where there is interruption of the normal contraction of the atria, and the atria are quivering rather than contracting. Ventricular fibrillation requires immediate defibrillation for the client to survive. Complete heart block is not common. However, PVCs do occur under times of stress.
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