The nurse notes that a patient's cardiac monitor shows that every other beat is earlier than expected, has no visible P wave, and has a QRS complex that is wide and bizarre in shape. How will the nurse document the rhythm?
a. Ventricular couplets
b. Ventricular bigeminy
c. Ventricular R-on-T phenomenon
d. Multifocal premature ventricular contractions
ANS: B
Ventricular bigeminy describes a rhythm in which every other QRS complex is wide and bizarre looking. Pairs of wide QRS complexes are described as ventricular couplets. There is no indication that the premature ventricular contractions (PVCs) are multifocal or that the R-on-T phenomenon is occurring.
You might also like to view...
Following the use of a thrombolytic agent in the management of cerebrovascular accident (CVA) client, which is the priority nursing assessment?
A) Pulse B) Respirations C) Airway D) Blood pressure
The nurse is instructing a nursing student in proper technique for an intradermal injection. Which does the nurse use to evaluate proper technique for a tuberculin skin test after injecting the solu-tion?
a. The nurse palpates a deep, firm pocket of the test solution. b. The nurse observes a nearly clear bubble slightly under the skin. c. A small trickle of blood appears at the puncture site within minutes. d. A 2-cm (3/4-inch) pink, flattened area develops at the injection site within 1 hour.
The nurse assigns patient care to nursing assistive personnel (NAP). Which wound care task should the nurse assign to NAP?
a. Applying a hydrocolloid dressing b. Assessing the dimensions of the wound c. Reporting visible drainage on dressing d. Changing the first postoperative dressing
An elderly client arrives in the clinic complaining of dyspnea, weight gain, chest pain, and increasing edema of the lower extremities. The client's blood pressure is elevated. The nurse discovers the client has a history of heart failure
The nurse questions the client regarding which of the following that may best help with determining why the client is currently having health problems? 1. "Have you attended any recent family or social gatherings?" 2. "Have you been out of the country lately?" 3. "Are you married?" 4. "Do you have grandchildren that you babysit?"