Ecg strip show irregular ventricular rhythm

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Question

1. The ECG strip show irregular ventricular rhythm, ventricular rate is 130 beats per minute, the P wave is absent, the PR interval and the QT interval are not measurable, QRS complex is wide and bizarre with varying duration and the T wave is opposite the QRS complex. You would interpret the rhythm as

a. Ventricular fibrillation b. Ventricular tachycardia c. Idioventricular rhythm d. Torsades de pointes

2. In type I second degree block, the PR interval

a. Varies according to the ventricular response b. Progressively lengthens until QRS complex is dropped c. Remains constant despite an irregular ventricular rhythm d. Is unmeasurable

3. A client in ventricular fibrillation is about to be defibrillated. A nurse knows that to convert this rhythm effectively the machine should be set at which of the following energy level for the 1st delivery

A. 50 joules B. 100 joules C. 200 joules D. 360 joules

4. The client is in complete heart block. Which intervention should the nurse implement first?

a. Prepare to insert a pacemaker. b. Administer atropine, an antidysrhythmic as ordered. c. Obtain a STAT electrocardiogram (ECG). d. Monitor vital signs

5. A patient comes to the emergency room reporting chest pain after using cocaine. Vital signs of BP 140/92, HR 120/min, RR 26 and O2 sat or 98%. What rhythm on the cardiac monitor is anticipated viewing?

a. Sinus bradycardia b. Sinus tachycardia c. Normal sinus rhythm d. Ventricular tachycardia

Reference no: EM133844070

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