Nsg Sc II (3/23-R2)

Your postoperative cardiac surgery patient is receiving an epinephrine infusion. For which of the following conditions should the ICU nurse observe?

• Respiratory acidosis

• Hyperglycemia

• Adrenal insufficiency

• Afterload reduction

The client is scheduled for implantable cardioverter defibrillators (ICD) for treatment of a dysrhythmia. The nurse explains that the action of this procedure is to:

• Trigger electrical impulses to the heart

• Take over SA node function

• Block AV node transmission of impulses

• Increase ventricular conduction

The nurse is doing discharge teaching with the patient who received an implantable cardioverter-defibrillator (ICD) in the left side. Which statement by the patient indicates to the nurse that further teaching is required?

• "I will call the cardiologist if my ICD fires."

• "I cannot fly because it will damage the ICD."

• "I cannot move my left arm until it is approved."

• "I cannot drive until my cardiologist says it is okay."

Interpret the rhythm:

• First degree AV block

• Atrial Fibrillation

• Atrial Flutter

• Ventricular Fibrillation

When assessing vital signs in a patient with a permanent pacemaker, the nurse needs to know the:

• Pacer rate

• Model number

• Date of insertion

• Location of the generator

A patient in cardiogenic shock had insertion of an IABP via the left femoral approach. The nurse notes that the left foot is cool and the left pedal pulse is weak. Which of the following is appropriate action:

• Call the doctor immediately

• Reevaluate the neurovascular status for another 2 hours

• Increase the rate of intravenous nitroglycerin that is infusing

• Document the data only, as this is expected because of the catheter size

If the ECG is not sufficient as a trigger in the intra-aortic balloon pump therapy, which of the following should be used as a trigger?

• T- wave

• P interval

• Pacer spikes

• Arterial pressure waveform

Patients with implantable cardioverter defibrillator (ICD) has fires more than twice and they feel nausea, confused or lightheaded. What is the BEST advice that should be given?

• Complete rest in bed

• Take the patient’s pulse rate

• Seek for immediate treatment

• Reevaluate the symptoms for another 2 hours

Ventricular assist device is a device that provides electrical stimuli to restore a normal heartbeat.

• True

• False

Interpret the IABP waveform:

• Early inflation

• Early deflation

• Late inflation

• Late deflation