Nursing homework help

NAME: ___DebbieJennette_______________ Score:______________

NURS 424: FALL 2017

EKG Interpretation

1. You are a nurse working in the Emergency Department of a hospital. You are asked to admit a patient who came in with chest pain. When you arrive to assess the patient you find them unresponsive.

a. Please analyze the rhythm (below).

R-R, Regular or Irregular (.1 pt.) Irregular	Rate: (.1 pt.) Not discernible
PR interval: (.1 pt.) N/A	QRS: (.1 pt.) N/A
QT: (.1 pt.) N/A	Rhythm: (.3 pt.) Rapid, unorganized, not discernable

b. What is the necessary immediate intervention? (.1 point)

Start CPR/ACLS, call a Code Blue, defibrillate ASAp and start IV and hang NS, Notify MD

c. What are two typical precipitating factors that occur with this rhythm? (.1 pt.)

i. _______AMI______________

ii. _________Myocardial Ischemia____________

2. You are a nurse caring for a patient on a telemetry unit. The patient was admitted for hypotension and tachycardia several days ago. The patient has stabilized and needs to achieve therapeutic levels for prophylactic treatment prior to discharge.

a. Please analyze their strip (below).

Regular or Irregular (.1 pt.) Irregular	Rate: (.1 pt.) >100 bpm
PR interval: (.1 pt.) interval is indiscernible	QRS: (.1 pt.) 0.06 seconds
QT: (.1 pt.) unmeasurable	Rhythm: (.3 pt.)

The patient has been determined to have this dysrhythmia chronically and is considered stable.

a. What prophylactic treatment will most likely be initiated and why? (.2pt.)

3. Please analyze the rhythm below.

Regular or Irregular (.1 pt.) Regular	Rate: (.1 pt.) 115 bpm
PR interval: (.1 pt.) 0.28	QRS: (.1 pt.) 0.08
QT: (.1 pt.) 0.76	Rhythm: (.3 pt.)

You have received orders to administer a beta blocker metoprolol to your patient. What are appropriate reasons to hold metoprolol? (.2 pt.)

4. The doctor has placed orders for your patient to be transfer from the intensive care unit (ICU). As you prepare the patient to move, you assess their rhythm and find them to have the below tracing.

a. Please analyze the rhythm (below).

Image result for 3rd degree heart block

Regular or Irregular (.1 pt.) Regular	Rate: (.1 pt.) 35 bpm
PR interval: (.1 pt.) Not measurable	QRS: (.1 pt.) Varies – Wide and bizarre >0.12 sec
QT: (.1 pt.)	Rhythm: (.3 pt.) depends on underlying rhythm

What interventions are appropriate to treat this rhythm? (.2 pts).

5. You have received an 18 year old anorexic patient in the ER. The patient has been self-inducing vomiting 6 times daily for the last week. As you attempt to triage her; she becomes diaphoretic, pale, and syncopal.

a. Please analyze her rhythm (below).

Regular or Irregular: (.1 pt.) regular	Rate: (.1 pt.) 166 bpm
PR interval: (.1 pt.) Not applicable	QRS: (.1 pt.) Present and all shaped the same
QT: (.1 pt.) Not measurable	Rhythm: (.3 pt.)

Identify two treatments for the dysrhythmia specific to this scenario. (.2 pt.)

6. Please analyze the rhythm (below).

Regular or Irregular: (.1 pt.) Regular	Rate: (.1 pt.) 78 bpm
PR interval: (.1 pt.)	QRS: (.1 pt.)
QT: (.1 pt.)	Rhythm: (.3 pt.)

a. Name the distinctive pattern associated with this rhythm. (.2 pt.)

7. Please analyze the rhythm (below)

Regular or Irregular: (.1 pt.) regular	Rate: (.1 pt.) 34
PR interval: (.1 pt.) 0.12 sec	QRS: (.1 pt.) 0.08 sec
QT: (.1 pt.)	Rhythm: (.3 pt.)

a. What determines if this rhythm requires intervention? (.2 pt.)

8. You are a nurse on a telemetry unit and receive a patient from the ER. This patient is being admitted for uncontrolled diabetes. They have a significant cardiac history.

Please analyze the rhythm (below).