Page 220 - Critical Care Nursing Demystified

Chapter 4 CARE OF THE PATIENT WITH CRITICAL CARDIAC RHY THM DISTURBANCE NEEDS 205

6. A patient has multiple saw-toothed P waves at a rate of 300 beats per minute.
This patient’s rhythm is most likely
A. Paroxysmal atrial tachycardia (PAT)
B. Premature atrial contractions (PACs)
C. Atrial flutter
D. Atrial fibrillation

7. A patient has a VVIR mode pacemaker. The nurse knows that this pacemaker is
characterized by which of the following?

Pacing Sensing Response to Sensing Rate Modulation
A. Atrial Atrial Triggered None
B. Atrial Ventricular Inhibited Rate modulated
C. Ventricular Atrial Triggered Rate modulated
D. Ventricular Ventricular Inhibited Rate modulated

8. A patient is being taught how to care for his pacemaker site by the critical care
nurse. Which of the following indicates that this patient understands safe care
of the device?
A. “I will not handle the pacemaker leads at the same time as the toaster.” Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.158.117] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission.
B. “I will obtain a medic alert tag as soon as I can.”
C. “Since it was implanted in the OR I do not have to worry about infection.”
D. “I must not be around a home microwave.”

9. Which of the following pacemakers is usually used in an emergency and at-
tached by the critical care nurse to the patient?
A. Transcutaneous pacer
B. Epicardial pacer
C. Transvenous pacer
D. Permanent pacer

10. A nurse is preparing drugs for a cardiac arrest victim. Which of the following
drugs is used in almost all cardiac arrest scenarios?
A. Atropine
B. Epinephrine
C. Adenosine
D. Sodium bicarbonate