Author Question: When assessing a patient with PVCs, the nurse knows that the ectopic beat is multifocal because it ... (Read 34 times)

Capo · **on:** Jun 25, 2018

When assessing a patient with PVCs, the nurse knows that the ectopic beat is multifocal because it appears

a. in various shapes in the same lead.
b. with increasing frequency.
c. to widen the QRS width.
d. in a specific pattern in the same lead.

Question 2

A patient with acute respiratory failure may require a bronchodilator if which of the following occurs?

a. Excessive secretions
b. Bronchospasms
c. Thick secretions
d. Fighting the ventilator

stano32 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

A
If the ventricular ectopic beats are of various shapes in the same lead, they are multifocal. Multifocal ventricular ectopics are more serious than unifocal ventricular ectopics because they indicate a greater area of irritable myocardial tissue and are more likely to deteriorate into ventricular tachycardia or fibrillation.

Answer to Question 2

B
Bronchodilators aid in smooth muscle relaxation and are of particular benefit to patients with airflow limitations. Mucolytics and expectorants are no longer used because they have been found to be of no benefit in this patient population.