Author Question: A patient in the coronary care unit has the following cardiac rhythm: What action should the nurse ... (Read 51 times)

cagreen833 · **on:** Jun 25, 2018

A patient in the coronary care unit has the following cardiac rhythm: What action should the nurse take when caring for this patient?

1. Prepare to defibrillate.
2. Monitor for any changes.
3. Notify the healthcare provider.
4. Administer a dose of sublingual nitroglycerin.

Question 2

A patient is experiencing supraventricular tachycardia. Which medications should the nurse prepare to administer to this patient?

Select all that apply.

1. verapamil (Calan)
2. diltiazem (Cardizem)
3. amlodipine (Norvasc)
4. propafenone (Rythmol)
5. adenosine (Adenocard)

vickybb89 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2
This is a first-degree AV block. There is no action necessary for this dysrhythmia. This is not a life-threatening dysrhythmia. Defibrillation is not necessary. The healthcare provider does not need to be notified. Sublingual nitroglycerin is used for chest pain.

Answer to Question 2

Correct Answer: 1, 2, 3, 5
Calcium channel blockers decrease automaticity and AV nodal conduction. They are used to manage supraventricular tachycardia. These medications include amlodipine (Norvasc), verapamil (Calan), and diltiazem (Cardizem). Adenosine (Adenocard) decreases conduction through the AV node and is used to treat supraventricular tachycardia. Propafenone (Rythmol) is used to reduce or eliminate tachydysthymias associated with reentry.