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7. The nurse is teaching the patient with an arrhythmia. Which statement indicates that the patient requires further teaching? a. “I’ve cut my coffee from 10 cups to 2 cups a day.”b. “I don’t drink regular cola drinks anymore.”c. “I have given up drinking those high-energy drinks.”d. “I’ve switched from 5 cups of coffee to 5 cups of tea.”ANS: D The patient with an arrhythmia should decrease caffeine intake. Tea has as much caffeine as coffee does, or more. All other options will reduce the caffeine intake.PTS: 1 DIF: Cognitive Level: Comprehension REF: 435, Clinical Cues OBJ: 2 (clinical) TOP: Arrhythmias: Caffeine Reduction KEY: Nursing Process Step: Evaluation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease8. The nurse is analyzing a patient’s telemetry strip and observes a sawtooth appearance with no P waves. How should the nurse document this finding? Atrial flutter displays a sawtooth appearance generated from small ineffective contractions prior to the QRS complex. An abnormally shaped P wave appears on the electrocardiogram (ECG) before the QRS wave in PAC. PVC is seen as an early beat without a P wave and with a wide QRS complex. VT is seen as three or more PVCs in a row with a ventricular rate of greater than 100 beats/min.PTS: 1 DIF: Cognitive Level: Application REF: 437 OBJ: 2 (clinical) TOP: Arrhythmias: Atrial Flutter KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
9. The nurse is caring for a patient with atrial fibrillation who asks why she needs to take warfarin. Which statement best answers the patient’s question? Warfarin keeps clots from forming in the retained blood in the atria left there by the ineffective atrial contractions.PTS: 1 DIF: Cognitive Level: Comprehension REF: 437 OBJ: 3 (clinical) TOP: Arrhythmias: Warfarin KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
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Cardiology, Morphine, Nursing Process Step, Acute Pulmonary edema, Med Surg Cardio