1. The nurse notices this rhythm on the client's monitor.The client is not responding and
has no pulse.The priority intervention includes:
Defibrillation Administer Atropine Administer Adenosine CPR:
Answer CPR
This rhythm is PEA- pulseless electrical activity.This is not a shockable rhythm therefore
CPR should be initiated immediately.
2. MONA stands for:
Meperidine, Octreotide, Nipride, Acetaminophen
Morphine, Oxygen, Nitroglycerin, Aspirin
Morphine, Oxycodone, Nitroglycerin, Albuterol
Metoprolol, Omeprazole, Naproxen, Aspirin:
Answer Morphine, Oxygen, Nitroglycerin, Aspirin
3. Client presents with fluid volume overload and left sided heart failure. Assessment
revealed a holosystolic "blowing" murmur. Past medical history includes infective
endocarditis.The echocardiogram confirms the diagnosis of:
Aortic valve stenosis
Mitral valve stenosis
Aortic valve regurgitation
Mitral valve regurgitation:
Answer Mitral valve regurgitation
A. Reflux of blood from the left ventricle into the left atrium during systole.
B. Causes: complication of mitral valve prolapse;LV dilatation, infective endocarditis;
acute rheumatic heart disease, and papillary muscle rupture after an MI.
C. Clinical features:
1. Holosystolic "blowing" murmur
2. Volume overload and left-sided heart failure
4. A client presents with SOB, crackles, pulmonary hypertension, and the
echocardiogram shows a left atrial hypertrophy.The EKG shown isthe client's rhythm. This
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