Cardiovascular External Electrical Therapy Quiz

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Questions and Answers

What is the main difference between monophasic and biphasic defibrillators?

  • Biphasic defibrillators deliver energy in one direction.
  • Monophasic defibrillators need higher energy but deliver energy in one direction. (correct)
  • Biphasic defibrillators require higher energy levels.
  • Monophasic defibrillators deliver energy from two areas.

In which situation is urgent cardioversion typically performed?

  • When a patient requests it for comfort reasons.
  • When a dysrhythmia has lasted longer than 48 hours. (correct)
  • As part of a routine yearly check-up.
  • When the patient's family prefers it over other treatment options.

What is the main responsibility of a nurse post-cardioversion?

  • Obtaining a detailed medical history from the patient.
  • Administering sedatives to help the patient relax.
  • Preparing the patient for immediate discharge.
  • Monitoring rhythm conversion and vital signs. (correct)

In a pacemaker, what does the 'I' stand for in the response type 'I,T,D,O'?

<p>Inhibited (B)</p> Signup and view all the answers

What are the two heart blocks that commonly require pacemakers?

<p>Second degree type 2 and third degree heart blocks (C)</p> Signup and view all the answers

Which emergency situations typically require the use of defibrillation?

<p>Ventricular fibrillation (A)</p> Signup and view all the answers

What is the purpose of an implantable cardioverter-defibrillator (ICD)?

<p>To deliver electrical shocks to restore normal heart rhythm. (C)</p> Signup and view all the answers

Which medication is commonly used during CPR?

<p>Amiodarone (D)</p> Signup and view all the answers

'Twiddler syndrome' refers to a condition where a patient:

<p>'Twiddles' with their pacemaker leading to electrode dislodgement. (A)</p> Signup and view all the answers

'Demand' pacemakers differ from 'Fixed' pacemakers in that they:

<p>'Fixed' pacemakers respond only when needed by the patient's rhythm. (D)</p> Signup and view all the answers

What is the advantage of a TEE procedure?

<p>It allows for quick diagnosis within 40 minutes (B)</p> Signup and view all the answers

What are the main vital signs that must be monitored before, during, and after a TEE procedure?

<p>Heart rate, oxygen saturation, and blood pressure (C)</p> Signup and view all the answers

Which medication may be required for a patient with borderline renal function before a cardiac catheterization procedure?

<p>Oral mucamist mixed with OJ (C)</p> Signup and view all the answers

How does defibrillation work to treat arrhythmias?

<p>By contracting the muscle cells of the heart (D)</p> Signup and view all the answers

What is the next step if defibrillation is not effective after multiple attempts?

<p>Administer amiodarone 300mg IV push (B)</p> Signup and view all the answers

What must be absent in a patient in order to perform defibrillation?

<p>Pulse (D)</p> Signup and view all the answers

What must a nurse do if a patient experiences severe back pain after a cardiac catheterization procedure?

<p>Reposition the patient in Trendelenburg position (C)</p> Signup and view all the answers

For what purpose is an IV site insertion necessary during a cardiac catheterization procedure?

<p>To administer sedatives and fluids (A)</p> Signup and view all the answers

What should be checked before delivering a shock to a patient during defibrillation?

<p>Confirm that no one is touching the patient or bed (D)</p> Signup and view all the answers

What is essential for a successful cardioversion procedure?

<p>Continuous monitoring of peripheral IV access (C)</p> Signup and view all the answers

Which type of pacemaker is the most common?

<p>Transcutaneous pacemaker (C)</p> Signup and view all the answers

What is the purpose of turning off the defibrillator portion of a pacemaker for a patient receiving EOL care?

<p>To prevent the pacemaker from shocking unnecessarily (C)</p> Signup and view all the answers

Where are Intracardiac pacemakers typically placed?

<p>During open heart surgery (A)</p> Signup and view all the answers

What is the purpose of a TEE (Transesophageal Echocardiogram)?

<p>To visualize clots in the heart (D)</p> Signup and view all the answers

Which diagnostic test involves a patient lying on their left side with the arm above their head?

<p>TTE (A)</p> Signup and view all the answers

How is an Echocardiogram usually performed?

<p>By lubricating a probe and taking images of the heart (D)</p> Signup and view all the answers

Which type of pacemaker may be temporary?

<p>Transcutaneous pacemaker (C)</p> Signup and view all the answers

What is an AICD used for?

<p>Acting as a defibrillator (C)</p> Signup and view all the answers

In which type of pacemaker placement can issues be resolved within 48 hours?

<p>Intracardiac pacemaker (D)</p> Signup and view all the answers

Why is it important for a patient undergoing outpatient TEE to have a gag reflex before eating or going home?

<p>To prevent aspiration after sedation (C)</p> Signup and view all the answers

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