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</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</p> Signup and view all the answers

    Which emergency situations typically require the use of defibrillation?

    <p>Ventricular fibrillation</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.</p> Signup and view all the answers

    Which medication is commonly used during CPR?

    <p>Amiodarone</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.</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.</p> Signup and view all the answers

    What is the advantage of a TEE procedure?

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

    How does defibrillation work to treat arrhythmias?

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

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

    <p>Pulse</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</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</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</p> Signup and view all the answers

    What is essential for a successful cardioversion procedure?

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

    Which type of pacemaker is the most common?

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

    Where are Intracardiac pacemakers typically placed?

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

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

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

    How is an Echocardiogram usually performed?

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

    Which type of pacemaker may be temporary?

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

    What is an AICD used for?

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

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

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

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