Cardiovascular External Electrical Therapy Quiz

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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'?

Inhibited Signup and view all the answers

What are the two heart blocks that commonly require pacemakers?

Second degree type 2 and third degree heart blocks Signup and view all the answers

Which emergency situations typically require the use of defibrillation?

Ventricular fibrillation Signup and view all the answers

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

To deliver electrical shocks to restore normal heart rhythm. Signup and view all the answers

Which medication is commonly used during CPR?

Amiodarone Signup and view all the answers

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

'Twiddles' with their pacemaker leading to electrode dislodgement. Signup and view all the answers

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

'Fixed' pacemakers respond only when needed by the patient's rhythm. Signup and view all the answers

What is the advantage of a TEE procedure?

It allows for quick diagnosis within 40 minutes Signup and view all the answers

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

Heart rate, oxygen saturation, and blood pressure Signup and view all the answers

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

Oral mucamist mixed with OJ Signup and view all the answers

How does defibrillation work to treat arrhythmias?

By contracting the muscle cells of the heart Signup and view all the answers

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

Administer amiodarone 300mg IV push Signup and view all the answers

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

Pulse Signup and view all the answers

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

Reposition the patient in Trendelenburg position Signup and view all the answers

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

To administer sedatives and fluids Signup and view all the answers

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

Confirm that no one is touching the patient or bed Signup and view all the answers

What is essential for a successful cardioversion procedure?

Continuous monitoring of peripheral IV access Signup and view all the answers

Which type of pacemaker is the most common?

Transcutaneous pacemaker 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?

To prevent the pacemaker from shocking unnecessarily Signup and view all the answers

Where are Intracardiac pacemakers typically placed?

During open heart surgery Signup and view all the answers

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

To visualize clots in the heart Signup and view all the answers

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

TTE Signup and view all the answers

How is an Echocardiogram usually performed?

By lubricating a probe and taking images of the heart Signup and view all the answers

Which type of pacemaker may be temporary?

Transcutaneous pacemaker Signup and view all the answers

What is an AICD used for?

Acting as a defibrillator Signup and view all the answers

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

Intracardiac pacemaker 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?

To prevent aspiration after sedation Signup and view all the answers