Synchronized Cardioversion Quiz
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Questions and Answers

What is the primary purpose of synchronized cardioversion?

  • To induce ventricular fibrillation
  • To increase heart rate during bradycardia
  • To augment the cardiac output
  • To stop supraventricular and ventricular tachycardias (correct)

Why is it important for energy to be delivered during the QRS complex in synchronized cardioversion?

  • To enhance the effectiveness of defibrillation
  • To make the procedure less painful
  • To prevent the heart from stopping completely
  • To avoid discharging energy during the T wave (correct)

What type of cardiomyopathies can be treated with synchronized cardioversion?

  • Aortic stenosis
  • Atrial flutter with rapid ventricular response (correct)
  • Pulmonary hypertension
  • Complete heart block

What is a common indication for performing cardioversion urgently?

<p>Patient is hemodynamically unstable (B)</p> Signup and view all the answers

What is the preferred placement of the hands-free pads for synchronized cardioversion?

<p>Anterior to posterior (C)</p> Signup and view all the answers

What is the normal heart rate range for sinus rhythm?

<p>60-100 beats per minute (A)</p> Signup and view all the answers

Which of the following is a cause of sinus bradycardia?

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

What is the PR interval duration typically seen in sinus tachycardia?

<p>0.12-0.20 seconds (C)</p> Signup and view all the answers

In managing sinus bradycardia, which medication is administered first?

<p>Atropine 0.5 mg IV (C)</p> Signup and view all the answers

What is the expected P:QRS ratio in sinus tachycardia?

<p>1:1 (D)</p> Signup and view all the answers

What factors can potentially alter blood flow in the presence of dysrhythmias?

<p>Both rate and rhythm disturbances (C)</p> Signup and view all the answers

Which of the following ECG characteristics is not associated with sinus rhythm?

<p>P:QRS ratio of 2:1 (C)</p> Signup and view all the answers

What is the primary goal in the management of sinus bradycardia?

<p>Increase heart rate (A)</p> Signup and view all the answers

What medication is typically used for treating stable ventricular tachycardia?

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

Which of the following is NOT a cause of ventricular tachycardia?

<p>Pulmonary embolism (A), Aortic stenosis (B)</p> Signup and view all the answers

What is the maximum initial dose of Amiodarone for pulseless ventricular tachycardia?

<p>300 mg (B)</p> Signup and view all the answers

What should be assessed when evaluating ventricular tachycardia?

<p>QRS complex and P waves (A)</p> Signup and view all the answers

Which rhythm is characterized by disorganized ventricular activity with no cardiac output?

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

What is a common treatment approach for unstable ventricular tachycardia?

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

Which condition is associated with a lack of heart activity and no cardiac output?

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

What common electrolyte abnormalities can precipitate ventricular fibrillation?

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

What is the primary cause of Pulseless Electrical Activity (PEA)?

<p>Severe heart disease (C)</p> Signup and view all the answers

What key management step is part of treating PEA?

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

Which of the following is NOT one of the H's associated with causes of cardiac arrest?

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

What is a characteristic feature of a complete heart block?

<p>Impulses from the atria are completely blocked at the AV node (A)</p> Signup and view all the answers

What is an appropriate goal of nursing care for patients with dysrhythmias?

<p>Maintain cardiac output (A)</p> Signup and view all the answers

What type of intervention might be used for symptomatic dysrhythmias?

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

Which of the following describes the state of a stable patient with dysrhythmias?

<p>Maintains adequate cardiac output (C)</p> Signup and view all the answers

What is a common management step used in response to a patient's unstable condition?

<p>Immediate use of defibrillation (B)</p> Signup and view all the answers

What is the primary purpose of continuous cardiac monitoring?

<p>To provide real-time assessment of heart rhythms (A)</p> Signup and view all the answers

Which component of the ECG complex indicates atrial depolarization?

<p>P Wave (C)</p> Signup and view all the answers

What does an elevated ST segment typically indicate?

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

How long is the normal duration of a PR interval?

<p>0.12 – 0.20 seconds (C)</p> Signup and view all the answers

What might a prolonged QRS complex suggest?

<p>Delayed conduction or block within the ventricles (D)</p> Signup and view all the answers

Which type of ECG monitor provides a graphic representation of the heart's electrical activity over time?

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

What is indicated by a T wave that is flat or inverted?

<p>Electrolyte imbalance or myocardial ischemia (C)</p> Signup and view all the answers

Which statement accurately describes the purpose of a 12-lead ECG?

<p>It provides a comprehensive view of the heart's electrical activity in 12 different positions. (C)</p> Signup and view all the answers

What is the significance of the QRS complex in an ECG?

<p>Indicates the contraction of the ventricles (D)</p> Signup and view all the answers

What do the vertical and horizontal lines on ECG graph paper represent?

<p>Voltage and time, respectively (B)</p> Signup and view all the answers

Which condition is most likely indicated by a depression in the ST segment?

<p>Myocardial ischemia or old injury (B)</p> Signup and view all the answers

How is lead II characterized on an ECG?

<p>P wave is upright, QRS is upright (C)</p> Signup and view all the answers

Which of the following is NOT a component of the ECG complex?

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

What is the role of electrodes in ECG monitoring?

<p>To detect electrical activity from the heart and transmit it to the monitor (B)</p> Signup and view all the answers
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