Rhythm InterpretationPregunta 20 de 100
A telemetry strip suddenly shows chaotic, irregular waves of varying height with no identifiable P waves, QRS complexes, or T waves. What should the technician do first?
a.Reposition the electrodes and print a new strip
b.Chart the finding and continue monitoring
c.Ask the patient to lie still and stop talking
d.Immediately check the patient and call for emergency help
Explicación
That description is ventricular fibrillation, a lethal rhythm in which the ventricles quiver and produce no cardiac output, so the technician must verify the patient at the bedside and activate the emergency response without delay. Documenting and waiting wastes the minutes that determine survival. Repositioning electrodes or asking the patient to hold still is the response to suspected artifact, and artifact is ruled out the moment the patient is found unresponsive and pulseless.
Practica las 100 preguntas gratis — sin registro.
Preguntas relacionadas de este tema
- What is the inherent rate range of the AV junction when it functions as the heart's pacemaker?
- A sinus rhythm strip contains a single early beat that is wide and bizarre, has no preceding P wave, and has a T wave that points opposite to the QRS. What is the beat?
- A monitor alarms and the strip shows a regular wide-complex rhythm at 170 beats per minute with no visible P waves. The patient is unresponsive. What rhythm is displayed?
- A monitor shows a nearly flat line with no waveforms in two different leads and the patient is unresponsive with no pulse. What is this rhythm?
- A strip shows wide QRS complexes at a regular rate of 32 beats per minute with no P waves. What is this rhythm called?
- A regular strip at 68 beats per minute has one upright P wave before every narrow QRS, and every PR interval measures 0.28 second. What is this rhythm?
Última revisión: · proceso editorial
Equipo Editorial de PrepPass · Verificado con NHA Certified EKG Technician (CET) Exam · Cómo revisamos