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You work the day shift in the Transitional Care Unit and have been assigned two clients who require total care. Each client is connected to a cardiac monitor.

Client 1: A 65-year-old man with heart failure, who responds well to the drug treatment of Lasix and digoxin. your lungs are
lungs are clear, and he has lost 5 pounds since yesterday.

 

Client 2: A 70 year old woman with a myocardial infarction 2 days ago. It is considered unstable and is receiving close surveillance.

 

1. Complete the interpretation of the EKG for client 1.

 

2. Determine the following:

a. heart rate

b. rhythm regularity

c. PR interval

d. QRS duration

 

2. Identify the rhythm based on the information

 

3. Is it a life-threatening arrhythmia?

4. What is your priority intervention?

5. Identify the EKG for client 2.

6. What are the implications of this client’s status?

7. Identify why this client may have this type of EKG reading

 

8. Identify the most effective pharmacological treatment for this arrhythmia and provide the pharmacological action to support its response.

9. Identify the potential side effects of the drug and the clinical manifestations to watch for in your evaluation.

 

10. As you prepare to provide hygienic care for Client 2, you look at the monitor and see the following EKG findings

a. What rhythm is represented on EKG above?

b. Describe what happens to the patient in this rhythm.

c. What priority intervention should be carried out?

d. What is the second intervention if the priority intervention is not effective?

SCIENCE
HEALTH SCIENCE
NURSING
NUR 123

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