Test Bank For Medical-Surgical Nursing: Assessment and
Management of Clinical Problems 9th Edition By Sharon Lewis,
Shannon Dirksen, Margaret Heitkemper, Linda Bucher
9780323086783 Chapter 1-69 Complete Guide .
First degree AV - ANSWER: p wave normal, P-r interval is prolonged as impulse is initiated at SA node,
but delayed on way to AV node
Where are the impulses conducted in First degree AV block? - ANSWER: To the ventricles
During a First-degree AV block, after the impulse moves through the AV node, the
___________________________ respond normally. - ANSWER: ventricles
True or False: First-degree AV block is usually not serious and patients are usually asymptomatic. -
ANSWER: True
What is the treatment for First Degree AV block? - ANSWER: NONE
Patients should continue to be monitored for any new changes in heart rhythm.
Second Degree Heart Block Type 1 - ANSWER: Progressive lengthening of the PR interval until a
QRS complex fails to appear after a P wave
Names of Type I Second-Degree Heart Block - ANSWER: Mobitz I or Wenckebach
Phrase to remember for Type I Second-Degree Heart Block - ANSWER: "longer, longer, longer, drop,
now you have a Wenchkeback"
Treatment for Second-Degree Heart Block Type I - ANSWER: Symptomatic: atropine or a temp
pacemaker to increase HR
Asymptomatic: monitor pt
Have a transcutaneous pacemaker on standby
Second-Degree Heart Blo - ANSWER: Atrial rate is usually normal. Atrial rhythm is regular, but
ventricular rhythm is irregular. The P wave has a normal shape. The PR interval may be normal or
prolonged. The QRS is usually wider.
True or False: Second-Degree Heart Block Type II is an indicator for a permanent pacemaker. -
ANSWER: True
Clinical associations with Second-Degree Heart Block Type II? - ANSWER: Rheumatic heart disease,
CAD, anterior MI, and drug toxicity
Treatment for Second-Degree Heart Block Type II - ANSWER: Transcutaneous pacing or the insertion
of a temporary pacemaker.
Third-Degree AV Block - ANSWER: No impulses from the atria are conducted to the ventricles.
The atria are stimulated and contract independently of the ventricles.
What drugs can cause Third-degree heart block - ANSWER: Digoxin, B-blockers, and calcium channel
blockers
Premature Ventricular - ANSWER: A contraction coming from the ectopic focus in the ventricles. It is
the premature (early) occurrence of a QRS complex.
Management of Clinical Problems 9th Edition By Sharon Lewis,
Shannon Dirksen, Margaret Heitkemper, Linda Bucher
9780323086783 Chapter 1-69 Complete Guide .
First degree AV - ANSWER: p wave normal, P-r interval is prolonged as impulse is initiated at SA node,
but delayed on way to AV node
Where are the impulses conducted in First degree AV block? - ANSWER: To the ventricles
During a First-degree AV block, after the impulse moves through the AV node, the
___________________________ respond normally. - ANSWER: ventricles
True or False: First-degree AV block is usually not serious and patients are usually asymptomatic. -
ANSWER: True
What is the treatment for First Degree AV block? - ANSWER: NONE
Patients should continue to be monitored for any new changes in heart rhythm.
Second Degree Heart Block Type 1 - ANSWER: Progressive lengthening of the PR interval until a
QRS complex fails to appear after a P wave
Names of Type I Second-Degree Heart Block - ANSWER: Mobitz I or Wenckebach
Phrase to remember for Type I Second-Degree Heart Block - ANSWER: "longer, longer, longer, drop,
now you have a Wenchkeback"
Treatment for Second-Degree Heart Block Type I - ANSWER: Symptomatic: atropine or a temp
pacemaker to increase HR
Asymptomatic: monitor pt
Have a transcutaneous pacemaker on standby
Second-Degree Heart Blo - ANSWER: Atrial rate is usually normal. Atrial rhythm is regular, but
ventricular rhythm is irregular. The P wave has a normal shape. The PR interval may be normal or
prolonged. The QRS is usually wider.
True or False: Second-Degree Heart Block Type II is an indicator for a permanent pacemaker. -
ANSWER: True
Clinical associations with Second-Degree Heart Block Type II? - ANSWER: Rheumatic heart disease,
CAD, anterior MI, and drug toxicity
Treatment for Second-Degree Heart Block Type II - ANSWER: Transcutaneous pacing or the insertion
of a temporary pacemaker.
Third-Degree AV Block - ANSWER: No impulses from the atria are conducted to the ventricles.
The atria are stimulated and contract independently of the ventricles.
What drugs can cause Third-degree heart block - ANSWER: Digoxin, B-blockers, and calcium channel
blockers
Premature Ventricular - ANSWER: A contraction coming from the ectopic focus in the ventricles. It is
the premature (early) occurrence of a QRS complex.
