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1. A group of nursing students are studying D. "The ventricles of the heart are relaxed and
for an exam. Which of the following state- the atria contract during diastole."
ments would be accurate? The ventricles of the heart are relaxed during
A. "In an 18 year old, the point of maxi- diastole and contract during systole. The atria
mal impulse is located at the fourth inter- contract during diastole to move blood to the
costal space, left midclavicular line." ventricles and fill the coronary arteries.
B. "The apex of the heart is located at
the upper portion of the heart toward the
clavicle."
C. "In a child younger than age 7, the
heart is located behind and to the right
of the sternum."
D. "The ventricles of the heart are relaxed
and the atria contract during diastole."
2. Match the waveform with the appropri- 1. A
ate label. 2. B
1. Depolarization of the ventricles 3. C
2. Depolarization of the atria
3. Repolarization of the ventricles
A. QRS complex
B. P wave
C. T wave
3. A female patient arrives in the emer- A, C, D and E
gency department with complaints of Current medications the patient is taking
chest pain and is to receive a 12-lead should be known as some can cause dysrhyth-
electrocardiogram. Which of the follow- mias.
ing would be accurate nursing interven-
tions? (Select all that apply.) Placement of electrodes should be made as
A. Obtain a list of the patient's current close to the chest wall as possible, avoiding the
, Week 11: Cardiac Care Lesson 1-3
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medications. breast tissue.
B. Obtain the electrocardiogram within
20 minutes. A 12-lead ECG will determine the next step in
C. Avoid breast tissue as much as possible the patient's treatment plan.
when applying ECG electrodes.
A 12-lead ECG provides a snapshot of the elec-
D. Explain to the patient that the electro-
trical activity of the heart from multiple views.
cardiogram will aid in determining appro-
priate treatment.
E. Inform the patient this test will provide
a snapshot of the electrical activity of the
heart from multiple views.
4. Which of the following patients would the A, D, E and F
nurse anticipate may receive a 12-lead A 12-lead electrocardiogram may be used for
electrocardiogram? (Select all that ap- evaluation of syncope.
ply.)
A 12-lead electrocardiogram may be used
A. The patient who reports having fainted for evaluation of implanted defibrillators and
twice in the last week. pacemakers.
B. A patient who complains of abdominal
pain after eating. A 12-lead electrocardiogram may be used for
C. An elderly patient recently diagnosed evaluation of effects and side effects of phar-
with lung cancer. macotherapy.
D. A patient with a pacemaker who com-
The patient is displaying symptoms of myocar-
plains of shortness of breath.
dial infarction. A 12-lead electrocardiogram
E. A patient who has been taking pre-
may be used for evaluation of suspected heart
scribed beta-blockers and complains of
attack (myocardial infarction).
dizziness.
F. A middle-aged man who is pale, di-
aphoretic, and complains of "heaviness"
of his chest.