NCLEX-PN

c.​ Third Degree Heart Block (Complete Heart Block)

○​ Complete dissociation between atrial and ventricular rhythms ○​ Atria and ventricles beat at different rates ○​ PR interval cannot be measured ○​ Wide QRS complexes ○​ May result from conditions like rheumatic fever, coronary ischemia, myocardial infarction, atrial septal defects, and medications (e.g., digoxin, beta-blockers) ○​ Symptoms may include syncope, dizziness, fainting, chest pain, and loss of consciousness. Treatment options include a pacemaker, medications to control atrial fibrillation and blood pressure, and addressing underlying causes.

Improving the Client's Cardiovascular Status: Monitoring and Managing Pacemakers In the pursuit of enhancing a client's cardiovascular status, nurses play a critical role in the monitoring and maintenance of cardiac pacemakers. Pacemakers are utilized for various cardiac conditions and arrhythmias, both on a temporary and permanent basis. The placement and care of pacemakers demand precise knowledge of the procedure, aseptic techniques, and vigilant monitoring of the client during and after the implantation process.

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