Ch 21
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Questions and Answers

A patient asks the nurse what the action of the arteries is . Which response by the nurse is most appropriate?

  • The arteries act as valves of the heart
  • The arteries carry blood from capillaries to the heart
  • The arteries are the natural pacemaker of the heart
  • The arteries carry blood from the heart to capillaries (correct)
  • The nurse is assessing the heart rate for a person who plays basketball and runs track. What findings are anticipated?

  • Bradycardia (correct)
  • Tachycardia
  • Hypotension
  • Orthostatic hypotension
  • The nurse is caring for a patient recovering from a cardiac catheterization with aright femoral artery entry site. Which action should the nurse take?

  • Ambulate within 2 hours
  • Position knees with a 30-degree bend
  • Encourage oral fluids (correct)
  • Apply a light dressing to the femoral site
  • The nurse is caring for a patient admitted with chest pain and suspected myocardial infarction(MI). The elevation of which laboratory value supports this finding?

    <p>Troponin</p> Signup and view all the answers

    The nurse is caring for a group of patients. Which factor plays a leading role in cardiovascular disease?

    <p>Lifestyle choices</p> Signup and view all the answers

    The nurse is explaining the regulation of blood pressure(BP) to a patient newly diagnosed with hypertension. What tissues within the artery wall that help maintain diastolic BP should the nurse identify for the patient?

    <p>Smooth muscle and elastic connective tissue</p> Signup and view all the answers

    The nurse instructs a patient on stopping the prescribed medication warfarin(Coumadin) before surgery. What is the reason for this?

    <p>It increases bleeding risk</p> Signup and view all the answers

    A patient has sustained damage to the sinoatrial(SA) and atrioventricular(AV) nodes. Which hear rates indicate that the patient's bundle of HIs node has taken over as the pacemaker for the heart?

    <p>20 to 35 beats per minute</p> Signup and view all the answers

    The nurse is reinforcing teaching to a patient about to undergo a cardiac catheterization. Which statement made by the patient indicates a need for additional teaching?

    <p>This test will assess the electrical system of my heart</p> Signup and view all the answers

    The nurse is reviewing laboratory values for a patient and notes a potassium level of 6.4 mEq/L. Which finding can the nurse expect the patient to report

    <p>Slow irregular heart rate</p> Signup and view all the answers

    The nurse is applying knee-high antiembolism stockings. What action should the nurse take?

    <p>Apply stocking up to 1 to 2 inches below the bottom of the kneecap</p> Signup and view all the answers

    The nurse is assessing a patient and notices the radial pulse has fewer beats than the apical pulse. Which action should the nurse take?

    <p>Notify the HCP</p> Signup and view all the answers

    The nurse is caring for a patient who had a cardiac catheterization using the radial approach for entry. What activity level can the patient do afterward?

    <p>Up as tolerated</p> Signup and view all the answers

    The patient is ordered to wear a 24-hour Holter monitor device. What instructions should the patient be given when an event occurs

    <p>Push the event button</p> Signup and view all the answers

    A patient is ordered to wear a Holter monitor for a week. What should the nurse instruct the patient about bathing?

    <p>Take a sponge bath</p> Signup and view all the answers

    The nurse is assessing a patient and notes that the nailbed angle exceeds 180 degrees and feels spongy when squeezed. How should the nurse document these findings?

    <p>Severe clubbing noted, HCP notified</p> Signup and view all the answers

    The nurse takes the BP of a patient with a result of 120/88 mm Hg. Which action should thee nurse take?

    <p>Document the finding as normal</p> Signup and view all the answers

    The nurse is auscultating heart sounds and notes an S3 heart sound. The nurse knows an S3 sound may be heard in a patient with which condition?

    <p>Fluid overload</p> Signup and view all the answers

    The nurse is caring for a patient recovering from a transesophageal echocardiogram. Which action should the nurse take?

    <p>Keep patient NPO until gag reflex is present</p> Signup and view all the answers

    The nurse is caring for a patient receiving hemodynamic monitoring. Which action should the nurse take?

    <p>Monitor the site for infection</p> Signup and view all the answers

    The nurse is reviewing the medication history for a patient about to undergo cardiac surgery. Which medication should the nurse repot to the surgeon

    <p>Aspirin</p> Signup and view all the answers

    The nurse is caring for a patient with a potassium level of 7.6mEq/L. Which diagnostic testing is priority?

    <p>Electrocardiogram</p> Signup and view all the answers

    The nurse is assessing a patient and notes a grating sound. How should the nurse document this finding?

    <p>Pericardial friction rub</p> Signup and view all the answers

    A patient being treated for a severe blood loss has a BP of 90/56 mm Hg and urine output of 10 mL over the last hour, Which physiological mechanism will be activated to improve the situation?

    <p>Renin- angiotensin-aldosterone</p> Signup and view all the answers

    While collecting data, the nurse notes that the patient expectorates expectorates pink, frothy sputum. Which health problem should the nurse consider is occurring in this patient?

    <p>Heart failure</p> Signup and view all the answers

    The nurse is caring for a patient with venous blood flow problems. What findings of the legs are anticipated?

    <p>Brown discoloration, and blue when hanging dependently</p> Signup and view all the answers

    The nurse is caring for a patient with decreased arterial blood flow. Which clinical manifestations can the nurse expect to document?

    <p>Decreased hair distribution</p> Signup and view all the answers

    The nurse is reinforcing teaching for a patient who is to ear a Holter monitor. Which of the following should the nurse include?(Select all that apply)

    <p>Push the event button when symptoms occur</p> Signup and view all the answers

    The nurse is caring for a patient who is having an exercise treadmill test. What interventions would be appropriate for the test?

    <p>Monitor vital sins throughout the test</p> Signup and view all the answers

    The nurse is caring for a patient with peripheral vascular disease. Which signs or symptoms should the nurse expect to observe in this patient?

    <p>Pain</p> Signup and view all the answers

    The nurse is helping a patient get out of bed for the first time after prolonged bedrest. Upon standing, the patient becomes lightheaded. What actions should the nurse take?

    <p>Use a waking belt for activity out of bed</p> Signup and view all the answers

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