Week 3
Chapter 32
1. After noting a pulse deficit when assessing a 74-year-old patient who has just arrived in the emergency department, the nurse will anticipate that the patient may require
a. emergent cardioversion
...
Week 3
Chapter 32
1. After noting a pulse deficit when assessing a 74-year-old patient who has just arrived in the emergency department, the nurse will anticipate that the patient may require
a. emergent cardioversion.
b. a cardiac catheterization.
c. hourly blood pressure (BP) checks.
d. electrocardiographic (ECG) monitoring.
2. When reviewing the 12-lead electrocardiograph (ECG) for a healthy 79-year-old patient who is having an annual physical examination, what will be of most concern to the nurse?
a. The PR interval is 0.21 seconds.
b. The QRS duration is 0.13 seconds.
c. There is a right bundle-branch block.
d. The heart rate (HR) is 42 beats/minute.
3. During a physical examination of a 74-year-old patient, the nurse palpates the point of maximal impulse (PMI) in the sixth intercostal space lateral to the left midclavicular line. The most appropriate action for the nurse to take next will be to
a. ask the patient about risk factors for atherosclerosis.
b. document that the PMI is in the normal anatomic location.
c. auscultate both the carotid arteries for the presence of a bruit.
d. assess the patient for symptoms of left ventricular hypertrophy.
4. To auscultate for S3 or S4 gallops in the mitral area, the nurse listens with the
a. bell of the stethoscope with the patient in the left lateral position.
b. diaphragm of the stethoscope with the patient in a supine position.
c. bell of the stethoscope with the patient sitting and leaning forward.
d. diaphragm of the stethoscope with the patient lying flat on the left side.
5. To determine the effects of therapy for a patient who is being treated for heart failure, which laboratory result will the nurse plan to review?
a. Troponin
b. Homocysteine (Hcy)
c. Low-density lipoprotein (LDL)
d. B-type natriuretic peptide (BNP)
6. While doing the admission assessment for a thin 76-year-old patient, the nurse observes pulsation of the abdominal aorta in the epigastric area. Which action should the nurse take?
a. Teach the patient about aneurysms.
b. Notify the hospital rapid response team.
c. Instruct the patient to remain on bed rest.
d. Document the finding in the patient chart.
7. A patient is scheduled for a cardiac catheterization with coronary angiography. Before the test, the nurse informs the patient that
a. it will be important to lie completely still during the procedure.
b. a flushed feeling may be noted when the contrast dye is injected.
c. monitored anesthesia care will be provided during the procedure.
d. arterial pressure monitoring will be required for 24 hours after the test.
8. While assessing a patient who was admitted with heart failure, the nurse notes that the patient has jugular venous distention (JVD) when lying flat in bed. Which action should the nurse take next?
CONTINUED........
[Show More]