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Nurse cardiovascular final 232 practice questions
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A nurse performs an apical-pulse evaluation, with the result of 100/88. What is the pulse deficit? - 12 What is increased in hypertension that in turn causes an increase in the work of the heart? - afterload A patient asks what a trans-esophageal echocardiogram is and what it is expected to do? What is the best explanation by the nurse? - Evaluated the efficiency of the valves A nurse should anticipate that a patient Vasotec, angiotensin-concerting enzyme inhibitor, should have which positive outcome to this drug? - Decreased blood pressure A 29-year-old patient is to receive cardio version for a Dysrhythmia. What should the nurse instructed patient to expect? - Administration of a short acting Sedative What do fibrous planks of arthrosclerosis serve as when they are laid down in the vessels? - Threat to the integrity of the vessel wall A patient was in a regular SA node conduction as a permanent pacemaker what is the code AAIOO and is now going home. The patient ask, "what happens when my real SA node the fires on its own?" How should the nurse respond regarding what the pacemaker should do? - Not fire A nurse explains that cardiac Rehabilitation last from the end of acute care to the return to home and beyond. What does this service include? - Telemetry monitored exercise What is an important teaching point for a patient with mitral stenosis? - Balance activity with oxygen supply. A stress test scheduled for 841-year-old patient. What action should the nurse implement to prepare the patient for the examination? - Have the patient sign a consent form What should a nurse expect to implement when a patient returns from a cardiac Catheterization? - Check the puncture site A nurse assesses an inverted T-wave on the ECG of a patient who had an acute MI two days earlier. How should the nurse interpret this finding -
abnormal wave form Laboratory test are performed to Identify damage to the heart muscle which test is evaluated the earliest with heart damage - Troponin If patient has had a TRIPPY in Sofia that has been administered IV to Treat a dysrhythmia. What should the nurse assess this patient for after administration? - Tachycardia A patient with atrial for relation is prescribed amiodarone For the dysrhythmia. Which potential adverse reaction to the nurse report? - Ataxia A medication, simvastatin (Zocor), is administered to lower a patient's cholesterol level. Follow-up lipid levels are reviewed by the nurse. Which level indicates the desired therapeutic range? - HLD, 42mg/dL; LDL, 98mg/dL What information should a nurse include in a patient's discharge instruction after an acute myocardial infarction? - Written instructions on diet and follow up appointments A patient with acute congestive heart failure has jugular vein distention, crackles bilaterally, and dyspnea. Which nursing diagnoses should have a highest priority? - Excess fluid volume A nurse is assessing the Cardiac complex above. What pattern should the nurse recognize in this rhythm strip? - NSR A Diuretic medication, furosemide (Lasix), is being administered for congestive heart failure. Which assessment is not an anticipated consequence of the therapy? - muscle weakness 46 year old patient is receiving propanol (inderal), a nonselective beta-adrenergic blocker, for a heart condition. What patient teaching is most appropriate? - Never stop taking the medication abruptly How should a nurse interpret the arrhythmia in the above strip? - PVC What is a normal age related change in older adults that makes them susceptible to cardiovascular disease? - Stiff peripheral vessels What should a nurse ask a patient related to past history of deep vein thrombosis (DVT) and other vascular problems? - Recurring chest pains
A patient has returned from a vein ligation and stripping. What are the appropriate instructions for a nurse to provide? - Wear compression stockings to promote circulation. What medication obtained in a patient's history will lessen the effect of warfarin (Coumadin)? - Yaz (drospirenone/estradiol) as an oral contraceptives Which postoperative sign should a nurse report immediately when caring for a patient with an endarterectomy with a synthetic graft? - Fever A patient with Raynaud disease has a nursing diagnosis of " ineffective tissue percussion, related to vasoconstriction" and is being given discharge instructions. What should the nurse include when providing this information? - Wear gloves and warm socks when outdoors. What assessment should a nurse perform on a patient after the repair of an abdominal aortic aneurysms? - Bowel sounds A patient inquired if his blood pressure is normal. What is the nurses most accurate response regarding the definition of normal blood pressure? - Less than 120/80mm Hg A patient is being evaluated every week for possible hypertension and is classified as prehypertensive. Which assessment would support this conclusion? - Blood pressure reading over 140/95mm Hg for 2 months What does treatment for essential hypertension focus on? - Reduction of modifiable risks What is the focus of treatment for secondary hypertension? - Specific etiologic disease What do blood pressure readings need to exceed for a patient to be diagnosed with hypertension? - 140/90mm Hg An obese 38-year-old African American patient with diabetes is being evaluated for the use of propranolol (inderal) in controlling hypertension. What is a contraindication for the use of propranolol (inderal) in this patient? - Diabetes A patient is prescribed an angiotensin-converting enzyme (ACE) inhibitor, enalpril (vasotec). What is an appropriate instruction for the nurse to provide? - Return for follow up visits. A nurse is providing patient education regarding low sodium diet. In addition to the use of spices, what should the nurse recommend to help decrease sodium in the diet? -
Garlic What antihypertensive medication is contraindicated in patient's who have chronic obstructive pulmonary disorder disease(COPD) and asthma? - Propranolol(inderal) : bets-adrenergic receptor blocker A nurse is caring for a patient who is taking antihypertensive therapy. The patient reports fatigue and has a pulse of 54 beats / min. Which medication administered is most likely the cause of these symptoms? - Diltiazem (Cardizem) Which patient is at the highest risk for malignant hypertension? - Young African American adults A patient with hypertension comes to the emergency department and is experiencing nausea and vomiting and is restless and confused. Vital signs are assessed at blood pressure, 220/130 mm Hg; pulse, 120 beats/min; and respiration's, 32 breaths/ min. What should the nurse conclude the patient is experiencing based on these assessments? - Hypertension crisis from the cessation of a drug The nurse is aware that the muscle layer of the heart, which is responsible for the heart's contraction, is the: - Myocardium The nurse identifies the "LUBB" sound of the "LUBB/DUBB" of the cardiac cycle as the sound of the:
Pain, which would be a positive Homans sign How should the nurse advise a patient with an international normalized ratio of 5.8? - Stop taking anticoagulant and notify healthcare provider. The nurse making a teaching plan for a patient with Buerger disease(thromboangiitis obliterate) will focus the need for? - Cessation of smoking The nurse caring for a 92-year-old patient with pneumonia who is receiving IV carefully monitors the flow rate of the IV infusion because rapid infusion can cause: - Heart failure Which factors affect stroke volume? -
A nurse is providing care to a patient diagnosed with essential hypertension. What should the nurse know is included in the first line therapeutic approach to lowering this patient's blood pressure? -