3111 perfusion hw

The patient is admitted with a diagnosis of left heart failure. The nurse knows that which of the following is a clinical manifestation of this disorder? Select all that apply. There are five correct choices. A. Diminished peripheral pulses B. Ascites C. Elevated BNP D. Difficulty thinking clearly E. Pedal edema F. Hepatomegaly G. Jugular vein distension H. Dyspnea I. Crackles

A. Diminished peripheral pulses C. Elevated BNP D. Difficulty thinking clearly H. Dyspnea I. Crackles

Which of the following is essential to tell your pacemaker patient to avoid? Select all that apply. A. Green, leafy vegetables B. Airport screening wands C. Salt substitute (potassium chloride) D. TV transmission towers E. Magnets, including MRI machines

B. Airport screening wands D. TV transmission towers E. Magnets, including MRI machines

The patient, admitted to the coronary care unit, has suffered a myocardial infarction. The nurse knows to monitor the patient for which potential complications of this disorder? Select all that apply. There are four correct answers. A. Stroke B. Arrhythmias/sudden death C. Heart failure D. Hyperlipidemia E. Obstructive sleep apnea F. Cardiogenic shock G. Dressler's syndrome

B. Arrhythmias/sudden death C. Heart failure F. Cardiogenic shock G. Dressler's syndrome

The telemetry staff notifies you that your patient is in the following rhythm. If the choices provided to you below, which choice is your priority? (ventricular fibrillation) A. Begin CPR B. Assess your patient for a pulse C. Sit your patient up and put them on oxygen D. Call a code

B. Assess your patient for a pulse

The patient is being treated for right-sided heart failure. The nurse knows to assess the patient for which of the following clinical manifestations? Select all that apply. There are four correct answers. A. Diminished peripheral pulses B. Crackles C. Jugular vein distension D. Pedal edema E. Hepatomegaly F. Ascites G. Splenomegaly

C. Jugular vein distension D. Pedal edema E. Hepatomegaly F. Ascites

Your patient has developed multifocal PVCs. Why are you concerned about this development? A. Multifocal PVCs may progress to atrial fibrillation B. Multifocal PVCs are always an indication of cardiac ischemia C. Multifocal PVCs indicate that more than one area of the ventricle is irritable D. Multifocal PVCs indicate that conduction through the AV node is blocked

C. Multifocal PVCs indicate that more than one area of the ventricle is irritable

In the EKG complex, the T wave represents A. Atrial depolarization B. Ventricular contraction C. Movement of an electrical impulse through the AV node D. Ventricular repolarization

D. Ventricular repolarization

A 56 year-old man is admitted to the emergency room complaining of severe substernal and neck pain. He is being evaluated as an acute coronary syndrome patient and has the following findings: ST segment depression on the 12 lead EKG (electrocardiogram) Diaphoresis Moaning in pain and grasping his mid chest area Crackles in bases Sinus tachycardia BP: 168/90 Cardiac enzymes are positive (elevated) The nurse understands that these findings indicate that this patient falls into which category of acute coronary syndrome?

NSTEMI

The following items are associated with either peripheral venous disease (PVD) or peripheral arterial disease (PAD). Identify in the drop down box if the item is associated with peripheral venous disease or peripheral arterial disease. Pedal edema Atherosclerosis/arteriosclerosis Irregularly bordered wounds Pallor Cool/cold extremities

Pedal edema - PVD Atherosclerosis/arteriosclerosis - PAD Irregularly bordered wounds - PVD Pallor - PAD Cool/cold extremities - PAD

You are caring for a patient with peripheral arterial disease and anticipate which of the following manifestations of this disorder? Select the correct answers for clinical manifestations of peripheral arterial disease. (Total question value: 0-4 points.) A. Pain with exercise B. Wounds with irregular borders C. Pedal edema D. Pale extremities E. Diminished peripheral pulses F. Wounds with regular borders

A. Pain with exercise D. Pale extremities E. Diminished peripheral pulses F. Wounds with regular borders

Which of the following describes the action of a demand pacemaker? A.Senses what the patient's heart is doing and responds as needed B.Regardless of what the patient's heart is doing, pacemaker fires (paces) the patient C.Detects and ends life-threatening ventricular arrhythmias D.Internally defibrillates the patient

A.Senses what the patient's heart is doing and responds as needed

Your patient is in sinus tachycardia. Which of the following choices are causes of sinus tachycardia (physiological and pathophysiological)? Select all that apply. A.Stress B.Pain C.Exercise D.Hypernatremia E.Fever

A.Stress B.Pain C.Exercise E.Fever

Which of the following statements is true regarding normal sinus rhythm. Select all that apply. A. The ventricular rate should exceed the atrial rate B. There should be a P wave for every QRS complex C. The rate should be between 60 and 100 D. Conduction originates in the SA node E. Conduction should be retrograde from the ventricles to the atria

B. There should be a P wave for every QRS complex C. The rate should be between 60 and 100 D. Conduction originates in the SA node

Your patient's spouse tells you that her husband is having chest pain and dizziness. You observe the following rhythm in your patient. Which of the following interventions might the team consider using to treat this rhythm? (sinus brady rhythm) A. Administer CPR immediately B. Cardiovert the patient C. Administer atropine intravenously D. Begin anticoagulant therapy immediately

C. Administer atropine intravenously

In the EKG complex, what wave form does atrial depolarization create? A.PR interval B.QT interval C.P wave D.Q wave

C.P wave

The heart failure patient is being discharged today. The nurse knows, that unless contraindicated, the patient should be discharged on what two classifications of medication? A. Calcium channel blocker and nitroglycerin B. Vasopressor and potassium supplements C. Loop diuretic and alpha blocker D. Beta blocker and angiotensin converting enzyme inhibitor (ACE-I) or angiotensin receptor blocker (ARB)

D. Beta blocker and angiotensin converting enzyme inhibitor (ACE-I) or angiotensin receptor blocker (ARB)

Which of the following is a serious and common complication of atrial fibrillation? A. Pulmonary embolus B. Ventricular tachycardia C. Diabetes D. Embolic stroke

D. Embolic stroke

What is the most common form of cardiomyopathy?

dilated cardiomyopathy