Chapter 17 practice quiz
The nurse is assessing a female patient with a family history of coronary artery disease (CAD). Which report is most concerning to the nurse?
"I stay tired all of the time, and it feels like my bra is too tight."
The nurse is caring for a patient who is scheduled to undergo a stress echocardiogram. Which statement indicates that the nurse's teaching about preparation for the test has been successful?
"I will have to move extremely quickly from the treadmill to the table."
When using a 0 to 4+ scale to grade pulse quality, how should the nurse record a normal volume pulse?
+3
Which factors may affect the volume of cardiac output? (Select all that apply.)
. Heart rate c. Preload d. Contraction strength e. Afterload
The nurse is caring for a patient with a blood pressure of 140/90, an apical pulse of 82, and a radial pulse of 76. Which value indicates that the nurse accurately calculated the patient's pulse pressure?
50
The patient asks if it is harmful for him to drink a glass of wine with dinner on a daily basis. Which is the nurse's best response?
"As long as it is okay with your physician, moderate alcohol intake can be beneficial to your cardiovascular health."
The nurse is caring for a patient with a history of hypertension. Which information is most important for the nurse to obtain?
"Do you use over-the-counter decongestants or diet pills?"
_________ is the acute symptom most experienced by African Americans when having a myocardial infarction (MI).
Dyspnea
The nurse who uses a regular sized adult blood pressure cuff on a large adult will get a blood pressure reading that is falsely __________.
Elevated
Which preventative measure(s) may protect against development of cardiovascular disease? (Select all that apply.)
Exercising regularly for at least 30 minutes a day b. Maintaining high-density lipoprotein (HDL) greater than 50 mg/dL c. Refraining from smoking d. Obtaining and maintaining a healthy weight
The 85-year-old patient with a newly diagnosed heart murmur expresses concern that he has never been notified of this finding before. What is the most likely cause of this patient's heart murmur?
Insufficient valves
The nurse is outlining a teaching program for diabetic patients. Which teaching point about heart disease prevention should the nurse emphasize most?
Keep blood sugar below 100 mg/dL.
The nurse is caring for an older adult patient. While auscultating the patient's apical pulse, the nurse notices an irregular rhythm. The nurse suspects which causative factor for the patient's dysrhythmia?
Loss of cells in the sinoatrial (SA) nodes
Which layer of the heart contains muscle fibers that contract to pump blood?
Myocardium
In a blood pressure of 120/80, what does the "80" indicate?
Pressure in the relaxed ventricles
The nurse is caring for a 50-year-old patient who complains of tingling in his toes. Which other assessment finding would cause the nurse to suspect arterial insufficiency?
Shiny, hairless legs
Which modifiable risk factors increase a patient's risk for heart disease? (Select all that apply.)
Smoking, obesity, and sedentary lifestyle
The nurse is caring for a patient who just returned from a transradial heart catheterization. Which action indicates the priority care for the postprocedure period?
The nurse places the pulse oximeter on the thumb or first digit of the affected hand.
While performing a focused cardiac assessment, the nurse auscultates an abnormal swooshing sound. Which action is most appropriate to clarify the nurse's finding?
The nurse uses the bell of the stethoscope while asking the patient to lean forward.
The nurse is teaching a patient about the purpose of his telemetry. Which statement indicates that the nurse's teaching has been successful?
The nurses will be able to monitor my heart rate and rhythm."