Module 3 Cardiac
Which side effect would the nurse monitor for when caring for a patient with coronary artery disease (CAD) who is prescribed carvedilol? Risk for bleeding Shortness of breath Gastric irritation Ringing in the ears
Shortness of breath
Which noncardiac factor will the nurse assess for in a patient complaining of palpitations? Select all that apply. One, some, or all responses may be correct. Paroxysmal supraventricular tachycardia Fatigue Sinus tachycardia Hyperthyroidism Insomnia
Fatigue Hyperthyroidism Insomnia
The nurse identifies which cause of sinus tachycardia? Select all that apply. One, some, or all responses may be correct. Use of a beta-adrenergic blocking drug Fever Straining when attempting to have a bowel movement Hyperthyroidism Anxiety
Fever Hyperthyroidism Anxiety
Which statement made by a patient who is taking propranolol for a dysrhythmia warrants further investigation by the nurse? "My pulse seems to be slower and more regular than before." "I have been more tired since I started taking this medicine." "I got dizzy when walking to the bathroom earlier." "I feel constipated since I've been in the hospital."
"I got dizzy when walking to the bathroom earlier."
Which guidance would the nurse provide to a patient who reports an inability to walk continuously for 30 minutes daily to reduce the risk for coronary artery disease? Select all that apply. One, some, or all responses may be correct. "Create your own exercise regimen" "Park your car farther away from a site than necessary" "Use the elevator when going up flights" "Walk any distance you can" "Use the stairs when needing to go down two flights"
"Park your car farther away from a site than necessary" "Walk any distance you can" "Use the stairs when needing to go down two flights"
Which information is appropriate for the nurse to include when providing patient education regarding a screening test for asymptomatic coronary artery disease? "Refrain from taking hot showers for 2 hours after the test." "Withhold cardiovascular medications such as bet-blockers after the test." "Avoid drinking alcohol or caffeinated beverages after the test." "Consume a light meal 2 hours after the test."
"Refrain from taking hot showers for 2 hours after the test."
Which teaching does the nurse include for a patient with atrial fibrillation who receives a new prescription for warfarin? "You should take aspirin or ibuprofen for headaches." "Report nosebleeds to your health care provider immediately." "It is important to consume a diet high in green leafy vegetables." "Avoid caffeinated beverages."
"Report nosebleeds to your health care provider immediately."
Which instruction about taking a pulse does the nurse give to a family member who is caring for a patient with a permanent pacemaker? "Take it for 1 full minute at the same time each day." "Take it for 1 full minute at different times each day." "Take it for 2 full minutes at the same time each day." "Take it for 2 full minutes at different times each day."
"Take it for 1 full minute at the same time each day."
Which information does the nurse include when teaching patients who are at risk for bradydysrhythmias? "Avoid potassium-containing foods." "Stop smoking, and avoid caffeine." "Use a stool softener." "Take nitroglycerin for a slow heartbeat."
"Use a stool softener."
During discharge planning after admission for a myocardial infarction, the patient says, "I won't be able to increase my activity level. I live in an apartment, and there is no place to walk." Which response by the nurse is the best? "You are right. Work on your diet then" "Where might you be able to walk?" "Walk around the edge of your apartment complex" "You must find someplace to walk"
"Where might you be able to walk?"
Which is an expected finding for a normal PR interval? 0.10 seconds 0.22 seconds 0.04 seconds 0.16 seconds
0.16 seconds
Which number of large blocks represents a 6-second strip when analyzing an ECG? 25 blocks 15 blocks 5 blocks 30 blocks
30 blocks
Which action of ezetimibe prevents the risk for atherosclerosis? By decreasing cholesterol synthesis By inhibiting 3-hydroxy-3-methylglutaryl coenzyme A ((HMG-CoA) reductase enzyme By decreasing blood pressure Inhibiting cholesterol absorption
Inhibiting cholesterol absorption
Which patient would the nurse identify as being most in need of health promotion teaching for coronary artery disease (CAD)? 42 year-old white male with osteoporosis 56 year-old black female with hypertension 72 year-old Chinese male with Grave's disease 13-year-old female with pneumonia
56 year-old black female with hypertension
Which mean arterial pressure (MAP) is the minimum necessary to maintain adequate blood flow through the coronary arteries? 55 mm Hg 76 mm Hg 60 mm HG 68 mm Hg
60 mm Hg
Which mean arterial pressure (MAP) is the minimum necessary to maintain adequate blood flow through the coronary arteries? 65 mm Hg 70 mm Hg 55 mm Hg 60 mm Hg
60 mm Hg
What heart rate does the nurse document when calculating a patient's heart rate from a 6-second rhythm strip and noting eight QRS complexes on the strip? Record your answer using a whole number only; do not include label. beats/min
80
Calculate the MAP for the following BP: 102/70 If needed, round to the nearest whole number.
81
Which patient is appropriate for the cardiac care unit nursing team leader to assign to a float registered nurse (RN) from a medical-surgical unit? An 88-year-old patient admitted with an elevated troponin level who is hypotensive with a heart rate of 96 beats/min A 71-year-old patient admitted for heart failure who is short of breath and has a heart rate of 120 to 130 beats/min A 92-year-old patient admitted with chest pain who has premature ventricular complexes and a heart rate of 102 beats/min A 64-year-old patient admitted for weakness who has sinus bradycardia with a heart rate of 58 beats/min
A 64-year-old patient admitted for weakness who has sinus bradycardia with a heart rate of 58 beats/min
Which change in the cardiac system attributed to the aging process will the nurse consider when educating an older adult about exercise? There is an increased ejection fraction A decreased stroke volume occurs. Cardiac conduction time decreases Baroreceptors are more sensitive
A decreased stroke volume occurs.
Which patient will be treated as a priority? A patient reporting chest pain who has findings of normal sinus rhythm on an ECG with no discernible P waves at this time A patient waiting for discharge who was in torsade de pointes when admitted but who is now in normal sinus rhythm A patient with uncontrolled atrial fibrillation who underwent a successful cardioversion yesterday A patient with bradydysrhythmia who has a pulse of 62 beats/min
A patient reporting chest pain who has findings of normal sinus rhythm on an ECG with no discernible P waves at this time
Which condition is a result of a hypereffective heart in a well-conditioned athlete? Tachypnea Cardiac arrest Bradycardia Dysrhythmia
Bradycardia
Which action by the nurse is the priority when caring for a patient who begins vomiting and reports being dizzy 2 hours after surgery, with this rhythm noted on the ECG strip?
Administer the prescribed antiemetic.
Which risk factor is known to contribute to atrial fibrillation (AF)? Select all that apply. One, some, or all responses may be correct. High blood pressure Advancing age Use of beta-adrenergic blockers Excessive alcohol use Palpitations
Advancing age Excessive alcohol use Palpitations
Which variable influencing stroke volume (SV) is the nurse referring to when teaching a patient with the statement, "It is the pressure or resistance the ventricles overcome to eject blood through the semilunar valves and into the peripheral blood vessels"? Heart rate Preload Contractility Afterload
Afterload
The nurse recognizes that which drug may be used in the treatment of a patient with atrial fibrillation? Select all that apply. One, some, or all responses may be correct. Amiodarone Phytonadione (vitamin K) Warfarin Heparin Diltiazem Digoxin
Amiodarone Warfarin Heparin Diltiazem
Which step is involved in the ECG rhythm analysis of P waves? Select all that apply. One, some, or all responses may be correct. Analyzing the similarity in appearance of P waves Looking for the presence of P waves Assessing whether P waves are greater than 0.20 seconds Assessing the consistent occurrence of one P wave for each QRS complex Placing one caliper point at the start of the P wave and the other at the end of the PR segment
Analyzing the similarity in appearance of P waves Looking for the presence of P waves Assessing the consistent occurrence of one P wave for each QRS complex
The nurse anticipates which prescription for a patient with asymptomatic atrial fibrillation and a pulse of 88 beats/min? Electrophysiology studies (EPS) Synchronized cardioversion Anticoagulation Radiofrequency ablation therapy
Anticoagulation
Which medication inhibits platelet aggregation and vasoconstriction? Aspirin Metoprolol Abciximab Clopidogrel
Aspirin
Which action does the nurse take when a patient with asymptomatic sinus bradycardia experiences a decrease in heart rate from 56 beats/min to 46 beats/min? Assess blood pressure, skin color, and moisture. Administer atropine 0.5 mg IV push. Increase the IV fluid flow rate. Notify the Rapid Response Team.
Assess blood pressure, skin color, and moisture.
Which action does the nurse take when the telemetry monitor of a patient with a history of coronary artery disease shows sinus tachycardia with a rate of 144 beats/min? Select all that apply. One, some, or all responses may be correct. Assess for the presence of chest pain or pressure. Ask the patient to report any muscle cramps. Evaluate whether jugular venous distention is present. Instruct the patient to ambulate as tolerated, and continue to monitor. Assess blood pressure and skin temperature.
Assess for the presence of chest pain or pressure. Evaluate whether jugular venous distention is present. Assess blood pressure and skin temperature.
Which action by the nurse will be a priority when caring for a patient diagnosed with dehydration who presents with this rhythm change? Select all that apply. One, some, or all responses may be correct. Assess the mucous membranes. Gently begin carotid massage. Prepare the patient for transcutaneous pacing. Evaluate urinary output. Increase the IV fluids.
Assess the mucous membranes. Evaluate urinary output.
Which dysrhythmia most likely contributed to a patient's acute pulmonary embolism? Atrial fibrillation Ventricular tachycardia Sinus bradycardia Premature atrial contractions
Atrial fibrillation
The nurse identifies that which medication will be given to a patient who presents to the emergency department with chest pain, shortness of breath, diaphoresis, hypotension, and a heart rate of 56 beats/min? Digoxin Propranolol Verapamil Atropine
Atropine
Which action performed by the nurse during a physical assessment demonstrates an understanding of the cardiovascular system? Auscultates the aortic valve in the second intercostal space at the right sternal border Palpates the apical pulse over the third intercostal space in the mid-clavicular line Assesses for carotid bruit by auscultating over the anterior neck Evaluates for orthostatic hypotension by moving the patient from a standing to reclining position
Auscultates the aortic valve in the second intercostal space at the right sternal border
Which is the ability of the cardiac cells to generate an electrical impulse spontaneously and repetitively called? Contractility Automaticity Conductivity Excitability
Automaticity
The nurse monitors for which adverse effect when administering acebutolol to a patient? Tremors Bronchospasm Insomnia Blurred vision
Bronchospasm
Which modifiable risk factor for cardiovascular disease (CVD) will the nurse address in patient education? Select all that apply. One, some, or all responses may be correct. Family history of CVD BMI greater than 30 A patient's limited physical activity Man, age 35 years old A patient's 5-year history of smoking
BMI greater than 30 A patient's limited physical activity A patient's 5-year history of smoking
Which electrolyte imbalance at the cellular level causes changes in the normal conduction and contractile function of the myocardium? Select all that apply. One, some, or all responses may be correct. Sodium Phosphorus Calcium Magnesium Potassium
Calcium Magnesium Potassium
Which action does the nurse implement first when caring for a patient with unstable angina whose cardiac monitor shows ventricular tachycardia? Check the patient for a pulse. Give the patient IV lidocaine. Cardiovert the patient at 50 joules. Defibrillate the patient at 200 joules
Check the patient for a pulse.
Which intervention will the nurse perform to ensure the best signal transmission when preparing a patient for a 12-lead ECG? Select all that apply. One, some, or all responses may be correct. Use nonscented lotions on chest. Ensure gel on electrodes is not moist. Clip hair in the area being used. Avoid areas with scar tissue. Clean and dry skin.
Clip hair in the area being used. Avoid areas with scar tissue. Clean and dry skin.
Which action would the nurse take when caring for a patient newly diagnosed with hypertension who presents with sinus bradycardia with a heart rate of 52 beats/min on the ECG monitor after determining the patient is asymptomatic? Select all that apply. One, some, or all responses may be correct. Contact the primary health care provider. Document the assessment findings. Assess the medication administration record. Increase the patient's IV fluids. Administer the prescribed digoxin.
Contact the primary health care provider. Document the assessment findings.
Which action does the nurse take after noting a patient's assessment findings, which include a regular heart rhythm with a rate of 60 beats/min, a P wave preceding each QRS complex, the PR interval of 0.20 seconds, blood pressure of 118/68 mm Hg, respiratory rate of 16 breaths/min, and temperature of 98.8°F (37.1°C)? Obtain atropine from the emergency medication cabinet. Notify the health care provider (HCP) of the findings. Anticipate a prescription for digoxin. Continue to monitor the patient.
Continue to monitor the patient.
Which manifestation would the nurse recognize as the onset of left ventricular failure? Expectoration of yellow sputum Urine output of 1500 ml on the preceding day Pedal edema Crackles in the lung fields
Crackles in the lung fields
Which is a physiologic change of the cardiovascular system associated with aging? Increase in the sensitivity of baroreceptors Thinning of the aorta and other larger arteries Reduction in size and efficacy of the left ventricle Decrease in the number of pacemaker cells
Decrease in the number of pacemaker cells
How does the nurse respond when an older-adult patient who takes a daily dose of diltiazem for atrial fibrillation reports a recent onset of weakness and confusion? Instruct the patient to cut the dose in half. Recognize that confusion is common for older adults. Instruct the patient to take the dose every other day. Determine if the patient is also experiencing dizziness.
Determine if the patient is also experiencing dizziness.
A patient is prescribed atorvastatin and reports severe muscle cramping. Which intervention would be performed first to improve the patient's condition? Consuming adequate amounts of fluids Administering acetaminophen Discontinuing the medication Encouraging the patient to exercise
Discontinuing the medication
Which action does the nurse implement when a patient's telemetry reading shows a P wave before each QRS complex, and the rate is 78 beats/minute? Document it as normal sinus rhythm (NSR). Prepare to administer digoxin orally. Request a 12-lead ECG. Assess the patient's cardiac enzymes.
Document it as normal sinus rhythm (NSR).
Which action would the nurse take when noting a variation of two blocks in the P to P intervals on an ECG? Contact the health care provider. Document the rhythm as regular. Verify that the leads are still attached to the patient. Ask the patient if they would like PRN pain medication.
Document the rhythm as regular.
The health care provider (HCP) prescribes atorvastatin to a patient with atherosclerosis. Which information would cause the nurse to hold the drug and contact the HCP? Occasional diarrhea when taking this medication ELevated liver enzymes Total cholesterol of 184 mg/dL Concurrent use of an ACE inhibitor
ELevated liver enzymes
Which statement is true regarding the ECG paper used when monitoring a patient's heart rhythm? Select all that apply. One, some, or all responses may be correct. Each large box measures 1 mm high and 1 mm wide. Each large box measures 0.20 seconds. Each small box measures 0.04 seconds. Time is measured horizontally. One large block includes four small boxes.
Each large box measures 0.20 seconds. Each small box measures 0.04 seconds. Time is measured horizontally.
Which information would the patient with coronary artery disease (CAD) need know about physical activity? Select all that apply. One, some, or all responses may be correct. Exercise periods should be at least 40 minutes long with warm-up and cool down periods 3 to 4 times per week Walk 30 minutes per day at a comfortable pace if moderate exercise three to four times per week is not tolerable Check with the health care provider before starting an exercise program Walking less than 30 minutes per day is not beneficial
Exercise periods should be at least 40 minutes long with warm-up and cool down periods 3 to 4 times per week Walk 30 minutes per day at a comfortable pace if moderate exercise three to four times per week is not tolerable Check with the health care provider before starting an exercise program
Which assessment finding does the nurse expect when caring for a patient who is hospitalized with sustained tachydysrhythmia? Agitation Bounding pulse Flushing Fainting
Fainting
The nurse prepares a 40-year-old female patient for an annual examination. The patient asks the nurse about her risk for developing a myocardial infarction (MI) because her mother had one when she was in her late 40s. Which risk factor would the nurse consider to help determine what to include in the education? Select all that apply. One, some, or all responses may be correct. Hydration status Menstrual cycle Gender Skin Turgor Dietary habits BMI
Gender Dietary habits BMI
Which sign of metabolic syndrome would the nurse include when teaching a patient about metabolic syndrome and how it can increase the risk for myocardial infarction (MI)? Select all that apply. One, some, or all responses may be correct. Glucose intolerance Patient taking losartan Elevated homocysteine levels Hypercholesterolemia Truncal obesity
Glucose intolerance Patient taking losartan Hypercholesterolemia Truncal obesity
Upon reviewing the laboratory reports of a patient with a family history of coronary artery disease, the primary health care provider prescribes statin drug therapy. Which finding in the laboratory reports is responsible for this prescription? Preprandial blood glucose of 120 Triglyceride level of 115 BP of 120/88 HDL level of 30
HDL level of 30
The nurse identifies that which monitoring is essential when administering metoprolol to a patient with acute coronary syndrome (ACS) and atrial fibrillation? Troponin ST Segment Myoglobin Heart rate
Heart rate
Which action would the nurse perform when caring for a patient with coronary artery disease (CAD) who has been prescribed metoprolol XR? Instruct the patient not to take sildenafil with this medication Teach the patient to lie down on the bed for 30 minutes after administration The medication can be crushed and mixed with pudding Hold the medication if the heart rate is less than 50-60 beats/min
Hold the medication if the heart rate is less than 50-60 beats/min
Which sign of metabolic syndrome would the nurse include when teaching a patient about metabolic syndrome and how it can increase the risk for myocardial infarction (MI)? Select all that apply. One, some, or all responses may be correct. Hypercholesterolemia Patient taking losartan Truncal obesity Elevated homocysteine levels Glucose intolerance
Hypercholesterolemia Patient taking losartan Truncal obesity Glucose intolerance
Which will the nurse identify in patient education as a modifiable risk factor for coronary heart disease? Sex Age Family history Hypertension
Hypertension
Which class of the New York Heart Association's functional classification of cardiovascular disability will the nurse document when a patient's anginal syndrome is present even at rest and the discomfort is increased if any physical activity is undertaken? I IV II III
IV
The nurse questions which item that is listed on discharge instructions for a patient with tachycardia? Consult a mental health professional for increased anxiety. Avoid alcohol intake. Include foods rich in caffeine to stimulate the central nervous system (CNS) Develop strategies for stress management.
Include foods rich in caffeine to stimulate the central nervous system (CNS)
Which change in the cardiovascular (CV) system secondary to aging results in decreased stroke volume (SV), ejection fraction, and cardiac output (CO) during exercise? Thickening of the aorta and other large arteries Increase in the size of the left ventricle Calcification in aortic and mitral valves Decrease in pacemaker cells
Increase in the size of the left ventricle
Which is a possible risk factor for metabolic syndrome? Decreased levels of LDL Increased levels of triglycerides Decreased fasting blood glucose level Increased levels of HDL
Increased levels of triglycerides
The nurse suspects which cause of a patient's new onset of sinus bradycardia? Select all that apply. One, some, or all responses may be correct. The patient became emotionally excited when visitors arrived. Inferior wall myocardial infarction (MI) occurred. The patient reported the recent consumption of a cup of coffee. Diltiazem was administered 1 hour previously. The patient reported bearing down for a bowel movement.
Inferior wall myocardial infarction (MI) occurred. Diltiazem was administered 1 hour previously. The patient reported bearing down for a bowel movement.
The plan of care for a patient prescribed warfarin to prevent clotting because of atrial fibrillation contains a goal for the patient to become knowledgeable regarding the medication, drug interactions, and required laboratory testing. Which finding indicates the goal has been met? Medication taken first thing in the morning International normalized ratio (INR) 2.5 Home medications include St. John's wort Normal sinus rhythm on ECG
International normalized ratio (INR) 2.5
Which term describes a lack of oxygen with angina that does not cause permanent damage of myocardial tissue? Necrosis Infarction Ischemia Obstruction
Ischemia
Which represents no electrical current flow in the heart on an ECG? Negative deflections Cardiac axis Positive deflections Isoelectric line
Isoelectric line
Which dietary change would be a risk factor for fluid imbalance in a patient with central obesity? Limiting saturated fatty acids intake Limiting sodium intake Limiting cholesterol intake Limiting trans fatty acids intake
Limiting sodium intake
Which information regarding phosphodiesterase inhibitors and nitroglycerin administration is accurate? Administered within 24 hours of one another to be effective May cause a pulmonary embolism if administered within 48 hours of one another Administered concomitantly for both to be effective May cause significant hypotension if administered within 48 hours of one another
May cause significant hypotension if administered within 48 hours of one another
For a patient treated for cardiovascular disease and an increased risk for developing type 2 diabetes mellitus, on which health problem would the nurse focus the patient's assessment? Autonomic neuropathy Gestational Diabetes Hypoglycemia Metabolic Syndrome
Metabolic Syndrome
Which complication would the nurse suspect in a patient with obesity, a waist size of 42 inches, and blood pressure of 130/85 mm Hg? Hypotension Metabolic Syndrome Hypolipidemia Myocardial Infarction
Metabolic Syndrome
Which class of medication will the nurse prepare to administer when a patient presents to the emergency department with chest pain diagnosed as angina pectoris? Analgesics Nitrates Opioids Antipyretics
Nitrates
Which action will the nurse delegate to trained and experienced assistive personnel (AP) working in the cardiac catheterization laboratory? Educate the patient about the need to remain on bedrest after the procedure Assess any pre-procedure medications the patient took that days Ask the patient to sign the consent form before the procedure is performed Obtain patient VS and a 12-lead EKG
Obtain patient VS and a 12-lead EKG
When caring for a patient with heart disease, the nurse recognizes that which activity should be avoided to prevent excessive vagal stimulation to the heart? Select all that apply. One, some, or all responses may be correct. Ocular pressure Hip flexion greater than 90 degrees Constipation Oropharyngeal suctioning Hiccups
Ocular pressure Constipation Oropharyngeal suctioning
What complex makes up a normal ECG? Select all that apply. One, some, or all responses may be correct. S wave P wave U wave QRS complex T wave
P wave QRS complex T wave
Which condition will the nurse suspect when the patient reports an intermittent, sharp, stabbing pain that usually spreads to the left side or back and is relieved when sitting upright? MI Pericarditis Valvular dysfunction Angina
Pericarditis
Which action does the nurse take when, during a wellness physical examination, a patient's cardiac rhythm strip has all the characteristics of normal sinus rhythm, except that there is a pattern of irregularity that is associated with the patient's breathing? Immediately notify the health care provider. Suggest for the patient to follow up with a cardiologist. Proceed with the examination as planned. Move the electrodes, and re-evaluate the rhythm strip.
Proceed with the examination as planned.
Which complex makes up a normal ECG? STU RST PQR QRS
QRS
Which finding will be documented as an expected finding on an ECG strip? PR interval of 0.25 seconds Ventricular rate of 105 beats/min QRS duration of 0.07 seconds P waves present after QRS complex
QRS duration of 0.07 seconds
Which structure of the heart receives deoxygenated venous blood and blood from the heart muscle? Right atrium Pericardium Left ventricle Septum
Right atrium
In addition to an antidysrhythmic, which medication does the nurse plan to administer to a patient with atrial fibrillation? Atropine Dobutamine Magnesium sulfate Rivaroxaban
Rivaroxaban
Which medication is commonly used for lowering low-density lipoprotein cholesterol (LDL-C) levels? Select all that apply. One, some, or all responses may be correct. Simvastatin Pravastatin Metoprolol Lovastatin Amlopdipine Acetylsalicylic Acid
Simvastatin Pravastatin Lovastatin
How does the nurse interpret a patient's rhythm strip that shows a heart rate of 116 beats/min, one P wave occurring before each QRS complex, a PR interval measuring 0.16 seconds, and a QRS complex measuring 0.08 seconds? Normal sinus rhythm Sinus bradycardia Sinus rhythm with premature ventricular contractions Sinus tachycardia
Sinus tachycardia
Which will the nurse document as a risk factor related to cardiovascular disease? Select all that apply. One, some, or all responses may be correct. Smoking Elevated C-reactive protein levels Low Blood Pressure Consuming a diet rich in fiber Elevated HDL cholesterol level
Smoking Elevated C-reactive protein levels
Which factor places the patient at the highest risk for cardiovascular disease? Abdominal obesity with exercising three times per week Diabetes with HDL of 75 Sedentary lifestyle and history of four episodes of strep throat Smoking with a familial history of a father who died at 49 from an MI
Smoking with a familial history of a father who died at 49 from an MI
A 55-year-old patient with a history of smoking for the past 30 years reports chest discomfort upon prolonged exertion and has a slight limitation in his activity level. Which would likely be this patient's diagnosis? Unstable angina CAD Stable angina MI
Stable angina
Which action does the nurse take first when a patient suddenly becomes limp and unresponsive with no carotid pulse? Place a firm board under the patient. Start cardiac compressions. Contact the health care provider (HCP) immediately. Maintain a patent airway.
Start compressions
Which action does the nurse take when responding to a pulseless patient whose telemetry monitor shows ventricular asystole? Prepare for immediate defibrillation. Call for the Rapid Response Team. Start compressions. Place electrodes on the chest, and initiate transcutaneous pacing.
Start compressions.
Which term will the nurse use to describe the amount of blood ejected by the left ventricle (LV) with each cardiac contraction when teaching a patient with cardiovascular disease about the condition? Preload Stroke volume Heart rate Cardiac Index
Stroke volume
Which symptom will the nurse expect to document for a patient admitted with pericarditis? Substernal chest pain described as sharp and stabbing Dizziness requiring the patient to stop activities and rest Abrupt awakening with dyspnea that worsens after sitting on the edge of the bed Viselike substernal chest pain in response to exertion
Substernal chest pain described as sharp and stabbing
Which medication would the nurse assess the patient for before administering nitroglycerin for chest pain? Select all that apply. One, some, or all responses may be correct. Tadalafil Metoprolol Sildenafil Cardizem Carvedilol
Tadalafil Sildenafil
Which principle related to angina pain is important for the nurse to remember? There will be an ST elevation noted on the ECG The patient will have an increase in body temperature Premature ventricular contractions (PVCs) accompany the pain The administration of nitroglycerin will improve oxygen supply
The administration of nitroglycerin will improve oxygen supply
Who is responsible for determining when continuous ECG monitoring can be suspended, such as during showering? The nurse The health care provider The monitor technician The patient
The health care provider
Which statement regarding cardiac valves is true? Select all that apply. One, some, or all responses may be correct. The left atrium is separated from the left ventricle by the mitral (bicuspid) valve. The aorta is separated from the left ventricle by the aortic valve The right atrium is separated from the right ventricle by the tricuspid valve The pulmonic valve separates the right ventricle from the pulmonary vein
The left atrium is separated from the left ventricle by the mitral (bicuspid) valve. The aorta is separated from the left ventricle by the aortic valve The right atrium is separated from the right ventricle by the tricuspid valve
How does the nurse recognize that atropine has produced a positive outcome for a patient with bradycardia? The patient reports dizziness and weakness. The monitor shows an increase in heart rate. The patient's heart rate is 42 beats/min. The nurse notes dyspnea.
The monitor shows an increase in heart rate.
Which is a desirable serum lipid level for a female patient at high risk for coronary artery disease (CAD)? Fasting total cholesterol should be below 250 Triglycerides should be less than 135 HDL should be above 35 LDL should be less than 90
Triglycerides should be less than 135
Which is a desirable serum lipid level for a female patient at high risk for coronary artery disease (CAD)? Triglycerides should be less than 135 mg/dL HDL cholesterol should be above 35 mg/dL LDL cholesterol should be less than 110 mg/dL Fasting total cholesterol should be below 250
Triglycerides should be less than 135 mg/dL
How does the nurse interpret the cardiac rhythm in the figure?
normal sinus rhythm
Which area of the cardiac conduction system is responsible for generating the electrical impulse in the heart? Bundle of His Atrioventricular (AV) node Purkinje fibers The sinus node
sinus node
