Prep U Extra question and answers
The nurse prepares to apply ECG electrodes to a male client who requires continuous cardiac monitoring. Which action should the nurse complete to optimize skin adherence and conduction of the heart's electrical current?
Clip the client's chest hair prior to applying the electrodes.
You are the clinic nurse doing assessments on your clients before they have outpatient diagnostic testing done. What would you document when assessing the client's pulse?
Rate, quality, and rhythm
The nurse is assessing heart sounds in a patient with heart failure. An abnormal heart sound is detected early in diastole. How would the nurse document this?
S3 Explanation: An S3 ("DUB") is heard early in diastole during the period of rapid ventricular filling as blood flows from the atrium into a noncompliant ventricle. It is heard immediately after S2. "Lub-dub-DUB" is used to imitate the abnormal sound of a beating heart when an S3 is present.
The nurse cares for a client in the emergency department who has a B-type natriuretic peptide (BNP) level of 115 pg/mL. The nurse recognizes that this finding is most indicative of which condition?
heart failure
The nurse reviews discharge instructions with a client who underwent a left groin cardiac catheterization 8 hours ago. Which instructions should the nurse include?
"Do not bend at the waist, strain, or lift heavy objects for the next 24 hours."
The nurse is caring for a client with a damaged tricuspid valve. The nurse knows that the tricuspid valve is held in place by which of the following?
Chordae tendineae
The clinic nurse caring for a client with a cardiovascular disorder is performing an assessment of the client's pulse. Which of the following steps is involved in determining the pulse deficit?
Count the heart rate at the apex
The nurse is caring for an elderly client with left-sided heart failure. When auscultating lung sounds, which adventitious sound is expected?
Crackles
The nurse is caring for a client scheduled for a cardiac stress test at 11:00 a.m. When the nurse enters the client's room at 8:00 a.m., the client complains that he has had no breakfast and would at least like some coffee. The appropriate response by the nurse would be which of the following?
Explain that no food or drink is allowed for 4 hours before the stress test.
Which symptom is an early warning sign of acute coronary syndrome (ACS) and heart failure (HF)?
Fatigue
The nurse is reviewing the morning laboratory test results for a client with cardiac problems. Which of the following would the nurse regard as a priority to report to the physician?
K+ 3.1 mEq/L
After a physical examination, the provider diagnosed a patient with a grade 4 heart murmur. When ausculatating a murmur, what does the nurse expect to hear? Ch. 25 Cardio
Loud and may be associated with a thrill sound similar to (a purring cat).
The nurse is administering a beta blocker to a patient in order to decrease automaticity. Which medication will the nurse administer?
Metoprolol Explanation: Patients may receive beta-blockers prior to the scan to control heart rate and rhythm.
The nurse cares for a client with an intra-arterial blood pressure monitoring device. The nurse recognizes the most preventable complication associated with hemodynamic monitoring includes which condition?
catheter-related bloodstream infections
