Ch 25: Assessment of Cardiovascular Function (3)

The nurse is administering a beta blocker to a patient in order to decrease automaticity. Which medication will the nurse administer? pg. 678

Metoprolol

What does decreased pulse pressure reflect? pg. 687

reduced stroke volume

During auscultation of the lungs, what would a nurse note when assessing a client with left-sided heart failure? pg. 692

wheezes with wet lung sounds

The nurse reviews discharge instructions with a client who underwent a left groin cardiac catheterization 8 hours ago. Which instructions should the nurse include? pg. 705

"Do not bend at the waist, strain, or lift heavy objects for the next 24 hours."

The client is being prepared for echocardiography when he asks the nurse why he needs to have this test. What would be the nurse's best response? pg. 702

"Echocardiography is a way of determining the functioning of the left ventricle of your heart."

You are doing an admission assessment on a client who is having outpatient testing done for cardiac problems. What should you ask this client during your assessment? pg. 680

"Have you had any episodes of dizziness or fainting?"

The nurse is caring for a client on a monitored telemetry unit. During morning assessment, the nurse notes abnormal ECG waves on the telemetry monitor. Which action would the nurse do first? pg. 696

Assess the client.

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? pg. 675

Chordae tendineae

A nurse assessing a client who underwent cardiac catheterization finds the client lying flat on the bed. The client's temperature is 99.8° F (37.7° C). The client's blood pressure is 104/68 mm Hg. The client's pulse rate is 76 beats/minute. The nurse detects weak pulses in the leg distal to the puncture site. Skin on the leg is cool to the touch. The puncture site is dry, but swollen. What is the most appropriate action for the nurse to take? pg. 686

Contact the health care provider and report the findings.

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? pg. 688

Count the heart rate at the apex.

You are monitoring the results of laboratory tests performed on a client admitted to the cardiac ICU with a diagnosis of myocardial infarction. Which test would you expect to show elevated levels? pg. 693

Enzymes

While the nurse is preparing a client for a cardiac catheterization, the client states that they have allergies to seafood. Which of the following medications may the nurse give prior to the procedure? pg. 701

Methylprednisolone

You are evaluating the expected outcomes on a client who is recovering from a cardiac catheterization. What is an expected outcome that you would evaluate? pg. 705

The client and family understands the discharge instructions.

The client is admitted for a scheduled cardiac catheterization. On the morning of the procedure, while assessing the client's morning laboratory values, the nurse notes a blood urea nitrogen (BUN) of 34 mg/dL and a creatinine of 4.2 mg/dL. What priority reason will the nurse notify the healthcare provider? pg. 703

The client is at risk for renal failure due to the contrast agent that will be given during the procedure.

The nurse is caring for a patient with a diagnosis of pericarditis. Where does the nurse understand the inflammation is located? pg. 681

The thin fibrous sac encasing the heart

What is the term for the ability of the cardiac muscle to shorten in response to an electrical impulse? pg. 672

contractility

The nurse cares for a client in the ICU diagnosed with coronary artery disease (CAD). Which assessment data indicates the client is experiencing a decrease in cardiac output? pg. 685

disorientation, 20 mL of urine over the last 2 hours

Within the heart, several structures and several layers all play a part in protecting the heart muscle and maintaining cardiac function. The inner layer of the heart is composed of a thin, smooth layer of cells, the folds of which form heart valves. What is the name of this layer of cardiac tissue? pg. 673

endocardium

The nurse cares for a client prescribed warfarin orally. The nurse reviews the client's prothrombin time (PT) level to evaluate the effectiveness of the medication. Which laboratory values should the nurse also evaluate? pg. 694

international normalized ratio (INR)