AQ CV2

A patient is admitted with suspected myocarditis. Which test is considered most diagnostic for this illness?

Endomyocardial biopsy

The nurse provides education about home care management to a patient with infective endocarditis. Which statement by the patient indicates the need for further teaching?

"I should be aware that fever and fatigue are normal."

The nurse provides discharge teaching for a patient who has subacute infective endocarditis. Which statement made by the patient indicates the need for further teaching?

"I will receive a prescription for antibiotics that I will take by mouth."

A patient with aortic valve stenosis is receiving nitroglycerin. Which information would the nurse include in the medication teaching? Select all that apply.

"It is given to treat angina." "It can cause hypotension." "It can worsen the chest pain."

The nurse teaches a student nurse about acute pericarditis. Which statement made by the student nurse indicates effective learning?

"The patient's pain can be relieved by sitting in the forward position."

After explaining intraaortic balloon pump (IABP) therapy to the family of a patient with an acute mitral valve dysfunction, which statement indicates that a family member understood the nurse's teachings?

"The pump inflates when the heart is resting between beats."

The nurse conducts a health history interview of a patient who is diagnosed with infective endocarditis. Which questions would the nurse include when assessing the patient's cognitive-perceptual pattern? Select all that apply.

"Do you have a headache?" "Do you experience chest pain?" "Do you experience abdominal pain?"

The nurse is assessing a patient for a pericardial friction rub related to myocarditis. In which order would the nurse perform the steps of the assessment?

-Assist the patient to lean forward -Place the stethoscope at the lower left sternal border of the chest -Ask the patient to hold his or her breath -Repeat several times

When the patient has the pictured hemodynamic monitoring device, which port would the nurse use to measure a pulmonary artery (PA)

A

A patient is admitted to the hospital with a diagnosis of aortic valve stenosis. Which manifestation would the nurse expect the patient to report in the health history?

Angina

The nurse identifies a group of patients who have a high risk of developing infective endocarditis. Which instructions would be included when teaching the patients about the prevention of infective endocarditis? Select all that apply.

Avoid overexertion. Visit a dentist regularly. Avoid people with cold and flu symptoms.

A patient has been diagnosed with mitral valve prolapse. Which interventions would be included in the patient's treatment plan? Select all that apply.

Avoiding caffeine or ephedrine β-Adrenergic receptor blockers (β-blockers) to control palpitations

When a patient with severe left ventricular failure considers artificial heart transplantation, which information would the nurse provide the patient as a long-term treatment requirement?

Anticoagulation

A patient with pericarditis is admitted to the hospital. In which patient position would the nurse assess for a pericardial friction rub?

Ask the patient to sit and lean forward.

Which assessment would reveal the most common problem patients experience in acute mitral valve regurgitation?

Auscultate the lung sounds.

Which instructions would the nurse include when teaching a patient with mitral valve prolapse about self-care? Select all that apply.

Avoid caffeine. Avoid ephedrine in over-the-counter medications. Immediately report shortness of breath, fatigue, and palpitations.

For the patient recovering from implantation of a ventricular assist device (VAD), which intervention would the nurse anticipate as the patient's prescribed activity?

Progressive ambulation

To ensure the safety of the patient with an implanted ventricular assist device (VAD) being prepared for discharge, of which intervention would the nurse verify completion prior to the patient leaving the hospital?

Battery charger available in the home

When the health care prescriber determines that a patient with ventricular failure caused by a myocardial infarction needs a ventricular assist device (VAD), which actions would the nurse implement to prepare the patient?

Begin preoperative preparation per protocol.

The nurse reviews the laboratory test results for a patient with acute infective endocarditis. Which test result is significant for determining the plan of treatment?

Blood cultures

A patient receiving treatment for acute pericarditis reports a new onset of chest pain. The nurse assesses the patient and notes confusion, anxiety, and restlessness. Which complication would the nurse suspect?

Cardiac tamponade

While auscultating a patient's heart, the nurse hears turbulent sounds between normal heart sounds. Which complication would the nurse suspect?

Cardiac valve disorder

The nurse is caring for a patient with acute pericarditis. Which assessment findings reflect a serious complication of this condition? Select all that apply.

Chest pain Pulsus paradoxus Narrowed pulse pressure Jugular venous distention

In which body location would the nurse expect to find petechiae on a patient with infective endocarditis?

Conjunctivae

For the patient considered for ventricular assist device (VAD) therapy, which criteria indicates that this patient is an appropriate candidate for device implantation? Select all that apply.

Diagnosed with Class IV heart disease Placed on the heart transplantation list Unable to wean from the cardiopulmonary bypass (CPB) machine

A patient who has myocarditis is admitted with accompanying heart failure. Which types of medications will the nurse expect to administer? Select all that apply.

Diuretics β-Adrenergic receptor blockers (β-blockers) Anticoagulants Angiotensin-converting enzyme (ACE) inhibitors

For the patient on the intensive care unit (ICU), which problem would the nurse associate with a series of increased central venous pressure (CVP) readings?

Right ventricular failure

The nurse is caring for a patient admitted to a health care facility with acute pericarditis. Which interventions would the nurse perform? Select all that apply.

Ensure that the patient is kept on bed rest. Keep the head of the bed raised to 45 degrees. Administer antiinflammatory drugs with milk or food.

Which assessment findings would the nurse expect in a patient with infective endocarditis (IE)? Select all that apply.

Fever Weight loss Retinal hemorrhage

When preparing content on hemodynamic monitoring, which element would the nurse educator utilize to explain the effects of preload?

Frank-Starling's law

The nurse is caring for a patient with worsening heart failure (HF) who is hemodynamically unstable. Which intervention is likely to be included in the patient's treatment plan to increase coronary blood flow to the heart muscle?

Intraaortic balloon pump (IABP)

Which intervention would most improve the hemodynamic stability of a patient with worsening acute decompensated heart failure (ADHF)?

Intraaortic balloon pump (IABP)

The nurse performs an international normalized ratio (INR) blood study for a patient two months after the patient underwent mitral valve replacement surgery. The patient has been receiving warfarin therapy since the surgery. The INR value is 3.1. Which action would the nurse take?

Maintain the patient at the same warfarin dose.

Which intervention will help provide pain relief for the patient with pericarditis?

Nonsteroidal antiinflammatory drugs (NSAIDs)

Which assessment findings would the nurse expect when caring for a patient with mitral valve stenosis? Select all that apply.

Palpitations Atrial fibrillation Exertional dyspnea

Which assessment finding would the nurse expect in a patient diagnosed with acute pericarditis?

Pericardial friction rub

The nurse reviews the assessment findings of a patient with pericarditis. Which action does the nurse take?

Place the patient in a sitting, leaning forward position.

The nurse reviews the medical record of a patient newly diagnosed with infective endocarditis (IE). Which finding is essential to report to the primary health care provider?

Positive results of a blood culture

A patient has been admitted with acute pericarditis. Which interventions would the nurse plan for this patient? Select all that apply.

Provide an overbed table. Tell the patient to avoid alcohol. Administer antiinflammatory medications.

Which supportive measures would the nurse implement when providing care to a patient with myocarditis? Select all that apply.

Providing a quiet environment Spacing activity and rest periods Placing the patient in the semi-Fowler's position Keep the patient and caregiver informed about the therapeutic plan

When providing care for a patient with a pulmonary arterial catheter (PAC), which port would the nurse use to monitor the patient's central venous pressure (CVP)?

Proximal lumen

The echocardiography report of a patient with infective endocarditis (IE) indicates the presence of a vegetative mass in the right ventricle. Which complication could result from this condition?

Pulmonary embolization

Which diagnostic study is used to diagnose mitral valve prolapse?

Real-time three-dimensional (3-D) echocardiography

The nurse conducts a complete physical assessment on a patient admitted with suspected infective endocarditis (IE). Which diagnostic finding is indicative of the disorder?

Retinal hemorrhages

Which clinical manifestations would the nurse expect to find when assessing a patient with infective endocarditis? Select all that apply.

Roth's spots Osler's nodes Janeway's lesions

The nurse is assessing a patient diagnosed with pericarditis. Which characteristics of chest pain are likely in this patient? Select all that apply.

Severe, sharp pain is felt in the chest. Pain may radiate to the neck, arms, or left shoulder. Rapid, shallow breathing helps to avoid the chest pain.

When attempting to determine the patient's left ventricular afterload, which hemodynamic value would the nurse use?

Systemic vascular resistance

Which diagnostic study detects the presence of vegetation on the heart valves of a patient with infectious endocarditis?

Transesophageal echocardiogram

A patient with infective endocarditis is scheduled for a transesophageal echocardiogram (TEE). What would the test be expected to detect?

Vegetations on the valves

The nurse auscultates an irregular, rapid heart rate in a patient with mitral valve prolapse. Which type of medication would the nurse expect to be prescribed?

β-Adrenergic receptor blocker (β-blocker)