Exam 1

In an EKG, how many seconds are five small squares

0.2

47. A patient's vital signs are heart rate 60 beats/min, respirations 24, BP 128/64 mmHg, and stroke volume is 75 milliliters with each contraction. The patient's cardiac output is _ Liters/minute. Round to the nearest tenth

4.5

Order: nitroglycerin 125mg IV in 500 mL DSW to infuse at 42 mcg/min Calculate the flow rate in mL/h to program the infusion pump Round to the nearest 10th. Numerical value only

8.3

Which action will the nurse take to evaluate the effectiveness of IV nitroglycerin for a patient with a myocardial infarction (MI)?

Ask about chest pain.

A patient is recovering from a myocardial infarction (MI) and develops chest pain on day 3 that increases when taking a deep breath and is relieved by leaning forward. Which action should the nurse take next?

Auscultate for a pericardial friction rub

Which assessment finding for a patient who is receiving IV furosemide (Lasix) is most important to report to the health care provider?

Blood potassium level of 3.0 mEq/L

A patient that gas been diagnosed with an abdominal aortic aneurysm for three years present to the emergency department with new onset severe back pain and absent pedal pulses. Which assessment should the nurse take first?

Check the patient's blood pressure

A patient admitted to the coronary care unit (CCU) with an ST-segment-elevation myocardial infarction (STEMI) is restless and anxious. The blood pressure is 86/40 and heart rate is 132. Based on this information, which patient problem is the priority?

Decreased cardiac output

The nurse is assessing an adult client with a cardiac dysrhythmia. Which finding would the nurse identify as possibly contributing to this client's dysrhythmia?

Drinks caffeinated coffee in the morning and for lunch

A patient with a diagnostic history of hypertension treated with a diuretic and an angiotensin-converting enzyme (ACE) inhibitor arrives in the emergency department. The patient reports a severe headache and nausea. His blood pressure measures 238/118 mm Hg. Which question should the nurse ask to follow up on these findings?

Have you consistently taken your medications

67. The nurse is instructing an older client about atorvastatin (Lipitor) to treat elevated cholesterol. What side effects should the nurse advise the client to report to the healthcare provider?

Muscle pain and weakness

64. The nurse is caring for a client admitted to the hospital with lower extremity edema and shortness of breath. Which electrocardiogram finding indicates the client is at risk for cardiac dysrhythmia?

PR interval 0.30 seconds

A patient with diabetes mellitus and chronic stable angina has a new order for captopril. What should the nurse teach this patient about the primary purpose of captopril?

Prevents changes in heart muscle.

65. The nurse is documenting assessment findings on a client with angina. Which term should the nurse use to describe chest pain that occurs at night and is unrelated to activity?

Prinzmetal angina

66. The nurse is preparing preoperative teaching for a client scheduled for a ventricular assist device. What should the nurse include in these instructions?

Risk for postoperative infection

The registered nurse (RN) is caring for a patient with a hypertensive crisis who is receiving sodium nitroprusside (Nipride). Which nursing action can the nurse delegate to unlicensed assistive personnel?

Set up the automatic blood pressure machine to take BP every 15 minutes.

62. After reviewing a patient's history, vital signs, physical assessment, and laboratory data, which information shown in the accompanying figure is most important for the nurse to communicate to the health care provider?

T waves on ECG

51. The central venous oxygen saturation (ScvO2) is decreasing in a patient. What would the possible cause of the decreased ScvO2?

Temperature

The nurse is assessing a patient who has been admitted to the intensive care unit (ICU) with a hypertensive emergency. Which clinical finding indicates highest priority to notify the covering provider?

The patient cannot move the left arm and leg when asked to do so.

Which dysrhythmia is most commonly associated with sudden cardiac death (SCD)?

Ventricular fibrillation

1. Order: nitroglycerin 125mg IV in 500 mL DSW to infuse at 42 mcg/min Calculate the flow rate in mL/h to program the infusion pump Round to the nearest 10th. Numerical value only 30.0ml 2. 20.8 3. normal saline 1800ml IV to infuse in 15 hours. How many ml/hr will you infuse this IV fluid at? Numerical value only- 120 4. ECG with three PQRS sinus bradycardia 5. 71. ECG Supraventricular Tachycardia 6. 73. ECG normal sinus

n/a