Perfusion review quiz

The healthcare provider prescribes permanent pacemaker implantation for a client with a heart block. Which explanation about the procedure should the nurse reinforce with this client? It stimulates a normal HR It shocks the AV node It shows the heart to a normal rate It synchronizes heart valve action

It stimulates a normal HR

On the morning of surgery a client is admitted for resection of an abdominal aortic aneurysm. While awaiting surgery, the client suddenly develops symptoms of shock. Which nursing action is priority? Prepare for blood transfusions Notify the surgeon immediately. Make the client nothing by mouth (NPO). Administer the prescribed preoperative sedative.

Notify the surgeon immediately Immediate surgical intervention to clamp the aorta is necessary for survival; the aneurysm has ruptured. Preparing for blood transfusions may be done eventually, but notifying the surgeon is the priority. The client is already NPO. Sedatives mask important signs and symptoms of shock.

A client is admitted to the hospital for surgical replacement of the mitral valve with a mechanical valve. Which risk factor would be the primary reason that the nurse must frequently check pulses in the client's legs after surgery? A. Fib. Postsurgical bleeding Arteriovenous shunting Peripheral thromboembolism

Peripheral thromboembolism

A client arrives in the emergency department with multiple crushing wounds of the chest, abdomen, and legs. Which are the priority nursing assessments? LOC and pupil size Characteristics of pain and BP Quality of respirations and presence of pulses Observation of abdominal contusions and other wounds

Quality of respirations and presence of pulses

The nurse notes that the client's ECG rhythm strips show more P waves than QRS complexes. When there are PR intervals, they are all consistent. How should the nurse interpret this strip? Second degree AV block Mobitz II First degree atrioventricular (AV) block Third degree AV block (complete heart block) Second degree AV block Mobitz 1 (Wenckebach)

Second degree AV block Mobitz II

A healthcare provider in the ER identifies that a client is in cardiogenic shock. Which type of drug does the nurse anticipate will be prescribed? Loop diuretic Cardiac glycoside Sympathomimetic Alpha-adrenergic blocker

Sympathomimetic -->Vasopressors

The nurse notes that the client's cardiac rhythm strips show more P waves than QRS complexes. There is no relationship between the atria and the ventricles. How should the nurse interpret this rhythm strip? Second degree AV block Mobitz II First degree atrioventricular (AV) block Third degree AV block (complete heart block) Second degree AV block Mobitz 1 (Wenckebach)

Third degree AV block (complete heart block)

A nurse is developing a heath teaching for clients with pacemakers. Which activity should the nurse teach these clients to avoid? Having a computed tomography (CT) scan Standing near a microwave Swimming in saltwater Touring a power plant

Touring a power plant Large electrical fields can change pacemaker settings and should be avoided. These clients should avoid magnetic resonance imaging (MRI), not a CT scan. Modern microwaves are shielded and do not cause pacemaker problems. Water, regardless of whether it is fresh or saltwater, will not affect a pacemaker.

A nurse is working with a cardiologist for a client needing temporary pacing. Which methods are examples that the cardiologist with the assistance of the nurse might use? Implantable cardioverter defibrillators (ICDs) Transcutaneous pacing Transvenous pacing Biventricular pacing Epicardial pacing

Transcutaneous pacing Transvenous pacing Epicardial pacing

A client is in cardiogenic shock. Which explanation of cardiogenic shock should the nurse include when responding to a family member's questions about the condition? An irreversible phenomenon A failure of the circulatory pump Usually a fleeting reaction to tissue injury Generally cause by decreased blood volume

A failure of the circulatory pump

The nurse is caring for a client with bomb blast injuries. Which are priority emergency assessments that need to be performed? select all that apply Airway Breathing Circulation Give comfort measures Facilitate family presence Exposure or environmental control

Airway Breathing Circulation Exposure or environmental control

An emergency management team is removing foreign bodies and performing cricothyroidotomy on a client post burn injury. Which emergency assessment has been performed on this client? Breathing Circulation Exposure and environmental control Airway and simultaneous cervical spine stabilization

Airway and simultaneous cervical spine stabilization

A nurse is obtaining an admission history for a client who is scheduled for surgery to repair a ruptured abdominal aneurysm. Which type of shock should the nurse monitor for in this client? Obstructive Neurogenic Cardiogenic Hypovolemic

Hypovolemic

A client with a diagnosis of myocardial infarction is admitted to the ICU and a pulmonary artery catheter is inserted for hemodynamic monitoring. Therapy is administered to maintain the pulmonary artery wedge pressure at 16 to 20 mm Hg to optimize stroke volume. The client's pulmonary artery wedge pressure increases to 24 mm Hg. What does the nurse consider is the most likely reason for this change? Decreased afterload Decreased HR Increased stroke volume Increased intravascular volume

Increased intravascular volume

A client is admitted with chest pain unrelieved by nitroglycerin, an elevated temp, decreased BP, and diaphoresis. A myocardial infarction is diagnosed. Which should the nurse consider as a valid reason for one of the client's physiological responses? Parasympathetic reflexes from the infarcted myocardium causes diaphoresis Inflammation in the myocardium causes a rise in the systemic body temp Catecholamines released at the site of the infarction cause intermittent localized pain Constriction of central and peripheral blood vessels causes a decrease in BP

Inflammation in the myocardium causes a rise in the systemic body temp