V sim 1

Preparing for an ECG is a priority nursing intervention for which patient?

-A patient reporting "I feel lie my heart is skipping beats" -a patient who just had a pacemaker placed -a patient newly diagnosed with mild hypokalemia -a patient experiencing diaphoresis and arm pain

The nurse and a student nurse are reviewing the ECG of a patient diagnosed with atrial fibrillation (AF). Which characteristics noted will the nurse identify as being associated with this cardiac condition?

-Absent P waves -low amplitude fibrillation waves -Irregular QRS complexes

A nurse is discussing the evaluation of an ECG recently performed on a patient with a nursing student. Which data will the nurse identify for the student as being within normal limits?

-T wave is rounded and smooth -P wave is visible before each QRS complex -HR between 60-100bpm -normal sinus rhythm -P wave that lasts 0.12-0.2 seconds -QRS complex that lasts 0.12 seconds -ST segment less than or equal to 0.1 mV, -positive in leads I,II, V3-V6 -QT interval duration varies but usually lasts 0.36 to 0.44 seconds

A patient is diagnosed with atrial fibrillation (AF) based on an ECG. Which of the following nursing assessment findings could also be demonstrated by a patient experiencing AF?

-Tachycardia -Jugular vein distension -history of chest pain

Which assessment findings suggest an Atrial vascular system abnormality?

-absence of hair over the lower legs -thin, shiny skin over calves

To assess a patients heart during a physical assessment, which actions will the nurse perform?

-assess the apex, left sternal border, and base of the heart for abnormal pulsations -ask the patient to lie on the left side to assess sounds from the apex of the heart -assess heart rate and rhythm using the diaphragm of the stethoscope -auscultating over the aortic, pulmonic, tricuspid, and mitral areas as well as Erb's point

ECG is used to identify

-conduction abnormalities -cardiac arrhythmias -myocardial infarctions

Which gender generally have Resting pulse rate thats few beats faster than the other gender?

females have a few beats faster than males

The nurse is gathering subjective data during a cardiovascular assessment from a patient's spouse. Which question is particularly appropriate for a patient who has reported that, "My heart seems to skip beats"?

have you seen periods when your spouse seems to experience uncommon fatigue?

Which action taken during a cardiovascular assessment will best assist the nurse in determining the hemodynamic of the right side of a patient's heart

inspection of the jugular venous pulse level

The nurse is providing care for a patient whose partner says, "We're told that he occasionally has an irregular heartbeat. Is that bad?" Which response should the nurse make to best address the partner's concern?

its normal to experience occasional premature beats

Which patient is expected to have the lowest rating pulse rate?

non-Hispanic Black male

Of the medications Mr. Griffin has been prescribed, which one will the nurse discuss with the surgeon regarding its possible association with the patient's irregular heartbeat?

oxycodone/actaminophen

A patient has been recently diagnosed with atrial fibrillation. Which expected outcome will the nurse include in the care plan to address the resulting anxiety?

patient will learn and demonstrate effective coping behaviors

Atrial fibrillationi s most common

patients older than 60 but affects only approximately 5% of this age group

Inspection for apical impulse is done to determine the

presence of an enlarged ventricle

right-side heart failure raises _________ and __________, thus raising ________

raises pressure and volume, thus raising jugular venous pressure

what does impaired blood flow lead to

stroke, thromboembolism, and heart failure

What is the nurse's response when Mr. Griffin asks, "What is the biggest worry about having Atrial fibrillation?

the blood tends to pool in your heart's upper clamber, increasing the risk of developing a clot

Warm skin and brown pigmentation around the ankles is associated with

venous insufficiency

The medical record states that the patient's pulse is "small and weak". Which characteristic will the nurse examine to detect when performing a cardiovascular assessment on this patient?

-prolonged systolic peak -diminished pulse pressure -slow upstroke

The nurse is preparing a patient for a cardiovascular assessment. When providing the patient with info concerning the examination, which physical positions will the nurse indicate will be used during the examination?

-siting upright while leaning forward -supine -left lateral

palpation of the carotid artery is done to detect ______

a loss of elasticity that is associated with arteriosclerosis

When reviewing Mr. Griffin's medical record, the nurse recognizes what info as being a risk factor for Atrial fibrillation?

-history of hypertension -male over the age of 60

The life partner of a patient diagnosed with arial fibrillation (AF) demonstrates a need for instruction when asking the nurse, "Can you tell me why this is a problem?" What is the nurse's best response?

abnormal heartbeat results in poor blood flow to the heart

auscultation of the carotid artery is associated with

detection of a bruit, indicative of some degree of occulusion

Assessing Si and S2 heart sounds is done using the _______ of the stethoscope

diaphragm

When preparing a patient for an ECG the nurse will include which instructional information?

-sticky backed electrodes will be attached directly to the skin on the patient's arms, legs and chest -the patient will be asked to lie on his or her back for the length of the test, which is 5-10 mins -test is painless -Its important that the patient remain as still and relaxed as possible during the test

Which point on the heart will the nurse use to auscultate an apical pulse?

apex

which race have lower mean PRPs than another race?

black and Mexicans (especially females) have lower mean RPRs than non-Hispanic white females

Which example of nursing documentation best indicates that the patient has peripheral perfusion that reflects adequate cardiac output?

capillary refill noted in less than 2 seconds