vSim Health Assessment | Jared Griffin (Cardiovascular Assessment)

Which patient is expected to have the lowest resting pulse rate (RPR)?

A non-Hispanic Black male

Which assessment findings suggest an arterial vascular system abnormality? (Select all that apply.)

Absence of hair over the lower legs Thin, shiny skin over calves

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

Absent P waves Irregular QRS complexes Low-amplitude fibrillation waves

Which action taken during a CV assessment will best assist the nurse in determining the hemodynamics 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?

It's normal to experience occasional premature beats.

The life partner of a patient diagnosed with atrial 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?

The abnormal heartbeat results in poor flow to the heart.

The nurse is gathering subjective data during a CV 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? Rationale: Episodes of fatigue are a symptom associated with compromised cardiac output. Irregular cardiac rhythm (skipped beats) can be a factor associated with impaired cardiac output. Edema and an urgent need to urinate at night (nocturia) are associated with congested heart failure (CHF). Tobacco use is a risk factor for heart disease.

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? (Select all that apply)

a. A P wave is visible before each QRS complex c. HR is between 60 and 100 beats / min (bpm) e. The T wave is rounded and smooth

Preparing for an ECG is a priority nursing intervention for which patient? (Select all that apply).

a. A patient reporting, "I feel like my heart is skipping beats" b. A patient newly diagnosed with mild hypokalemia c. A patient who just had a pacemaker placed d. A patient experiencing diaphoresis and arm pain

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

b. Male over the age of 60 e. History of hypertension

To assess a patient's heart during a physical assessment, which actions will the nurse perform? (Select all that apply.)

Auscultate over the aortic, pulmonic, tricuspid, and mitral areas, as well as Erb's point 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 the HR and rhythm use the diaphragm of the stethoscope

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/acetaminophen

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

The blood tends to pool in your heart's upper chamber, increasing the risk of developing a clot (develop into a stroke).

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? (Select all that apply.)

a. Jugular vein distension b. An irregular pulse c. Hx of chest pain e. Tachycardia

The nurse is preparing a patient for a CV assessment. When providing the patient with information concerning the examination, which physical positions will the nurse indicate will be used during the examination? (Select all that apply)

b. Left lateral d. Sitting upright while leaning forward e. Supine