NUR 1172 PrepU Chapters 26-28 and 30 Review Questions and Correct Answers
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Course
NUR 1172
Institution
NUR 1172
Gradual, unexplained weight gain. A 63-year-old accountant was admitted to the cardiac ICU with full-blown pulmonary edema. After he was revived, the nurse discusses his symptoms with the client and his wife. What is a typical, subtle symptom that communicates right-sided heart failure?
Weighing t...
NUR 1172 PrepU Chapters 26-28 and 30
Review Questions and Correct Answers
Gradual, unexplained weight gain. ✅A 63-year-old accountant was admitted to the
cardiac ICU with full-blown pulmonary edema. After he was revived, the nurse
discusses his symptoms with the client and his wife. What is a typical, subtle symptom
that communicates right-sided heart failure?
Weighing the client daily at the same time each day. ✅A client is at risk for excess fluid
volume. Which nursing intervention ensures the most accurate monitoring of the client's
fluid status?
Low blood pressure ✅A patient is receiving anticoagulant therapy. The nurse should
be alert to potential signs and symptoms of external or internal bleeding, as evidenced
by which of the following?
Sinoatrial (SA) node, atrioventricular (AV) node, bundle of His, right and left bundle
branches, and the Purkinje fibers ✅The nurse is teaching a beginning EKG class to
staff nurses. As the nurse begins to discuss the the parts of the EKG complex, one of
the students asks what the normal order of conduction through the heart is. The correct
response would be which of the following?
Chest pain, weight gain, fatigue. ✅The nurse is taking a health history from a client
admitted with the medical diagnosis of cardiovascular disease (CVD). Identify which of
the following symptoms indicate CVD.
Bibasilar crackles ✅A client is returning from the operating room after inguinal hernia
repair. The nurse notes that he has fluid volume excess from the operation and is at risk
for left-sided heart failure. Which sign or symptom indicates left-sided heart failure?
Thallium-201 ✅Your client is going to have a stress test. What radionuclide would
most likely be used to diagnose ischemic heart disease during this test?
High LDL Levels ✅Jack Donohue, a 62-year-old stock broker, attends his annual
physical appointment and indicates physical changes since his last examination. He
reports chest pain and palpitation during and after his morning jogs. Jack's family history
reveals includes coronary artery disease. His lipid profile reveals his LDL level to be 122
mg/dl. Which of the following correctly states the Jack's condition?
10 Minutes ✅A nurse has come upon an unresponsive, pulseless victim. She has
placed a 911 call and begins CPR. The nurse understands that if the patient has not
been defibrillated within which time frame, the chance of survival is close to zero?
, Place the client in high Fowler's position. ✅A nurse is caring for a client with acute
pulmonary edema. To immediately promote oxygenation and relieve dyspnea, the nurse
should:
Pulmonary artery ✅Which of the follow arteries carries deoxygenated blood?
Instruct the patient to restrict food and oral intake. ✅Which of the following nursing
interventions is required to prepare a patient with cardiac dysrhythmia for an elective
electrical cardioversion?
Clients with recurrent life-threatening tachydysrhythmias. ✅You are caring for a client
who has been admitted to have a cardioverter defibrillator implanted. You would know
that implanted cardioverter defibrillators are used in what clients?
Troponin T and I ✅The nurse is awaiting results of cardiac biomarkers for a patient
with severe chest pain. The nurse would identify which cardiac biomarker as remaining
elevated the longest when myocardial damage has occurred?
The defibrillator won't deliver a shock if the synchronizer switch is turned on. ✅Before
using a defibrillator to terminate ventricular fibrillation, a nurse should check the
synchronizer switch. Why is this check so important?
Coumadin ✅Which medication is indicated for the patient with atrial fibrillation who is
at high risk for stroke?
Avoid tub baths, but shower as desired. ✅The nurse is providing discharge education
for the client going home after a cardiac catheterization. Which of the following would be
important information to give this client?
Avoid sources of electrical interference. ✅Which of the following postimplantation
instructions must a nurse provide a patient with a permanent pacemaker?
PR interval ✅Which of the following tends to be prolonged on the electrocardiogram
(ECG) during a first-degree atrioventricular (AV) block?
• Carry a card identifying yourself as a pacemaker recipient.
• Avoid large magnetic fields. ✅A client has had a pacemaker inserted and is ready for
discharge. The nurse is providing education about pacemaker safety. Which of the
following are items that the nurse will be sure to address? Choose all that apply.
"The only difference is the rate, which will be below 60 bpm in sinus bradycardia." ✅A
nursing student is caring for one of the nurse's assigned cardiac clients. The student
asks, "How can I tell the difference between sinus rhythm and sinus bradycardia when I
look at the EKG strip" The best reply by the nurse is which of the following?
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