JACKLINE
Nur 107 Chapters 21-27 Cardiovascular/ Brunner &
Suddarth's Textbook of Medical-Surgical Nursing, 15th ed
With Questions And 100% SURE ANSWERS
Terms in this set (127)
Correct response:
feet and ankles
Explanation:
Edema occurs when blood is not pumped efficiently or plasma protein levels are inadequate to
A client with a history of right-sided heart failure
maintain osmotic pressure. When blood has nowhere else to go, the extra fluid enters the tissues.
lives in a long-term care facility. In the daily
Particular areas for examination are the dependent parts of the body, such as the feet and ankles.
assessment, the nurse is required to record the level
The area over, not below, the sacrum is another area prone to edema.
of this client's peripheral edema. Which would be
Reference:
the main area for examination?
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th ed.,
Philadelphia, Wolters Kluwer, 2022, Chapter 21: Assessment of Cardiovascular Function, Assessment
of the Skin and Extremities, p. 664.
Chapter 21: Assessment of Cardiovascular Function - Page 664
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,8/7/24, 3:22 PM
Correct response:
Right ventricular pressure must be higher than pulmonary arterial pressure.
Explanation:
It is important for a nurse to understand cardiac For the right ventricle to pump blood in need of oxygenation into the lungs via the pulmonary artery,
hemodynamics. For blood to flow from the right right ventricular pressure must be higher than pulmonary arterial pressure.
ventricle to the pulmonary artery, the following Reference:
must occur: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th ed.,
Philadelphia, Wolters Kluwer, 2022, Chapter 21: Assessment of Cardiovascular Function, Cardiac
Hemodynamics, p. 655.
Chapter 21: Assessment of Cardiovascular Function - Page 655
description of the pain
Explanation:
If the client is experiencing chest pain, a history of its location, frequency, and duration is necessary.
A description of the pain is also needed, including if it radiates to a particular area, what precipitates
For both outpatients and inpatients scheduled for
its onset, and what brings relief. The nurse weighs the client and measures vital signs. The nurse may
diagnostic procedures of the cardiovascular system,
measure blood pressure in both arms and compare findings. The nurse assesses apical and radial
the nurse performs a thorough initial assessment to
pulses, noting rate, quality, and rhythm. The nurse also checks peripheral pulses in the lower
establish accurate baseline data. Which data is
extremities.
necessary to collect if the client is experiencing
Reference:
chest pain?
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th ed.,
Philadelphia, Wolters Kluwer, 2022, Chapter 21: Assessment of Cardiovascular Function, Assessment
of the Cardiovascular System, Health History, p. 658.
Chapter 21: Assessment of Cardiovascular Function - Page 658
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Count the heart rate at the apex.
Explanation:
The nurse determines the pulse deficit by counting the heart rate through auscultation at the apex
while a second nurse simultaneously palpates and counts the radial pulse for a full minute. The
The clinic nurse caring for a client with a
difference, if any, is the pulse deficit. The pulse quality refers to its palpated volume. Pulse rhythm is
cardiovascular disorder is performing an assessment
the pattern of the pulsations and the pauses between them.
of the client's pulse. Which of the following steps is
Reference:
involved in determining the pulse deficit?
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th ed.,
Philadelphia, Wolters Kluwer, 2022, Chapter 21: Assessment of Cardiovascular Function, Pulse
Rhythm, p. 666.
Chapter 21: Assessment of Cardiovascular Function - Page 666
Nur 107 Chapters 21-27 Cardiovascular/ Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th ed.,
, 8/7/24, 3:22 PM
The inner layer, the endocardium, is composed of a thin, smooth layer of endothelial cells. Folds of
endocardium form the heart valves. The middle layer, the myocardium, consists of muscle tissue and
Within the heart, several structures and several is the force behind the heart's pumping action. The pericardium is a saclike structure that surrounds
layers all play a part in protecting the heart muscle and supports the heart. The outer layer, the epicardium, is composed of fibrous and loose
and maintaining cardiac function. The inner layer of connective tissue.
the heart is composed of a thin, smooth layer of Reference:
cells, the folds of which form heart valves. What is Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th ed.,
the name of this layer of cardiac tissue? Philadelphia, Wolters Kluwer, 2022, Chapter 21: Assessment of Cardiovascular Function, Anatomy of
the Heart, p. 651.
Chapter 21: Assessment of Cardiovascular Function - Page 651
ventricular tachycardia
Explanation:
The dysrhythmia shown is ventricular tachycardia because it has more than 3 premature ventricular
contractions. The ventricular rate is 100 to 200 bpm; the atrial rate depends on the underlying rhythm
(e.g., sinus rhythm). The QRS duration is 0.12 seconds or more and has an abnormal shape. .
Ventricular asystole is characterized by absent QRS complexes; this rhythm is referred to as flatline.
Normal sinus rhythm is regular with with a ventricular and atrial rate of 60 to 100 bpm. The P-wave
has a consistent shape and is always in front of the QRS. The PR interval is a consistent interval
between 0.12 and 0.20 seconds, and the P:QRS ratio is 1:1.
The nurse working in the emergency department
A junctional rhythm not caused by a complete heart block has a ventricular rate of 40 to 60 bpm
places a client in anaphylactic shock on a cardiac
and, if P waves are discernible, an atrial rate of 40 to 60 bpm. The ventricular and atrial rhythm are
monitor and sees the cardiac rhythm shown. Which
regular. If the P-wave is in front of the QRS, the PR interval is less than 0.12 seconds. The P:QRS ratio
dysrythmia should the nurse document?
is 1:1 or 0:1.
Atrial fibrillation is indicated by an atrial rate of 300 to 600 bpm; the ventricular rate is usually 120 to
200 bpm if untreated. Both the ventricular and atrial rhythm are highly irregular. P-waves will not be
discernible; irregular undulating waves that vary in amplitude and shape are referred to as fibrillatory
or f waves. The PR interval cannot be measured, and the P:QRS ratio is Many:1.
Reference:
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th ed.,
Philadelphia, Wolters Kluwer, 2022, Chapter 22: Management of Patients with Arrhythmias and
Conduction Problems, Types of Arrhythmias, p. 707.
