Exam (elaborations)
Carl Shapiro vsim Questions and Answers 100% Correct
- Course
- Institution
Exam of 4 pages for the course Carl Shapiro vsim at Carl Shapiro vsim (Carl Shapiro vsim)
[Show more]
Content preview
Carl ShapiroWhich of the following does the nurse recognize as typical signs and symptoms
exhibited by a client experiencing angina? (Select all that apply.) - answer Diaphoresis ,
Shortness of breath , Substernal chest pain
Rationale: Typical signs and symptoms of angina can include substernal chest pain or
heaviness that may radiate, shortness of breath, dusky or pallor skin, diaphoresis,
weakness, nausea and vomiting, and denial by the client. Pain on inspiration and
tenderness over the apical area are symptoms associated with other disease processes
such as pericarditis or pleurisy.
When administering medication to the client with suspected myocardial infarction, the
nurse understands that morphine has which of the following beneficial effects? (Select
all that apply.) - answerDecreases preload , Decreases afterload , Decreases pain ,
Decreases anxiety
Rationale: Morphine is the drug of choice to reduce pain, thereby reducing anxiety. It
also reduces preload and afterload, decreasing the work of the heart. The client must be
monitored closely for the side effects of hypotension and respiratory depression.
Based on the following ECG waveform, the nurse recognizes that the client is
experiencing which dysrhythmia? - answerVentricular fibrillation
Rationale: Ventricular fibrillation is characterized by a ventricular rate greater than 300
bpm, an extremely irregular rhythm without a specific pattern, and irregular, undulating
waves without recognizable QRS complexes.
Which of the following are cardiac markers assessed in the client experiencing angina
to determine potential myocardial injury? (Select all that apply.) - answerTroponin , CK-
MB
Rationale: Cardiac enzymes and biomarkers, which include troponin, creatine kinase
(CK), and myoglobin, are used to diagnose an acute MI. Of the three CK isoenzymes,
CK-myocardial bound (MB) is specific to the heart muscle. CK-MM is specific to skeletal
muscle and is not an indicator of MI. Hemoglobin is used to determine the amount of
oxygen in the blood. Creatinine is elevated in renal failure, not in myocardial injury.
The nurse knows that which factors may increase the client's risk of developing
coronary artery disease? (Select all that apply.) - answerFamily history , Metabolic
syndrome , Cigarette smoking
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller julianah420. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81531 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now