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Chapter 31: Assessment of Cardiovascular System Lewis: Medical- Surgical Nursing Exam Practice Questions and Answers $12.49   Add to cart

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Chapter 31: Assessment of Cardiovascular System Lewis: Medical- Surgical Nursing Exam Practice Questions and Answers

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Chapter 31: Assessment of Cardiovascular System Lewis: Medical- Surgical Nursing Exam Practice Questions and Answers A 74-yr-old patient has just arrived in the emergency department. After assessment reveals a pulse deficit of 46 beats, the nurse will anticipate that the patient may require a...

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  • October 23, 2024
  • 26
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Lewis Medical-Surgical Nursing
  • Lewis Medical-Surgical Nursing
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GraceAmelia
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FIRST PUBLISH OCTOBER 2024




Chapter 31: Assessment of
Cardiovascular System Lewis: Medical-
Surgical Nursing Exam Practice
Questions and Answers

A 74-yr-old patient has just arrived in the emergency department. After assessment reveals a pulse

deficit of 46 beats, the nurse will anticipate that the patient may require


a.


emergent cardioversion.


b.


a cardiac catheterization.


c.


hourly blood pressure (BP) checks.


d.


Page 1/26

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




electrocardiographic (ECG) monitoring. - Ans:✔✔-d


Pulse deficit _________________________ - Ans:✔✔-is a difference between simultaneously obtained

apical and radial pulses. It indicates that there may be a cardiac dysrhythmia that would best be

detected with ECG monitoring.


Frequent BP monitoring, cardiac catheterization, and emergent cardioversion are used for

_____________________ - Ans:✔✔-diagnosis and/or treatment of cardiovascular disorders but would

not be as helpful in determining the immediate reason for the pulse deficit.


The nurse is reviewing the 12-lead electrocardiograph (ECG) for a healthy 74-yr-old patient who is having

an annual physical examination. What finding is of most concern to the nurse?


a.


A right bundle-branch block.


c.


The QRS duration is 0.13 seconds.


b.


The PR interval is 0.21 seconds.


d.


Page 2/26

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




The heart rate (HR) is 41 beats/min. - Ans:✔✔-ANS: D


The resting HR does not change with ____________________, so the decrease in HR requires further

investigation. - Ans:✔✔-aging,


Bundle-branch block and slight increases in PR interval or QRS duration are common in older individuals

because of ________________ - Ans:✔✔-increases in conduction time through the AV node, bundle of

His, and bundle branches.


During a physical examination of an older patient, the nurse palpates the point of maximal impulse (PMI)

in the sixth intercostal space lateral to the left midclavicular line. The best follow-up action for the nurse

to take will be to


a.


ask about risk factors for atherosclerosis.


b.


determine family history of heart disease.


c.


assess for symptoms of left ventricular hypertrophy.


d.


Page 3/26

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