An 82-year-old female was admitted to the hospital with confusion and severe
hypotension. Her body’s compensatory mechanisms are increased heart rate,
vasoconstriction, and movement of large volumes of interstitial fluid to the
vascular compartment. What kind of shock does the nurse suspect the patient is
experiencing?
Correct b.
Answer: Hypovolemic
Question 2
A 50-year-old female received trauma to the chest that caused severe
impairment of the primary pacemaker cells of the heart. Which of the following
areas received the greatest damage?
Correct b.
Answer: Sinoatrial (SA) node
Question 3
Which organ should the nurse monitor closely since it is often the first to fail in
patients with multiple organ dysfunction syndrome (MODS)?
Correct Answer: c.
Lungs
Question 4
An 80-year-old female is in the hospital for a bone fracture. While there she
develops a large, nonlethal pulmonary embolus. Which of the following is a
direct result of the obstruction to pulmonary blood flow?
Correct Answer: a. Pulmonary hypertension
, Question 5
A 54-year-old male is diagnosed with left bundle branch block. Which of the
following structures would not receive an electrical impulse?
Correct Answer: d.
The left ventricle
Question 6
A 52-year-old female is diagnosed with coronary artery disease. The nurse
assesses for myocardial:
Correct Answer: b.
Ischemia
Question 7
When a patient has a massive pulmonary embolism (PE), what complications
will the nurse monitor for?
Correct Answer: a.
Damage to the lung microcapillaries
Question 8
What term should the nurse document for a detached blood clot?
Correct Answer: c.
Thromboembolus
Question 9
A 65-year-old male is transported to the ER for chest pain. An
electrocardiogram reveals a prolonged QRS interval. What is the nurse
monitoring when the nurse observes the QRS complex on the
electrocardiogram? The QRS complex reflects:
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