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CHAPTER 31: ASSESSMENT OF CARDIOVASCULAR SYSTEM LEWIS: MEDICAL-SURGICAL NURSING, QUESTIONS AND ANSWERS WITH SOLUTIONS 2024 $13.49   Add to cart
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CHAPTER 31: ASSESSMENT OF CARDIOVASCULAR SYSTEM LEWIS: MEDICAL-SURGICAL NURSING, QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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CHAPTER 31: ASSESSMENT OF CARDIOVASCULAR SYSTEM LEWIS: MEDICAL-SURGICAL NURSING, QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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  • August 31, 2024
  • 15
  • 2024/2025
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  • Lewis Medical Surgical Nursing 12TH
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CHAPTER 31: ASSESSMENT OF
CARDIOVASCULAR SYSTEM LEWIS:
MEDICAL-SURGICAL NURSING,
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
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.

electrocardiographic (ECG) monitoring. - ANSWER d



Pulse deficit _________________________ - ANSWER 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
_____________________ - ANSWER 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.

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



The resting HR does not change with ____________________, so the decrease in HR requires further
investigation. - ANSWER aging,



Bundle-branch block and slight increases in PR interval or QRS duration are common in older individuals
because of ________________ - ANSWER 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.

auscultate carotid arteries for the presence of a bruit. - ANSWER ANS: C



The PMI should be felt at the_____________________. - ANSWER intersection of the fifth intercostal
space and left midclavicular line



A PMI located outside these landmarks indicates possible cardiac enlargement, such as
with____________________. The other assessments are part of a general cardiac assessment but do not
represent follow-up for LVH. - ANSWER left ventricular hypertrophy (LVH

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