Complex Care Final Review 74 Questions

Complex Care Final Review 74 Questions with Correct Answer 2024/2025.The nurse recognizes that primary manifesstations of systolic failure include

• decreased EF and increased PAWP
• decreased PAWP and increased EF
• decreased pulmonary hypertension associated with normal EF
• decreased afterload and decreased left ventricular end-diastolic pressure - Correct Answer a

A compensatory mechanism involved in HF that leads to inappropriate fluid retention and additional workload of the heart is

• ventricular dilation
• ventricular hypertrophy
• neurohormonal response
• sympathetic nervous system activation - Correct Answer c

You are caring for a patient with ADHF who is receiving IV dobuatmine (Dobutrex). You know that this drug is ordered because it (select all that apply)

• increases SVR
• produces diuresis
• improves contractility
• dilates renal lood vessels
• works on B1-recepts in the heart - Correct Answer c and e

a patient with chronic HF and atrial fibrillation is treated with digitalis glycoside and a loop diuretic. To prevent possible complications of this combination of drugs, what does the nurse need to do (select all that apply) 1 / 3

• monitor serum potassium levels
• teach the patient how to take a pulse rate
• keep an accurate measure of intake and output
• teach the patient about dietary restriction of potassium
• withhold digitalis and notify health care provider if heart rate is irregular - Correct Answer a and b

Patients with a heart transplantation are at risk for which complications in the first year after transplantation (select all that apply)

• cancer
• infection
• rejection
• vasculopathy
• sudden cardiac death - Correct Answer b, c and e

A patient admitted with ACS has continuous ECG monitoring. An examination of the rhythm strip reveals the following characteristics: atrial rate 74 bpm and regular, ventricular rate 62 bpm and irregular, P wave normal shape, PR interval lengthens progressively until a P wave is not conducted, QRS normal shape. The priority nursing intervention would be to

• perform synchronized cardioversion
• administer epinephrine 1 mg IV push
• observe for symptoms of hypotension or angina
• apply transcutaneous pacemaker pads on the patient - Correct Answer c

The nurse is monitoring the ECG of a patient admitted with ACS. Which ECG characteristics would be most suggestive of myocardial ischemia?

• sinus rhythm with a pathologic Q wave
• sinus rhythm with an elevated ST segment 2 / 3

• sinus rhythm with a depressed ST segment
• sinus rhythm with premature atrial contractions - Correct Answer c

The ECG monitor of a patient in the cardiac care unit after an MI indicates ventricular bigeminy with a rate of 50 bpm. The nurse would anticipate

• performing defibrillation
• treating with amiodarone
• inserting a temporary transvenous pacemaker
• assessing the patient's response to the dysrhythmia - Correct Answer d

The nurse prepares a patient for synchronized cardioversion knowing that cardioversion differs from defibrillation in that

• defibrillation requires a lower dose of electrical energy
• cardioversion is indicated to treat atrial bradydysrhythmias
• defibrillation is synchronized to deliver a shock during the QRS complex
• patients should be sedated if cardioversion is done on a non-emergency basis - Correct Answer d

Which patient teaching points should the nurse include when providing discharge instructions to a patient with a new permanent pacemaker and the caregiver (select all that apply)

• avoid or limit air travel
• take and record a daily pulse rate
• obtain and wear a Medic Alert ID or bracelet at all times
• avoid lifting arm on the side of the pacemaker above the shoulder
• avoid microwave ovens because they interfere with pacemaker function - Correct Answer b, c and d

Important teaching for the patient scheduled for a radiofrequency catheter ablation procedure includes explaining that

• / 3