NUR 257 Chapter 25
- A nurse is describing the process by which blood is ejected into circulation as the chambers of
the heart become smaller. The instructor categorizes this action of the heart as what?
Answer
systole
- During a shift assessment, the nurse is identifying the clients point of maximum impulse
(PMI). Where will the nurse best palpate the PMI?
Answer
Left midclavicular line of the chest at the fifth intercostal space
- The nurse is calculating a cardiac patients pulse pressure. If the patients blood pressure is
122/76 mm Hg, what is the patients pulse pressure?
Answer
46 mm Hg
- The nurse is caring for a patient admitted with unstable angina. The laboratory result for the
initial troponin I is elevated in this patient. The nurse should recognize what implication of this assessment finding?
Answer
This is an accurate indicator of myocardial injury.
- The nurse is conducting patient teaching about cholesterol levels. When discussing the
patients elevated LDL and lowered HDL levels, the patient shows an understanding of the significance of these levels by stating what?- 1 / 2
Answer
"Increased LDL and decreased HDL increase my risk of coronary artery disease."
- The physician has placed a central venous pressure (CVP) monitoring line in an acutely ill
patient so right ventricular function and venous blood return can be closely monitored. The results show decreased CVP. What does this indicate?
Answer
Possible hypovolemia
- While auscultating a patients heart sounds, the nurse hears an extra heart sound immediately
after the second heart sound (S2). An audible S3 would be considered an expected finding in what patient?
Answer
A 20-year-old patient
- The physical therapist notifies the nurse that a patient with coronary artery disease (CAD)
experiences a much greater-than-average increase in heart rate during physical therapy. The nurse recognizes that an increase in heart rate in a patient with CAD may result in what?
Answer
myocardial ischemia
- The nurse is caring for a patient who has a history of heart disease. What factor should the
nurse identify as possibly contributing to a decrease in cardiac output?
Answer
A heart rate of 54 bpm
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