NURS 420 Midterm Questions With Complete Solutions

NURS 420 Midterm Questions With Complete Solutions As a nurse on the code team, you are rushing to a pediatric code. In order to determine appropriate resuscitation for the child, the first thing you need is a. To put the child on the scale to get a weight b. Contact the parents to ask how much the child weighs c. Use the Broselow tap to estimate weight d. Get the hospital pediatrician to look at the child to estimate weight - answerc. Use the Broselow tap to estimate weight The patient's family heard the doctor say that he was going to perform an atherectomy, but they do not understand what this means. The nurse explains: A. "The surgeon is going to cut out and remove plaque buildup in the patient's heart vessels with specialized heart catheters." B.. "The doctor is going to insert special plastic tubing into the heart vessel to keep it open and functioning." C.. "A catheter with a balloon around it will be inserted into the damaged heart vessel to push the cholesterol buildup back and enlarge the inside of the vessel." D.. "This is a procedure to remove a tumor called an atheroma from the patient's heart muscle." - answerA. "The surgeon is going to cut out and remove plaque buildup in the patient's heart vessels with specialized heart catheters." You are caring for a rule-out MI patient. When would you expect to see initial elevation of troponin I levels? a. 0 to 3 hrs post infarct b. 3-6 hrs post infarct c. 12-24 hrs post infarct d. 24-48hrs post infarct - answerb. 3-6 hrs post infarct In caring for the postoperative cardiovascular patient, the nurse knows that the most frequent cause of a decreased cardiac output is: A. increased contractility. B. reduced preload. C. increased afterload. D. bradycardia. - answerB. reduced preload. When caring for a patient with acute coronary syndrome who has returned to the coronary care unit after having angioplasty with stent placement, the nurse obtains the following assessment data. Which data indicate the need for immediate action by the nurse? a. Heart rate 102 beats/min b. Pedal pulses 1+ bilaterally c. Blood pressure 103/54 mm Hg d. Chest pain level 7 on a 0 to 10 point scale - answerd. Chest pain level 7 on a 0 to 10 point scale Diltiazem (Cardizem) is ordered for a patient with newly diagnosed Prinzmetal's (variant) angina. When teaching the patient, the nurse will include the information that diltiazem will a. reduce heart palpitations. b. decrease spasm of the coronary arteries. c. increase the force of the heart contractions. d. help prevent plaque from forming in the coronary arteries - answerb. decrease spasm of the coronary arteries. Which of the following may be symptomatic of a myocardial infarction in a 56-year-old moderately obese woman? (Select all that apply) A. Decreased pain with rest B. Unexpected dyspnea and cold sweat C. Sudden fatigue D. Back and shoulder pain - answerB, C, and D Heparin is ordered for a patient with a non-ST-segment-elevation myocardial infarction (NSTEMI). What is the purpose of the heparin? a. Heparin enhances platelet aggregation b. Heparin decreases coronary artery plaque size c. Heparin prevents the development of new clots in the coronary arteries d. Heparin dissolves clots that are blocking blood flow in the coronary arteries - answerc. Heparin prevents the development of new clots in the coronary arteries The nurse caring for a patient with an alteration in cardiac output recognizes the key concern is a. Adequate tissue perfusion b. Pulse c. Blood pressure d. Stroke volume - answer The nurse on a cardiac unit hears the monitor alarm and sees that a patient that she is not assigned to is in ventricular tachycardia. What should be the nurse's next action? a. Run to the room and assess the patient. b. Find the assigned nurse and let them know. c. Walk to the room and assess the patient. d. Silence the alarm and walk away. - answera. Run to the room and assess the patient. The nurse is caring for a client newly diagnosed with atrial fibrillation with a ventricular response of 130 beats per minute. What medication should the nurse consider requesting when performing a Situation-Background-Assessment-Recommendation (SBAR) communication with the provider? Select all that a