Nur 107 Chapters 21-27 Cardiovascular/ Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th ed., Comprehensive Exam || With 100% Correct Solutions

Nur 107 Chapters 21-27 Cardiovascular/ Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th ed., Comprehensive Exam || With 100% Correct Solutions Nur 107 Chapters 21-27 Cardiovascular/ Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th ed., Comprehensive Exam || With 100% Correct Solutions A client experiences a faster-than-normal heart rate when drinking more than two cups of coffee in the morning. What does the nurse identify on the electrocardiogram as an indicator of sinus tachycardia? - ANSWER - heart rate of 118 bpm Explanation: The sinus node creates an impulse at a faster-than-normal rate. The PR interval of 0.1 seconds, QRS duration of 0.16 seconds and Q wave of 0.04 seconds are consistent with a normal sinus rhythm. Sinus tachycardia occurs when the heart rate is over 100 bpm. Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th ed., Philadelphia, Wolters Kluwer, 2022, Chapter 22: Management of Patients with Arrhythmias and Conduction Problems, Types of Arrhythmias, p. 696. Chapter 22: Management of Patients with Arrhythmias and Conduction Problems - Page 696 A client asks the nurse about complications associated with use of a cardiac pacemaker. What does the nurse include in their response? Select all that apply. - ANSWER - Twiddler syndrome Hiccupping Localized infection Explanation: Complications associated with pacemakers include infection at entry site, pneumothorax, bleeding and hematoma, hemothorax, ventricular ectopy and tachycardia, phrenic nerve/diaphragmatic(hiccupping)/skeletal stimulation, cardiac perforation, Twiddler syndrome, and hemodynamic instability. A positive Kernig's sign is an indication of meningitis. A positive Babinski reflex is normal in neonates, but indicates a central nervous system disorder in adults. Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th ed., Philadelphia, Wolters Kluwer, 2022, Chapter 22: Management of Patients with Arrhythmias and Conduction Problems, Pacemaker Therapy, p. 718. The nurse is explaining the cause of angina pain to a client. What will the nurse say most directly caused the pain? - ANSWER - a lack of oxygen in the heart muscle cells Explanation: Angina pectoris refers to chest pain that is brought about by myocardial ischemia. It is the result of cardiac muscle cells being deprived of oxygen due to the progressive symptoms of coronary artery disease. Artery blockage or closure leads to myocardial death. The destroyed part of the heart (death of heart tissue) is a myocardial infarction. Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th ed., Philadelphia, Wolters Kluwer, 2022, Chapter 23: Management of Patients with Coronary Vascular Disorders, Angina Pectoris, p. 732. A client reports chest pain that occurs when playing tennis but resolves when sitting down. The nurse knows these symptoms are common for which type of angina?