ATI Medical Surgical Assessment D
.Verified 100%
Ans:HSystoleH-
HAHnurseHisHdescribingHtheHprocess HbyHwhichHbloodHisHejectedHintoHcirculationHasHtheHchambe
rsHofHtheHheartHbecomeHsmaller.HTheHinstructorHcategorizesHthisHactionHofHtheHheartHasHwhat?
Ans:HLeftHmidclavicularHlineHofHtheHchestHatHtheHfifthHintercostalHspaceH-
HDuringHaHshiftHassessment,HtheHnurseHisHidentifyingHtheHclient's HpointHofHmaximumHimpulseH(P
MI).HWhereHwillHtheHnurseHbestHpalpateHtheHPMI?
Ans:H46HmmHHgH-
HTheHnurseHisHcalculatingHaHcardiacHpatient's HpulseHpressure.HIfHtheHpatient's HbloodHpressureHisH
122/76HmmHHg,HwhatHisHtheHpatient'sHpulseHpressure?
Ans:HThisHisHanHaccurateHindicatorHofHmyocardialHinjury.H-
HTheHnurseHisHcaringHforHaHpatient HadmittedHwithHunstableHangina.HTheHlaboratoryHresultHforHth
eHinitialHtroponinHIHisHelevatedHinHthisHpatient.HTheHnurseHshouldHrecognizeHwhatHimplicationH
ofHthisHassessmentHfinding?
Ans:HIncreasedHLDLHandHdecreasedHHDLHincreaseHmyHriskHofHcoronaryHarteryHdisease.H-
HTheHnurseHisHconductingHpatient HteachingHaboutHcholesterolHlevels.HWhenHdiscussingHtheHpati
ent'sHelevatedHLDLHandHloweredHHDLHlevels,HtheHpatientHshowsHanHunderstandingHofHtheHsig
nificanceHofHtheseHlevelsHbyHstatingHwhat?
Ans:HPossibleHhypovolemiaH-
HTheHphysicianHhasHplacedHaHcentral HvenousHpressureH(CVP)HmonitoringHlineHinHanHacutelyHillH
patientHsoHrightHventricularHfunctionHandHvenousHbloodHreturnHcanHbeHcloselyHmonitored.HTheHr
esultsHshowHdecreasedHCVP.HWhatHdoesHthisHindicate?
Ans:HAH20-year-oldHpatientH-
HWhileHauscultatingHaHpatient's HheartHsounds,HtheHnurseHhearsHanHextraHheartHsoundHimmediatel
yHafterHtheHsecondHheartHsoundH(S2).HAnHaudibleHS3HwouldHbeHconsideredHanHexpectedHfinding
HinHwhatHpatient?
Ans:HMyocardialHischemiaH-
HTheHphysical HtherapistHnotifiesHtheHnurseHthatHaHpatientHwithHcoronaryHarteryHdiseaseH(CAD)He
xperiencesHaHmuchHgreater-than-
averageHincreaseHinHheartHrateHduringHphysicalHtherapy.HTheHnurseHrecognizesHthatHanHincreaseH
inHheartHrateHinHaHpatientHwithHCADHmayHresultHinHwhat?
Ans:HAHheartHrateHofH54HbpmH-
HTheHnurseHisHcaringHforHaHpatient HwhoHhasHaHhistoryHofHheartHdisease.HWhat HfactorHshould Hthe
HnurseHidentifyHasHpossiblyHcontributingHtoHaHdecreaseHinHcardiacHoutput?
Ans:HWideningHofHtheHaortaH-HTheHnurseHisHcaringHforHanH82-year-
oldHpatient.HTheHnurseHknowsHthatHchangesHinHcardiacHstructureHandHfunctionHoccurHinHolderHa
dults.HWhatHisHaHnormalHchangeHexpectedHinHtheHagingHheartHofHanHolderHadult?
Ans:HTheHpainHoccursHimmediatelyHfollowingHphysicalHexertion.H-HAHresidentHofHaHlong-
, termHcareHfacilityHhasHcomplainedHtoHtheHnurseHofHchestHpain.HWhatHaspectHofHtheHresident'sHp
ainHwouldHbeHmostHsuggestiveHofHanginaHasHtheHcause?
.Verified 100%
Ans:HSystoleH-
HAHnurseHisHdescribingHtheHprocess HbyHwhichHbloodHisHejectedHintoHcirculationHasHtheHchambe
rsHofHtheHheartHbecomeHsmaller.HTheHinstructorHcategorizesHthisHactionHofHtheHheartHasHwhat?
Ans:HLeftHmidclavicularHlineHofHtheHchestHatHtheHfifthHintercostalHspaceH-
HDuringHaHshiftHassessment,HtheHnurseHisHidentifyingHtheHclient's HpointHofHmaximumHimpulseH(P
MI).HWhereHwillHtheHnurseHbestHpalpateHtheHPMI?
Ans:H46HmmHHgH-
HTheHnurseHisHcalculatingHaHcardiacHpatient's HpulseHpressure.HIfHtheHpatient's HbloodHpressureHisH
122/76HmmHHg,HwhatHisHtheHpatient'sHpulseHpressure?
Ans:HThisHisHanHaccurateHindicatorHofHmyocardialHinjury.H-
HTheHnurseHisHcaringHforHaHpatient HadmittedHwithHunstableHangina.HTheHlaboratoryHresultHforHth
eHinitialHtroponinHIHisHelevatedHinHthisHpatient.HTheHnurseHshouldHrecognizeHwhatHimplicationH
ofHthisHassessmentHfinding?
Ans:HIncreasedHLDLHandHdecreasedHHDLHincreaseHmyHriskHofHcoronaryHarteryHdisease.H-
HTheHnurseHisHconductingHpatient HteachingHaboutHcholesterolHlevels.HWhenHdiscussingHtheHpati
ent'sHelevatedHLDLHandHloweredHHDLHlevels,HtheHpatientHshowsHanHunderstandingHofHtheHsig
nificanceHofHtheseHlevelsHbyHstatingHwhat?
Ans:HPossibleHhypovolemiaH-
HTheHphysicianHhasHplacedHaHcentral HvenousHpressureH(CVP)HmonitoringHlineHinHanHacutelyHillH
patientHsoHrightHventricularHfunctionHandHvenousHbloodHreturnHcanHbeHcloselyHmonitored.HTheHr
esultsHshowHdecreasedHCVP.HWhatHdoesHthisHindicate?
Ans:HAH20-year-oldHpatientH-
HWhileHauscultatingHaHpatient's HheartHsounds,HtheHnurseHhearsHanHextraHheartHsoundHimmediatel
yHafterHtheHsecondHheartHsoundH(S2).HAnHaudibleHS3HwouldHbeHconsideredHanHexpectedHfinding
HinHwhatHpatient?
Ans:HMyocardialHischemiaH-
HTheHphysical HtherapistHnotifiesHtheHnurseHthatHaHpatientHwithHcoronaryHarteryHdiseaseH(CAD)He
xperiencesHaHmuchHgreater-than-
averageHincreaseHinHheartHrateHduringHphysicalHtherapy.HTheHnurseHrecognizesHthatHanHincreaseH
inHheartHrateHinHaHpatientHwithHCADHmayHresultHinHwhat?
Ans:HAHheartHrateHofH54HbpmH-
HTheHnurseHisHcaringHforHaHpatient HwhoHhasHaHhistoryHofHheartHdisease.HWhat HfactorHshould Hthe
HnurseHidentifyHasHpossiblyHcontributingHtoHaHdecreaseHinHcardiacHoutput?
Ans:HWideningHofHtheHaortaH-HTheHnurseHisHcaringHforHanH82-year-
oldHpatient.HTheHnurseHknowsHthatHchangesHinHcardiacHstructureHandHfunctionHoccurHinHolderHa
dults.HWhatHisHaHnormalHchangeHexpectedHinHtheHagingHheartHofHanHolderHadult?
Ans:HTheHpainHoccursHimmediatelyHfollowingHphysicalHexertion.H-HAHresidentHofHaHlong-
, termHcareHfacilityHhasHcomplainedHtoHtheHnurseHofHchestHpain.HWhatHaspectHofHtheHresident'sHp
ainHwouldHbeHmostHsuggestiveHofHanginaHasHtheHcause?