ECCO: Caring for Patients with Cardiovascular Disorders Part 2 Questions with Answers

A patient reports ripping chest pain that radiates to the neck, and shortness of breath. Which interventions should the nurse anticipate? Correct Answer watch for ST elevation A nurse observes a patient's jugular venous distention, tachycardia, and elevated CVP. ECHO identifies a large pericardial effusion and onset of atrial collapse. What intervention should the nurse initially anticipate? Correct Answer Prepare for pericardiocentesis You note a wide pacemaker spike followed by a wide QRS complex and a T wave with the opposite deflection on a patient with a temporary transcutaneous pacemaker. Correct Answer Palpate for a pulse corresponding with the QRS A patient has a transvenous temporary pacemaker in place at a rate of 70 and mA of 5. The patient's rhythm is junctional with a rate of 55. No pacemaker spikes are noted on the ECG. Which is initially indicated? Correct Answer Replace the battery Which should the nurse include in preparing a patient for an electrophysiology study? Correct Answer you will be sedated Which of these can indicate carotid artery stenosis? Correct Answer neurologic dysfunction lasting 1-2 hours Which are required to assist before and during pericardiocentesis? Correct Answer Monitor for ST elevation during the procedure (Semi-Fowler to shift effusion inferiorly) A patient has a transvenous temporary pacemaker in place. Pacemaker spikes are noted on the ECG, but they are not followed by a P wave or QRS complex. Which is initially indicated? Correct Answer Check the connections A patient with a stab wound to the chest has VS: BP 80/40 (53), HR 112, and RR 24. Diminished heart sounds, dizziness, JVD, and weak pulses are noted. Which should the nurse anticipate? Correct Answer Administer fluid bolus; Prepare for pericardiocentesis For which of the following patients should the nurse suspect a diagnosis of myocarditis? Correct Answer with a recent upper respiratory virus and chest pain A patient with a recent MI reports stabbing chest pain that increases with deep breathing and is relieved by leaning forward. SpO2 is 94%. Which should the nurse initially anticipate? Correct Answer NSAIDs