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Exam (elaborations)

NR 443 CHAPTER 36: CARDIAC DISORDERS | VERIFIED SOLUTION

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A nurse performs an apical-radial pulse evaluation, with the result of 100/88. What is the pulse deficit? a. 12 b. 24 c. 76 d. 88 What is increased in hypertension that in turn causes an increase in the work of the heart? a. Preload b. Stroke volume c. Contractility d. Afterload . Which heart sound should the nurse record as normal? a. Ventricular gallop in a 20-year-old patient b. Atrial gallop in a 25-year-old patient c. Friction rub in a 45-year-old patient d. Medium diastolic murmur in a 50-year-old patient A 49-year-old patient has multiple risk factors for coronary artery disease. Which risk factor is considered modifiable? a. Family history b. Age c. Smoking d. Male gender A patient asks what a transesophageal echocardiogram (TEE) is and what it is expected to do? What is the best explanation by the nurse? a. Measures conductivity b. Records the force of contraction c. Evaluates the efficiency of the valves d. Checks the volume of the preload A nurse records the finding of a normal sinus rhythm (NSR) when the P, Q, R, S, and T are all present in the electrocardiographic complex. What additional information should the nurse document? a. Rate of 82 seconds b. PR interval of 0.36 second c. QRS complex of 0.16 second d. Inverted T . A nurse should anticipate that a patient taking Vasotec, an angiotensin-converting enzyme (ACE) inhibitor, should have which positive outcome to this drug? a. Increased fluid retention b. Decreased blood pressure c. Decreased urine output d. Increased appetite A 29-year-old patient is to receive cardioversion for a dysrhythmia. What should the nurse instruct the patient to expect? a. Administration of a short-acting sedative b. Digoxin dose to be taken as scheduled c. Procedure to be completely safe d. Pacemaker spikes to be carefully monitored

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