Chapter 36: Cardiac Disorders: Introduction to Medical-Surgical Nursing, 6th Edition
MULTIPLE CHOICE 1. 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 ANS: A To detect an apical-radial pulse deficit, the rates should be counted simultaneously and compared for differences. If a difference exists between the apical rate and the radial rate, then a pulse deficit is present. For example, in atrial fibrillation, a pulse deficit exists. DIF: Cognitive Level: Analysis REF: p. 687 OBJ: 8 TOP: Vital Sign Assessment: Pulse Deficit KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Physiological Adaptation 2. 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 ANS: D An increase blood pressure creates an increase in afterload because the heart must work harder to push the blood out of the left ventricle into the circulating volume. DIF: Cognitive Level: Comprehension REF: p. 685-686 OBJ: 7 TOP: Hypertension Effect on Afterload KEY: Nursing Process Step: ImplementationMSC: NCLEX: Physiological Integrity: Physiological Adaptation
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- 10 de abril de 2021
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