Complex Care Exam 4- Cardiovascular
with Complete Solutions
-5-lead → RLQ and LLQ of abdomen, left and right clavicles, 4 left intercostal space
•It is estimated that 108 million American adults have HTN. What percentage do you
think DO NOT have their BP in control?
•26%
•2. 56%
•3. 51%
4. 71% - ANSWER-4. 71%
•S.D.'s blood pressure is 94/58 with HR of 168.
•What treatment might you expect the health care provider to initially order for S.D.'s
atrial fibrillation? - ANSWER-Try to control rate with calcium channel blockers, beta
blockers, amiodarone, digoxin
•What are some causes of PAC's? - ANSWER-Electrolyte imbalances, stress, caffeine,
alcohol, tobacco, hypoxia, physical fatigue
•What are some causes of sinus tachycardia? - ANSWER-Anxiety, stress, pain, anemia,
hypovolemia
•What is the treatment for PSVT? - ANSWER-Vagal stimulation, IV adenosine, IV beta
blockers, calcium channel blockers, synchronized cardioversion
* work fast*
•What manifestations will you see with Sinus Tach? - ANSWER-Flushing, dizziness,
dyspnea, angina
•You walk into a room and find your patient symptomatic (dizziness when you got them
up to ambulate to the bathroom, and they complained of SOB) and notice when your
walking them back to bed that the overhead bed telemetry monitor shows Sinus
Bradycardia.
•What are you going to do? - ANSWER-Ensure patient safety, give atropine to increase
HR, stop drugs that may cause bradycardia
´Which item best describes the size of the adult heart?
´A. A small potato
´B. A human fist
´C. A banana
, D. A plumb - ANSWER-´B. A human fist
´Which nursing responsibilities are priorities when caring for a patient returning from a
cardiac catheterization (Select all that apply)?
´A. Monitor vital signs and ECG
´B. Checking the catheter insertion site and distal pulses
´C. Helping the patient ambulate to the bathroom to void.
´D. Telling the patient that he will be sleepy from the general anesthesia.
´E. Teaching the patient about the risks of the radioactive isotope injection. - ANSWER-
A. Monitor vital signs and ECG
B. Checking the catheter insertion site and distal pulses
a flutter - ANSWER--typically from disease, can cause HF, increases risk for stroke
a flutter treatment - ANSWER-•Pharmacologic agent
•Electrical cardioversion
•Radiofrequency ablation
A patient has a diagnosis of acute myocardial infarction, and his cardiac rhythm is sinus
bradycardia with 6 to 8 premature ventricular contractions (PVCs) per minute. The
pattern that the nurse recognizes as the most characteristic of PVCs is:
a.an irregular rhythm.
b.an inverted T wave.
c.a wide, distorted QRS complex.
an increasingly long PR interval. - ANSWER-c.a wide, distorted QRS complex.
A patient in the coronary care unit develops ventricular fibrillation. The first action the
nurse should take is to:
a.perform defibrillation.
b.initiate cardiopulmonary resuscitation.
c.prepare for synchronized cardioversion.
d.administer IV antidysrhythmic drugs per protocol. - ANSWER-b.initiate
cardiopulmonary resuscitation.
A patient is receiving a drug that decreases afterload. To evaluate the patient's
response to this drug, what is most important for the nurse to assess?
a.Heart rate
b.Lung sounds
c.Blood pressure
Jugular venous distention - ANSWER-c.Blood pressure
with Complete Solutions
-5-lead → RLQ and LLQ of abdomen, left and right clavicles, 4 left intercostal space
•It is estimated that 108 million American adults have HTN. What percentage do you
think DO NOT have their BP in control?
•26%
•2. 56%
•3. 51%
4. 71% - ANSWER-4. 71%
•S.D.'s blood pressure is 94/58 with HR of 168.
•What treatment might you expect the health care provider to initially order for S.D.'s
atrial fibrillation? - ANSWER-Try to control rate with calcium channel blockers, beta
blockers, amiodarone, digoxin
•What are some causes of PAC's? - ANSWER-Electrolyte imbalances, stress, caffeine,
alcohol, tobacco, hypoxia, physical fatigue
•What are some causes of sinus tachycardia? - ANSWER-Anxiety, stress, pain, anemia,
hypovolemia
•What is the treatment for PSVT? - ANSWER-Vagal stimulation, IV adenosine, IV beta
blockers, calcium channel blockers, synchronized cardioversion
* work fast*
•What manifestations will you see with Sinus Tach? - ANSWER-Flushing, dizziness,
dyspnea, angina
•You walk into a room and find your patient symptomatic (dizziness when you got them
up to ambulate to the bathroom, and they complained of SOB) and notice when your
walking them back to bed that the overhead bed telemetry monitor shows Sinus
Bradycardia.
•What are you going to do? - ANSWER-Ensure patient safety, give atropine to increase
HR, stop drugs that may cause bradycardia
´Which item best describes the size of the adult heart?
´A. A small potato
´B. A human fist
´C. A banana
, D. A plumb - ANSWER-´B. A human fist
´Which nursing responsibilities are priorities when caring for a patient returning from a
cardiac catheterization (Select all that apply)?
´A. Monitor vital signs and ECG
´B. Checking the catheter insertion site and distal pulses
´C. Helping the patient ambulate to the bathroom to void.
´D. Telling the patient that he will be sleepy from the general anesthesia.
´E. Teaching the patient about the risks of the radioactive isotope injection. - ANSWER-
A. Monitor vital signs and ECG
B. Checking the catheter insertion site and distal pulses
a flutter - ANSWER--typically from disease, can cause HF, increases risk for stroke
a flutter treatment - ANSWER-•Pharmacologic agent
•Electrical cardioversion
•Radiofrequency ablation
A patient has a diagnosis of acute myocardial infarction, and his cardiac rhythm is sinus
bradycardia with 6 to 8 premature ventricular contractions (PVCs) per minute. The
pattern that the nurse recognizes as the most characteristic of PVCs is:
a.an irregular rhythm.
b.an inverted T wave.
c.a wide, distorted QRS complex.
an increasingly long PR interval. - ANSWER-c.a wide, distorted QRS complex.
A patient in the coronary care unit develops ventricular fibrillation. The first action the
nurse should take is to:
a.perform defibrillation.
b.initiate cardiopulmonary resuscitation.
c.prepare for synchronized cardioversion.
d.administer IV antidysrhythmic drugs per protocol. - ANSWER-b.initiate
cardiopulmonary resuscitation.
A patient is receiving a drug that decreases afterload. To evaluate the patient's
response to this drug, what is most important for the nurse to assess?
a.Heart rate
b.Lung sounds
c.Blood pressure
Jugular venous distention - ANSWER-c.Blood pressure
