NSG 321Post-Simulation Quiz. | 2020/2021 LATEST VERSION.

NSG 321Post-Simulation Quiz. Scenario 13 Ivan Emoto Post-Simulation Quiz 1. Ivan Emoto has a reduced ejection fraction (EF) of 30%. EF provides the best information about the level of function of the: A. left coronary artery. B. right atrium. C. mitral valve. D. left ventricle. 2. The emergency department physician has ordered CK-MB level testing for a patient suspected of having had a myocardial infarction. When reviewing the laboratory results, the nurse correctly recognizes that CK-MB levels will begin to rise ______ hours after the injury to the myocardial tissue. E. 3 to 6 F. 8 to 12 G. 14 to 20 H. 36 to 48 3. Ivan Emoto's assessment reveals the presence of crackles. What is the significance of the assessed crackles? I. Crackles indicate that the patient is beginning to develop a pulmonary infection. J. Crackles are noted in patients with heart disease when they continue to use tobacco products. K. Crackles indicate that there is a buildup of fluid in the lungs. L. Crackles are noted when there is trapped mucus in the airways. 4. A nurse is caring for an older adult patient with anatomical changes to the heart's ventricles. The nurse notes the presence of a third heart sound, S3. What is the significance of this sound? M. S3 is often an early sign of heart failure. N. S3 is seen in patients who have had significant damage to the myocardial muscle. O. Reduced ventricular compliance is manifested by S3. P. S3 typically has a late onset in the presence of heart failure. 5. A patient has been diagnosed with left-sided heart failure. Which manifestations are most consistent with this condition? Select all that apply. Q. Fatigue R. Weakness S. Wheezes T. Elevated blood pressure U. Nausea 6. When conducting an assessment of Ivan Emoto, the nurse should check for the presence of clubbing. Clubbing is recognized when: V. there is an increased angle between the nail plate and the nail base. W. the nail shape is concave and curves upward from the nail bed. X. there are red or brown grooves in the nail bed. Y. there are pale grooves in the base of the nail. 7. Ivan Emoto had a 12-lead ECG performed upon admission. The results revealed sinus tachycardia. Sinus tachycardia is consistent with a heart rate above ______ beats per minute. Z. 70 AA. 80 BB. 90 CC. 100 8. Furosemide is a(n): DD. vasodilator EE. diuretic FF. analgesic GG. beta-adrenergic antagonist