Cardiovascular

Front 1

A patient with a tricuspid valve disorder will have impaird blood flow between the ____?

Back 1

right atrium and right ventricle

Front 2

A patient with an MI of the anterior wall of the left ventricle most likely has an occlusion of the _____?

Back 2

left anterior descending artery

Front 3

If the Purkinje system is damaged, conduction of the electrical impulse is impaired through the _____?

Back 3

ventricles

Front 4

Prolonged pressure on the skin causes reddened areas at the point of contact due to _____?

Back 4

tissue damage and inflammation resulting from impaired capillary blood flow.

Front 5

When a person's blood pressure rises, the homeostatic mecbhanism to compensate for an elevation involves stimulation of ______?

Back 5

baroreceptors that inhibit the sympathetic nervous system, causing a decreased heart rate.

Front 6

When checking the capillary filling time of a patient the color returns in 10 seconds. The nurse recognizes this find as indicatative of ____?

Back 6

impaired arterial flow to the extremities

Front 7

The auscultatory area in the left midclavicular line at the level of the fifth ICS is the ____?

Back 7

mitral area

Front 8

When assessing the patient, the nurse notes a palpable precordial thrill. This finding may be caused by _____?

Back 8

heart murmurs

Front 9

When assesing the cardiovascular system of a 79 year old patient, the nurse expects to find ____?

Back 9

difficulty in isolating the apical pulse.

Front 10

An important nursing responsiblility for a paitne having an invasive cardiovascular diagnostic study is _____?

Back 10

checking the peripheral pulses and percutaneous site.

Front 11

A P wave on an ECG represents an impulse _____?

Back 11

arising at the SA node and depolarizing the atria.

Front 12

If a patient has decreased cardiac output cause by fluid volume deficit and marked vasodilation, the regulatory mechanism that will increase the blood pressure by improving both of these is _____?

Back 12

activation of the renin-angiotension aldosterone system.

Front 13

While obtaining subjective assesment data from a paitent with hypotensino, the nurse recognizes that a modifable risk factor for the development of hypertension is ___?

Back 13

excessive alcohol intake.

Front 14

Target organ damage that can occur from hypertension includes ______?

Back 14

renal dysfunction and left ventricular hypertrophy.

Front 15

A high-risk population that should be targeted in the primary prevention of hypertension of _____?

Back 15

african americans

Front 16

In teaching a patient with hypertension about controlling the condition, the nurse recognizes that ______?

Back 16

lifestyle modifications are indicated for all persons with elevated BP.

Front 17

A major consideration in the management of the older adult with hypertension is to ______?

Back 17

use careful technique in assessing the BP of the patient because of the possible presence of an auscultatoy gap.

Front 18

A patient with newly diagnosed hypertension has a blood pressure of 158/98 after 12 months of exercise and diet modifications. The nurse advises the patient that ______?

Back 18

medication may be required because the BP is still not within the normal range

Front 19

A patient is admitted to the hospital in hypertensive crisis. The nurse recognizes that the hypertensive urgency differs from hypertensive emergency in that _____?

Back 19

hypertensive emergencies are associated with evidence of target organ damage.

Front 20

In teaching a patient about coronary atery disease, the nurse explains that the changes that occur in this disorder involve ________?

Back 20

accumulation of lipid and fibrous tissue within the coronary arteries.

Front 21

After teaching about ways to decrease risk factors for CAD, the nurse recognizes that additional instruction is needed when the patient says,_____?

Back 21

I would like to add weight lifting to my exercise program.

Front 22

A hospitalized patient with angina tells the nurse that she is having chest pain. The nurse bases her actions on the knowledge that anginal pain ______?`

Back 22

will be relieved by rest, nitroglycerin, or both.

Front 23

The clinical spectum of acute coronary syndrome includes _____?

Back 23

unstable angina, STEMI, and NSTEMI.

Front 24

In planning activity for the patient recovering from an MI, the nurse recognizes that the healing heart wall is most vulnerable to stress ______?

Back 24

10 to 14 days after teh infarcion

Front 25

A patient is admitted to the CCU with chest pain of 24 hrs duration, ECG findings consistent with an acute MI, and occasional ventricular arrhythmias. The nurse plans care for the patient based on the expectation that the patient will be managed with ______?

Back 25

continuous ECG monitoring

Front 26

A patient 5 days after MI is restless and apprehensive. The nurse can help by ______?

Back 26

allowing the patient to participate in planning and carrying out activities

Front 27

Three days after MI, a patient states that he does not understand what the alarm is about because his problem is just bad indigestion. His reaction is an example of ____?

Back 27

denial

Front 28

The most common pathologic finding in individuals with sudden cardiac death is _______?

Back 28

atherosclerotic heart disease`

Front 29

The nurse recognizes that primary manifestation of systolic ventricular failure include_____?

Back 29

lower ejection fraction and higher PAWP

Front 30

A compensatory mechanism involved in congestive heart failure that leads to inappropriate fluid retention and additonal workload of the heart is ____?

Back 30

neurohormonal response

Front 31

The drug used in the management of patient with acute pulmonary edema that will decrease both preload and afterload and provide relief of anxiety is _____?

Back 31

morphine

Front 32

A patient with chronic congestive heart failure and atrial fibrillation is treated with a digitalis preparation and a loop diuretic. To prevent possible complications of this combination of drugs, the nurse needs to ____?

Back 32

monitor serum potassium levels

Front 33

The nurse plans care for the patient with dilated cardiomyopathy based on the knowledge that ________?

Back 33

the prognosis of the patient is poor, and emotional support is a high priority of care.

Front 34

The primary causes of death in patients with heart transplants in the first year include _____?

Back 34

arrhythmias and infection

Front 35

A patient with a stable blood pressure and no symptoms has the follwoing electrocardiogram characteristics: atrial rate- 74 and regular; ventricular rate-62 and irregular; P wave- normal contour; PR interval-lengthens progressively until a P wave is not conducted; QRS-normal contour. The nurse would expect that treatment would involve _____?

Back 35

careful ovservation for symptoms of hypotension.

Front 36

The cardiac monitor of a patient in the cardiac care unit following an acute MI indicates ventricular bigeminy. The nurse anticipates ______?

Back 36

Treatment with IV lidocaine

Front 37

The nurse prepares a patient for electrical cardioversion knowing that cardioversion differs from defibrillation in that _____?

Back 37

cardioversion may be done on a nonemergency basis with sedation of the patient.

Front 38

When providing discharge instructions to a patient with a new permanent pacemaker, the nurse teaches the patient to _____?

Back 38

take and record a daily pulse rate

Front 39

The nurse plans care for the patient with an implantable cardioverter-defibrillator based on the knowledge that ______?

Back 39

all members of the patient's family should learn CPR.

Front 40

Important teaching for the patient who will be undergoing electrophysiologic monitoring includes explaining that ______?

Back 40

ventricular tachycardia and ventricular fibrillation may be induced and treated during the procedure.

Front 41

The proper sequence for care of the obsructed airway victim who becomes unconscious is _____?

Back 41

call 911; finger sweep into mouth; attempt rescue breathing; abdominal thrusts if still obstructed

Front 42

A procedure that is common to both BLS and ACLS is _____?

Back 42

establishment and maintenance of a patent airway.

Front 43

A patient with a history of IV cocine use has acute the patient for signs and symptoms of ______?

Back 43

pulmonary emboli

Front 44

The nurse suspects cardiac tamponadein a patient with acute pericarditis based on the finding of _______?

Back 44

pulsus paradoxus

Front 45

Prophylatic antibotics are indicated to prevent infective endocarditis for at risk individuals who _____?

Back 45

are undergoing any dental procedure

Front 46

The most common cause of myocarditis is _____?

Back 46

viruses

Front 47

Teaching the patient with rheumatic fever about the disease the nurse explains the rheumatic fever is ______?

Back 47

a sequela of Beta-hemolytic streptococcal infection.

Front 48

Penicillin therapy for the patient with rheumatic fever is indicated to _______?

Back 48

prevent reinfection and recurrent rheumatic fever.

Front 49

The most common cause of mitral valve stenosis is ______?

Back 49

rheumatic heart disease

Front 50

Which of the following findings is indicative of accentuated left ventricular filling in a patient with chronic mitral reguritation______?

Back 50

an audible third heart sound and a pansystolic or holosystolic murmur

Front 51

A patient hospitalized with aortic stenosis has a nursing diagnosis of activity intolerance related to insuffcient oxygen secondary to decreased cardiac output. An appropriate nursing intervention for this patient is to _____?

Back 51

progressively increase activity to increase cardiac tolerance.

Front 52

The nurse caring for a patient scheduled for a percutaneous transluminal balloon valvuloplasty understands that this procedure ______?

Back 52

is recommended for patients who are poor candidates for more extensive valvular surgery.

Front 53

A 62 year old woman weighs 92kg and has a history of daily alcohol intake, smoking, high blood pressure, high sodium intake and sedentary lifestyle. The nurse identifies the risk factors most highly related to peripheral arterial disease in this patient _____?

Back 53

as cigarette smoking and hypertension

Front 54

Significant risk factors for pheripheral arterial disease include _____?

Back 54

cigarette smoking, hyperlipidemia, hypertension.

Front 55

A patient is being prepared for an abdominal aortic aneurysm repair. The nurse suspects rupture of aneurysm when ______?

Back 55

the patient compains of sudden sever back pain.

Front 56

Important nursing measures after an abdominal aortic aneurysm repair are to _____?

Back 56

monitor urine output, BUN, and creatinine.

Front 57

Specific symptoms of aortic dissectino vary depending on ______?

Back 57

the aortic branches affected in the descent of the disection.

Front 58

Rest pain is a manifestation of peripheral arterial disease that occurs as a result of ______?

Back 58

inadequate blood flow to the nerves of the feet.

Front 59

A patient with infective endocarditis develops sudden left leg pain with pallor, paresthesia, and a loss of peripheral pulses. The nurse's initial action should be to _______?:

Back 59

notify the physician

Front 60

The usual medical treatment of Raynaud's phenomenon involves _____?

Back 60

prescribing calcium channel blockers.

Front 61

The patient who is most likely to have the highest risk for deep vein thrmbosis is a _____?

Back 61

40 year old woman who smokes and uses oral contraceptives

Front 62

The nurse suspects the presence of a deep vein thrombosis based on the findings of _____?

Back 62

generalized edema of the involved extremity.

Front 63

Nursing interventions indicated in the plan of care for the patient with acute lower extremity deep vein thrombosus include _______?

Back 63

administering anticoagulants as ordered.

Front 64

The nurse instructs the patient discharged on anticoagulant therapy to _____?

Back 64

be aware of and report signs or symptoms of bleeding.

Front 65

In planning care and patient teaching for the patient with venous leg ulcers, the nurse recognizes that the most important intervention in healing and control of this condition is _____?

Back 65

elevatino of the extremities to increase venous return

Front 66

A patient with a deep vein thrombosis suddenly develops dyspena, tachypnea, and chest pain. Initially the most appropriate action by the nurse is to _____?

Back 66

elevate the head of the bed 30 to 45 degrees to facilitate breathing.