Cardiovascular

The nurse is vigilant for which symptoms of a life-threatening complication of the woman's precipitous vaginal delivery?

Which statement describes the purpose of the left ventricular assist device? 

The nurse is providing preoperative teaching to the patient scheduled to undergo an iridectomy. Which statement indicates a need for further teaching?

The patient with a sore throat has tested positive for group A beta-hemolytic Streptococcus pyogenes. The nurse educates the patient to complete the entire course of antibiotics in order to prevent which complications? Select all that apply.

The nurse is performing an assessment on the patient with long, thin limbs and fingers who presents for a yearly check-up in no acute distress. The patient is extremely thin and has pectus excavatum. For which assessment finding is the nurse most vigilant in this patient?

The nurse palpates bilateral carotid pulses and notes the pulse begins at 100 and drops to 48 beats per minute. The patient complains of dizziness. Which nursing action is most appropriate?

The nurse anticipates which alteration in heart sounds in the patient with chronic obstructive pulmonary disease?

The patient has a history of mitral valve stenosis. In which position does the nurse place the patient to properly auscultate for this condition?

Upon auscultating the patient’s heart, the nurse notes an S3 heart sound in the mitral area. How does the nurse interpret this assessment?

The patient first experienced chest pain 12 hours ago and was diagnosed with a myocardial infarction. The patient’s myoglobin level is noted to be roughly 5 times the normal level. The nurse makes which prediction about the patient’s myoglobin level in 12 hours from the current level?

Which cardiac enzyme is indicated by the dotted line ( ) on the chart?

Which cardiac enzyme is represented by the dot/dash alternating () line?

Which cardiac enzyme is indicated by the dashed ( ) line?

Which cardiac enzyme is noted by the solid line ( )?

The patient with palpitations and sharp chest pain that is worse with inspiration than expiration is brought to the emergency department (ED). Upon auscultation of heart sounds, the nurse notes a scratching noise, like leather rubbing together. Breath sounds are clear and equal bilaterally. Complete blood count is notable for leukocytosis; cardiac enzymes are within normal limits. The nurse prepares the patient for which treatment?

The nurse auscultates an opening snap after the second heart sound when the stethoscope is placed to the left of the lower sternum. Which additional heart sound does the nurse expect to hear?

The nurse is reviewing the admission assessment of a new patient and notes a IV/VI murmur was heard during auscultation of the heart. The nurse anticipates making which assessment?

The nurse is performing the patient’s initial cardiovascular assessment and palpates a heave over the location where a loud murmur is auscultated. Which terminology is most appropriate for the nurse to report this finding to the provider?

The patient who is hospitalized for a knee replacement develops sudden onset crushing chest pain, tachycardia, and tachypnea. On 12-lead electrocardiogram (EKG), ST-segment elevation is noted. Labs are drawn within 30 minutes of onset of chest pain. The nurse anticipates an elevation in which result to confirm diagnosis of acute myocardial infarction?

The patient presents to the emergency department (ED) after a hard workout lifting weights complaining of chest pain. An electrocardiogram is performed and cardiac enzymes are drawn. The patient’s myoglobin level is found to be elevated. Which interpretation of this result is most appropriate?

Which lab result is best for differentiating between myocardial and skeletal muscle damage?

Which phonocardiogram tracing indicates a common heart condition associated with prematurity?

The patient is scheduled for an aortic valvuloplasty. The nurse anticipates auscultation of the heart will reveal which pattern?

The patient with Marfan syndrome presents with difficulty breathing in the supine position and fatigue. Upon palpation, a heave is noted. The nurse anticipates auscultating which heart sound?

The nurse notes these heart sounds on auscultation of a 65-year-old man: The nurse reviews the patient’s medical record for history of which conditions associated with these heart sounds? Select all that apply.

The patient has been ordered to wear a Holter monitor for the next 24 hours. Which statement by the patient indicates a need for further teaching about the test?

On the initial assessment after birth, the neonate is found to have a 1 cm x 0.5 cm hemangioma on the right cheek. Which additional assessment does the nurse make related to this finding?

The nurse is assessing the arteriovenous fistula in the patient’s right arm; it is without thrill or bruit. Which action does the nurse take next?

The patient found unresponsive in the park is determined to be in ventricular fibrillation. After cardiopulmonary resuscitation and defibrillation, the patient experienced return of spontaneous circulation. Initial survey upon arrival to the emergency department (ED) reveals a cachectic appearance and an edematous mass on the right forearm; upon palpation, the nurse palpates a thrill. The nurse is aware life-saving measures will have which aim?

The 76-year-old patient with atrial fibrillation tells the nurse in a slurred voice that the right arm “just isn’t working right.” Which action does the nurse take first?

Following traumatic bilateral leg amputations, the 5-year-old child requires a STAT blood transfusion to treat hemorrhagic shock. The child's blood type is unknown. Which action is most appropriate? 

The patient with an automated implantable cardioverter-defibrillator (AICD) experiences a discharge of the device. The nurse reports this event to the provider with the knowledge that the patient experienced which arrhythmia?

The patient receiving mechanical ventilation opens the eyes, attempts to talk, and appears to be in distress. Which action does the nurse take first?

The elderly patient with hypertension, hyperlipidemia, arthritis, diabetes, and improving cellulitis is being discharged home after a stay in a sub-acute care facility. The caregiver asks the nurse about the patient's risk for falls. The nurse reviews the patient's medical history for which risk factors for falls? Select all that apply.

Which statement is true regarding the administration of intravenous potassium?

The nurse is caring for a woman who gave birth via forceps delivery within the last 24 hours. The patient describes significant rectal pressure but has had normal bowel movements. The nurse reports the finding to the provider with concerns for which postpartum complication?

The patient with significant respiratory distress is diagnosed with a tension pneumothorax on portable chest x-ray. Which intervention is most appropriate for this patient? 

The patient has been receiving sildenafil 5 mg by mouth, three times daily. Which assessment finding indicates the drug has had the intended effect?

The nurse is reviewing the chart of a patient recently admitted to the hospital. The patient’s medication review includes bosentan, glyburide, praziquantel, and ergotamine. The nurse expects to observe which symptom in the patient?

The patient newly diagnosed with idiopathic pulmonary arterial hypertension is prescribed bosentan. The result of which test is most important for the nurse to verify prior to administering the medication?

The patient receiving bosentan therapy for pulmonary arterial hypertension presents to the emergency department (ED) complaining of dyspnea. Which nursing assessment is most important for this patient?

The patient is prescribed bosentan. Which statement does the nurse include in teaching about this medication?

Which report from the ophthalmologist indicates the patient with type 2 diabetes mellitus is experiencing early signs of poor glycemic control?

The patient with type 2 diabetes mellitus complains of worsening vision. Retinal changes are noted on ophthalmoscopic examination. The nurse prepares the patient for which test for diagnostic confirmation?

The patient presents to the emergency department (ED) complaining of sudden onset loss of vision in the right eye. The patient denies recent trauma or other symptoms. The nurse anticipates which report from the ophthalmoscopic exam of the retina?

The patient presents to the emergency department (ED) and states, “I don’t know what happened! I was walking and ran into a door with my right shoulder. I closed my right eye and my vision was normal, but when I closed my left eye, I couldn’t see anything at all!” The patient’s assessment is otherwise normal. The nurse reports this to the provider immediately for assessment. Which question is most important for the nurse to ask the patient while waiting for the provider to write orders for treatment?

The patient has right ventricular hypertrophy on echocardiogram. The nurse plans care to focus interventions for which effect?

The patient with heart failure has an order written to be weighed daily. When does the nurse instruct the unlicensed assistive personnel to weigh the patient?

The patient has a diagnosis of Cor pulmonale. The nurse anticipates which result from the echocardiogram?

The patient has Cor pulmonale related to idiopathic pulmonary arterial hypertension. Which lab value is expected?