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Cardiovascular System Function, Assessment, and Therapeutic Measures. Multiple Choice. Identify the choice that best completes the statement or answers the question. The nurse is reviewing the anatomy and physiology of the cardiac system with a patient scheduled for pacemaker insertion. Which chamber of the heart should the nurse instruct has the greatest workload and usually fails first as a result Left atriumb. Right atriumc. Left ventricled. Right ventricle 2. The nurse is helping a patient understand why the heart beat can change in speed. Bank Management And Financial Services 7Th Edition Test Bank' title='Bank Management And Financial Services 7Th Edition Test Bank' />When doing so, what should the nurse explain as being the pacemaker of the heart Bundle of Hisb. Sinoatrial nodec. Purkinjes fibersd. Atrioventricular node 3. The nurse is using a stethoscope to listen to a patients heart sounds. The nurse recognizes that the dupp of the characteristic lubb dupp heart sound indicates what part of the cardiac cycle The closure of the mitral valveb. The closure of the tricuspid valvec. Safaris Wipeout Download Free. The closure of the atrioventricular valvesd. The closure of the aortic and pulmonary semilunar valves 4. The nurse suspects that a patients heart rate is being affected by parasympathetic influence. What should the nurse recall as the effect the parasympathetic nervous system has on the heartDecreases heart rateb. Decreases resting phasec. Increases cardiac outputd. Increases strength of contraction 5. The nurse is caring for a patient recovering from a cardiac catheterization with a right femoral artery entry site. Which action should the nurse take Ambulate every 2 hours. Position knees with 4. Avoid movement of right leg as ordered. Perform passive range of motion of right leg hourly. The nurse is providing care for a patient whose right atrial pressure RAP is 1. Hg. Which action should the nurse take Assess skin turgor. Listen to breath sounds. Measure urine specific gravity. Determine level of consciousness. A patient is diagnosed with epicarditis. What should the nurse recall regarding the purpose of the epicardium when caring for this patient Line the chambers of the heart. Line the coronary blood vessels. Cover the heart muscle and prevent friction. Contract and pump blood from the ventricles. The nurse is explaining the regulation of blood pressure to a patient newly diagnosed with hypertension. What tissues within the artery wall that helps maintain diastolic blood pressure should the nurse identify for the patient Smooth muscle and elastic connective tissueb. Smooth muscle and simple squamous epitheliumc. Elastic connective tissue and fibrous connective tissued. Fibrous connective tissue and simple squamous epithelium 9. The nurse instructs a patient on beverages to avoid when taking the prescribed medication warfarin Coumadin. Which beverage should the patient state that indicates teaching has been effective Beerb. Orange juicec. Grapefruit juiced. Cranberry juice 1. A patient has sustained damage to the sinoatrial node. Which heart rates indicate that the patients atrioventricular node has taken over as the pacemaker for the heartThe nurse is measuring a patients central venous pressure CVP. Which patient factors is reflected by this pressure reading Hydrationb. Cardiac outputc. Blood pressured. Peripheral vascular resistance 1. A patient with type 1 diabetes mellitus arrives for cardiac surgery. During the assessment, the nurse learns the patient self administered the usual insulin dose. Which action should the nurse takeObtain vital signs. State, that is good. Inform the physician. Give 6 ounces of cranberry juice now. Upon auscultating a patients heart sounds, the nurse is concerned that a pericardial friction rub is present. Which health problem should the nurse suspect is possibly occurring in this patient Pleurisyb. Pneumoniac. Mitral valve prolapsed. Myocardial infarction 1. The nurse reviews the cardiac catheterization procedure with a patient scheduled for the test in 2 hours. Which patient statement indicates that teaching has been effective I know the room will be very warm. Most people feel drowsy during the procedure. The table may move while the test is being done. I should expect a cool sensation throughout my body when they inject the dye. The nurse is caring for a patient who had a cardiac catheterization using the left femoral site for entry. Which data is most important for the nurse to monitor Pupil reactionb. Left pedal pulsec. Orientation statusd. Right foot sensation 1. A patient is being instructed about a Holter monitor. Which statement indicates that the patient knows what to do a symptom occurs while wearing a Holter monitor Call an ambulance. Notify the physician. Take an apical pulse. Push the event button. A patient will be wearing a Holter monitor for 2 days. What should the nurse instruct the patient about bathing while wearing the monitorTake a sponge bath. You may take a tub bath. Take a shower with the monitor on. Remove the monitor before showering. A patient asks the nurse to explain what high levels of low density lipoproteins LDLs means. What response by the nurse would be appropriate Increased blood clotting risk. Increased risk for coronary artery disease. Protection against coronary artery disease. Decreased risk for atherosclerosis development. The nurse is reinforcing teaching provided to a patient about the role high density lipoproteins HDLs play in cardiac disease. Which patient statement indicates correct understanding of the teaching There is an increased blood clotting risk. There is increased risk for coronary artery disease. Browse In Same Window Grayed Out Or Greyed. It provides protection against coronary artery disease. The risk for atherosclerosis development is increased. The nurse is collecting data from a patient with hypertension. Which modifiable cardiovascular risk factor should the nurse identify for care planning Genderb. Heredityc. Ethnic origind. Activity level 2. The nurse is reinforcing teaching provided to a patient with a high serum cholesterol level, low HDLs and high LDLs. What should the nurse includeYou need to see your doctor about this as soon as possible to start medications to lower your cholesterol. Your cholesterol level is too high, so you should stop eating foods high in cholesterol, such as eggs and cream. Your cholesterol level is okay, but you should decrease your LDLs by lowering your fat intake and getting more exercise. Your cholesterol level and LDLs are too high. You need to lower your intake of saturated fats and increase your level of exercise. The nurse is caring for a patient recovering from a cardiac catheterization. Which action should the nurse take Force 1. L of fluid per hour. Keep patient NPO until gag reflex is present. Encourage the patient to drink plenty of liquids. Hold fluid intake for 2 hours after the procedure. The nurse is caring for a patient recovering from a cardiac catheterization. Which actions for site care should the nurse take Keep the site uncovered. Apply a Band Aid to the site. Maintain pressure dressing on the site. Apply a gauze bandage to the puncture site. The nurse is caring for a patient whose troponin I level is elevated. Which nursing action would be appropriateUp as desired. Ambulate daily. c. Maintain bedrest. Ambulate twice daily. The nurse is preparing a patient for an angiogram.