While listening at the mitral area, the nurse notes abnormal heart sounds at the patient's fifth ...

While listening at the mitral area, the nurse notes abnormal heart sounds at the patient's fifth in-tercostal space, midclavicular line. After listening to the audio clip, describe how the nurse will document the assessment finding.
 
  Click here to listen to the audio clip
  a. S3 gallop heard at the aortic area
  b. Systolic murmur noted at mitral area
  c. Diastolic murmur noted at tricuspid area
  d. Pericardial friction rub heard at the apex

Question 2

When the nurse is screening patients for possible peripheral arterial disease, indicate where the posterior tibial artery will be palpated.
 
  a. 1
  b. 2
  c. 3
  d. 4

Question 3

The nurse is reviewing the laboratory results for newly admitted patients on the cardiovascular unit. Which patient laboratory result is most important to communicate as soon as possible to the health care provider?
 
  a. Patient whose triglyceride level is high
  b. Patient who has very low homocysteine level
  c. Patient with increase in troponin T and troponin I level
  d. Patient with elevated high-sensitivity C-reactive protein level

Question 4

The nurse and unlicensed assistive personnel (UAP) on the telemetry unit are caring for four pa-tients. Which nursing action can be delegated to the UAP?
 
  a. Teaching a patient scheduled for exercise electrocardiography about the procedure
  b. Placing electrodes in the correct position for a patient who is to receive ECG moni-toring
  c. Checking the catheter insertion site for a patient who is recovering from a coronary angiogram
  d. Monitoring a patient who has just returned to the unit after a transesophageal echo-cardiogram

Question 5

A transesophageal echocardiogram (TEE) is ordered for a patient with possible endocarditis. Which action included in the standard TEE orders will the nurse need to accomplish first?
 
  a. Start an IV line.
  b. Place the patient on NPO status.
  c. Administer O2 per nasal cannula.
  d. Give lorazepam (Ativan) 1 mg IV.

Question 6

When admitting a patient for a cardiac catheterization and coronary angiogram, which infor-mation about the patient is most important for the nurse to communicate to the health care pro-vider?
 
  a. The patient's pedal pulses are +1.
  b. The patient is allergic to shellfish.
  c. The patient had a heart attack a year ago.
  d. The patient has not eaten anything today.

Question 7

The standard policy on the cardiac unit states, Notify the health care provider for mean arterial pressure (MAP) less than 70 mm Hg. The nurse will need to call the health care provider about the
 
  a. postoperative patient with a BP of 116/42.
  b. newly admitted patient with a BP of 150/87.
  c. patient with left ventricular failure who has a BP of 110/70.
  d. patient with a myocardial infarction who has a BP of 140/86.