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reachmegha.in reachmegha.in
wrote...
Posts: 331
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6 years ago
The nurse is caring for a patient with heart failure. What should the nurse expect when assessing this patient?
 
  1. S1, S2, and flat neck veins
  2. S3 and distended neck veins
  3. S2 heard the loudest and followed by S1
  4. S4 and flat neck veins

Question 2

The nurse is caring for a chronic heart failure patient with left-sided failure. Which documentation should the nurse expect to see in the medical record after this patient has a cardiac catheterization?
 
  1. Pressures in the left ventricle and atrium are increased.
  2. Pressures in the left ventricle and atrium are decreased.
  3. Pressures in the right ventricle and atrium match the ventricle pressures.
  4. Pressures in the right ventricle reflect functioning of all heart chambers.

Question 3

The nurse is assessing a patient with chronic heart failure. Which abnormal chest sound should the nurse expect to auscultate?
 
  1. expiratory wheezes
  2. friction rub
  3. harsh vesicular sounds
  4. crackles

Question 4

A patient in the coronary care unit has the following cardiac rhythm: What action should the nurse take when caring for this patient?
 
  1. Prepare to defibrillate.
  2. Monitor for any changes.
  3. Notify the healthcare provider.
  4. Administer a dose of sublingual nitroglycerin.

Question 5

A patient is experiencing supraventricular tachycardia. Which medications should the nurse prepare to administer to this patient?
 
  Select all that apply.
 
  1. verapamil (Calan)
  2. diltiazem (Cardizem)
  3. amlodipine (Norvasc)
  4. propafenone (Rythmol)
  5. adenosine (Adenocard)
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Replies
wrote...
6 years ago
The answer to question 1

Correct Answer: 2
The abnormal S3 sound is reflective of the heart's attempts to fill an already distended ventricle, and the neck veins distend because of the increased venous pressure. Most patients have elements of both right- and left-sided heart failure. S1 and S2 are normal heart sounds; flat neck veins are considered a normal finding. The S1 and S2 sounds may be diminished in the heart failure patient and do not vary in intensity. S4 (gallop) may be present, but neck veins would be distended.

The answer to question 2

Correct Answer: 1
As the heart loses its ability to eject blood effectively from the left ventricle upon contraction, blood is retained in the left ventricle after systole and the chamber pressure rises due to the added blood volume. This patient is in left-sided heart failure, so pressure is higher in the left side of the heart, not the right side.

The answer to question 3

Correct Answer: 4
Fluid accumulates in the alveolar spaces in left-sided heart failure. This fluid causes the sound of crackles at the end of inspiration. Expiratory wheezes, friction rub, and harsh vesicular sounds are not associated with chronic heart failure.

The answer to question 4

Correct Answer: 2
This is a first-degree AV block. There is no action necessary for this dysrhythmia. This is not a life-threatening dysrhythmia. Defibrillation is not necessary. The healthcare provider does not need to be notified. Sublingual nitroglycerin is used for chest pain.

The answer to question 5

Correct Answer: 1, 2, 3, 5
Calcium channel blockers decrease automaticity and AV nodal conduction. They are used to manage supraventricular tachycardia. These medications include amlodipine (Norvasc), verapamil (Calan), and diltiazem (Cardizem). Adenosine (Adenocard) decreases conduction through the AV node and is used to treat supraventricular tachycardia. Propafenone (Rythmol) is used to reduce or eliminate tachydysthymias associated with reentry.
reachmegha.in Author
wrote...
6 years ago
I know this sounds cliche, but I was thinking the same thing for each of these. Thanks for confirming Slight Smile
wrote...
6 years ago
I'm sure Wink Face Thanks for your honesty
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