When listening to heart sounds, the nurse hears an S3 sound after S2. What should the nurse suspect ...

When listening to heart sounds, the nurse hears an S3 sound after S2. What should the nurse suspect is occurring with this patient?
 
  1. ventricular volume overload
  2. increased resistance to ventricular filling
  3. inflammation of the pericardial sac
  4. stenotic mitral valve

Question 2

The nurse is caring for a patient admitted with a grade III heart murmur heard at midsystole. The nurse recognizes that which cardiac conditions could cause this assessment finding?
 
  Select all that apply.
  1. aortic stenosis
  2. cardiomyopathy
  3. atrioventricular (AV) valve disease
  4. mitral valve prolapse (MVP)
  5. ventricular septal defect

Question 3

The patient's ECG shows the following characteristics: PR interval .08, QRS .08, and isoelectric ST segment. The nurse realizes that these characteristics indicate which finding?
 
  1. faster than normal conduction from the SA node to the ventricles, normal conduction through the ventricles, and normal ST segment
  2. faster than normal conduction from the SA node to the ventricles, faster than normal conduction through the ventricles, and normal ST segment
  3. normal conduction from the SA node to the ventricles, normal conduction through the ventricles, and normal ST segment
  4. normal conduction from the SA node to the ventricles, normal conduction through the ventricles, and abnormal ST segment

Question 4

The nurse is caring for a patient with hypovolemic shock. The nurse should realize that this patient's heart sounds will change in which way?
 
  1. diminished S2
  2. accentuated S2
  3. diminished S1 and S2
  4. no change in S1 or S2

Question 5

The nurse is preparing to analyze a patient's electrocardiogram (ECG) rhythm strip. In which order should the nurse complete this analysis? Place the six steps in the correct order.
 
  1. Determine rate.
  2. Assess P wave.
  3. Determine regularity.
  4. Identify abnormalities.
  5. Assess P-to-QRS relationship.
  6. Determine interval durations.

Question 6

A male patient had a lipid profile completed at a community health fair, and the nurse is reviewing the results with the patient. (See lipid profile results.) What is the nurse's best response?
 
  1. The results for cholesterol, triglycerides, and LDL are outside the acceptable normal values.
  2. The HDL is elevated, indicating you are at risk for a lipid-associated illness.
  3. The results are within normal range.
  4. The LDL is too low.