Exam 13: Determinants and Assessment of Cardiac Function

A patient is diagnosed with septic shock and has a decrease in afterload.The nurse would expect which initial changes in the patient's cardiac status? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Review of the medical record reveals that a patient has a summation gallop.Which pattern of heart sounds would the nurse expect?

A patient admitted with a cardiac arrhythmia is scheduled to have an electrophysiology study (EPS).The nurse would reinforce which teaching about this test?

The nurse is caring for a patient having a transesophageal echocardiogram (TEE).What is an appropriate nursing intervention for the care of this patient?

It is suspected that a patient who was severely injured in an automobile accident may have had a myocardial infarction (MI)prior to the crash.Which laboratory test result drawn while the patient was in the emergency department would the nurse evaluate as supporting that theory?

A patient's cardiac index will be calculated.What nursing interventions are necessary before this calculation is completed? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient with a steadily increasing preload was experiencing a corresponding increase in stroke volume,but it has now begun to decrease.Which rationale would the nurse provide for this occurrence?

A patient is admitted with a decrease in cardiac output.Which assessment findings would the nurse attribute to that condition?

It is determined that a patient has poor cardiac contractility.The nurse would anticipate administering which type of drugs to improve contractility? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient has been admitted with chest pain and generalized discomfort.Which assessment is essential for the nurse to set realistic goals for patient therapy and education?

Which assessment techniques will the nurse use to evaluate the patient's cardiac output? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

The nurse is instructing a patient who is scheduled for a cardiac catheterization.Which comment made by the patient would indicate the need for additional education?

The nurse has auscultated the patient's heart sounds and has measured vital signs.Which finding would the nurse evaluate as indicating greatest need for additional assessment?

A patient is admitted with the complaint of chest pain.Questions about which history will best help the nurse determine if the pain is from cardiac or pulmonary origin?

Cardiac catheterization reveals that a patient has an isolated lesion in the right coronary artery that occludes 90% of the vessels' lumen.The nurse plans care for this patient based on the knowledge that total occlusion of the artery will result in damage to which portion of the heart?

Testing reveals that a patient's myocardial infarction (MI)damaged the papillary muscles of the mitral valve.The nurse plans care based on the knowledge that the patient is at high risk for which complication?

Testing indicates that a patient has a high preload.What changes would the nurse expect in this patient's cardiac function? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient with left-sided heart failure is hospitalized with pulmonary edema.The nurse providing this patient's care would consider which physiology when explaining this disorder to the patient's family?

A patient is scheduled for an echocardiogram with measurement of ejection fraction.The nurse explains to the patient that this test will provide the most information about which cardiac characteristic?

A patient is scheduled for an exercise electrocardiogram.The nurse will ensure that which objects are in the room prior to the beginning of the test?