Kaplan Cardiovascular A NGN Focused Review Practice Tests
Study online at https://quizlet.com/_hkik6a
1. The nurse supervises the graduate nurse caring for the client who had a
femoropopliteal bypass graft in the right leg 12 hours ago. The nurse inter-
venes if the graduate nurse performs which intervention?
1. The graduate nurse places the client in a chair for 30 minutes
2. The graduate nurse checks the pulses in the right leg hourly
3. The graduate nurse accurately records intake and output
4. The graduate nurse obtains a Doppler evaluation of the client's right leg
every two hours
5. The graduate nurse instructs the client to cough and deep breathe every
hour
6. The graduate nurse elevates the client's left leg: 1. The graduate nurse places the client in
a chair for 30 minutes (correct - bending the hip and knee are contraindicated due to possible thrombus formation)
4. The graduate nurse obtains a Doppler evaluation of the client's right leg every two hours (correct - a Doppler eval of
the client's blood flow in the affected leg should be assessed hourly)
2. Incorrect: The nurse should assess the circulation - color, capillary refill, temperature, and pulse intensity
3. Incorrect: It is important to monitor kidney function due to the potential for acute kidney injury
5. Incorrect: This action prevents atelectasis
6. Incorrect: the right leg must remain straight; the left leg can be elevated
2. What is a Pacemaker, and what are the nursing considerations?: - an electronic
apparatus used to initiate heartbeat when the SA node is seriously damaged and unable to act as a pacemaker
- functions when heart rate falls below a set rate
- inserted to treat complete heart block and sick sinus syndrome
Nursing considerations:
-monitor hr and rhythm
-instruct client to carry ID
-Request hand scanning at the airport
-avoid electromagnetic fields
, Kaplan Cardiovascular A NGN Focused Review Practice Tests
Study online at https://quizlet.com/_hkik6a
3. Why are cardiac pacemakers used?: cardiac proocedures
MI
cardiac dysrhthmias
4. What is a temporary pacemaker?: -emergency placement and use of a pacemaker
-consists of a main electrode placed in the atria, and if needed, a second electrode placed in the ventricle
-electrodes attached to the battery via a catheter
-inserted transvenously or during cardiac surgery with the wires extending through the chest wall and attached to the
external battery box
-used until no longer needed or replacement with a permanent placement
5. What is Cardioversion, and what are the nursing considerations and post-pro-
cedure nursing care?: -an elective procedure performed to treat dysrhythmias
-completely depolarizes all myocardial cells so the sinoatrial node can re-establish as a pacemaker
Nursing considerations:
-ensure informed consent obtained
-administer diazepam IV
-withhold digoxin for 48 h before procedure
-synchronizer turned on
-check the R wave
-discontinue oxygen
-assess airway patency
Post-procedure nursing care:
-assess vs every 15 minutes for 1 hour
-every 30 minutes for 2 h
-hourly for 4 hours
-every 4 hours
6. What is Aortofemoral and Femoropopliteal Bypass?: Aortofemoral:
-means of circumventing a clot in the femoral artery
-blood flow is shunted from the proximal aorta to the distal femoral artery, bypassing the clotted area
Femoropopliteal Bypass:
Study online at https://quizlet.com/_hkik6a
1. The nurse supervises the graduate nurse caring for the client who had a
femoropopliteal bypass graft in the right leg 12 hours ago. The nurse inter-
venes if the graduate nurse performs which intervention?
1. The graduate nurse places the client in a chair for 30 minutes
2. The graduate nurse checks the pulses in the right leg hourly
3. The graduate nurse accurately records intake and output
4. The graduate nurse obtains a Doppler evaluation of the client's right leg
every two hours
5. The graduate nurse instructs the client to cough and deep breathe every
hour
6. The graduate nurse elevates the client's left leg: 1. The graduate nurse places the client in
a chair for 30 minutes (correct - bending the hip and knee are contraindicated due to possible thrombus formation)
4. The graduate nurse obtains a Doppler evaluation of the client's right leg every two hours (correct - a Doppler eval of
the client's blood flow in the affected leg should be assessed hourly)
2. Incorrect: The nurse should assess the circulation - color, capillary refill, temperature, and pulse intensity
3. Incorrect: It is important to monitor kidney function due to the potential for acute kidney injury
5. Incorrect: This action prevents atelectasis
6. Incorrect: the right leg must remain straight; the left leg can be elevated
2. What is a Pacemaker, and what are the nursing considerations?: - an electronic
apparatus used to initiate heartbeat when the SA node is seriously damaged and unable to act as a pacemaker
- functions when heart rate falls below a set rate
- inserted to treat complete heart block and sick sinus syndrome
Nursing considerations:
-monitor hr and rhythm
-instruct client to carry ID
-Request hand scanning at the airport
-avoid electromagnetic fields
, Kaplan Cardiovascular A NGN Focused Review Practice Tests
Study online at https://quizlet.com/_hkik6a
3. Why are cardiac pacemakers used?: cardiac proocedures
MI
cardiac dysrhthmias
4. What is a temporary pacemaker?: -emergency placement and use of a pacemaker
-consists of a main electrode placed in the atria, and if needed, a second electrode placed in the ventricle
-electrodes attached to the battery via a catheter
-inserted transvenously or during cardiac surgery with the wires extending through the chest wall and attached to the
external battery box
-used until no longer needed or replacement with a permanent placement
5. What is Cardioversion, and what are the nursing considerations and post-pro-
cedure nursing care?: -an elective procedure performed to treat dysrhythmias
-completely depolarizes all myocardial cells so the sinoatrial node can re-establish as a pacemaker
Nursing considerations:
-ensure informed consent obtained
-administer diazepam IV
-withhold digoxin for 48 h before procedure
-synchronizer turned on
-check the R wave
-discontinue oxygen
-assess airway patency
Post-procedure nursing care:
-assess vs every 15 minutes for 1 hour
-every 30 minutes for 2 h
-hourly for 4 hours
-every 4 hours
6. What is Aortofemoral and Femoropopliteal Bypass?: Aortofemoral:
-means of circumventing a clot in the femoral artery
-blood flow is shunted from the proximal aorta to the distal femoral artery, bypassing the clotted area
Femoropopliteal Bypass:
