ASSESSMENT OF CARDIOVASCULAR FUNCTION EXAM
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The nurse is performing an assessment of a clients peripheral pulses and
indicates that the pulse quality is +1 on a scale of 0-4. What does this
documented finding indicate?
Diminished, but cannot be obliterated with pressure.
Full, easy to palpate, and cannot be obliterated with pressure.
Difficult to palpate and is obliterated with pressure.
Strong and bounding and may be abnormal. - ANSWER-Difficult to palpate and
is obliterated with pressure.
The nurse is performing an assessment for an older adult client and auscultates
an S3 heart sound. What condition does the nurse determine may correlate
with this finding?
congenital heart disease
heart failure
aortic stenosis
coronary artery disease - ANSWER-heart failure
The nurse is discussing the cardiac system with a client admitted with heart
failure. The client asks "What determines the heart rate?" What is the nurse's
best response?
The autonomic nervous system controls the heart rate.
Preload controls the heart rate.
,Stroke volume controls the heart rate.
Force of contractility controls the heart rate. - ANSWER-The autonomic nervous
system controls the heart rate.
The nurse auscultates the apex beat at which anatomical location?
midsternum
5 cm to the left of the lower end of the sternum
2.5 cm to the left of the xiphoid process
fifth intercostal space, midclavicular line - ANSWER-fifth intercostal space,
midclavicular line
What is the term for the ability of the cardiac muscle to shorten in response to
an electrical impulse?
contractility
depolarization
repolarization
diastole - ANSWER-contractility
Age-related changes associated with the cardiac system include
decreased size of the left atrium.
endocardial fibrosis.
increase in the number of SA node cells.
myocardial thinning. - ANSWER-endocardial fibrosis.
What does decreased pulse pressure reflect?
, tachycardia
reduced distensibility of the arteries
reduced stroke volume
elevated stroke volume - ANSWER-reduced stroke volume
Decreased pulse pressure reflects reduced stroke volume and ejection velocity
or obstruction to blood flow during systole. Increased pulse pressure would
indicate reduced distensibility of the arteries, along with bradycardia.
The nurse is administering a stool softener to a client who experienced a
myocardial infarction. The client says, "I had a heart attack; I don't have a
problem with constipation." What explanation will the nurse use to answer the
client's question?
"If you strain to have a bowel movement, you can cause a drop in your heart
rate that can be dangerous."
"The heart attack sets you up for limited activity, so constipation is often a
problem for clients after a heart attack."
"Please talk this over with your healthcare provider for further information."
"The prescribed stool softener will decrease stress with a bowel movement and
protect your heart from further injury." - ANSWER-"If you strain to have a
bowel movement, you can cause a drop in your heart rate that can be
dangerous."
The nurse is reviewing the morning laboratory test results for a client with
cardiac problems. Which finding is a priority to report to the healthcare
provider?\
Na+ 140 mEq/L
Ca++ 9 mg/dL
Questions with 100% verified Answers Latest Versions
TOP RATED A+
The nurse is performing an assessment of a clients peripheral pulses and
indicates that the pulse quality is +1 on a scale of 0-4. What does this
documented finding indicate?
Diminished, but cannot be obliterated with pressure.
Full, easy to palpate, and cannot be obliterated with pressure.
Difficult to palpate and is obliterated with pressure.
Strong and bounding and may be abnormal. - ANSWER-Difficult to palpate and
is obliterated with pressure.
The nurse is performing an assessment for an older adult client and auscultates
an S3 heart sound. What condition does the nurse determine may correlate
with this finding?
congenital heart disease
heart failure
aortic stenosis
coronary artery disease - ANSWER-heart failure
The nurse is discussing the cardiac system with a client admitted with heart
failure. The client asks "What determines the heart rate?" What is the nurse's
best response?
The autonomic nervous system controls the heart rate.
Preload controls the heart rate.
,Stroke volume controls the heart rate.
Force of contractility controls the heart rate. - ANSWER-The autonomic nervous
system controls the heart rate.
The nurse auscultates the apex beat at which anatomical location?
midsternum
5 cm to the left of the lower end of the sternum
2.5 cm to the left of the xiphoid process
fifth intercostal space, midclavicular line - ANSWER-fifth intercostal space,
midclavicular line
What is the term for the ability of the cardiac muscle to shorten in response to
an electrical impulse?
contractility
depolarization
repolarization
diastole - ANSWER-contractility
Age-related changes associated with the cardiac system include
decreased size of the left atrium.
endocardial fibrosis.
increase in the number of SA node cells.
myocardial thinning. - ANSWER-endocardial fibrosis.
What does decreased pulse pressure reflect?
, tachycardia
reduced distensibility of the arteries
reduced stroke volume
elevated stroke volume - ANSWER-reduced stroke volume
Decreased pulse pressure reflects reduced stroke volume and ejection velocity
or obstruction to blood flow during systole. Increased pulse pressure would
indicate reduced distensibility of the arteries, along with bradycardia.
The nurse is administering a stool softener to a client who experienced a
myocardial infarction. The client says, "I had a heart attack; I don't have a
problem with constipation." What explanation will the nurse use to answer the
client's question?
"If you strain to have a bowel movement, you can cause a drop in your heart
rate that can be dangerous."
"The heart attack sets you up for limited activity, so constipation is often a
problem for clients after a heart attack."
"Please talk this over with your healthcare provider for further information."
"The prescribed stool softener will decrease stress with a bowel movement and
protect your heart from further injury." - ANSWER-"If you strain to have a
bowel movement, you can cause a drop in your heart rate that can be
dangerous."
The nurse is reviewing the morning laboratory test results for a client with
cardiac problems. Which finding is a priority to report to the healthcare
provider?\
Na+ 140 mEq/L
Ca++ 9 mg/dL
