Exam 32: Nursing Assessment: Cardiovascular System

While listening at the mitral area,the nurse notes abnormal heart sounds at the patient's fifth intercostal space,midclavicular line.After listening to the audio clip,describe how the nurse will document the assessment finding.

When reviewing the 12-lead electrocardiograph (ECG)for a healthy 79-year-old patient who is having an annual physical examination,what will be of most concern to the nurse?

A registered nurse (RN)is observing a student nurse who is doing a physical assessment on a patient.The RN will need to intervene immediately if the student nurse

The nurse hears a murmur between the S1 and S2 heart sounds at the patient's left fifth intercostal space and midclavicular line.How will the nurse record this information?

The nurse is reviewing the laboratory results for newly admitted patients on the cardiovascular unit.Which patient laboratory result is most important to communicate as soon as possible to the health care provider?

When assessing a newly admitted patient,the nurse notes a murmur along the left sternal border.To document more information about the murmur,which action will the nurse take next?

Which action will the nurse implement for a patient who arrives for a calcium-scoring CT scan?

While assessing a patient who was admitted with heart failure,the nurse notes that the patient has jugular venous distention (JVD)when lying flat in bed.Which action should the nurse take next?

During a physical examination of a 74-year-old patient,the nurse palpates the point of maximal impulse (PMI)in the sixth intercostal space lateral to the left midclavicular line.The most appropriate action for the nurse to take next will be to

To determine the effects of therapy for a patient who is being treated for heart failure,which laboratory result will the nurse plan to review?

The nurse teaches the patient being evaluated for rhythm disturbances with a Holter monitor to

A patient is scheduled for a cardiac catheterization with coronary angiography.Before the test,the nurse informs the patient that

A transesophageal echocardiogram (TEE)is ordered for a patient with possible endocarditis.Which action included in the standard TEE orders will the nurse need to accomplish first?

The standard policy on the cardiac unit states,"Notify the health care provider for mean arterial pressure (MAP)less than 70 mm Hg." The nurse will need to call the health care provider about the

To auscultate for S3 or S4 gallops in the mitral area,the nurse listens with the

After noting a pulse deficit when assessing a 74-year-old patient who has just arrived in the emergency department,the nurse will anticipate that the patient may require

When admitting a patient for a cardiac catheterization and coronary angiogram,which information about the patient is most important for the nurse to communicate to the health care provider?

When the nurse is monitoring a patient who is undergoing exercise (stress)testing on a treadmill,which assessment finding requires the most rapid action by the nurse?

The nurse has received the laboratory results for a patient who developed chest pain 4 hours ago and may be having a myocardial infarction.The most important laboratory result to review will be

Which information obtained by the nurse who is admitting the patient for magnetic resonance imaging (MRI)will be most important to report to the health care provider before the MRI?