Exam 35: Cardiac Disorders

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At rest,the cardiac cells in the myocardium are electrically polarized,with the inside of the cell being more ____________________ than the outside of the cell.

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Negative
When the heart is at rest,the inside of the cell is negatively charged.

The nurse uses a picture to demonstrate the conduction pathway through the chambers of the heart.(Arrange the following options in the correct sequence.) A) Atria contract. B) Conduction occurs through the bundle branches. C) AV node fires. D) Purkinje fibers conduct. E) SA node fires. F) Ventricles contract.

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E,A,C,B,D,F
The conduction pathway begins in the SA node,travels down the atrial wall,depolarizing the atria,to the AV node,bundle branches,and Purkinje fibers,contracting the ventricles.

The nurse explains that when fibrous plaques of atherosclerosis are laid down in the vessels,they serve as a(n):

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B

A medication,simvastatin (Zocor),is administered to lower a patient's cholesterol level.Follow-up lipid levels are reviewed by the nurse.The level that indicates the desired therapeutic range is:

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The nurse would anticipate that a patient taking Vasotec,an angiotensin-converting enzyme (ACE)inhibitor,would have which one of the following positive outcomes to this drug?

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On auscultation,the nurse detects a heart murmur.The nurse knows that a heart murmur indicates:

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The nurse takes into consideration the age-related changes in the heart,which are:

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The physician has ordered continuous pulse oximetry.The nurse explains to the patient that the procedure:

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The nurse explains that factors that affect stroke volume are:

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The nurse urges the 50-year-old overweight executive who had an MI 3 months earlier to take up some conditioning exercises for 30 minutes a day to:

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A diuretic medication,furosemide (Lasix)is being administered for congestive heart failure.Which assessment is not an anticipated consequence of the therapy?

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The nurse caring for a patient on lidocaine to increase ventricular conduction is alarmed when assessments reveal:

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To decrease the workload of the heart on a patient with acute congestive failure,the nurse should:

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A stress test is scheduled for a 41-year-old patient.To prepare for the examination,the nurse should:

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To treat a dysrhythmia,atropine sulfate has been administered intravenously.The nurse would monitor for:

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A 46-year-old patient is receiving propranolol (Inderal),a nonselective beta-adrenergic blocker for his heart condition.The nurse would teach the patient to:

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The nurse explains that cardiac rehabilitation lasts from the end of acute care to the return to home and beyond.This service includes:

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A 49-year-old patient has multiple risk factors for coronary artery disease.A modifiable risk factor that the patient can focus on is:

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When the nurse assesses an inverted T wave on the ECG of a patient who had an acute MI 2 days earlier,the nurse interprets this as an indication of a(n):

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A dopamine infusion is being administered to a patient with shock.The nurse should be alert for:

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