Exam 31: Assessment of Cardiovascular System

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 laboratory test result most helpful in indicating myocardial damage will be

During a physical examination of an older patient,the nurse palpates the point of maximal impulse (PMI)in the sixth intercostal space lateral to the left midclavicular line. The best follow-up action for the nurse to take will be to

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

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.

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

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

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

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 screening patients for possible peripheral arterial disease,indicate where the posterior tibial artery will be palpated.

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 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 12-lead electrocardiograph (ECG)for a healthy 74-yr-old patient who is having an annual physical examination. What finding is of most concern to the nurse?

When auscultating over the patient's abdominal aorta,the nurse hears a loud humming sound. The nurse documents this finding as a

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

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

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

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

While doing the hospital admission assessment for a thin older adult,the nurse observes pulsation of the abdominal aorta in the epigastric area. Which action should the nurse take next?

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 and unlicensed assistive personnel (UAP)on the telemetry unit are caring for four patients. Which nursing action can be delegated to the UAP?