Exam 34: Nursing Assessment Cardiovascular System

A transesophageal echocardiogram (TEE) is ordered for a client with possible endocarditis. Which of the following actions included in the standard TEE orders should the nurse accomplish first?

The nurse hears a murmur between the S1 and S2 heart sounds at the client's left 5th intercostal space and midclavicular line. How should the nurse record this information?

The nurse is assessing the laboratory results for a client who developed chest pain 4 hours ago and may be having a myocardial infarction. Which of the following laboratory results is most important for the nurse to review?

The nurse is assessing a client who was admitted with heart failure and notes that the client has jugular venous distension (JVD) when lying flat in bed. Which of the following actions should the nurse take next?

The RN is observing a student nurse who is doing a physical assessment on a client. The RN will need to intervene immediately if the student nurse implements which of the following interventions?

The nurse is monitoring a client who is undergoing exercise (stress) testing on a treadmill. Which of the following assessment findings requires the most rapid action by the nurse?

The standard policy on the cardiac unit states, "Notify the health care provider for mean arterial pressure (MAP) less than 70 mm Hg." Which of the following clients should the nurse report to the health care provider?

The nurse is assessing a newly admitted client and notes a thrill along the left sternal border. To obtain more information about the cause of the thrill, which of the following actions should the nurse take next?

The nurse is reviewing the 12-lead electrocardiograph (ECG) of a healthy older-adult client who is having an annual physical examination. Which of the following findings should be of most concern to the nurse?

The nurse is providing teaching to a client being evaluated for rhythm disturbances with a Holter monitor. Which of the following information should the nurse include in the teaching plan?

During a physical examination of a client, the nurse palpates the point of maximal impulse (PMI) in the sixth intercostal space lateral to the left midclavicular line. Which of the following actions should the nurse implement next?

The nurse is auscultating over the client's abdominal aorta and hears a humming sound. Which of the following terms should the nurse use to document this finding?

The nurse is caring for a client who is scheduled for a cardiac catheterization with coronary angiography. Which of the following information should the nurse provide to the client before the test?

The nurse is assessing a client who has just arrived in the emergency department and notes a pulse deficit. Which of the following actions should the nurse anticipate for the client?

The nurse is admitting a client for a coronary arteriogram and angiogram. Which of the following information about the client is most important for the nurse to communicate to the health care provider?

The nurse is assessing an underweight older-adult client and observes pulsation of the abdominal aorta in the epigastric area. Which of the following actions should the nurse take?

To auscultate for S3 or S4 gallops in the mitral area, which of the following should the nurse implement?

The nurse is caring for a client who is being treated for heart failure. Which of the following laboratory results should the nurse assess to determine the effects of therapy?

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

Which of the following actions should the nurse implement for a client who arrives for a calcium-scoring CT scan?