Exam 37: Circulation

A nurse is performing cardiopulmonary resuscitation on an infant.When performing chest compressions,the nurse understands that the compression rate is at least:

The nurse is assessing a male patient diagnosed with chronic heart failure 10 years ago.Which finding would indicate poor perfusion to the tissues?

The nurse administers sublingual nitroglycerine,a vasodilator,to a patient diagnosed with angina.When the patient's chest pain is not relieved,the nurse prepares to give another nitroglycerine tablet.What is the nurse's priority action prior to administering the next dose of medication?

The nurse is caring for a patient with reduced perfusion to the extremities.The nurse evaluates the patient and finds the response to therapy is not optimal.What lifestyle change does the nurse suspect is contributing to the lack of response?

Your client is a healthy older adult who has comes to the health clinic because she reports not feeling like herself.When you are gathering data in your client's health history,she tells you that she is feeling more fatigue when walking up stairs and doing her normal household activities.What are normal physiological changes in the cardiovascular system that occur with aging? Select all that apply.

The nurse analyzes the patient's ECG and compares it with a baseline ECG recorded before the patient began having chest pain.What finding indicates a problem with the ventricle?

The patient diagnosed with inadequate closure of the mitral valve is scheduled for surgery and asks the nurse,"Why does it matter if my valve leaks?" What is the nurse's best response to explain why this mitral valve needs to be repaired?

Chronic stress may lead directly to cardiovascular disease because of the repeated release of which of the following?

Which of the following medications would you expect to be included in the treatment of a patient with congestive heart failure? Select all that apply.

The nurse is reviewing the results of the patient's laboratory findings and notes an elevated C-reactive protein (CRP).What does this indicate?

Which outcome statement is related to Decreased Cardiac Output? Select all that apply.

A patient with heart failure has BP 120/60,HR 64,R 18,T 97.6°F,coarse crackles bilaterally,and 3+ edema to the lower extremities.An appropriate nursing diagnosis for this patient is:

The nurse is teaching a pregnant woman about the increased oxygen demand that develops during pregnancy.The nurse knows the patient comprehends the teaching when she makes the following statement:

You are preparing the nursing care plan for a middle-aged patient admitted to the intensive care unit for an acute myocardial infarction (heart attack).His symptoms include tachycardia,palpitations,anxiety,jugular vein distention,and fatigue.Which of the following nursing diagnoses is most appropriate?

As the nurse caring for a patient who has suffered a myocardial infarction that has damaged the sinoatrial (SA)node,you should plan to monitor for which of the following potential complications? Select all that apply.

Three days ago,a patient had cardiac surgery to bypass three occlusions of his coronary arteries.Veins for the bypass were harvested from his right leg.He informs the nurse that his leg is warm and tender in his right calf.The nurse notes a 3-cm periwound erythema and swelling at the distal end of the incision.Staples are intact along the incision,and there is no drainage.Vital signs are stable.The nurse would suspect that the patient has what kind of complication?

The nurse is planning care for an elderly patient diagnosed with end-stage heart failure and a nursing diagnosis of Decreased Cardiac Output secondary to ineffective left ventricular function.What outcome would the nurse plan for this patient to measure improvement in cardiac output?

The nurse is preparing to apply a cardiac monitor to a patient.Where should the nurse place the electrodes?

The nurse admits to the coronary care unit a patient diagnosed with an acute myocardial infarction.The patient's blood pressure reading is 86/38 secondary to an infusing nitroglycerine drip.Pulse rate is 120 beats/min and respirations are 14 breaths/min.The patient is pale and grimacing,and moans occasionally.What nursing diagnoses would the nurse anticipate for this patient? Select all that apply.

The nurse is preparing patient teaching for a patient diagnosed with peripheral edema secondary to right-sided heart failure.What intervention will promote circulation and reduce edema in the lower extremities?