Chapter 18 Patient Management- Cardiovascular System

Chapter 18  Patient Management- Cardiovascular System

Complete Chapter Questions And Answers
 

Sample Questions

1.
A nurse is working with multiple heart patients in the critical care unit. What information in the patients’ charts would indicate intra-aortic balloon pump (IABP) counterpulsation? Select all that apply.
A)
Cardiogenic shock subsequent to acute myocardial infarction
B)
Low cardiac output following cardiac surgery
C)
Unstable angina
D)
Congestive heart failure and an incompetent aortic valve
E)
Severe peripheral vascular disease
F)
Aortic aneurysm

2.
A patient with cardiac failure is being prepped to receive a ventricular assist device for circulatory support. What procedure should the nurse expect the patient to undergo in the future?
A)
Intra-aortic balloon pump counterpulsation
B)
Heart transplantation
C)
Coronary artery bypass graft surgery
D)
Percutaneous transluminal coronary angioplasty

3.
A nurse working with a patient with a Novacor ventricular assist device (VAD) for long-term circulatory support recognizes that this patient is at risk for thromboembolic events. Which of the following is the best intervention for this patient?
A)
Heparin infusions indefinitely
B)
Warfarin therapy initially, which is gradually replaced by heparin infusions
C)
Warfarin therapy indefinitely
D)
Heparin infusions initially, which is gradually replaced by warfarin therapy

4.
What should the nurse include in the plan of care for a patient being prepared for electrical cardioversion? Select all that apply.
A)
Obtain informed consent from the patient.
B)
Encourage the patient to eat a meal shortly before the procedure.
C)
Record a 12-lead ECG and vital signs.
D)
Turn off the synchronizer mode button.
E)
Smear electrode gel between the two paddles on the chest.
F)
Sedate the patient.

5.
A nurse is caring for a patient during radiofrequency ablation. What nursing interventions would most likely put the patient at ease?
A)
Communicating with the patient about the progress of the procedure
B)
Connecting the patient to a cardiac monitor
C)
Placing a lead apron under the patient’s lower back
D)
Establishing a sterile field

Answer Key

1.
A, B, C
2.
B
3.
D
4.
A, C, F
5.
A