CARDIOVASCULAR SYSTEM CHAPTER 30 TO 35

CARDIOVASCULAR SYSTEM CHAPTER

30 TO 35

1-      An experienced nurse is mentoring a new registered nurse (RN). The new RN is measuring orthostatic blood pressure (BP) for a client. Which situation would warrant intervention by the experienced nurse?

a.      Nurse has client lie supine for 5-10 minutes prior to measure BP

b.      Nurse interprets a drop in systolic BP of 10 mmHg as normal

c.       Nurse measure first BP and heart rate with the client standing

d.      Nurse waits 1-3 minutes before taking BP during each position change

2-      During the physical assessment, which finding should the nurse recognize as a normal finding?

A.  Regular pulsation at the epigastric area when the client is supine.

B. Apical pulse noted over an area 4 to 5 centimeters with a duration of 2 seconds.

C. Jugular venous distension visible with the client in an upright position.

D. Point of maximal impulse at the third intercostal space in the right midclavicular line.

3-      The nurse is caring for a toddler who has a medical diagnosis of coarctation of the aorta.

Which assessment finding should the nurse report to the healthcare provider immediately?

a-Pulse oximeter reading of 94%

b-  Crackles at the end of inspiration

c-  Weak femoral pulses

d-  Blood pressure higher in upper extremities

4-      The nurse is caring for an infant with heart failure. In what moment the nurse anticipates that the child is going to benefit the most of supplemental O2

a-      While sleeping

b-      While being held by the mother

c-      While drawing blood tests

d-      While playing with blocks

5-      The nurse obtains the pulse rate of 89 beats/minute for an infant before administering digoxin. Which action should the nurse take?

A.  Assess respiratory rate for one minute next.

B.  Give the medication dosage as scheduled.

C.  Wait 30 minutes and give half of the dosage of medication.

D.  Withhold the medication and contact the healthcare provider