INTRODUCTION TO CRITICAL CARE NURSING 7TH EDITION SOLE TEST BANK
Chapter 13: Cardiovascular Alterations Sole: Introduction to Critical Care Nursing, 7th Edition MULTIPLE CHOICE 1. The patient is admitted with a suspected acute myocardial infarction (AMI). In assessing the
12-lead electrocardiogram (ECG) changes, which findings would indicate to the nurse that the patient is in the process of an evolving Q wave myocardial infarction (MI)? a. ST-segment elevation on ECG and elevated CPK-MB or troponin levels b. Depressed ST-segment on ECG and elevated total CPK c. Depressed ST-segment on ECG and normal cardiac enzymes d. Q wave on ECG with normal enzymes and troponin levels ANS: A
ST segment elevation and elevated cardiac enzymes are seen in Q wave MI. DIF: Cognitive Level: Analyze/Analysis REF: p. 313 | Nursing Care Plan OBJ: Identify specific nursing interventions designed to prevent secondary occurrences or to minimize complications of cardiac and vascular patients. TOP: Nursing Process Step: Assessment MSC: NCLEX Client Needs Category: Physiological Integrity 2. The nurse is assessing a patient with left-sided heart failure. Which symptom would the nurse
expect to find? a. Dependent edema b. Distended neck veins c. Dyspnea and crackles d. Nausea and vomiting
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ANS: C
In left-sided heart failure, signs and symptoms are related to pulmonary congestion. Dependent edema and distended neck veins are related to right-sided heart failure. DIF: Cognitive Level: Analyze/Analysis REF: p. 326 | Box 13-13 OBJ: Contrast the pathological cause and effect mechanisms that produce acute cardiac disturbances. TOP: Nursing Process Step: Assessment MSC: NCLEX Client Needs Category: Physiological Integrity 3. A patient is admitted with an acute myocardial infarction (AMI). The nurse knows that an
angiotensin-converting enzyme (ACE) inhibitor should be started within 24 hours to reduce the incidence of which process? a. Myocardial stunning b. Hibernating myocardium c. Myocardial remodeling d. Tachycardia ANS: C
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