1. The life partner of a patient diagnosed with atrial fibrillation (AF) demonstrates a need for instruction when asking the nurse, "Can you tell me why this is a prob-
lem?" What is the nurse's best response?
2. The medical record states that the pa- tient's pulse is "small a...
Vsim Health Assessment Case: Jared Griffin
Study online at https://quizlet.com/_9jchdo
1. The life partner of a patient diagnosed
The abnormal heartbeat
with atrial fibrillation (AF) demonstrates
re- sults in poor blood
a need for instruction when asking the
flow to the heart.
nurse, "Can you tell me why this is a
prob-
Rationale:The result of the
lem?" What is the nurse's best
ir- regular, rapid
response?
heartbeats is im- paired
blood flow that can re- sult
in a stroke, thromboem-
bolism, and heart failure.
Phys- ical findings include
hypoten- sion, and
laboratory findings can
reveal hyperthyroidism. AF
is most common in
patients older than 60 but
affects only approximately
5% of this age group.
2. The medical record states that the pa-
tient's pulse is "small and weak." Which -Diminished pulse pressure
characteristic will the nurse expect to de- -A prolonged systolic peak
tect when performing a cardiovascular -Slow upstroke
as- sessment on this patient? (Select all
that apply.) Rationale:Pulse
characteristics of a small,
weak pulse would include
slow upstroke, dimin-
ished pulse pressure, and
a prolonged systolic peak.
Bounding on palpation and
a rapid rise and fall of the
systolic peak are
3. Preparing for an electrocardiogram associated with large,
(ECG) is a priority nursing intervention bounding pulses.
for which patient?
(Select all that apply.) A patient newly diagnosed
with mild hypokalemia, A
patient who just had a
pacemaker placed, A
1/
, Vsim Health Assessment Case: Jared Griffin
Study online at https://quizlet.com/_9jchdo
patient reporting, "I feel like my heart is
skipping beats", A patient experiencing
diaphoresis and arm pain
2/
, Vsim Health Assessment Case: Jared Griffin
Study online at https://quizlet.com/_9jchdo
Rationale:
The ECG is used to iden-
tify conduction
abnormalities, cardiac
arrhythmias (associat- ed
with hypokalemia), and
my- ocardial infarctions. It
is also used to document
pacemaker performance. It
is reasonable to expect
that the patient recov-
ering from the MI will be
pre- scribed an ECG to
monitor on- going status of
heart conduc- tion, but this
does not take pri- ority
over identifying the acute
presence of cardiac
4. The nurse is providing care for a patient dysfunc- tion presented by
whose partner says, "We're told that he the correct options.
occasionally has an irregular heartbeat.
Is that bad?" Which response should the It's normal to experience
nurse make to best address the occa- sional premature
partner's concern? beats.
Rationale:
Occasional premature
beats are normal.
Frequent episodes of
5. A nurse is discussing the evaluation of irregular cardiac rhythm
may be a result of a
potassium im- balance or
hypoxia or triggered by
digoxin toxicity.
-Heart rate is between 60
and
an electrocardiograph recently performed 100 beats/min (bpm)
on a patient with a nursing student. Which data will the nurse
3/
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