physical exam cardiovascular system Physical Exam Cardiovascular System - Nursing Elites
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Physical Exam Cardiovascular System

1. A client on a beta blocker has a heart rate of 52 bpm. What is the nurse’s priority action?

Correct answer: A

Rationale: The correct answer is to hold the beta blocker and notify the healthcare provider. A heart rate of 52 bpm is low, and beta blockers can further decrease the heart rate, potentially causing harm. Therefore, withholding the medication and promptly informing the healthcare provider is crucial for further assessment and possible adjustment of the treatment plan. Administering the beta blocker as ordered (Choice B) can exacerbate the bradycardia. Increasing the dose of the beta blocker (Choice C) would further suppress the heart rate. Continuing to monitor the client and reassessing in 30 minutes (Choice D) might delay necessary interventions and increase the risk of complications in a client with a heart rate of 52 bpm.

2. The nurse is administering digoxin to a client. What is the most important parameter to check before administration?

Correct answer: A

Rationale: The correct answer is A: Heart rate. Before administering digoxin, it is crucial to check the client's heart rate because digoxin can cause bradycardia, making it essential to ensure the heart rate is within the appropriate range. Blood pressure, respiratory rate, and oxygen saturation are also important parameters to monitor in a clinical setting, but when administering digoxin, the focus should primarily be on the heart rate due to its potential effects on cardiac function.

3. What is the condition where the walls of the heart's ventricles become thickened, reducing the heart's ability to pump blood effectively?

Correct answer: A

Rationale: Ventricular hypertrophy is the correct answer. In ventricular hypertrophy, the walls of the heart's ventricles become thickened, which decreases the heart's efficiency in pumping blood. Atrial fibrillation (choice B) is an irregular and often rapid heart rate that can lead to poor blood flow. While restrictive cardiomyopathy (choice C) involves the heart muscle becoming rigid and less compliant, it is not specifically characterized by thickening of the ventricular walls. Cardiomyopathy (choice D) is a general term for diseases of the heart muscle, which can present with various symptoms and causes.

4. What is the approximate stroke volume of the heart?

Correct answer: B

Rationale: The correct answer is B: Approximately 70 mL of blood per beat. The stroke volume of the heart is typically around 70 mL, indicating the volume of blood ejected from the left ventricle with each contraction. Choices A, C, and D are incorrect as they do not represent the standard approximate stroke volume of the heart, which is around 70 mL per beat.

5. Which term refers to high blood pressure, a condition where the force of the blood against the artery walls is too high?

Correct answer: A

Rationale: The correct answer is A, Hypertension. Hypertension is a condition characterized by persistently high blood pressure, which increases the risk of heart disease and stroke. Choice B, Hypotension, refers to low blood pressure. Choice C, Hyperlipidemia, is the term for high levels of fats in the blood. Choice D, Diabetes, is a condition characterized by high blood sugar levels.

Similar Questions

What structures hold up the AV valves and are anchored to the ventricular wall by the papillary muscles?
What is a chronic condition where the heart is unable to pump blood effectively, leading to fluid buildup in the lungs and other parts of the body?
The client on clopidogrel (Plavix) should be monitored for which adverse effect?
What is a condition characterized by the presence of air or gas in the pleural space, leading to the collapse of the lung?
What test evaluates the heart's response to physical stress, often involving exercise on a treadmill while monitoring the heart?
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