Deck 9: Cardiac Nursing Assessment and Management

Question 1

Which statement would the nursing supervisor evaluate as indicating that a new cardiac nurse understands the fluxes associated with cardiac action potentials?

A) "Phase 4 is the time in which the cells rest."
B) "Depolarization occurs during phase 1."
C) "The inside of the plasma membrane becomes negative during phase 1."
D) "Repolarization occurs during phase 4."

Answer 1

A

Question 2

A client is admitted with the medical diagnosis of sick sinus syndrome. The nurse expects that this client's apical pulse will be less than ________ beats/min.
Record your answer rounding to the nearest whole number.

Answer 2

40

Question 3

The nurse is administering an intravenous antiarrhythmic drug known to have the adverse effect of prolonging the QRS interval. As the medication is administered, the nurse watches for a QRS interval that exceeds ________ second.
Record your answer rounding to the nearest hundredths place.

Answer 3

0.11

Question 4

A client is prescribed potassium channel blocker for 4 weeks. Which statements would indicate the client understands the teaching?
Select all that apply.

A) "I got some sunglasses like you said. Do you like them?"
B) "I know that the rash is from the new medication."
C) "I am scheduled to see the eye doctor in another month."
D) "I wear sunscreen whenever I am outdoors."
E) "I think that medicine is making my hair gray."

Question 5

Which phase occurs with the influx of calcium into the cells and the efflux of potassium from the cells?

A) Phase 4
B) Phase 1
C) Phase 2
D) Phase 3

Question 6

The nurse is caring for a client with systolic left-sided heart failure. The nurse knows that 60% to ________% of left-sided heart failure is systolic in nature.
Record your answer rounding to the nearest whole number.

Question 7

The nurse is preparing to administer digoxin to a client with heart failure. The nurse assesses an apical pulse of less than ________ beats/min and must hold the medication and notify the healthcare provider.
Record your answer rounding to the nearest whole number.

Question 8

The nurse is reviewing the lab values of a client receiving digoxin for the treatment of heart failure. The nurse plans to hold the next dose of digoxin because the serum blood level is greater than ________ ng/mL.
Record your answer rounding to the nearest whole number.