Critical Care Nursing A Holistic Approach 10th Edition by Patricia Gonce Morton
Critical Care Nursing A Holistic Approach 10th Edition by Patricia Gonce Morton
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Chapter 18- Patient Management- Cardiovascular System
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A nurse is working with multiple heart patients in the critical care unit. What information in the patients’ charts would indicate intra-aortic balloon pump (IABP) counterpulsation? Select all that apply. | |
| A) | Cardiogenic shock subsequent to acute myocardial infarction | |
| B) | Low cardiac output following cardiac surgery | |
| C) | Unstable angina | |
| D) | Congestive heart failure and an incompetent aortic valve | |
| E) | Severe peripheral vascular disease | |
| F) | Aortic aneurysm | |
| 2. | A patient with cardiac failure is being prepped to receive a ventricular assist device for circulatory support. What procedure should the nurse expect the patient to undergo in the future? | |
| A) | Intra-aortic balloon pump counterpulsation | |
| B) | Heart transplantation | |
| C) | Coronary artery bypass graft surgery | |
| D) | Percutaneous transluminal coronary angioplasty | |
| 3. | A nurse working with a patient with a Novacor ventricular assist device (VAD) for long-term circulatory support recognizes that this patient is at risk for thromboembolic events. Which of the following is the best intervention for this patient? | |
| A) | Heparin infusions indefinitely | |
| B) | Warfarin therapy initially, which is gradually replaced by heparin infusions | |
| C) | Warfarin therapy indefinitely | |
| D) | Heparin infusions initially, which is gradually replaced by warfarin therapy | |
| 4. | What should the nurse include in the plan of care for a patient being prepared for electrical cardioversion? Select all that apply. | |
| A) | Obtain informed consent from the patient. | |
| B) | Encourage the patient to eat a meal shortly before the procedure. | |
| C) | Record a 12-lead ECG and vital signs. | |
| D) | Turn off the synchronizer mode button. | |
| E) | Smear electrode gel between the two paddles on the chest. | |
| F) | Sedate the patient. | |
| 5. | A nurse is caring for a patient during radiofrequency ablation. What nursing interventions would most likely put the patient at ease? | |
| A) | Communicating with the patient about the progress of the procedure | |
| B) | Connecting the patient to a cardiac monitor | |
| C) | Placing a lead apron under the patient’s lower back | |
| D) | Establishing a sterile field | |
Answer Key
| 1. | A, B, C |
| 2. | B |
| 3. | D |
| 4. | A, C, F |
| 5. | A |
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