Solutions - Chapter 51 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

10TYK. A client with severe mitral stenosis is having surgery tomorrow. While teaching the client, the nurse shows the client a diagram of the heart. Identify with an “X” which valve the client will have replaced.
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1CTC. What are the circulatory causes of her leg pain? Which risk factors would you expect to find in her history to support this conclusion?
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1Q.
From Medical Language, 3rd ed., by S. M.Turley, © 2014. Reproduced with permission ot Pearson Education, Inc. Upper Saddle River, New Jersey.
Preload is affected by the amount of blood returning to the heart from the venous circulation. Review the figure.
Which side of the heart is primarily affected by preload?
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1TYK. The home health nurse has developed a teaching guide for a client with cardiovascular risk factors that focuses on the importance of regular physical activity with gradually increasing activity levels. This teaching guide specifically promotes which topic?
1.  Cardiac output and tissue perfusion
2.  Renal perfusion and formation of urine
3.  Oxygen-carrying capacity of white blood cells
4.  Effective breathing and airway clearance
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2CTC. Name two nursing diagnoses appropriate for Mrs. Papadopolis. Which would have the highest priority and why?
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2Q.
From Medical Language, 3rd ed., by S. M.Turley, © 2014. Reproduced with permission ot Pearson Education, Inc. Upper Saddle River, New Jersey.
Preload is affected by the amount of blood returning to the heart from the venous circulation. Review the figure.
What could cause an increase of venous blood return to the heart?
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2TYK. The client’s electrocardiogram (ECG) monitor reflects normal electrical activity through the heart’s conduction system.
The nurse knows that the electrical impulse travels in which sequence?
1.  Atrioventricular node
2.  Bundle branches
3.  Sinoatrial node
4.  Bundle of His
5.  Purkinje fibers
Place the numbers in the correct sequence: ______________
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3CTC. The primary care provider suggests that Mrs. Papadopolis cease her visits to the cemetery since she has to walk a long way there to reach the grave site. Would you agree with this plan? Why or why not? What considerations or viewpoints influence your choice?
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3Q.
From Medical Language, 3rd ed., by S. M.Turley, © 2014. Reproduced with permission ot Pearson Education, Inc. Upper Saddle River, New Jersey.
Preload is affected by the amount of blood returning to the heart from the venous circulation. Review the figure.
When would an increase in preload have a positive effect/ outcome for the client?
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3TYK. Which would most likely be included in the evaluation of the client goal of “Demonstrate adequate tissue perfusion”?
1.  Symmetrical chest expansion
2.  Use of pursed-lip breathing
3.  Brisk capillary refill
4.  Activity intolerance
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4CTC. Mrs. Papadopolis says that she wears support stockings because her friend told her they help the circulation in her legs. How would you respond to this information?
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4Q.
From Medical Language, 3rd ed., by S. M.Turley, © 2014. Reproduced with permission ot Pearson Education, Inc. Upper Saddle River, New Jersey.
Preload is affected by the amount of blood returning to the heart from the venous circulation. Review the figure.
When does an increase in preload have a negative effect/ outcome for the client?
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4TYK. A client is admitted with acute crushing chest pain that radiates down his left arm. The nurse expects which blood tests to be ordered for this client? Select all that apply.
1.  Blood urea nitrogen (BUN)
2.  Hemoglobin and hematocrit
3.  Creatine kinase (CK)
4.  Homocysteine level
5.  Troponin
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5TYK. A client is admitted with acute crushing chest pain that radiates down his left arm. The nurse expects which blood tests to be ordered for this client? Select all that apply.
1.  Blood urea nitrogen (BUN)
2.  Hemoglobin and hematocrit
3.  Creatine kinase (CK)
4.  Homocysteine level
5.  Troponin
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6Q.
From Medical Language, 3rd ed., by S. M.Turley, © 2014. Reproduced with permission ot Pearson Education, Inc. Upper Saddle River, New Jersey.
Afterload is the resistance against which the heart must pump. Review the figure.Which side of the heart is primarily affected by aftcrload?
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7Q.
From Medical Language, 3rd ed., by S. M.Turley, © 2014. Reproduced with permission ot Pearson Education, Inc. Upper Saddle River, New Jersey.
Afterload is the resistance against which the heart must pump. Review the figure.What can cause an increase in afterload (e.g., what can cauic the left side of the heart to work harder}?
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7TYK. Which set of assessment data best validates that the nurse should initiate cardiopulmonary resuscitation on a comatose client?
1.  Cool, pale skin; unconsciousness; absence of radial pulse
2.  Cyanosis, slow pulse, dilated pupils
3.  Absent pulses, flushed skin, pinpoint pupils
4.  Apnea, absence of carotid or femoral pulses, dilated pupils
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8Q.
From Medical Language, 3rd ed., by S. M.Turley, © 2014. Reproduced with permission ot Pearson Education, Inc. Upper Saddle River, New Jersey.
Afterload is the resistance against which the heart must pump. Review the figure.Based on the physiology, afterload can be decreased by medications that would have what physiological result/ outcome?
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8TYK. Which diagnoses would be most appropriate for clients with cardiovascular disease? Select all that apply.
1.  Ineffective Peripheral Tissue Perfusion
2.  Acute Confusion
3.  Decreased Cardiac Output
4.  Sleep Pattern Disturbance
5.  Activity Intolerance
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9TYK. The surgeon ordered sequential compression devices (SCDs) to be applied postoperatively. The client asks why the SCDs are needed. Which is the best response by the nurse when teaching the client about the purpose of SCDs?
1.  They promote arterial circulation.
2.  They promote venous return from the legs.
3.  They decrease afterload.
4.  They decrease postoperative pain.
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