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WorksheetsCardiac Nursing Review
Total questions: 19
Worksheet time: 8mins
What is the normal range for SVO2?
20-30
30-35
35-50
60-80
Your patient has the following hemodynamic values:
SVR = 780
BP = 88/42
CVP = 2
PA = 18/4
SVV = 22%
Based on these values, your patient is probably
Experiencing an acute MI
Fluid overloaded
Significantly vasoconstricted
Hypovolemic
Which of the following pressures are normal?
PAP = 34/24; PCWP = 12
PAP = 30/20; PCWP = 10
PAP = 28/18; PCWP = 20
PAP = 24/14; PCWP = 12
Your patient with an inferior wall MI also has RV infarction. He soon develops RV failure. Which of the following data obtained would support this?
PAP 23/8; PCWP = 19; CVP = 20
PAP = 54/28; PCWP = 14; CVP = 14
PAP = 28/19; PCWP = 10; CVP = 20
Which one of these is NOT a determinant of cardiac output?
Preload
Afterload
Body surface area (BSA)
Heart rate
Contractility
All of the following decrease afterload EXCEPT
Nitroprusside (Nipride)
Clevidipine (Cleviprex)
Hydralazine (Apresoline)
Milrinone (Primacor)
Norepinephrine (Levophed)
You are caring for a patient
with a temporary pacemaker after surgery. The pacemaker is set at 60 bpm but
you notice it is pacing the patient at 50 bpm. What actions do you take?
Select all that apply
Check the set rate
Check for pacemaker capture
Assess the patient
Check what the mA )output) is
You are measuring intake and
output for your POD #1 open heart surgery patient. You notice they put out 350 ml of sanguineous drainage from their chest tube in the past hour. The patient states they feel fine and their vital signs are stable. What is your next action?
No further action is required. Monitor the patient.
Notify the surgeon
Order a Hemoglobin/Hematocrit
Keep the patient bedrest
The most most common post-operative dysrhythmia is
Atrial fibrillation
PVC's
AV Blocks
Junctional rhythm
Your patient arrives to the Telemetry floor following a video assisted Thoracotomy (VAT) procedure. His chest tube is connected to suction at -20cm water. Patient is comfortable, has an epidural and denies pain. Suddenly, the patient becomes hypotensive with a BP of 60/30, HR 150, RR 36. The O2 sat dropped to 75% on 4L/NC. CT output has
been 50 ml since arrival from CVRA .What nursing actions would you take? Select all that apply.
Start a vasopressor
Contact the surgeon
Check chest tubes for clots or dislodgement
Call RRT and place patient on 100% NRB Mask
What medication would you
expect your patient to be started on after their radial artery is harvested for
CABG?
Diuretic
ACE inhibitor
Calcium channel blocker
Antihistamine
What is the single most important nursing action to prevent wound infections?
Daily dressing changes
Hourly blood glucose monitoring
Regular hand-washing before and after patient care
Early mobilization
Patient's with mechanical
valves require anticoagulation post-operatively because of risk of
thromboembolism.
True
False
Your patient complains of
numbness in their lower extremities 4 hours after their epidural infusion has
been discontinued and removed. What actions will you take? Select all that
apply.
Call the anesthesiologist
Monitor the patients vital signs and sensory motor
very closely for changes
This is a normal sign
after an epidural has been removed
This is an emergency situation and must be treated
promptly
Your patient has become
increasingly confused and restless. Upon your assessment you notice his chest
tube has been dislodged. What do you do? Select all that apply.
Ask the ARNP to advance
the chest tube to original position
Place Vaseline gauze on the CT site, check O2 sat,
and administer O2 to maintain O2 > 90%, call MD
Gather equipment for chest tube reinsertion at the
bedside
Request an order for ABG to check for
