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WorksheetsCardiac Review for nursing students
Total questions: 10
Worksheet time: 3mins
Three days after a mechanical mitral valve replacement surgery, the patient complains that she thinks she hears a clicking noise in her chest. The nurse teaches the patient:
“That’s just your heart monitor.”
“That’s the sound of your new valve opening and closing.”
“Let me call your MD. Your valve shouldn’t make any noise.”
“Your valve will make less noise as it becomes calcified.”
The nurse is caring for a newly admitted client with a diagnosis of restrictive cardiomyopathy. When planning the client’s care, which would be one of the priority problems identified by the nurse?
Activity intolerance r/t decreased cardiac output.
Hopelessness r/t the possibility of not getting a heart transplant.
Decreased cardiac output r/t cardiac inflammation.
Knowledge deficit r/t antibiotic regime
Valve replacement causes a greater risk for endocarditis. What will the nurse teach the client on discharge?
Will no longer be unable to do physical activities.
Must take prophylactics for dental and anything invasive.
You will be on anticoagulants for life.
You will have to take antibiotics for life.
Aortic aneurisms are___________.
Painless
Painful
________ is the most common valve disorder “wear & tear” disease.
tricuspid stenosis
mitral stenosis
aortic stenosis
pulmonic stenosis
Complications for an open surgical repair for an abdominal aneurysm are? SATA
impaired circulation to the affected extremity
Hemmorhage
impaired circulation to the kidneys
must lay flat for up to 6 hours
Aortic regurgitation produces a decrease in CO because a portion of the blood backs up into the left ventricle causing the following S &S: Orthopnea, Palpitations, Angina. Why angina?
Valve is pulling on the heart muscle
decreased blood through the aortic sinus
The nurse has just received report on assigned patients
in the cardiac step down unit. Which of the following
patients should be assessed first?
The patient 2 days status post CABG surgery
complaining of 7/10 pain
The patient scheduled for surgical procedure
immediately after report
The patient complaining of new onset chest pain
The patient on falls precautions setting off the bed
Alarm
Mitral valve stenosis causes (a) sided heart failure?
An abdominal aneurysm will need to be repaired if it is greater than (a) cms.
