Medical-surgical Nursing Demystified

(Sean Pound) #1

CHAPTER 1 Cardiovascular System^83


(a) Because of the excessive volume of IV fluid that is being administered.
(b) The left side of his heart is weak and is losing the capability to pump
blood to his lungs.
(c) The right side of his heart is weak and is losing the capability to pump
blood to his lungs.
(d) He stands too long at work.


  1. Your patient is experiencing congestive heart failure. What medication
    would you expect to administer to strengthen myocardial contractility?
    (a) nitroprusside
    (b) digoxin
    (c) nitroglycerin ointment
    (d) furosemide

  2. Upon hearing that he has acute pericarditis, the patient asks how he could
    have gotten the disease. The best response is:
    (a) The upper respiratory viral infection that you experienced a couple of
    weeks ago could have led to acute pericarditis.
    (b) It is a genetic condition that you received from your father.
    (c) It is a genetic condition that you received from your mother.
    (d) It is the weakening of the left side of your heart.

  3. The patient has difficulty breathing, fatigue, orthopnea, and palpation. Her
    physician diagnosed her as having aortic insufficiency. She underwent aor-
    tic valve repair. What medication would you expect to administer?
    (a) heparin
    (b) ativan
    (c) haldol
    (d) thorazine

  4. The patient asks you why she is being administered so many arterial blood
    gas tests. The best response is:
    (a) This test determines if your liver and kidneys are functioning properly.
    (b) This test determines if you have a sufficient WBC to fight infection.
    (c) This test determines if you are hyperglycemic, which is a side effect of
    your medication.
    (d) This test determines how well your tissues are oxygenated.

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