Page 172 - Critical Care Nursing Demystified

Chapter 3 CARE OF THE PATIENT WITH CRITICAL CARDIAC AND VASCULAR NEEDS 157

REVIEW QUESTIONS

1. Which isoenzyme most quickly reflects that a patient has suffered an acute and
recent myocardial infarction?
A. LDH
B. CK–MM
C. SGOT
D. Troponin

2. A 75-year-old individual is admitted with a diagnosis of left-sided heart failure
and is administered Lasix 80 mg by slow IV push. Which nursing assessment
indicates that the Lasix (furosemide) is NOT having the desired effect?
A. Oliguria
B. Decrease in blood pressure
C. Absence of crackles
D. Polydipsia

3. A newly admitted patient, diagnosed with a myocardial infarction and left ven-
tricular heart failure, might exhibit which of the following physical symptoms?
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A. Jugular vein distention
B. Hepatomegaly
C. Dyspnea
D. Crackles
E. Tachycardia
F. Right-upper-quadrant pain

4. A patient is admitted to your telemetry unit with chest pain that has been in-
creasing in intensity and duration. The critical care nurse can identify that this
type of angina is called
A. Stable
B. Variant
C. Predictable
D. Unstable

5. A patient is admitted in acute distress with unrelieved back pain that radiates
to his groin. This patient has a history of an abdominal aortic aneurysm (AAA).
What additional signs and symptoms might the patient state?
A. Midsternal chest pressure relieved with nitroglycerin paste
B. Bruit to left of the midline in the abdominal area
C. Extreme headache
D. Numbness and tingling in the hands and arms