Which of the following is an expected outcome for a patient after ...

[jasdeep_brar]

Which of the following is an expected outcome for a patient after cardiac assessment?
 
  a. Apical pulse rate equals 58 beats per minute
  b. Carotid bruits present
  c. PMI palpable at left fifth intercostal space at midclavicular line
  d. Jugular veins distended with patient in sitting position

Question 2

The nurse is caring for a patient who is recovering from an acute myocardial infarction. While providing cardiac education, the nurse realizes that the patient needs more education when he:
 
  a. describes changes in his behavior that may improve cardiovascular function.
  b. describes the schedule, dosage, and purpose of his medication.
  c. states that he will take his medication when he has chest pain or when his heart rate is greater than 100.
  d. describes the benefits of taking his medication regularly.

[Zack0mack0101@yahoo.com]

Answer to Question 1

C
Locate the PMI by palpating with fingertips along the fifth intercostal space at the midclavicular line. Sinus bradycardia: Pulse rhythm is regular, but rate is slower than normal at 40 to 60 beats/min. Place bell of stethoscope over each carotid artery while auscultating for blowing sounds (bruit). Ask the patient to hold a breath for a few heartbeats so that respiratory sounds will not interfere with auscultation. Narrowing of the carotid artery lumen by arteriosclerotic plaques causes disturbance in blood flow. Blood passing through the narrowed section creates turbulence and emits a blowing or swishing sound. Normal veins are flat when the patient is sitting, and pulsations become evident as the patient's head is lowered.

Answer to Question 2

C
The patient should not take medications for cardiovascular function intermittently. Medication should be taken on the regular prescribed schedule to prevent additional cardiac events. Describing changes in his behavior that may improve his cardiovascular function indicates that the patient understands steps he may take to improve his own health. The ability to accurately describe the schedule, dose, and purpose of his medication indicates that the patient understands his treatment. Understanding the benefits of taking his medication regularly should improve patient compliance with therapy.