Author Question: The nurse is caring for a patient with hypovolemic shock. The nurse should realize that this ... (Read 39 times)

saliriagwu · **on:** Jun 25, 2018

The nurse is caring for a patient with hypovolemic shock. The nurse should realize that this patient's heart sounds will change in which way?

1. diminished S2
2. accentuated S2
3. diminished S1 and S2
4. no change in S1 or S2

Question 2

The nurse is preparing to analyze a patient's electrocardiogram (ECG) rhythm strip. In which order should the nurse complete this analysis? Place the six steps in the correct order.

1. Determine rate.
2. Assess P wave.
3. Determine regularity.
4. Identify abnormalities.
5. Assess P-to-QRS relationship.
6. Determine interval durations.

ankilker · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
The S2 sound diminishes due to a fall in blood pressure. An accentuated S2 may be heard with HTN, exercise, excitement, and conditions of pulmonary HTN such as CHF and cor pulmonale. S1 diminishes with first-degree heart block, mitral regurgitation, CHF, CAD, and pulmonary or systemic HTN. The nurse should expect a change in the S2 sound.

Answer to Question 2

Correct Answer: 1, 3, 2, 5, 6, 4
It is necessary to use a consistent method for ECG analysis. The steps in this process are determining rate, determining regularity, assessing the P wave, assessing the P-to-QRS relationship, determining interval durations, and identifying abnormalities.