Chapter 31 Cardiovascular Assessment questions Flashcards
Which of the following instructions given to a patient who is about to undergo Holter monitoring is most appropriate?
A) “You may remove the monitor only to shower or bathe.”
B) “You should connect the monitor whenever you feel symptoms.”
C) “You should refrain from exercising while wearing this monitor.”
D) “You will need to keep a diary of all your activities and symptoms.”
D) “You will need to keep a diary of all your activities and symptoms.”
A Holter monitor is worn for at least 24 hours while a patient continues with usual activity and keeps a diary of activities and symptoms. The patient should not take a bath or shower while wearing this monitor.
A nurse is caring for a patient immediately following a transesophageal echocardiogram (TEE). Which of the following assessments are appropriate for this patient (select all that apply)?
A) Assess for return of gag reflex.
B) Assess groin for hematoma or bleeding.
C) Monitor vital signs and oxygen saturation.
D) Position patient supine with head of bed flat.
E) Assess lower extremities for circulatory compromise.
A) Assess for return of gag reflex.
C) Monitor vital signs and oxygen saturation.
The patient undergoing a TEE has been given conscious sedation and has had the throat numbed with a local anesthetic spray, thus eliminating the gag reflex until the effects wear off. Therefore it is imperative that the nurse assess for gag reflex return before allowing the patient to eat or drink. Vital signs and oxygen saturation are also important assessment parameters resulting from the use of sedation. A TEE does not involve invasive procedures of the circulatory blood vessels. Therefore it is not necessary to monitor the patient’s groin or lower extremities in relation to this procedure.
