The physical therapist notifies the nurse that a patient with coronary artery disease (CAD) experiences an increase in heart rate during physical therapy at the bedside
The nurse recognizes that an increase in heart rate in a patient with CAD may result in what?
A) Increased myocardial perfusion
B) Myocardial ischemia
C) Formation of a pulmonary embolism
D) Electrolyte imbalances
Ans: B
Feedback: Unlike other arteries, the coronary arteries are perfused during diastole. An increase in heart rate shortens diastole and can decrease myocardial perfusion. Patients, particularly those with CAD, can develop myocardial ischemia. An increase in heart rate will not form a pulmonary embolism or create electrolyte imbalances.
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The American Nurses Association does not provide its members with the following benefits:
A) Health insurance B) Scholarships to beginning students C) Continuing education courses D) Lobbyists for nurses in governmental issues
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A nurse is preparing to perform a general assessment of a 47-year-old patient who is new to the clinic. How would the nurse prepare to obtain objective data about the patient's ears? (Select all that apply.)
A) Have the patient sit on the examination table B) Place the patient in semi-Fowler's position on the examination table C) Make sure the patient is comfortable in a quiet room D) Perform the whisper, Weber, and Rinne tests before inspection E) Place the patient's ears at the nurse's eye level