MSN 377 EXAM 1 PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS 2023-2024 .GRADED A+ Chapter 32: Cardiovascular System After noting a pulse deficit when assessing a patient who has just arrived in the emergency department, the nurse will anticipate that the patient may require a. a 2-D echocardiogram.b. a cardiac catheterization. c. hourly blood pressure (BP) checks. d. electrocardiographic (ECG) monitoring. - ANSWER -ANS: D Pulse deficit is a difference between simultaneously obtained apical and radial pulses and indicates that there may be a cardiac dysrhythmia that would be detected with ECG monitoring. Frequent BP monitoring, cardiac catheterization, and echocardiograms are used for diagnosis of other cardiovascular disorders but would not be as helpful in determining the immediate reason for the pulse deficit. When reviewing the 12-lead electrocardiograph (ECG) for a healthy 86-year-old patient who is having an annual physical examination, which of the following will be of most concern to the nurse? a. The heart rate (HR) is 43 beats/minute. b. The PR interval is 0.21 seconds.c. There is a right bundle-branch block. d. The QRS duration is 0.13 seconds. - ANSWER -ANS: A The resting HR does not change with aging, so the decrease in HR requires further investigation. Bundle-branch