ATI questions cardiovascular system

A nurse is reinforcing teaching with a client who has heart failure about the need to limit sodium in the diet to 2,000 mg daily. Which of the following foods should the nurse recommend ?

1 slice cheddar cheese 3 oz roasted chicken breast

Teaching for a client with a new prescription of clopidogrel?

Avoid grapefruit Monitor for black tarry stools Use an electric razor when shaving

Findings in a client who has left sided valvular heart disease ?

Dyspnea on exertion Client reports fatigue Peripheral edema

Splinter hemorrhages in fingernails and fever in a client is a sign of ?

Ineffective endocarditis

Nurse is caring for a client with DVT and has been taking unfractioned heparin for a week. 2 days prior the provider also prescribed warfarin for 1 week. Client asks about interaction between the two ? The nurse should say ?

It take 3-4 days before the therapeutic effects of warfarin are achieved and then the heparin can be discontinued

A nurse is reinforcing teaching with a client who is scheduled for a stress test which of the following statements should the nurse include in the teaching?

You will exercise your heart by walking on a treadmill

Nurse is reinforcing discharge teaching with a client who has heart failure and is encouraged to increase potassium. Highest food with potassium?

1 medium baked potato

A nurse is caring for a client who has heart failure and reports increased shortness of breath. The nurse increases the client oxygen per protocol. Which of the following actions should the nurse take first ?

Assist pt into high Fowler's position

A nurse is observing a cardioversion procedure and hears the team leader call out "stand clear" what is the purpose of this statement?

Cannot be in contact with the equipment connected to the client

A nurse is reviewing a clients laboratory test results.. the nurse should identify that which of the following results indicates the client is at risk for heart disease?

Cholesterol 245mg LDL 140mg

A nurse is caring for a group of clients which of the following clients is at risk for development of Dysrhythmia?

Client with metabolic acidosis Client with COPD Client who has a stent

A nurse is reinforcing teaching with a client who is scheduled for an angiography which of the following statements should the nurse include in the teaching?

D. You will need to keep your affected leg straight following the procedure

Expected findings in a client with PAD?

Dependent rubor with pallor following limb elevation

A nurse is assisting in the care of a client who underwent defibrillation. What should be included in the documentation of this procedure?

Follow up ECG Energy setting used Skin conditions under electrodes

Findings in a client with pericarditis?

Friction rub

A nurse is reinforcing teaching with a client who is scheduled for cardioversion. Which statement made by the client shows an understanding?

I will receive an electrocardiogram following the procedure

Nurse is caring for a client with chronic venous insufficiency when should the nurse apply thigh high compression Stockings ?

In the morning when the client wakes up and before getting out of bed

A nurse is caring for a client who is on telemetry. The nurse recognizes the clients heart rate is 46/min and notifies the provider. The nurse should anticipate that which of the following management strategies will be used for the client ?

Pacemaker insertion

In a client with severe PAD instruct the client to ?

Place both legs in dependent position while sleeping

Discharge teaching for client with HF and is on fluid restriction of 2,000 ml day Client asks how to determine the amount of fluids he is allowed ?

Pour the amount of fluid you drink into an empty 2 liter bottle

Risk factors for valvular heart disease ?

Surgical repair of an atrial septal defect at age 2 HTN for 5 years

A nurse is assisting with the admission data collection of a client who has suspected pulmonary edema. Which of the following manifestation are suspected findings ?

Tachypnea Orthopnea

A nurse is reinforcing teaching with a client who is scheduled for an echocardiogram. Which of the following statements should the nurse include in the teaching?

The test allows us to see how your heart valves work

Lab test for a client with rheumatic endocarditis ?

Throat culture

A nurse is assisting in the care of a client who began having chest pain 2hr ago. Which of the following laboratory findings should the nurse identify as an indication the client has sustained an injury to the heart ?

Troponin T 0.8 ng/mL