Cardiac

The nurse on the ICU received change of shift report on four patients with hypertension. Which patient will the nurse assess first? a. 48 yr old with BP of 160/92 who reports chest pain b. 52 yr old with BP of 198/90 who has intermittent claudication c. 50 yr old with BP of 190/104 who has creatinine of 1.7 mg/dL d. 43 yr old with BP of 172/98 whose urine shows micro albuminuria

a. 48 yr old with BP of 160/92 who reports chest pain

During your assessment of a patient with hypertension, which of the following is most likely to be seen? a. neurofibromas b. hypoglycemia c. night sweats d. vision changes e. post auricular tenderness f. dry mouth

d. Vision changes

To auscultate for S3 or S4 gallops in the mitral area, the nurse listens with the a. bell of the stethoscope with the patient in the left lateral position. b. diaphragm of the stethoscope with the patient in a supine position. c. bell of the stethoscope with the patient sitting and leaning forward. d. diaphragm of the stethoscope with the patient lying flat on the left side.

a. bell of the stethoscope with the patient in the left lateral position.

A nurse is planning a community education program on risk factors associated with coronary artery disease (CAD). Which information should be included in the teaching plan? select all that apply a. cigarette smoking cessation b. alcohol use c. low-cholesterol diet d. hypertension management e. weight management

a. cigarette smoking cessation d. hypertension management e. weight management

what evaluation most illustrates that the patient with HF has met outcomes for the nursing diagnosis "activity intolerance related to decreased CO?" a. maintains HR, BP, RR and pulse oximetry within the targeted range b. avoids situations that produce stress c. exhibits decreased peripheral edema d. performs and records daily weight

a. maintains HR, BP, RR and pulse oximetry within the targeted range

An obese white male client, age 49, is diagnosed with hypercholesterolemia. The physician prescribes a low-fat, low-cholesterol, low-calorie diet to reduce blood lipid levels and promote weight loss. This diet is crucial to the client's well-being because his race, sex, and age increase his risk for coronary artery disease (CAD). To determine if the client has other major risk factors for CAD, the nurse should assess for: a. a history of diabetes mellitus. b. elevated high-density lipoprotein (HDL) levels. c. a history of ischemic heart disease. d. alcoholism.

a. a history of diabetes mellitus

which classification of medications play a pivotal role in the management of HF caused by systolic dysfunction a. digitalis b. ACE inhibitors c. diuretics d. beta blockers

b. ACE inhibitors

what is the most reliable sign of cardiac arrest in an adult and child? a. absence of brachial pulse b. absence of carotid pulse c. decrease in BP d. absence of breathing

b. absence of carotid pulse

a client who has a history of bacterial endocarditis is scheduled to have oral surgery to remove a tooth. what should the nurse instruct the client to do? a. rinse mouth with mouth wash the night before and day of surgery b. be sure the dentist prescribes a prophylactic antibiotic prior to oral surgery c. gargle with saline solution prior to the appointment d. contact the health provider to request a sedative

b. be sure the dentist prescribes a prophylactic antibiotic prior to oral surgery

The nurse has received the laboratory results for a patient who developed chest pain 4 hours ago and may be having a myocardial infarction. The laboratory test result most helpful in indicating myocardial damage will be a. myoglobin b. troponin c. homocysteine d. CK-MB

b. troponin

A patient is scheduled for a cardiac catheterization with coronary angiography. Before the test, the nurse informs the patient that a. it will be important not to move at all during the procedure b. monitored anesthesia care will be provided during the procedure c. a flushed feeling may be noticed when the contrast dye is injected d. arterial pressure monitoring will be required 24 hrs after test

c. a flushed feeling may be noticed when the contrast dye is injected

A client has returned from a cardiac catheterization. Which find should the nurse report immediately? a. respiration 20 breaths per min b. heart rate 130 bpm c. blood pressure 120/79 mm Hg d. client reporting sore dressing area

c. blood pressure 120/79 mm Hg

Propranolol (Inderal) is prescribed for a patient diagnosed with hypertension. The nurse should consult with the health care provider before giving this drug when the patient reveals a history of a. daily alcohol use b. peptic ulcer disease c. reactive airway disease d. myocardial infarction

c. reactive airway disease

The nurse working in the emergency department places a client in anaphylactic shock on cardiac monitor and sees the cardiac rhythm. What dysrhythmia should the nurse document? a. afib b. sinus rhythm c. vtach d. junctional rhythm e. ventricular asystole

c. vtach

The patient undergoing nuclear imaging with stress testing should be instructed to avoid ________ for 24 hours prior to their test

caffeine

the nurse is assessing a client admitted with a myocardial infarction with the following assessment: dyspnea, HR of 140 bpm and crackles in posterior chest. the nurse would interpret these findings as which condition? a. acute renal failure b. a hypoglycemic reaction c. cardiogenic shock associated with heart block d. development of CHF

d. development of CHF

While reviewing assessment data, the nurse discovers that a client has several risk factors for the development of coronary artery disease (CAD). For which modifiable risk factors should the nurse prepare teaching for the client? a. diabetes, hypercholesterolemia, heredity b. diabetes, age, gender c. age, gender, heredity d. diabetes, hypercholesterolemia, hypertension

d. diabetes, hypercholesterolemia, hypertension

Which signs and symptoms accompany a diagnosis of pericarditis? a. pitting edema, chest discomfort and nonspecific st segment elevation b. low urine output secondary to left ventricular dysfunction c. lethargy, anorexia and heart failure d. fever, chest discomfort and elevated erythrocyte sedimentation rate (ESR)

d. fever, chest discomfort and elevated erythrocyte sedimentation rate (ESR)

The nurse caring for a client on the cardiac unit notices that the client's cardiac monitor shows ventricular fibrillation. what is the nurse's priority action? a. administration digoxin b. scheduling a pacemaker insertion c. insertion of an IV line d. immediate defibrillation

d. immediate defibrillation

The nurse makes initial rounds for the clients. five medications are scheduled for administration at the same time to five different clients. which medication should the nurse administer first after initial rounds? a. ondansetron to a diabetic client reporting nausea b. a maintenance dose of digoxin to the client with CHF c. naproxen to the client with rheumatoid arthritis d. morphine sulfate to a client with a myocardial infarction reporting chest pain

d. morphine sulfate to a client with a myocardial infarction reporting chest pain

A nurse walks into the room of a client diagnosed with CHF. the client is lying supine and is diaphoretic, anxious and dyspneic. what is the nurse's priority action? a. administer 0.5 mg of lorazepam b. administer oxygen at 4 L/min c. draw abg d. raise the head of head to 45 degrees

d. raise the head of head to 45 degrees

Heparin is ordered for a patient with a non-ST-segment-elevation myocardial infarction (NSTEMI). What is the purpose of the heparin?

heparin prevents the development of new clots in the coronary arteries

the nurse is reviewing the serum electrolyte levels of a client with heart failure who has been taking digoxin for 6 months. the nurse should report which finding from the lab report to the health care provider a. hyponatremia b. hypomagnesemia c. hypokalemia d. hypocalcemia

hypokalemia

The S2 heart sound results from closure of which valves a. tricuspid, pulmonic b. mitral, tricuspid c. pulmonic, aortic d. aortic, mitral

pulmonic, aortic

During diastole, the ________ and _______ valves are open, allowing the blood to flow from atrium to ventricles

tricuspid, mitral