Cardiac Exam
An adult has developed angina pectoris secondary to coronary artery disease. A low fat cholesterol diet is prescribed for the client. The nurse should praise the client for a wise choice if which of the following was selected as an evening snack?
Yogurt with fresh strawberries
To prevent possible complication, which of the following questions should the nurse asked the client prior to a cardiac catheterization?
"Can you eat shellfish?"
Which of these statements made by a patient with coronary artery disease after the nurse has completed teaching about the therapeutic life change his diet indicates that further teaching is needed?
"I can have a cup of coffee if I want"
Which of the following statements by a client to the nurse indicate a risk factor for coronary artery disease?
"I smoke 1 pack of cigarettes in one month"
Nurse is instructing a client who has andgina about a new prescription for metroprolol (Lopressor). Which of the following statements by the client indicates an understanding of the teaching?
"I will check with my doctor if my pulse rate is less than 60"
A patient with dilated cardiomyopathy has an atrial fibrillation that has been on responsive to drug therapy for several days. The nurse anticipates that the patient may need teaching about...
Electrical cardioversion
The nurses reading and ECG rhythm strip and notes that there are 8 QRS or 8 R complexes in a six second strip. The heart rate is..
80
An adult client has a history of coronary artery disease and angina pectoris. After walking to the bathroom, she complains of an aching substernal pain that radiates to her left shoulder. The nurse should...
Administer a PRN dose of nitroglycerine sublingually
The nurse is playing in care for a client who is in heart failure. Which of the following goals are appropriate?
An elevation in renal blood flow An increase in cardiac output Reduction in the hearts workload
An adult is admitted to the coronary care unit to rule out a myocardial infarction. The client states, "I am not sure if it is just angina, and I cannot understand the difference between angina and heart attack pain". Which response is most appropriate for the nurse to make?
Angina pain usually lasts only 3-5 minutes
Intravenous potassium chloride (KCL) 60 mEq is prescribed for treatment of a patient with severe hypokalemia. Which action should the nurse take?
Infuse the K at 20 mEq per hour as ordered
Which of the following should the nurse include in the plan of care for a post op coronary arteriogram client?
Assess pedal pulses
A patient who has cardiac failure and is on a diuretic, an ACE-inhibitor, and a low sodium diet tells the home health nurse about a 5 pound weight gain in the last three days. The nurses first action will be to...
Assess the patient for clinical manifestations of acute heart failure
A nurse is caring for a client who has heart failure and reports increased shortness of breath. The nurse increases the oxygen per protocol. Which of the following actions should the nurse take first?
Assist the client in to high Fowlers position
A patient who comes to the community clinic for a wellness visit has a blood pressure of 164/92. What additional information should the nurse assess from the patient?
BMI and waist circumference Heart rate
A nurse on a cardiac unit is caring for a group of clients. The nurse should recognize which of the following clients as being at risk for the development of a dysrhythmia?
COPD Metabolic Acidosis A client who underwent a stent placement in a coronary artery
The nurse is concerned that a patient with heart failure is decompensating. What assessment findings supports the nurses clinical decision?
Dyspnea and coughing
A patient with heart failure is having a B-type natriuretic (BNP) level drawn. What is the purpose for this laboratory test?
Differentiate heart failure
The nurse identifies the nursing diagnosis of decreased cardiac output related to valvular insufficiency for the patient with ineffective endocarditis (IE) based on the assessment finding of...
Fever, chills, and diaphoresis
A nurse is caring for a client who experienced defibrillation. Which of the following should be included in the documentation of this procedure?
Follow up ECG Skin condition under electrodes Energy settings used
Hydrochlorothiazide (diuretic) is prescribed to treat high blood pressure. The nurse knows that the client understands the dietary modifications she needs to make if she states that she will increase her intake of...
Fresh oranges
A nurse should recognize the health record of a client who is being evaluated for possible valvular heart disease. The nurse should recognize which of the following data as risk factors for this condition?
HTN for 5yrs IE Diastolic murmur present
A patient is scheduled for an exercise stress test. Which cardiac health problems is this patient being tested?
Heart Failure Valvular disease Coronary artery disease
The nurse is caring for an adult who is being treated for a myocardial infarction. Oxygen as ordered. Administering oxygen to this client is related to which of the following client problems?
Ineffective myocardial perfusion
Which of the following assessment findings by the nurse indicated right ventricular failure in a client?
JVD
A patient who has been receiving diuretic therapy is admitted to the emergency department with a serum potassium level of 3.1 mEq/L. which medication that the patient will be taking home will the nurse be most concerned about?
Lanoxin 0.25 mg daily The nurse identifies the nursing diagnosis of decreased cardiac output related to valvular insufficiency for the patient with ineffective endocarditis (IE) based on the assessment finding of...
A 21-year-old woman is scheduled for percutaneous transluminal balloon valvuloplasty to treat mitral stenosis. When explaining the advantage of valvuloplasty instead of valve replacement to the patient, which information will the nurse include?
Lifelong anticoagulant therapy is needed after mechanical wave replacement
A nurse is teaching a patient who has a new prescription for Plavix. Which of the following should be included in the teaching?
Monitor for black, tarry stools
A nurse is administering a client Lasix 40mg daily. What time of day should the nurse plan to give this medication?
Morning
While admitting a 80-year-old with heart failure to the hospital, the nurse learns that the patient lives alone and sometimes confuses the "water pill" with the "heart pill". When planning the patient's discharge the nurse will facilitate...
Referral to home health
The nurse is preparing medications for a patient experiencing an acute myocardial infarction. Which medication will dilate the patient's coronary blood vessels?
Nitroglycerin
A few days after an acute myocardial infarction (MI), a patient complains of stabbing chest pain that increases with deep breathing. Which action will the nurse take first?
Notify the health care provider
Which prescription written by the HCP for a patient admitted with ineffective endocarditis (IE) and a fever should the nurse implement first?
Order blood cultures drawn from two sites
Which assessment finding by the nurse who is caring for a patient who has coronary artery bypass graft using a right radial artery graft is most important to communicate to the physician?
Pallor and weakness of the right hand
To assist the patient with coronary artery disease (CAD) in making appropriate dietary changes, which of these nursing interventions will be most effective?
Provide the patient with a list of low sodium, low cholesterol foods that should be included in the diet
The direction of blood flow through the heart is best described by which of the following?
RA, RV, PV, lungs, LA, LV, body
A client is being assessed to rule out cardiovascular problems. The nurse understands that some of the common symptoms associated with cardiovascular disease are...
Shortness of breath, chest discomfort, palpitations
The patient is diagnosed with carotid artery disease. For which potential health problems with the nurse prepared teaching for this patient?
Stroke
A patient with a Venus thromboembolism (VTE) it started on enoxaparin (Lovenox) and warfarin (Coumadin). The patient asks why two medications are necessary. Which response by the nurse is accurate?
The Lovenox will work immediately, but the Coumadin takes several days to have an effect on coagulation
Which action by a new nurse who is caring for a patient who has just had an implantable cardioverter-defribillator (ICD) inserted indicates a need for more education about care of patients with ICD's?
The nurse tells the patient to take antibiotics before a dental procedure
During change of shift report, the nurse obtained this information about a hypertensive patient who received the first dose of propanolol (Inderal) during the previous shift. Which information indicates that the patient needs immediate intervention?
The patients pulse has dropped from 64 to 58 beats/minute
A nurse is admitting a client to the coronary care unit following placement of a temporary pacemaker. Which of the following nursing actions should the nurse use to promote client safety?
Wear gloves when handling pacemaker leads Verify the use of three pronged grounding plugs Minimize clients shoulder movements
The nurse is caring for a patient who is receiving IV furosemide (Lasix) and morphine for the treatment of acute decompensated heart failure with severe orthopnea. When evaluating the patient response to the medications, the best indicator that the treatment has been effective is...
Weight loss of 2lbs overnight