Cardiovascular

A client with myocardial infraction suddenly becomes tachycardic,shows signs of air hunger,and begins coughing frothy,pink tinged sputum,the nurse listens to breath sounds expecting to hear which breath sounds bilaterally?

Crackles

The nurse in a medical unit is caring for a client with heart failure. the client suddenly develops extreme dyspnea ,tachycardia,and lung crackles, and the nurse suspects pulmonary edema, the nurse immediately notifies the registered nurse and expect which interventions to be prescribed?SATA

*Administering oxygen *Inserting a foley catheter *Administering furosemide *

The primary health care provider is going to perform carotid massage on a client with rapid rate atrial fibrillation. which interventions would the nurse anticipate? SATA

*The client would be placed on a cardiac monitor *Rhythm strips would be obtained before during, and after the procedure *Vital signs, cardiac rhythm, and level of consciousness would be monitored the procedure.

A postcardiac surgery client with blood urea nitrogen (BUN) level of 45 mg/dl and a serum creatinine level of 2.2 mg has a total 2-hour urine output of 25 ml. the nurse understands that the client is at risk for which condition?

Acute kidney injury

To use an external cardiac defibrillator on a client,which action would be performed to check the cardiac rhythm?

Applying the adhensive patch electrodes to the skin and moving away from the client

The nurse is caring for a client on a cardiac monitor who is alone in a room at the end of the hall. the client has a short burst of ventricular tachycardia(VT), followed by ventricular fibrillation(VF) the client suddenly loses consciousness.which action would the nurse take first?

Call for help and initiate cardiopulmonary resuscitation CPR

A client is wearing a continuous cardiac monitor which begins to alarm at the nurses station .the nurse sees no electrocardiographic complexes on the screen. the nurse would take which action first ?

Check the client status and lead placement

The nurse is collecting data on a client with a diagnosis of right -sided heart failure.the nurse would expect to note which specific characteristic of this condition?

Dependent edema

The nurse is assisting with caring for the client immediately after insertion of a permanent demand pacemaker via the right subclavian vein.the nurse prevents dislodgement of the pacing catheter by implementing which intervention?

Limiting movement and abduction of the right arm

A client diagnosed with thrombophlebitis 1 day ago suddenly complains of chest pain and shortness of breath, and client is visibly anxious which is a life-threatening complication that could be occurring?

Pulmonary embolism

The nurse has reinforced instructions to the client with Raynauds disease about self-management of the disease process, the nurse determines that the client needs further teaching if the client makes which statement ?

Moving to a warmer climate would help

The nurse is checking the neurovascular status of a client who returned to the surgical nursing unit 4 hours ago after undergoing an aortoiliac bypass graft. the affected leg is warm, and the nurse notes redness and edema the pedal pulse is palpable and unchanged from admission. Based on this data, the nurse would make which determination about the clients neurovascular status?

Normal ,caused by increased blood flow through the leg

The nurse is preparing to ambulate a post operative client after cardiac surgery . the nurse plans to do which to enable the client to best tolerate the ambulation?

Premedicate the client with an analgesic before ambulating

A 24-year old man seeks medical attention for complaint of claudication in the arch of the foot .the nurse also notes superficial thrombophlebitis of the lower leg .the nurse would check the clients medical history for which finding next?

Smoking history

The nurse is monitoring a client following cardioversion.which observations would be of highest priority to the nurse?

Status of airway