Cardiovascular

A nurse is orienting a newly licensed nurse on the care of a client who is to have a line placed for hemodynamic monitoring. Which of the following statements by the newly nurse indicates the newly licensed nurse indicates understanding?

"A chest x-ray is needed to verify placement after the procedure."

A nurse is teaching a client who has angina about a new prescription of metoprolol. Which of the following statements by the client indicates understanding of the teaching?

"I will call my doctor if my pulse rate is less than 60."

A nurse is providing discharge teaching for a client who has heart failure and is on a fluid restriction of 2,000 mL/day. The client asks the nurse how to determine the appropriate amount of fluids are allowed. Which of the following statements is an appropriate by the nurse.

"Pour the amount of fluid you drink into an empty 2-liter bottle to keep track of how much you drink."

A nurse is teaching a client who is scheduling coronary angiography. Which of the following should the nurse include?

"You will need to keep your infected leg straight following the procedure."

A nurse at a provider's office is reviewing the laboratory test results for a group of clients. The nurse should identify which of the following results indicate a client is at risk for heart disease? (Select all that apply).

A. Cholesterol (total) 245 mg/dL C. LDL 140 mg/dL

A nurse educator is reviewing expected findings in a client who has right-sides valvular heart disease with a group of nurses. Which of the following findings should the nurse include in the discussion? Select all that apply.

A. Dyspnea B.. Client report of fatigue E. Peripheral edema

A nurse admitting a client who has a suspected myocardial infarction and history of angina. Which of the following findings will help the nurse distinguish stable angina from an MI?

A. Stable angina can be relieved with rest and nitroglycerin.

A nurse is reviewing 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. Select all that apply.

A. Surgical repair of an arterial septal defect at age 2. C. Hypertension for 5 years. E. Diastolic murmur present

A nurse is completing the admission assessment of a client who has suspected pulmonary edema. Which of the following manifestations are expected findings. Select all that apply.

A. Tachypnea B. Persistant cough E. Orthopnea

A nurse a completing the admission assessment of a client who has suspected pulmonary edema. Which of the following are expected findings? (Select all that apply).

A. Tachypnea B. Persistent cough. E. Orthopnea

A nurse educator is reviewing the use of cardiopulmonary bypass during surgery for coronary artery bypass grafting with a group of nurses. Which of the following statements should the nurse include in the discussion? Select all that apply.

A. The client's demand for oxygen is lowered. B. Motion of the heart ceases. C. Rewarming of the client takes place.

A nurse educator is reviewing the use of cardiopulmonary bypass surgery of the left lower extremity. Which of the following findings pose an immediate concern? Select all that apply.

A. The client's demand for oxygen is lowered. B. Motion of the heart ceases. C. Rewarming of the client takes place.

A nurse is planning care for a client who has a PICC line in the right arm. Which of the following interventions should the nurse include? Select all that apply.

A. Use a 10 mL syringe to flush the PICC line. C. Cleanse ports with alcohol for 15 seconds prior to use. D. Maintain a transparent dressing over the insertion site.

A nurse is caring for a client who has heart failure and new prescriptions for furosemide and digoxin. Which of the following information should the nurse include. Select all that applies

A. Weigh daily, first thing each morning. E. Decrease sodium intake.

A nurse is caring for a client who is 4 hr postoperative following coronary artery bypass grafting surgery. The client able is to inspire 200 mL with the incentive spirometer, then declines to try to cough because fatigue and pain. Which of the following actions should the nurse take?

Administer IV bolus analgesic, and return it to 15 min.

A nurse is a caring for a client who asks why the provider prescribed a daily dose of aspirin. Which of the following responses should the nurse make?

Aspirin reduces the formation of blood clots that could cause a heart attack.

A nurse is caring for a client who asks why the provider prescribed daily aspirin. Which of the following responses should the nurse make?

Aspirin reduces the formation of blood clots that could cause a heart attack.

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

B. Assist the client into a high-fowler's position.

A nurse is assessing a client who is undergoing hemodynamic monitoring. The client has a CVP of 7 mm Hg and a PAWP of/ 17 mm Hg. Which of the following findings should the nurse expect

B. Bilateral crackles C. Juglar vein distension E. Hepatomegaly

A nurse is caring for a client following peripheral bypass graft surgery of the left extremity. Which of the following findings pose an immediate concern? (Select all that apply)

B. Capillary refill of affected limb for 6 seconds. C. Mottled appearance of the limb

A nurse is caring for a client following peripheral bypass graft surgery of the left lower extremity. Which of the following findings pose an immediate concern? Select all that apply.

B. Capillary refill of affected of 6 seconds. C. Mottled appearance of the limb

A nurse is completing discharge teaching with a client who had a surgical placement of a mechanical heart valve. Which of the following statements by client indicates understanding of the teaching?

B. I will have my prothrombin time checked on a regular basis. Anticoagulant therapy with warfarin is necessary for the client following placement of a mechanical heart valve; the client's prothrombin time will be checked on a regular basis.

A nurse is caring for an older adult patient who is to undergo a percutaneous balloon valvuloplasty. The client's family member asks the nurse to explain the expected outcome of this procedure. Which of the following responses should the nurse give?

B. This will assist with the ability to perform ADL's

A nurse is scaring for a client following an angioplasty that was inserted through the femoral artery. While turning the client, the nurse discovers blood underneath the client's lower back. Which of the following findings should the nurse suspect?

C. Bleeding from the incisional site

A nurse is caring for a client following an angioplasty that was inserted through the femoral artery. While turning the client, the nurse discovers blood underneath the client's lower back. Which of the following findings should the nurse suspect?

C. Bleeding from the incisional site.

A nurse is completing discharge teaching with a client who had a surgical placement of a mechanical heart valve. Which of the following findings should the nurse expect?

C. Neck vein distention

A nurse is preparing a community education program of recommended lifestyle changes to prevent angina and MI. Which of the following changes should the nurse recommend first?

C. Smoking cessation

A nurse on a cardiac is reviewing the laboratory findings of a client who has a diagnosis of a myocardial infarction and reports dyspnea began 2 weeks ago. Which of the following cardiac enzymes confirm the MI started 14 days ago

C. TROPOIN T

A nurse is talking with a client who has class 1 heart failure and asks about obtaining a ventricular assist device (VAD). Which of the following statements should the nurse make?

C. VADs are used when heart failure is not responsive to medications.

A nurse is teaching a client who has angina about a new prescription of metoprolol. Which of the following statements by the client indicates understanding of the teaching?

D. I will call my doctor if my pulse rate is less than 60.

A nurse is completing the admission assessment of a client who will undergo peripheral bypass graft surgery on the left leg. Which of the following findings should the nurse expect?

D. Report intermittent claudication in the affected leg.

A nurse is completing the admission assessment of a client who will undergo peripheral bypass graft surgery on the left leg. Which of the following findings should the nurse expect?

D. Report of intermittent claudication of the affected leg.

A nurse is presenting a community education program on recommended lifestyle changes to prevent angina and MI. Which of the following changes should the nurse recommend be made first?

Smoking cessation.

A nurse is admitting a client who has a suspected myocardial infraction (MI) and a history of angina. Which of the following findings will help the nurse distinguish stable angina from an MI?

Stable angina can be relieved with rest and nitroglycerin.

A nurse on the cardiac unit is reviewing the lab findings of a client who has a diagnosis of a MI and reports that his dyspnea began 2 weeks ago. Which of the following enzymes would confirm the MI occurred 14 days ago?

c. Troponin T