Cardiovascular Quiz 1-VN200T

A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily. The amount available is digoxin 0.125 mg/tablet. How many tablets should the nurse administer per dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2 tablets

A nurse is preparing to administer digoxin 0.25 mg PO to a client. The amount available is digoxin 0.125 mg tablets. How many tablets should the nurse administer to the client? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2 tablets

A nurse is caring for a client in the preoperative holding area. For each preoperative assessment finding, click to specify if the assessment finding places the client at risk for hypoxemia, bleeding, or a DVT in the intra-op or post-op phases.

Platelet count-Bleeding Hemoglobin-Hypoxemia International normalized ratio (INR)-Bleeding Atrial fibrillation-DVT Red blood cell count-Hypoxemia

A nurse is assisting with the care of a client following a left femoral cardiac angiography. The nurse should place a sandbag on the client over which of the following areas? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

The nurse should place a sandbag on the client's left groin area for 1 to 3 hr to prevent bleeding from the insertion site.

A nurse is reinforcing teaching to a client who has peripheral arterial disease. Which of the following statements should the nurse include in the teaching to explain the cause of peripheral arterial disease? a. "Blood flow is altered due to atherosclerosis affecting the tissues' ability to receive oxygen-rich blood." b. "Blood flow is altered due to excessive stretching of the ventricles impairing the heart to contract." c. "Blood flow is altered and causes blood to pool in the legs." d. "Blood flow is altered due to incompetent valves causing increased venous pressure."

a. "Blood flow is altered due to atherosclerosis affecting the tissues' ability to receive oxygen-rich blood."

A nurse is reinforcing teaching about a heart healthy diet with a group of clients who have hypertension. Which of the following statements by the clients indicates a need for further teaching? a. "I can have a cola drink twice a day." b. "Fresh fruits are good to include with meals." c. "I will replace table salt with dried herbs." d. "I can eat frozen juice bars for a snack."

a. "I can have a cola drink twice a day."

A nurse is reinforcing teaching with a client who has hyperlipidemia and is taking atorvastatin daily. Which of the following statements by the client indicates understanding? a. "I will notify my provider if my arms feel weak." b. "I must take this medication without food." c. "It is best if I take this medication in the morning." d. "It is not necessary to have any routine lab tests done."

a. "I will notify my provider if my arms feel weak."

A nurse is obtaining a health history from a client who reports right calf pain. Which of the following findings place the client at risk for deep vein thrombosis (DVT)? (Select all that apply.) a. Age 50 years old b. Consumes a 2-gram sodium diet c. Knee surgery 1 week ago d. Works at an office desk 8 hr a day e. Commutes 1 hr to work

a. Age 50 years old c. Knee surgery 1 week ago d. Works at an office desk 8 hr a day e. Commutes 1 hr to work

A nurse is reinforcing teaching with a client who has a new prescription for transdermal nitroglycerin for angina pectoris. Which of the following instructions should the nurse include? a. Apply a new patch each day. b. Stop using the patch if headaches occur. c. The patch can be applied to any area of the body. d. Apply the patch to a different site once a week.

a. Apply a new patch each day.

A nurse is reinforcing teaching with a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris. The nurse should include which of the following instructions in the teaching? (Select all that apply.) a. Apply the patch to a hairless area. b. Apply a new patch each morning. c. Apply a new patch to the same site each time. d. Apply a new patch at the onset of anginal pain. e. Remove the patch for 10 to 12 hr daily.

a. Apply the patch to a hairless area. b. Apply a new patch each morning. e. Remove the patch for 10 to 12 hr daily.

A nurse is reinforcing teaching with a client about the prevention of deep vein thrombosis (DVT). Which of the following recommendations should the nurse include in the teaching? (Select all that apply.) a. Avoid crossing your legs when sitting. b. Reduce ambulation after a surgery. c. Move frequently while on an airplane. d. Discontinue estrogen therapy if your medical provider recommends. e. Stop smoking and avoid secondhand smoke.

a. Avoid crossing your legs when sitting. c. Move frequently while on an airplane. d. Discontinue estrogen therapy if your medical provider recommends. e. Stop smoking and avoid secondhand smoke.

A nurse is caring for a client who has hypertension and is to start taking atenolol. The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication? a. Bradycardia b. Headache c. Cough d. Constipation

a. Bradycardia

A nurse is reviewing the laboratory results of a client who is taking a loop diuretic and notes the client's potassium level is 3.0 mEq/L. Which of the following physiological responses should the nurse expect related to the client's hypokalemia? a. Cardiac dysrhythmias b. Hypoglycemia c. Hyperreflexia d. Increased appetite

a. Cardiac dysrhythmias

A nurse is caring for a client immediately following a cardiac catheterization with a femoral artery approach. Which of the following actions should the nurse take? a. Check pedal pulses every 15 min. b. Perform passive range-of-motion for the affected extremity. c. Remind the client not to turn from side to side. d. Keep the client in high-Fowler's position for 6 hr.

a. Check pedal pulses every 15 min.

A nurse is preparing to administer heparin to a client. The nurse notices that the client's medical record indicates that the client has already been receiving anticoagulation therapy at home. Which of the following actions should the nurse take? a. Clarify the prescription with the provider. b. Contact the Occupational, Health, and Safety Administration (OSHA). c. Administer the medication as prescribed. d. Inform the client of her right to refuse any treatment.

a. Clarify the prescription with the provider.

A nurse manager is providing an in-service for a group of nurses about thromboembolism. Which of the following conditions should the nurse manager include as life-threatening? (Select all that apply.) a. Deep vein thrombosis b. Myocardial infarction c. Ischemic stroke d. Hematoma e. Pulmonary embolism

a. Deep vein thrombosis b. Myocardial infarction c. Ischemic stroke e. Pulmonary embolism

A nurse is assisting with the care of a client who has hypertension and chronic kidney disease. The client is scheduled for hemodialysis. Which of the following actions should the nurse plan to take while caring for this client? (Select all that apply.) a. Document vital signs. b. Verify the glomerular filtration rate. c. Check the graft site for a palpable thrill. d. Administer a sedative to the client. e. Obtain the client's weight.

a. Document vital signs. c. Check the graft site for a palpable thrill. e. Obtain the client's weight.

A nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily at home. Which of the following instructions should the nurse give the client? a. Fold used patch with medication area to the inside and discard in a closed receptacle. b. Put a second patch in place if angina pain occurs. c. Keep a nitroglycerin patch in place 24 hr per day. d. Shave excess hair from skin before applying a nitroglycerin patch.

a. Fold used patch with medication area to the inside and discard in a closed receptacle.

A nurse is reviewing home medications of a male client who has a new prescription for warfarin. Which of the following of the client's herbal medications should the nurse identify as being contraindicated to warfarin? (Select all that apply.) a. Glucosamine b. Flaxseed c. Saw palmetto d. Gingko biloba e. Echinacea

a. Glucosamine c. Saw palmetto d. Gingko biloba

A nurse is assisting with the plan of care for a client immediately following a cardiac catheterization with coronary angiography. An arterial closure device was used to close the access site. Which of the following interventions should the nurse recommend? a. Have the client rest in bed for 2 hr. b. Insert an indwelling urinary catheter 1 hr postprocedure. c. Elevate the head of the bed 45 degrees. d. Limit fluid intake for 4 hr after the procedure.

a. Have the client rest in bed for 2 hr.

A nurse is caring for a client who has deep vein thrombosis (DVT). Which of the following findings should cause the nurse to suspect the client has a pulmonary embolism? (Select all that apply.) a. Hemoptysis b. Visual deficit c. Shortness of breath d. Lightheadedness e. Tachycardia

a. Hemoptysis c. Shortness of breath d. Lightheadedness e. Tachycardia

A nurse is reinforcing teaching with a newly licensed nurse about causative risk factors for deep vein thrombosis (DVT). Which of the following should be included in the teaching? (Select all that apply.) a. Immobility b. Fracture c. Atrial fibrillation d. Anticoagulant therapy e. Estrogen therapy

a. Immobility b. Fracture c. Atrial fibrillation e. Estrogen therapy

A nurse is collecting data from a client who has peripheral arterial disease (PAD). Which of the following findings should the nurse expect? a. Intermittent claudication b. Darkened skin color near extremities c. Warm extremities d. Edema

a. Intermittent claudication

A nurse in a clinic is reviewing teaching about food choices with a client who has recently begun taking warfarin. The nurse should instruct the client to limit consumption of which of the following foods? a. Kale b. Cantaloupe c. Whole grain bread d. White beans

a. Kale

A nurse is reinforcing teaching with a client who is to start taking atorvastatin. The nurse should instruct the client that she will need which of the following baseline examinations prior to starting therapy? a. Liver function tests b. Vision testing c. Papanicolaou test d. Dental examination

a. Liver function tests

A nurse is assisting with creating a community wellness program for a group of community members who have been identified as having an increased risk of developing hypertension. Which of the following actions should the nurse include as secondary prevention? a. Obtain blood cholesterol b. Provider prescribing antihypertensive medication c. Eating a low fat diet. d. Blood pressure follow-up visits every 6 months

a. Obtain blood cholesterol

A nurse on a telemetry unit is reviewing laboratory results for a client who has atrial fibrillation and is taking warfarin. Which of the following laboratory values should the nurse report to the provider? a. PT 45 seconds b. Hgb 16 g/dL c. aPTT 36 seconds d. Platelets 190,000/mm3

a. PT 45 seconds

A nurse is planning to administer digoxin to a client who has heart failure. Which of the following laboratory results is the priority for the nurse to review prior to administering the medication? a. Potassium level b. Hemoglobin level c. Creatinine d. Blood urea nitrogen

a. Potassium level

A nurse is reinforcing teaching with a client who has a family history of hypertension. The nurse should inform the client that his blood pressure reading of 124/84 mm Hg places him in which of the following categories? a. Prehypertension b. Within the expected reference range c. Hypertension stage 1 d. Hypertension stage 2

a. Prehypertension

A nurse is caring for a client who has a new prescription for warfarin. The nurse should use the results of which of the following diagnostic tests to monitor the effect of this therapy? a. Prothrombin time (PT) b. Platelet count c. White blood cell count (WBC) d. Activated partial thromboplastin time (aPTT)

a. Prothrombin time (PT)

A nurse is reinforcing teaching for a client who is postoperative following the insertion of a permanent pacemaker. Which of the following instructions should the nurse include? (Select all that apply.) a. Report hiccups to the provider. b. Do not operate microwave ovens. c. Avoid metal detectors. d. Count your pulse for 1 min each morning. e. Count your respiratory rate for 1 min each morning.

a. Report hiccups to the provider. d. Count your pulse for 1 min each morning.

A nurse is caring for a client who has a pulmonary embolism. The nurse should identify that the release of inflammatory mediators leads to which of the following pathologic findings? a. Respiratory alkalosis b. Hypercapnia c. Decreased pulmonary vascular resistance d. Hypoventilation

a. Respiratory alkalosis

While admitting a client for a cardiac catheterization, the nurse asks the client about allergies. Which of the following client food allergies should the nurse report to the provider prior to the procedure? a. Shellfish b. Eggs c. Gelatin d. Yeast

a. Shellfish

A nurse is caring for a client who has heart failure notices that the client did not receive his scheduled dose of furosemide. When filling out an incident report about the occurrence, which of the following information should the nurse include? (Select all that apply.) a. The nurse documents the client's status as a result of the occurrence. b. The client is informed of the incident report's contents. c. The client's statement about the occurrence. d. The nurse documents the incident in the client's medical record. e. Client's breath sounds clear bilaterally.

a. The nurse documents the client's status as a result of the occurrence. c. The client's statement about the occurrence. e. Client's breath sounds clear bilaterally.

A nurse is collecting data from a client who is taking warfarin and has an elevated PT/INR. Which of the following medications should the nurse anticipate administering? a. Vitamin K b. Protamine c. Naloxone d. Disulfiram

a. Vitamin K

A nurse is caring for a client who has deep vein thrombosis (DVT) of their right lower leg. Which of the following manifestations should the nurse expect? (Select all that apply.) a. Warmth b. Erythema c. Swelling d. Numbness e. Bleeding

a. Warmth b. Erythema c. Swelling

A nurse administered nitroglycerin sublingually to a client who has angina pectoris and experienced chest pain. The client states that his chest pain is relieved but now he has a headache. Which of the following responses by the nurse is appropriate? a. "It sounds as if you are allergic to this medication." b. "A headache is a common adverse effect of this medication, but it will probably occur less often over time." c. "A headache indicates tolerance to the medication." d. "Your headache is probably a result of anxiety about the chest pain."

b. "A headache is a common adverse effect of this medication, but it will probably occur less often over time."

A nurse is caring for a client who recently had a permanent pacemaker placed. The nurse is reinforcing teaching following the initial pacemaker check. Which of the following statements by the client indicates understanding? a. "I will notify my provider if my heart rate goes 10 beats above the set rate." b. "I will let my dentist know that I have a pacemaker." c. "My pacemaker will need reprogramming if I stand too close to a microwave oven." d. "My pacemaker will need to be replaced in 10 years."

b. "I will let my dentist know that I have a pacemaker."

A nurse is caring for a client who has hypertension and recently developed drooping facial features. When contacting the provider, which of the following statements should the nurse include as part of the background component of the SBAR communication tool? a. "The client may benefit from a neurology consult." b. "The client has a history of hypertension." c. "The client has developed drooping facial features." d. "The client is disoriented and pupils are slow to respond to light."

b. "The client has a history of hypertension."

A nurse is reinforcing discharge teaching for a client who is postoperative following the insertion of a permanent pacemaker. Which of the following instructions should the nurse include? a. "You will not be able to travel by air due to security screening." b. "You should hold your cell phone on the side opposite the pacemaker." c. "You should avoid the use of small electric devices." d. "You should carry your pacemaker in a small pocket."

b. "You should hold your cell phone on the side opposite the pacemaker."

A nurse is planning care for a client who has a deep-vein thrombosis (DVT) in the right leg. Which of the following interventions should be included in the plan of care? a. Dorsiflex the feet. b. Apply compression stockings. c. Immobilize both legs. d. Position the legs dependently.

b. Apply compression stockings.

A nurse is completing a neuromuscular check for a client who had an open reduction internal fixation surgery. Which of the following findings should the nurse identify as possible manifestations of compartment syndrome? (Select all that apply.) a. Pain relieved by narcotics b. Cool skin c. Capillary refill 1 second d. Absence of pulse e. Altered sensation of the toes

b. Cool skin d. Absence of pulse e. Altered sensation of the toes

A nurse is performing a blood pressure screening for a client who has a family history of hypertension. Which of the following concepts is the nurse demonstrating? a. Health promotion b. Disease prevention c. Health education d. Holistic health

b. Disease prevention

A nurse is reinforcing teaching with a newly licensed nurse about caring for a client who has a prescription for enoxaparin. Which of the following instructions should the nurse include in the teaching? a. Administer the medication into a large muscle. b. Have protamine available in case of overdose. c. Expel air bubble prior to administration of prefilled medication. d. Monitor the client's potassium level.

b. Have protamine available in case of overdose.

A nurse is reviewing the laboratory results for a male adult client who is at risk for peripheral arterial disease from atherosclerosis. The nurse should identify that which of the following results places the client at risk? a. Triglycerides 130 mg/dL b. LDL 172 mg/dL c. Blood glucose 92 mg/dL d. HDL 84 mg/dL

b. LDL 172 mg/dL

A nurse is caring for a client who recently had surgery for insertion of a permanent pacemaker. Which of the following prescriptions should the nurse question? a. Serum cardiac enzyme levels b. MRI of the chest ​c. Physical therapy d. ​Low-sodium diet

b. MRI of the chest

A nurse case manager for an employer-sponsored health insurance plan is implementing a program to control costs associated with hypertension. Which interventions should the nurse implement to help with cost control on a tertiary prevention level? (Select All that Apply.) a. Blood pressure screening events for all employees b. Medication adherence program c. Education about the risk factors for hypertension d. Promoting meditation for all employees e. Walking program for employees who have hypertension

b. Medication adherence program e. Walking program for employees who have hypertension

A nurse is reinforcing discharge teaching to a client who has valvular heart disease. Which of the following should the nurse include in the teaching? a. Monitor wounds on lower extremities. b. Monitor for gradual onset of symptoms. c. Comply with compression therapy. d. Take antiplatelet medications as ordered.

b. Monitor for gradual onset of symptoms.

A nurse is contributing to the plan of care for a client who is admitted with a deep vein thrombosis (DVT) of the left leg. Which of the following interventions should the nurse include in the plan? a. Apply ice to the extremity b. Monitor platelet levels c. Restrict oral fluids d. Administer vasodilating medications

b. Monitor platelet levels

A nurse is reviewing the laboratory values for a client who takes spironolactone and notes that the client's serum potassium level is 6.8 mEq/L. The nurse notifies the provider and anticipates that the provider will provide which of the following instructions? a. Administer potassium gluconate 40 mEq orally. b. Obtain a 12-lead ECG. c. Restrict fluid intake. d. Have the laboratory draw a blood sample for an erythrocyte sedimentation rate.

b. Obtain a 12-lead ECG.

A nurse is monitoring a client who has a cast on her right ankle following an open reduction and internal fixation procedure. The nurse should monitor for which of the following findings to identify compartment syndrome? a. Decreased oxygen saturation b. Pain unrelieved by routine medications c. Elevated WBC count d. Swelling and redness of the right leg

b. Pain unrelieved by routine medications

A nurse is caring for an older adult client who has a new prescription for spironolactone. Which of the following laboratory values should the nurse monitor for this client? a. Hemoglobin b. Potassium c. Total cholesterol d. Thyroid stimulating hormone (TSH)

b. Potassium

A nurse is caring for a client who has thrombophlebitis and is receiving a continuous heparin infusion. Which of the following medications should the nurse have available to reverse heparin's effects? ​a. Vitamin K b. Protamine sulfate ​c. Acetylcysteine ​d. Deferoxamine

b. Protamine sulfate

A nurse is reinforcing teaching to a client who is to start using a nitroglycerine transdermal unit for angina. Which of the following instructions should the nurse include? a. Cut the patches in half to save money. b. Remove the patch each evening to have 10 hr without medication. c. Apply an additional patch during an angina attack. d. Remove the patch if you develop a headache.

b. Remove the patch each evening to have 10 hr without medication.

A nurse is reviewing the medical record of a client who has been taking simvastatin for 9 months. The client has an alanine aminotransferase (ALT) 120 units/L and aspartate aminotransferase (AST) 100 units/L. Which of the following data from the client's dietary history should the nurse report to the provider? a. The client drinks milk when taking the medication. b. The client drinks grapefruit juice every evening. c. The client eats spinach salad daily. d. The client consumes a diet high in gluten.

b. The client drinks grapefruit juice every evening.

A nurse is reinforcing teaching for a client who has a new prescription for warfarin. Which of the following information should the nurse include? a. Mild nosebleeds are common during initial treatment. b. The client should use an electric razor while on this medication. c. If he misses a dose, he should double the dose at the next scheduled time. d. Warfarin increases the risk for deep vein thrombosis

b. The client should use an electric razor while on this medication.

A nurse is reinforcing education to a client who has mitral valve stenosis that has not responded to pharmacological therapies. Which of the following statements should the nurse include in their teaching about other treatment options? a. "Pentoxifylline can be administered to help the platelets from sticking together and occluding the vessels." b. "A flexible catheter will be inserted into a vessel of the arm, neck, or groin and advanced to the heart to dilate a narrowed or occluded artery." c. "A small catheter with a balloon on the end is threaded into a vessel in the groin and advanced to the heart where the balloon will be inflated, and the narrowed valve will be dilated. " d. "A heparin bolus is administered and followed with a continuous infusion to help keep the blood thinner."

c. "A small catheter with a balloon on the end is threaded into a vessel in the groin and advanced to the heart where the balloon will be inflated, and the narrowed valve will be dilated. "

A nurse is assisting in the education of a group of clients about the contraindications of warfarin therapy. Which of the following statements is appropriate to include in the instructions? a. "Clients who have diabetes mellitus type 1 should not take warfarin." b. "Clients who have rheumatoid arthritis should not take warfarin." c. "Clients who are pregnant should not take warfarin." d. "Clients who have hypertension should not take warfarin."

c. "Clients who are pregnant should not take warfarin."

A nurse is caring for a client who has thrombophlebitis and is receiving a continuous infusion of heparin. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse make? a. "It usually takes at least 2 to 3 days for heparin to dissolve a clot." b. "The time it takes heparin to dissolve clots varies between clients." c. "Heparin prevents new clots from forming rather than dissolving established clots." d. "The time it takes for heparin to dissolve a clot depends on the size of the clot."

c. "Heparin prevents new clots from forming rather than dissolving established clots."

A nurse is reinforcing teaching with a client who has hypertension and is taking propranolol. Which of the following statements by the client indicates an understanding of the teaching? a. "I should weigh myself on the same day once a week." b. "I will not take my medicine if my heart rate is greater than 70/min." c. "I will sit on the side of the bed before I stand up." d. "I should expect to develop a slight cough while taking this medication."

c. "I will sit on the side of the bed before I stand up."

A nurse is reinforcing instructions with a client who is scheduled for a cardiac catheterization with angiography. Which of the following statements should the nurse include in the instructions? a. "You should expect to feel some tingling in the affected limb the day following the procedure." b. "You might be asked to perform mild exercises during the procedure." c. "You might have to lie in bed for 6 hr after the procedure." d. "You should not eat or drink for 4 hr following the procedure."

c. "You might have to lie in bed for 6 hr after the procedure."

A nurse is reinforcing teaching with a client who is scheduled to have a permanent pacemaker implanted. Which of the following statements should the nurse include in the teaching? a. "You should avoid the use of cell phones after the pacemaker is placed." b. "Swelling and redness of the operative site are normal findings for the first two days following the procedure." c. "You will need to limit movement of the arm on the side of the pacemaker." d. "Hiccups following pacemaker placement are an expected response."

c. "You will need to limit movement of the arm on the side of the pacemaker."

A charge nurse is providing an in-service for a group of staff nurses about deep vein thrombosis (DVT). Which of the following information should the nurse include about this condition? a. DVTs cannot be prevented. b. Clients only develop DVTs if they have clotting disorders. c. Approximately half of DVTs occur during a hospitalization. d. There are always warning signs of a DVT.

c. Approximately half of DVTs occur during a hospitalization.

A nurse is assisting with the care of a client 2 hr postoperative following a cardiac catheterization. Which of the following actions should the nurse take? a. Keep the client on bed rest for 12 hr. b. Keep the client overnight. c. Check the client's distal pulses in both legs. d. Restrict the client's oral fluids.

c. Check the client's distal pulses in both legs.

A nurse is caring for a client who has a fractured tibia and is in a cast. Which of the following findings is a manifestation of compartment syndrome? a. Dyspnea and tachypnea b. Reduced level of consciousness c. Decreased capillary refill d. Redness and warmth of affected extremity

c. Decreased capillary refill

A nurse is reinforcing teaching with an older adult client who has had a newly inserted permanent pacemaker. Which of the following manifestations should the nurse include in the teaching as a pacemaker malfunction that the client should report to the provider? a. Increased urine output b. Rapid pulse c. Fatigue d. Sneezing

c. Fatigue

A nurse is reinforcing teaching with a client who has hypertension and asks if there is an herbal supplement he can use to help lower blood pressure. The nurse should identify that the client can use which of the following herbal supplements to help lower blood pressure? a. Valerian b. Probiotics c. Garlic ​d. Ginger root

c. Garlic

A nurse is caring for a client who is taking furosemide. For which of the following adverse effects should the nurse monitor? a. Hypervolemia b. Hypertension c. Hypokalemia d. Hypoglycemia

c. Hypokalemia

A nurse is caring for a client who has hypertension and experiences acute epistaxis. What is the sequence of steps the nurse should follow when caring for this client? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) a. Apply direct pressure to the client's nares. b. Place ice on the bridge of the client's nose. c. Initiate standard precautions for the client. d. Tilt the client's head forward.

c. Initiate standard precautions for the client. d. Tilt the client's head forward. a. Apply direct pressure to the client's nares. b. Place ice on the bridge of the client's nose.

A nurse is preparing to administer heparin subcutaneously to a client who has deep vein thrombosis. Which of the following actions should the nurse take? a. Aspirate for a blood return prior to injecting the heparin. b. Massage the injection site after administering the heparin. c. Insert the needle at a 90° angle. d. Select a 22-gauge needle for heparin administration.

c. Insert the needle at a 90° angle.

A nurse is assisting with the plan of care for a client who has a new deep-vein thrombosis (DVT) in his leg. Which of the following interventions should the nurse include in the plan? a. Apply cool compresses to the client's affected leg. b. Rub the client's affected leg every 4 hr. c. Keep the client's affected leg elevated. d. Ambulate the client every shift.

c. Keep the client's affected leg elevated.

A nurse is reviewing the laboratory data for a client who is to begin a new prescription for furosemide. Which of the following laboratory values is a priority for the nurse to check before administering this medication? a. Hgb b. Uric acid level c. Potassium d. WBC

c. Potassium

A nurse is assisting with the care of a client who is receiving heparin by IV infusion. Which of the following medications should the nurse have available in the event of an overdose? a. Ferrous sulfate b. Glucagon c. Protamine ​d. Vitamin K

c. Protamine

A nurse is caring for a client who has atrial fibrillation and is receiving heparin. Which of the following findings is the nurse's priority? a. ECG tracing shows irregularly irregular heart rate without P waves. b. aPTT result of 70 seconds c. Slurred speech d. Urine output is cloudy and odorous

c. Slurred speech

A nurse is reinforcing teaching with a client who uses a nitroglycerine patch to treat angina. The client now has a new prescription for nitroglycerin sublingual tablets. Which of the following instructions should the nurse include? a. Swallow the tablet whole with an 8 oz glass of water. b. Store the medication in a pill box at the bedside. c. Take the medication at the first indication of chest pain. d. Remove the nitroglycerine patch before taking the sublingual tablet.

c. Take the medication at the first indication of chest pain.

A nurse is reinforcing teaching with a client who has a prescription for simvastatin. Which of the following instructions should the nurse provide? a. Follow each tablet with an antacid tablet. b. Swallow the tablet with a glass of grapefruit juice. c. Take the medication in the evening hours. d. Have a meal or a snack when taking the medication.

c. Take the medication in the evening hours.

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following is an appropriate action by the nurse? ​a. Use a 22-gauge needle to inject the medication. b. ​Use a 1-inch needle to inject the medication. c. ​Inject the medication into the abdomen above the level of the iliac crest. d. ​Massage the injection site after administration of the medication.

c. ​Inject the medication into the abdomen above the level of the iliac crest.

A nurse is caring for a client who has a deep vein thrombosis, who received IV heparin for the past 5 days, and now has a new prescription for oral warfarin in addition to the heparin. The client asks the nurse if both medications are necessary. Which of the following is an appropriate response by the nurse? a. "Heparin enhances the effects of the warfarin." b. "I will ask the charge nurse to call your provider and get an explanation." c. "Both heparin and warfarin work together to dissolve the clots." d. "Heparin will be continued until the warfarin reaches a therapeutic level."

d. "Heparin will be continued until the warfarin reaches a therapeutic level."

The nurse is reinforcing discharge teaching with a client about a new prescription for furosemide. Which of the following client statements indicates an understanding of the teaching? a. "I should eat a diet low in potassium while taking this medication." b. "I should limit my fluid intake while taking this medication." c. "My blood pressure will increase while I am taking this medication." d. "I need to limit my sun exposure and wear sunscreen while on this medication."

d. "I need to limit my sun exposure and wear sunscreen while on this medication."

A nurse is reinforcing teaching with a client who has angina pectoris about starting therapy with nitroglycerin sublingual tablets. Which of the following statements by the client indicates an understanding of the teaching? a. "I will take the first tablet when the pain becomes severe." b. "I will take no more than four tablets in 10 min." c. "I will chew the tablet before swallowing." d. "I'll dial 911 if one tablet does not relieve my pain."

d. "I'll dial 911 if one tablet does not relieve my pain."

A nurse is reinforcing discharge teaching for a client who will be taking warfarin (Coumadin) at home. Which of the following statements indicates that the client understands the effects of this medication? a. "It's okay to have a couple of glasses of wine with dinner." b. "I'll be sure to eat foods with lots of vitamin K." c. "I'll take aspirin for my headaches." d. "I'll use my electric razor for shaving."

d. "I'll use my electric razor for shaving."

A nurse is reinforcing teaching with a client who is taking warfarin about monitoring its therapeutic effect. The nurse should issue which of the following statements about the provider's use of the international normalized ratio (INR)? a. "You will need to fast 12 hours prior to having the test completed." b. "This is the only test available for anticoagulant therapy monitoring." c. "You will need the test done twice per month starting this medication." d. "This is a standardized test, so it eliminates the variations different laboratories report in prothrombin times."

d. "This is a standardized test, so it eliminates the variations different laboratories report in prothrombin times."

A nurse is reinforcing teaching about warfarin with a client who has a new onset of atrial fibrillation. Which of the following statements should the nurse include in the teaching? a."This medication will help maintain a normal heart rhythm." b. "Warfarin dissolves clots in the bloodstream." c. "This medication slows the response of the ventricles to the fast atrial impulses." d. "Warfarin helps prevent strokes in clients who have atrial fibrillation."

d. "Warfarin helps prevent strokes in clients who have atrial fibrillation."

A nurse is reinforcing health screening education with a group of clients. The nurse should recognize that which of the following clients has the greatest risk for hypertension? a. A client who is of Asian ethnicity b. A female client who is 44-years-old c. A male client who is 53-years-old d. A client who is African American

d. A client who is African American

A nurse is assisting with a presentation on health promotion activities for clients who have hypertension. Which of the following should the nurse utilize as a resource for this information? a. Standards of care for monitoring clients who have a history of blood pressure elevation b. A critical pathway for clients who have had a stroke c. Acute care facility protocols for clients experiencing an abrupt change in mental status d. Clinical practice guidelines for the management of high blood pressure

d. Clinical practice guidelines for the management of high blood pressure

A nurse is reinforcing teaching with a client about nutrition. The client has hypertension and is taking a potassium-wasting diuretic. Which of the following dietary instructions should the nurse include in the teaching? a. Increase consumption of canned tuna and salmon. b. Limit intake of dried fruits. c. Avoid cow's milk. d. Consume oranges and bananas.

d. Consume oranges and bananas.

A nurse is assisting with the care of a postoperative client following a total knee replacement. Which of the following medications should the nurse anticipate the provider to prescribe to prevent the formulation of a deep vein thrombosis (DVT)? a. Clopidogrel b. Alteplase (tPA) c. Warfarin d. Enoxaparin

d. Enoxaparin

A nurse is reinforcing teaching with a client who has peripheral arterial disease and reports pain when walking. The nurse should identify that the client can use which of the following herbal supplements to increase pain-free walking distance? a. Saw palmetto b. Echinacea c. Black cohosh d. Ginkgo biloba

d. Ginkgo biloba

A nurse is reinforcing teaching with a client who has hypertension and a new prescription for verapamil. The nurse should instruct the client to avoid taking this medication with which of the following foods? a. Milk b. Orange juice c. Cranberry juice d. Grapefruit juice

d. Grapefruit juice

A nurse is collecting data from a client who has venous insufficiency. Which of the following findings should the nurse expect? a. Dusky, red color of the feet when dangling b. Shiny, thin skin on the lower extremities c. Thickened toenails d. Pitting edema

d. Pitting edema

A nurse is reinforcing teaching about the prevention of deep vein thrombosis (DVT) with a group of newly licensed nurses. Which of the following interventions should the nurse include in the teaching? a. Massage lower extremities daily. b. Check for positive Homans' sign. c. Limit movement of the lower extremities. d. Place sequential compression devices bilaterally.

d. Place sequential compression devices bilaterally.

A nurse is reviewing laboratory data from a client who has pulmonary embolism and is receiving IV heparin. Which of the following findings should the nurse report to the provider? a. Hematocrit 45% b. Partial thromboplastin time (PTT) 55 seconds c. White blood cell count 8,000/mm3 d. Platelets 74,000/mm3

d. Platelets 74,000/mm3

The nurse is reinforcing teaching to several newly licensed nurses about valve replacement surgery. Which of the following should the nurse include in the teaching? a. Mitral valve insufficiency occurs during the diastolic phase of the cardiac cycle. b. Inadequate closure of the tricuspid valve causes overload in the left ventricle. c. Aortic stenosis increases right ventricular systolic pressure and decreases afterload. d. The aortic and mitral valves are the most commonly replaced valves.

d. The aortic and mitral valves are the most commonly replaced valves.

A nurse is providing discharge instruction to a client who has hypertension that has resulted in a transient ischemic attack (TIA). Which of the following information should the nurse discuss with the client regarding blood pressure (BP) management? a. The client should maintain systolic BP between 141 and 145 mm Hg. b. The client should maintain systolic BP between 130 and 135 mm Hg. c. The client should maintain systolic BP between 136 and 140 mm Hg. d. The client should maintain systolic BP between 120 and 129 mm Hg.

d. The client should maintain systolic BP between 120 and 129 mm Hg.

A nurse is collecting data from a client who has a prosthetic aortic valve and takes warfarin daily at bedtime. Which of the following data is the priority finding for the nurse to report to the provider? a. The client keeps a small supply of vitamin K tablets on hand for emergency use. b. The client consistently eats fish for dinner twice weekly. c. The client sprinkles flaxseeds on breakfast food every day. d. The client uses garlic as a daily dietary supplement.

d. The client uses garlic as a daily dietary supplement.

A nurse is collecting data from a client who is postoperative following abdominal surgery. Which of the following findings should cause the nurse to suspect deep-vein thrombosis (DVT)? a. Coolness of the leg b. Decreased pedal pulses c. Petechiae on the foot and ankle d. Unilateral leg edema

d. Unilateral leg edema

A nurse is reinforcing teaching about the Mediterranean diet with a client who is at risk for hypertension. Which of the following statements by the client indicates a need for further teaching? ​a. "I will limit my intake of red meat to two times per week." b. "I should cook with olive oil." ​c. "I will limit my intake of eggs." ​d. "I can drink wine in moderation."

​a. "I will limit my intake of red meat to two times per week."

A nurse is caring for a client who has been taking warfarin and has a prothrombin time of 30 seconds. Which of the following medications should the nurse anticipate the provider to prescribe? ​a. Vitamin K ​b. Heparin c. Prednisone ​d. Ferrous sulfate

​a. Vitamin K

A nurse is assisting with a presentation about caring for clients who are receiving diuretic therapy. The nurse should explain that which of the following medications can put clients at risk for hyperkalemia? a. Furosemide ​b. Hydrochlorothiazide ​c. Mannitol ​d. Spironolactone

​d. Spironolactone

A nurse is caring for a client who is receiving warfarin therapy to prevent a deep vein thrombosis. Which of the following medications should the nurse have available in the event of an overdose? a. Epinephrine ​b. Atropine ​c. Protamine ​d. Vitamin K

​d. Vitamin K