Cardiovascular System, Blood, and Lymphatic Systems

How many mL would the nurse administer to a client who is to receive 0.25 mg of digoxin intramuscularly when the ampulse is labeled 0.5 mg = 2 mL?

1

Which sign or symptom indicates recurrent infection? SATA

1,2,5. Chills; Fatigue; Increased body temperature

Which physical agent triggers an inflammatory response? SATA

1,3,5. Radiation; Temperature; Mechanical Trauma

Which goal of care would the nurse have when working with families according to the family health system? SATA

1,3,5. To improve family health or well-being; To assist in family management of illness conditions; To achieve health outcomes related to the family's areas of concern.

Which food would the nurse include on the list of foods high in vitamin K for a client with atrial flutter on an oral anticoagulant?

1,3. Spinach; Broccoli

Which significant risk factor for coronary heart disease carry greater risk for women than for men? SATA

4,5. Diabetes mellitus Low levels of HDL

Which data would the nurse collect before administering benazepril?

Blood pressure Benazepril is an ACE inhibitor used to treat HTN.

Which adverse effect of ACE inhibitors would the nurse monitor for administering the initial dose?

Hypotension

Which therapeutic effect would be expected if simvastatin administration is working for a client?

Triglyceride level decreases

Which response would the nurse give to a client who asks, "What is the difference between angina and myocardial infarction (MI)?"

"Angina occurs when myocardial oxygen demand exceeds supply, and MI is the death of cardiac muscle tissue from a prolonged lack of blood supply."

Which statement made by the client with a recent mitral valve replacement supports the nurse's conclusion that the client needs further teaching?

"I will start a vigorous aerobic exercise program."

Which is the nurse's best response to a client considering sclerotherapy who asks the nurse to explain the cause of varicose veins?

"Incompetent valves of superficial veins" Incompetent valves result in retrograde venous flow and subsequent dilation of veins.

The plan of care for a postoperative client who has developed a pulmonary embolus includes monitoring and bed rest. Which response would the nurse provide when the client asks why activity is restricted?

"It decreases the potential for further dislodgement of emboli."

An African American client has been diagnosed with primary hypertension and wants to know if it is a disease of the African American people. Which response is the nurse's best response?

"The higher-risk population is composed of African American men and women."

Which condition is a common cause of the gradual occlusion of the internal or common carotid arteries, manifested by transient ischemic attacks?

Atherosclerosis of the vascular system

Which results would the nurse examine to best confirm myocardial infarction in a client experiencing excruciating chest pain?

Cardiac Troponin T

Which risk factor would the nurse include when teaching a client about atheroslcerosis?

Diabetes mellitus

Which herbal product is contraindicated when a client is receiving anticoagulant therapy?

Garlic The client who is receiving anticoagulant therapy should be cautious while using such herbs as garlic, ginkgo, and angelica, as these substances may enhance the action of anticoagulant medications.

Which process of wound healing involves replacing dead and decomposed tissue with fresh collagen tissue?

Granulation After the formation of exudates, decomposed necrotized tissue disappears and begins to fill with granulation.

Which phase of wound healing involves attachment of blood platelets to the walls of an injured vessel?

Hemostasis Hemostasis involves the termination of bleeding; this phase begins as soon as the injury occurs.

Which reason would the nurse give for beginning an exercise program when instructing a client with HTN on lifestyle modification to manage the disease? SATA

Improves cardiac efficiency

Which statement is true regarding wound healing?

Leukocytes begin to engulf bacteria, fungi, and viruses.

Which medication would the nurse administer to specifically lower a client's elevated triglyceride level?

Omega-3 fatty acids Medications used to lower triglyceride levels are omega-3 fatty acids. Primary medications used to lower cholesterol levels include statins, bile acid-binding resins, and ezetimibe.

Which result indicates a therapeutic outcome for a client taking ezetimibe?

Reduction of LDLs