Cardiovascular Target ATI Assessment

A nurse is teaching a client who is starting to take an ace inhibitor to treat hypertension . the nurse should instruct the client to notify his provider if he experiences which of the following adverse effects of this medication: A- Persistent Cough B- Frequent Urination C- Constipation D- Tendon Pain

A - Persistent Cough

A nurse in an emergency department is caring for a client who had an anterior MI . the clients history reveals she Is 1 week postoperative following an open cholecystectomy . the nurse should recognize that which of the following interventions is contraindicated: A- administering IV Morphine Sulfate B- Assisting with thrombolytic therapy C- administering oxygen at 2 L/min via nasal cannula D-helping the client to the bedside commode

B- assisting with thrombolytic therapy

A nurse is planning a presentation for a group of clients who have hypertension. which of the following lifestyle modifications should the nurse include: Select all that apply. - Tobacco cessation -Decreased magnesium intake -reduced potassium intake -regular exercise program -limited alcohol intake

- Tobacco Cessation -Regular exercise program -Limited alcohol intake

A nurse is caring for a client who has heart failure and is experiencing atrial fibrillation. the nurse should plan to monitor for and report which of the following findings to the provider immediately: A- slurred speech B- persistent fatigue C- Irregular pulse D- Dependent edema

A- Slurred Speech

a nurse is caring for a client who has endocarditis. which of the following findings should the nurse recognize as a potential complication: A- Guillain- Barre syndrome B- Valvular Disease C- Ventricular Depolarization D- Myelodysplastic syndrome

B- Valvular Disease

A nurse is caring for a client who had an onset of chest pain 24hr ago. the nurse recognize that an increase in which of the following is diagnostic of myocardial infarction (MI): A- C Reactive protein B- Myoglobin C- Creatine Kinase- MB D-Homocysteine

C- Creatine Kinase- MB

A nurse is caring for a client following insertion of a permanent pacemaker. which of the following client statements indicates a potential complication of the insertion procedure: A- I feel dizzy when I stand B- my incision site stings C- I cant get rid of these Hiccups D- I have a headache

C- I cannot get rid of these hiccups *indicates that the pacemaker is stimulating the chest wall or diaphragm

A nurse is preparing a client for coronary angiography. the nurse should report which of the following findings to the provider prior to the procedure: A- Hemoglobin 14.4 g/dl B- History of peripheral arterial disease C- Previous allergic reaction to shellfish D- Urine output 200ml/4hr

C- Previous allergic reaction to shellfish *test uses contrast dye

A nurse is caring for a client who was admitted for a treatment of left-sided heart failure with intravenous loop diuretics and digitalis therapy. the client is experiencing weakness and an irregular hear rate. which of the following actions should the nurse take first? A- obtain clients current weight B-Determine the time of the last digoxin dose C- Check the clients urine output D- Review serum electrolyte Values

D- Review serum electrolyte Values * weakness and irregular heart rate indicate that the client is at the greatest risk for electrolyte imbalance, an adverse effect of loop diuretics. the first action the nurse should take is to review the client's electrolyte values, particularly the potassium level, because the client is at risk for dysrhythmias for hypokalemia*

a nurse is assessing a client who has dilated cardiomyopathy. which of the following findings should the nurse expect: A-weight loss B- pericardial rub C- tracheal deviation D- dyspnea on exertion

D- dyspnea on exertion

A nurse is caring for a postoperative client 1 hr following an aortic aneurysm repair. which of the following findings can indicate shock and should be reported to the provider: A- urine output of 20ml/hr B- Severe pain with coughing C- Serosanguineous drainage on dressing D- increase in temperature from 98.2 to 99.5

Urine output of 20ml/hr *less than 30 mL/hr

A nurse is providing discharge teaching for a client who has a prescription for the transdermal nitroglycerin patch. which of the following instructions should the nurse include in the teaching: A- Place the patch on an area of skin away from skin folds and joints B- Apply the new patch to the same site as the previous patch C- Replace the patch at the onset of angina D- Keep the patch on 24 hr per day

A- Place the patch on an area of skin away from skin folds and joints

a nurse is providing health teaching for a group of clients which of the following clients is at risk for developing peripheral arterial disease: A- a client who has diabetes mellitus B- a client who has hypothyroidism C- a client who consumes two 12-oz bottles of beer a day D- a client whose daily caloric intake consists of 25% fat

A- a client who has diabetes mellitus

A nurse is assessing a client who has a history of DVT and is receiving warfarin. the nurse should identify that which of the following findings indicates the mediation is effective: A- Hemoglobin 14 g/dl B- INR 2.0 C- Minimal bruising of Extremities D- Decreased blood pressure

B- INR 2.0

A nurse is assessing a client who has Left-Sided heart failure. which of the following manifestations should the nurse expect to find: A- Increased Abdominal Girth B-Weak Peripheral Pulses C- Dependent Edema D- Jugular Venous Neck Distention

B- Weak Peripheral Pulses *from decreased CO

a nurse is reviewing the laboratory results of several male clients who have peripheral arterial disease. the nurse should plan to provide dietary teaching for the client who has which of the following laboratory values: A- Cholesterol 195 HDL 55 LDL 125 B-Cholesterol 185 HDL 50 LDL 120 C- Cholesterol 190 HDL 25 LDL 160 D- Cholesterol 180 HDL 70 LDL 90

C- Cholesterol 190 HDL 25 LDL 160

A nurse is caring for a client who has a history of angina and is scheduled for exercise electrocardiography at 1100. which of the following statements by the client requires the nurse to contact the provider for possible rescheduling: A- I smoked a cigarette this morning to calm my nerves about having this procedure B-I didn't take my heart pills this morning because my doctor told me not to C- I have had chest pain a couple of times since I saw my doctor in the office last week D- Im still hungry after the bowl of cereal I ate at 7 am

A- I smoked a cigarette this morning to calm my nerves about having this procedure

A nurse is assessing a client who has pulmonary edema related to heart failure. which of the following findings indicates effective treatment of the clients condition: A- Decreased Respiratory rate at rest B- Absence of adventitious breath sounds C- Presence of nonproductive Cough D- SaO2 86% on room air

B- Absence of Adventitious breath sounds

A nurse is caring for a client who is 8 hr postoperative following a coronary artery graft. which of the following client findings should the nurse report: A- Temp 98.8 B- BP 160/80 C- Potassium 4.0 D- Mediastinal drainage 100 ml/hr

B- BP 160/80 *increased pressure can cause bleeding at the incision sites

A nurse in an emergency room is assessing a client who has bradydysrhythmia. which of the following findings should the nurse monitor for? A- Friction Rub B- Confusion C-Dry Skin D-Hypertension

B- Confusion *could indicated low O2 and perfusion

A nurse is caring for a client who is being rated for heart failure and has a prescription for furosemide. the nurse should plan to monitor for which of the following as an adverse effect of this medication: A- Metallic taste B- Lightheadedness C- Dry Cough D- Shortness of breath

B- Lightheadedness *because of low BP

A nurse is caring for client who is receiving heparin therapy and develops hematuria. which of the following actions should the nurse take if the clients aPTT is 96 seconds: A- Request a Prothrombin time (PT) B- Stop the heparin infusion C- Continue to monitor the heparin infusion as prescribed D- Increase the heparin infusion flow rate by 2ml/hr

B- Stop the Heparin infusion

A nurse is monitoring a client ECG monitor and notes the clients rhythm has change from normal signs rhythm to supraventricular tachycardia. the nurse should prepare to assist with which of the following interventions: A- Administration of atropine IV B- Vagal Stimulation C- Defibrillation D- Delivery of precordial Thump

B- Vagal Stimulation

A nurse in an emergency department s caring for a client who has a blood pressure of 254/139 mm hg. the nurse recognizes that the client is in a hypertensive crisis. which of the following actions should the nurse take first: A- tell the client to report vision changes B- elevate the head of the clients bed C- Start a peripheral IV D- Initiate Seizure precautions

B- elevate the head of the client's bed *will promote oxygenation and reduce BP

A nurse is caring for a client who is scheduled for a coronary artery bypass graft in 2 hours. which of the following client statements indicates a need for further clarification by the nurse: A- my arthritis is really bothering me because I haven't taken my aspirin in a week B- I will check my blood sugar because I took a reduced does of insulin this morning C- I took my warfarin last night according to my usual schedule D- my blood pressure shouldn't be high because I took my blood pressure medication this morning

C- I took my warfarin last night according to my usual schedule

A nurse is providing discharge teaching for a client who has a heart failure. the nurse should instruct the client to report which of the following findings immediately to the provider: A- increase of 10 mm/hg in systolic blood pressure B- dizziness when rising quickly C- weight gain of 0.9KG or 2lb in 24 hr D- dyspnea with exertion

C- weight gain of 0.9Kg or 2lb in 24 hrs

A nurse is providing teaching for a client who is 2 days postoperative following a heart transplant. which of the following statements should the nurse include in the teaching: A- " your level of activity intolerance will not change" B- " you will be able to stop taking immunosuppressant's after 12 months C- " after 6 months you will no longer need to restrict your sodium intake" D- "You might no longer be able to feel chest pain"

D- "You might no longer be able to feel chest pain" * Heart transplant clients usually are no longer able to feel chest pain due to the denervation of the heart*

A nurse is admitting a client who has a leg ulcer and a history of diabetes mellitus. the nurse should use which of the following focused assessments to help differentiate between an arterial ulcer and a venous stasis ulcer: A- ask if the client has had a recent infection B- Explore the clients family history of peripheral vascular disease C- Note the presence of absence of pain at the ulcer site D- inquire about the presence or absence of claudication

D- Inquire about the presence or absence of claudication