Ch 81 - Cardiovascular Disorder Pretest

The nurse is asked to assist another health care member in providing care to a client who is placed in a modified Trendelenburg's position. The nurse interprets that the client is likely being treated for which condition? A. Increased intracranial pressure B. Kidney dysfunction C. Shock D. Respiratory insufficiency

C. Shock

The nurse is caring for a client who is admitted to the CICU after experiencing a myocardial infarction. The cardiologist has ordered three troponin laboratory tests over a 12- to 16-hour time frame. How soon do troponin levels rise following the onset of pain? a. 3 to 4 hours b. 1 to 2 hours c. 2 to 3 hours d. 4 to 5 hours

a. 3 to 4 hours

The cardiologist orders a test for a client to diagnose heart failure and determine the heart's ejection fraction (amount of blood each ventricle ejects with every heartbeat). Which test is best for diagnosing these conditions? a. Echocardiogram b. Electrophysiology study c. Electrocardiogram d. Stress test

a. Echocardiogram

The nurse is monitoring a client with an abdominal aortic aneurysm (AAA). Which finding is probably unrelated to the AAA? a. Hyperactive bowel sounds in the area b. Systolic bruit over the area of the mass c. Pulsatile abdominal mass d. Subjective sensation of "heart beating" in the abdomen

a. Hyperactive bowel sounds in the area

A client presents at the ER with dyspnea, dizziness, and angina. An ECG shows dysrhythmias are present and a murmur can be heard upon auscultation. These are classic symptoms of which disorder? a. Hypertropic cardiomyopathy b. Angina pectoris c. Chronic rheumatic heart disease d. Bacterial endocarditis

a. Hypertropic cardiomyopathy

The nurse notes bilateral 2+ edema in the lower extremities of a client with known coronary artery disease who was admitted to the hospital 2 days ago. Based on this finding, the nurse would implement which action? a. Review the intake and output records for the last 2 days. b. Prescribe daily weights starting on the following morning. c. Request a sodium restriction of 1 g/day from the health care provider. d. Change the time of diuretic administration from morning to evening.

a. Review the intake and output records for the last 2 days.

A client with chronic atrial fibrillation is being started on maintenance therapy with atenolol for dysrhythmia suppression. The nurse determines that the client needs further teaching about this medication when making which statement? a. "I will avoid sudden discontinuation of this medication. b. "I can stop taking the prescribed digoxin after starting this new medication." c. "I will take the dose at the same time each day." d. "I will take the medication with food if GI upset occurs."

b. "I can stop taking the prescribed digoxin after starting this new medication."

The femoral site was used to perform an angiocardiogram on a client with atherosclerosis. Which nursing consideration is recommended following the surgery? a. Wake the client and ambulate 1 hour following the procedure. b. Instruct the client to flex the legs every 20 minutes to prevent clots. c. Check peripheral pulses distal to the site and the color and warmth of the extremity. d. Have the client sit up in bed for up to 8 hours following surgery.

c. Check peripheral pulses distal to the site and the color and warmth of the extremity.

The nurse is caring for a client who is diagnosed with sinus bradycardia. What are the criteria for this diagnosis? a. An irregularity in the heart's ventricular rhythm b. Heartbeat is >100 beats per minute c. Heartbeat is <60 beats per minute d. Heart beat fluctuates between 60 and 100 beats per minute

c. Heartbeat is <60 beats per minute

A client is being discharged following treatment for left-sided heart failure. The nurse is reinforcing teaching the client the purpose, actions, adverse effects, and use of digoxin and hydrochlorothiazide prescribed for daily use. Which statement by the client indicates a need for further teaching? a. "I should take my radial pulse before taking these medications." b. "These medications should be taken in the morning rather than in the evening." c. "These medications will cause an increase in urine output." d. "I should decrease my intake of foods high in potassium such as bananas."

d. "I should decrease my intake of foods high in potassium such as bananas."

The nurse is preparing to administer digoxin to an adult client. The nurse checks which important item before administering the medication? a. Neurological signs b. Blood pressure c. Level of consciousness d. Apical pulse rate

d. Apical pulse rate

A client has experienced a cerebrovascular accident (CVA) that resulted in flaccid hemiplegia. Which statement characterizes this stage of paralysis? a. Therapy and rehabilitation methods are most successful. b. The affected side is limp and lifeless. c. The muscles are contracted and tense and movement is difficult. d. The affected side exhibits numbness and weakness.

d. The affected side exhibits numbness and weakness.

The nurse is caring for a postpartum client with a diagnosis of thrombophlebitis. The client suddenly complains of chest pain and dyspnea. The nurse would initially check which item? a. Fundal height b. Presence of calf pain c. Level of consciousness (LOC) d. Vital signs

d. Vital signs

A client is scheduled for a cerebral angiogram where radiopaque dye will be utilized. What nursing intervention is essential before the client is transported for the test? a. Have the client on bed rest at least 2 hours before the test is performed. b. Ask the client if he or she is allergic to shellfish or iodine. c. Ensure that the client has had breakfast before the procedure. d. Ensure that the client does not void before the test.

b. Ask the client if he or she is allergic to shellfish or iodine.

Tests are ordered for a client to measure the serum electrolytes potassium, sodium, and magnesium. What might an increase or decrease in the level of these electrolytes cause? a. Myocardial infarction b. Cardiac dysrhythmia c. Angina d. Cardiac tamponade

b. Cardiac dysrhythmia

A client is diagnosed with an acute myocardial infarction and is receiving tissue plasminogen activator, alteplase. Which action is a priority nursing intervention? a. Have heparin sodium available. b. Monitor for signs of bleeding. c. Monitor psychosocial status. d. Monitor for kidney failure.

b. Monitor for signs of bleeding.

The nurse has reinforced home care instructions to a client who had a permanent pacemaker inserted. Which educational outcome has the greatest impact on the client's long-term cardiac health? a. An understanding of the importance of proper microwave oven usage b. The ability to take an accurate pulse in either the wrist or neck c. An understanding of why vigorous arm and shoulder movement must be avoided initially d. Knowledge of when it is safe to resume sexual activity

b. The ability to take an accurate pulse in either the wrist or neck

The nurse is providing teaching for a 59-year-old male client who has an implantable cardioverter-defibrillator (ICD). Which teaching point describes the correct use of the device? a. Stand up when a shock from the ICD is felt. b. Do not to call the healthcare provider if a family member is present after a shock. c. If a shock is felt when alone, call 911 or the healthcare provider. d. CPR should not be started until two shocks have been felt.

c. If a shock is felt when alone, call 911 or the healthcare provider.

A client has an Unna boot applied for treatment of a venous stasis leg ulcer. The nurse notes that the client's toes are mottled and cool, and the client verbalizes some numbness and tingling of the foot. Which interpretation would the nurse make of these findings? a. The boot is controlling leg edema. b. The boot is impairing venous return. c. The boot has been applied too tightly. d. The boot has not yet dried.

c. The boot has been applied too tightly.

The nurse is preparing a client for a cardiac catheterization to check for congenital heart defects. Which statement accurately describes a nursing consideration for this procedure? a. Tell the client that a general anesthetic will be given during the procedure. b. Check the client's peripheral pulses every 30 minutes for an hour after the test. c. Warn the client that a "fluttering" may be felt in the heart as the catheter passes. d. State that the procedure will be painful, but pain medication will be given, as needed.

c. Warn the client that a "fluttering" may be felt in the heart as the catheter passes.