Med Surge cardiac
After a pacemaker placement, a client is ready for discharge. Which client statement indicates additional teaching is needed? Select all that apply.
"I can no longer use a cell phone or microwave." "Dizziness and chest pain are normal sensations." "Discharge at the incision site is a sign of healing.
After a pacemaker placement, a client is ready for discharge. Which client statement indicates additional teaching is needed? Select all that apply.
"I can no longer use a cell phone or microwave." "Dizziness and chest pain are normal sensations." "Discharge at the incision site is a sign of healing."
The nurse is providing teaching to a client with Buerger disease. Which of the following statements made by the client indicates a need for further teaching?
"I can still smoke as long as I cut back."
The nurse is providing teaching to a client about chest pain. Which of the following statements made by the client would be of most concern to the nurse?
"I have chest pain a lot, but it is from indigestion."
Which statement made by a client indicates a possible exacerbation of heart failure (HF)?
"I have gained 8 pounds this week."
The nurse is caring for a client with a mechanical valve replacement. Which statement made by the client requires correction?
"I have to take anticoagulant therapy for only a few years."
The nurse is teaching a client about enoxaparin. Which statement made by the client indicates the need for further teaching?
"I need to get the air bubble out of the syringe."
A client asks the nurse about the goal for heart failure treatment. Which response by the nurse is best?
"The goal is to improve your heart's ability to pump and decrease oxygen demands of the heart."
A client is scheduled to have a leadless pacemaker implanted. Which client statement indicates additional teaching is needed?
"The pacemaker will be inserted through an incision in my chest."
The nurse is caring for a group of clients. Which client does the nurse identify as high risk for developing infective endocarditis (IE)? Select all that apply.
A client with human immunodeficiency virus (HIV) A client who reports using intravenous (IV) drugs A client with gingival gum disease A client with an artificial heart valve
The nurse is caring for a group of clients. Which client should the nurse identify as high risk for heart failure?
A client with hypertension
The nurse is caring for a group of clients. Which client is at highest risk for developing Buerger disease?
A client with lupus who is a heavy smoker
The nurse is caring for a group of clients with heart failure (HF). Which client should the nurse see first?
A client with new-onset confusion
The nurse is caring for a group of clients. Which client should the nurse see first?
A client with peripheral arterial disease who has no pedal pulse
The nurse is caring for a group of clients. Which client will warrant a call to the health-care provider?
A client with pink, frothy sputum
The nurse is caring for a group of clients. Which client is at highest risk for having a myocardial infarction (MI) at a younger age?
A female who smokes and uses oral contraception
The nurse is teaching a group of clients about preventing infective endocarditis (IE). Which of the following should the nurse include in the teaching?
Emphasize importance of regular dental care.
The nurse is caring for a client with heart failure (HF). Which medication does the nurse know is often a first-choice drug for HF?
Enalapril (Vasotec)
The nurse is caring for a client with orthostatic hypotension. Which intervention should the nurse implement to promote safety?
Encourage the client to ask for assistance prior to getting out of bed
The nurse is caring for a client with aortic stenosis. Which of the following interventions should the nurse implement?
Encourage the client to use the call light when getting up.
. A client is scheduled for a cardiac catheterization in 1 hour. Which action should the nurse take? Select all that apply.
Ensure informed consent is obtained Report a client allergy to shellfish
A client is scheduled for a cardiac catheterization in 1 hour. Which action should the nurse take? Select all that apply.
Ensure informed consent is obtained Report a client allergy to shellfish
The nurse is providing teaching to a client about risk factors for heart disease. Which of the following is a nonmodifiable risk factor?
Ethnicity
The nurse is preparing to measure orthostatic blood pressures on a client who fell. In which order should the nurse perform the following actions?
Explain the procedure to the client Measure the blood pressure (BP) and HR in a lying position Measure the BP and HR in the sitting position Report abnormal findings to the health-care provider
The nurse is providing teaching for a client with mitral valve prolapse. Which of the following statements made by the client indicates an understanding of the teaching?
I should follow a healthy diet.
The nurse is providing teaching to a client with strep throat about preventing rheumatic fever. Which statement made by the client indicates an understanding of the teaching?
I will be given penicillin to treat the strep throat."
The nurse is reinforcing discharge teaching for a client being prescribed metoprolol succinate. Which client statement indicates teaching is effective?
I will move slowly when I get out of bed each morning."
The nurse is caring for a client who underwent abdominal aortic aneurysm (AAA) repair. Which of the following should concern the nurse?
Increase in abdominal girth measurement
The nurse teaches a colleague about the effect of epinephrine on the heart. Which teaching should the nurse include? Select all that apply.
Increased cardiac output Increased force of cardiac contractions Increased heart rate
The nurse is teaching a group of clients about risk factors for pericarditis. Which of the following should the nurse include in the teaching? Select all that apply.
Infections Medications Liver disease Systemic lupus erythematosus (SLE)
The nurse notes a client's vital signs change from blood pressure (BP) 122/80 mm Hg, pulse 75 bpm; to BP 101/70 mm Hg, pulse 96 bpm when sitting up. Which action should the nurse take first?
Instruct the client to change positions slowly
The nurse is caring for a client with peripheral arterial disease. Which of the following clinical manifestations should the nurse expect the client to exhibit as a late finding?
Intermittent claudication
The nurse is caring for a client receiving warfarin. Which lab value should the nurse monitor?
International normalized ratio (INR)
The nurse is teaching a client with heart failure who just had a myocardial infarction (MI) about nutrition. Which of the following should the nurse include in the teaching?
It is important to avoid caffeine.
he nurse is preparing to measure orthostatic blood pressures on a client who fell. In which order should the nurse perform the following actions?
Measure the blood pressure (BP) and HR in the supine position Report abnormal findings to the health-care provider Measure the BP and HR in the sitting position Explain the procedure to the client
The nurse is caring for a client receiving anticoagulant therapy for a deep vein thrombosis (DVT) of the left leg. How will the nurse know that therapy has been effective?
Measurement of the effected calf has shown a decrease in size.
The nurse is monitoring a client's pulse and notes there are fewer radial beats than apical beats. Which action by the nurse is best?
Notify the health-care provider
The nurse is assessing the nailbeds of a client. The nurse notes the base of each nail elevates, and the angle exceeds 180 degrees, feeling spongy. Which action should the nurse take first?
Notify the health-care provider (HCP)
The nurse is assessing a client with peripheral arterial disease and notes an absent pulse. Which action should the nurse take?
Notify the health-care provider (HCP) immediately.
The nurse has administered three doses of nitroglycerin (Nitrostat) to a client with angina who still reports chest pain. Which action should the nurse take?
Notify the health-care provider (HCP).
The nurse is caring for a client who is receiving lisinopril (Prinivil). The nurse notes a pulse of 52 beats per minute. Which action should the nurse take?
Notify the health-care provider (HCP).
The nurse is reviewing laboratory results of a client who is taking spironolactone (Aldactone) and notes a potassium level of 6.5. Which action should the nurse take?
Notify the health-care provider (HCP).
The nurse is reviewing the prothrombin time (PT) of a client receiving warfarin. The PT is 64 seconds. Which action should the nurse take first?
Notify the health-care provider (HCP).
The nurse notes skin cool to the touch and a decreased capillary refill in a client with infective endocarditis (IE). Which action should the nurse take first?
Notify the health-care provider (HCP).
The nurse is caring for a client with cardiomyopathy. The client suddenly develops orthopnea, extreme fatigue, and chest pain. Which action should the nurse take first?
Notify the health-care provider.
Which of the following are modifiable risk factors for coronary artery disease? Select all that apply.
Obesity Hypertension
The nurse reviews a client's electrocardiogram (ECG) tracing. Which action should the nurse take?
Obtain the client's potassium level
The nurse reviews a client's electrocardiogram (ECG) tracing. Which action should the nurse take?
Obtain the client's potassium level
Clients with heart failure typically present with a decrease of which of the following?
Red blood cells (RBCs)
The nurse is caring for a client with lymphangitis. Which clinical manifestation can the nurse expect to find?
Red streaks on the extremity
The nurse is caring for a client with right-sided heart failure. Which clinical manifestations can the nurse expect to find? Select all that apply.
Weight gain Dependent peripheral edema
The nurse is assessing a client with aortic stenosis. Which of the following should concern the nurse the most?
Wet lung sounds
Where does systemic circulation begin?
left ventricle
The nurse is caring for a group of clients. Which client should the nurse see first?
A client with deep vein thrombosis (DVT) who reports dyspnea
The nurse is caring for a client with suspected cardiomyopathy. Which statement made by the client requires correction by the nurse?
"Restrictive cardiomyopathy is the most common type."
The nurse is providing teaching regarding the DASH diet for a client diagnosed with hypertension. Which statement made by the client indicates a need for further education?
"I can eat foods high in sodium as long as I drink plenty of water."
The nurse is administering furosemide 40 mg by mouth to a client with hypertension. Available is furosemide 20 mg tablets. How many tablets will the nurse administer? Enter the numeral only.
2
The nurse is teaching a client who recently experienced a myocardial infarction (MI) about sexual activity. Which of the following indicates an understanding of the teaching?
"I can have sex when I can walk up two flights of stairs without symptoms
The nurse is reviewing orders for a client with peripheral arterial disease (PAD). Which of the following medications should the nurse anticipate administering?
Cilostazol (Pletal)
A client with hypertension presents to the clinic with a blood pressure reading of 218/112. Which question is most important for the nurse to ask?
"Have you been taking your blood pressure medications?"
The nurse is taking a health history of a client with suspected heart failure. Which question assesses respiratory function?
"How many flights of stairs can you climb without dyspnea?
The nurse is providing teaching to a client undergoing a heart transplant. Which statement made by the client indicates the need for further teaching?
"I am only at risk for rejection right after surgery."
The nurse reinforces teaching for a client scheduled for a cardiac catheterization. Which client statement indicates that teaching is effective?
"My skin will become flushed and feel warm."
The nurse is caring for a client about to undergo cardiac catheterization. Which of the following statements made by the client indicate an understanding of the procedure? Select all that apply.
"I need to inform the health-care provider that I am allergic to contrast dye." "It may feel warm when they inject the dye." "They will check my vital signs and electrocardiogram (ECG) during the procedure."
The nurse is teaching a client with heart failure about nutrition. Which statement made by the client indicates an understanding of the teaching?
"I need to reduce the amount of fluids I drink like the health-care provider said."
The nurse is providing preoperative teaching to a client about to undergo cardiac surgery. Which of the following statements made by the client indicates a need for further education?
"I should avoid coughing and deep breathing so my incision does not reopen."
The nurse is providing teaching for a client with heart failure about decreasing their oxygen consumption. Which statement made by the client indicates a need for further teaching?
"I should exercise at least 30 minutes per day."
The nurse is teaching a client about simvastatin (Zocor). Which statement made by the client indicates an understanding of the teaching?
"I should report any muscle pain to the health-care provider."
The nurse is teaching a client with heart failure about ways to prevent orthopnea. Which statement made by the client indicates an understanding of the teaching?
"I should sleep with two or three pillows so I can breathe easier."
The nurse is providing teaching to a client who will be discharged taking clonidine. Which statement made by the client indicates an understanding of the teaching?
"I should suck on hard candy if my mouth is dry."
The nurse is providing teaching to a client taking bumetanide (Bumex). Which statement made by the client indicates an understanding of the teaching?
"I should take this medication early so I don't pee all night."
The nurse is providing teaching to a client with an abdominal aortic aneurysm. Which statement made by the client indicates a need for further teaching?
"I still work at my moving company business."
The nurse reinforces preoperative teaching for a client scheduled for cardiac surgery in 1 hour. Which client statement most concerns the nurse?
"I stopped taking warfarin and aspirin 2 days ago."
A client reporting palpitations has multiple premature ventricular contractions (PVCs) on an electrocardiogram (ECG) tracing. Which client statement indicates teaching is effective?
"I will drink decaffeinated coffee."
The nurse is providing teaching for a client with thrombophlebitis. Which of the following statements made by the client indicates an understanding of the teaching?
"I will elevate my legs to promote circulation and reduce edema."
The nurse is reinforcing discharge teaching for a client being prescribed metoprolol succinate. Which client statement indicates teaching is effective?
"I will move slowly when I get out of bed each morning."
A client is being discharged with Holter monitoring for 48 hours. Which client statement indicates teaching is effective?
"I will push the event button when I start having symptoms."
The nurse reinforces preoperative teaching for a client scheduled for cardiopulmonary bypass. Which client statement indicates teaching is effective? Select all that apply.
"I'll be given a blood thinner before surgery." "My heart will be stopped during surgery." "I need to cough and take deep breaths after surgery."
A client with atrial fibrillation is prescribed apixaban to reduce blood clot risk. Which client statement indicates teaching is successful?
"I'm glad that frequent blood monitoring will not be needed."
The nurse is teaching a client with Raynaud disease. Which of the following statements made by the client indicates a need for further teaching?
"If I immerse my hands in cold water, it will decrease vasospasm."
The nurse is providing teaching for a client taking metoprolol succinate (Toprol XL). Which statement made by the client indicates a need for further teaching?
"If my systolic blood pressure (BP) is less than 100 mm Hg, I can take the pill."
A client tells the nurse they have atherosclerosis and asks what this means. Which response by the nurse is most appropriate?
"It is a form of plaque in the arteries that can lead to coronary artery disease."
The nurse is reinforcing discharge teaching for a client with an implantable cardioverter defibrillator (ICD). Which client statement indicates that teaching is effective?
"It will feel like a kick in the chest when the ICD delivers a shock."
The nurse is teaching a postoperative client how to apply antiembolism stockings. Which statement made by the client indicates a need for further teaching?
"The top of the stocking need to be 2 inches over the kneecap."
A client started having chest pain 2 hours ago. After the health-care provider explains to the client that her cardiac troponin level is normal," the client states, "I'm so happy that I didn't have a heart attack." Which response by the nurse is the priority?
"The troponin level may be normal right now even if you have had a heart attack."
A client recovering from cardiopulmonary bypass states, "I'm afraid something went wrong. I have tubes coming from my chest." Which response should the nurse make?
"The tubes drain remaining blood and fluid from the chest."
The nurse is providing teaching to a client who will undergo a percutaneous coronary intervention (PCI). Which statement made by the client indicates an understanding of the teaching?
"This procedure will open up my blocked artery."
The nurse is caring for a client who is about to undergo coronary artery bypass graft (CABG) surgery. Which statement made by the client indicates an understanding of the surgery?
"This surgery will increase blood flow to the myocardium.
The nurse is answering questions for a client about to undergo angiography. Which statement made by the client indicates an understanding of the procedure?
"This test will inject dye into my vessels and see if I have a clot somewhere."
A client asks the nurse about the difference between stable and unstable angina. Which statement by the nurse is most appropriate?
"Unstable angina occurs with moderate exertion."
The nurse is caring for a client with mitral regurgitation. The client asks the nurse what this means. Which response by the nurse is best?
"Your mitral valve leaflets do not close all the way. This allows backflow of blood into the left atrium every time the left ventricle contracts."
The nurse is caring for a group of clients. Which client should the nurse see first?
A client with a manual blood pressure of 224/114
The nurse is caring for a client on warfarin. A normal prothrombin time (PT) range is 9 to 12 seconds. Calculate the therapeutic range. Enter the numeral only.
13.5-24
The nurse is calculating intake for a client with hypertension. The client has consumed three servings of grape juice with 240 mL volume in each container, 110 mL of diet soda, and 1 L of water. Calculate the client's total intake. Enter the numeral only.
1830
The nurse is caring for a group of clients. Which client is at highest risk for heart disease mortality?
. An obese African American male who smokes
Which of the following is shown here?
. Aortic semilunar valve
. A client's electrocardiogram (ECG) tracing shows ventricular fibrillation (VF). What action should the nurse make the first priority?
. Apply external defibrillation
Which of the following is the most common cause of left-sided heart failure?
. Hypertension
The nurse is caring for a client who reports pink and frothy sputum. Which action should the nurse take first?
. Notify the health-care provider (HCP) immediately.
The nurse is caring for a client with Raynaud disease. Which of the following clinical manifestations of the affected area can the nurse expect to find?
. Pain when warm
The nurse is administering atenolol 25 mg to a client with hypertension. Available is atenolol 50 mg tablets. How many tablets will the nurse administer? Enter the numeral only.
0.5
The nurse is preparing to administer heparin sodium 5,000 units. Available is heparin sodium 10,000 units/mL. How many milliliters will the nurse administer? Enter the numeral only.
0.5
The nurse is preparing to administer enoxaparin to a client who weighs 60 kg. The ordered dose is 1 mg/kg every 12 hr. The available dose is enoxaparin 60 mg/0.6 mL. How many milliliters will the nurse administer? Enter the numeral only.
0.6
The nurse is providing teaching regarding healthy food choices to a client with hypertension. Which food choice indicates that the client understood the teaching?
1 small apple with 1 cup of raw leafy vegetables and 1 ½ ounce of cheese
The nurse is assessing the pulse of a client. The pulse disappears when slight pressure is applied and returns when the pressure is removed. This describes a pulse of what quality?
1+
The nurse is preparing to administer nitroglycerin (Nitrostat) 0.4 mg sublingually. The health-care provider's order states the client may receive the medication every 5 minutes for a max of three doses. How many milligrams will the client receive if they receive all three doses? Enter the numeral only.
1.2
The nurse is assessing a client's blood pressure (BP). Which finding would the nurse document as normal?
110/70
The nurse is administering enalapril (Vasotec) 2.5 mg twice daily by mouth. Available are 5-mg tablets. How many tablets will the nurse give for one dose? Enter the numeral only.
2.5
The health-care provider suspects a client has hypertension. The nurse should anticipate preparing the client for which of the following?
24-hour ambulatory blood pressure (BP) monitoring
The nurse is preparing to administer bumetanide (Bumex) 1 mg intramuscularly (IM). Available is bumetanide (Bumex) 0.25 mg/mL. How many milliliters will the nurse administer? Enter the numeral only.
4
The nurse is caring for a group of clients. Which client should the nurse see first?
A client with chest pain radiating to the shoulder
A client with heart failure has a resting heart rate of 70 beats per minute. The client's stroke volume is 60 mL/beat. The client weighs 220 pounds. Calculate the client's cardiac output per minute. Record your answer in liters (L). Enter the numeral only.
4.2
The nurse is assessing the resting heart rate of a marathon runner. Which heart rate is an expected finding in this client?
50 beats/minute
The nurse is calculating the intake for a client with heart failure. The client received two antibiotics of 50 mL each and drank 240 mL of juice, 200 mL of water, and 120 mL of milk. What is the total intake for this client? Enter the numeral only
660
The nurse reviews a client's electrocardiogram tracing. Calculate the client's heart rate. Round to the nearest whole number.
70
The nurse reviews a client's electrocardiogram tracing. Calculate the client's heart rate. Round to the nearest whole number.
70
The nurse is preparing to administer cyclosporine (Neoral) 15 mg/kg/day in two divided doses to a client who weighs 105 kg. How many milligrams will the nurse administer per dose? Enter the numeral only.
787.5
The nurse is caring for a group of clients. Which client is at highest risk for mitral valve prolapse (MVP)?
A 20-year-old female client
The nurse is caring for a group of clients. Which client is at highest risk for developing hypertension?
A 56-year-old African-American female who is 5'4" and weighs 260 pounds.
The nurse is caring for a group of clients. Which client does the nurse identify as a high risk for developing dilated cardiomyopathy?
A client who recently received chemotherapy
The nurse is caring for a group of clients. Which client should the nurse see first?
A client who underwent valve replacement surgery 2 hr ago who is reporting pain
The nurse is caring for a group of clients. Which client should the nurse see first?
A client with a blood pressure of 180/90 who reports chest pain
The nurse is teaching a client about a low-cholesterol diet. Which food choice selected by the client indicates a need for further teaching?
A large order of fried okra
A client scheduled for an exercise stress test states, "I am not able to exercise." The nurse should assess the client for an allergy to which medication?
Adenosine
A client with a regular heart rhythm of 155 bpm reports dyspnea and angina. Which prescribed medications will the nurse expect to administer?
Adenosine
The nurse is caring for a client receiving tissue plasminogen activator (tPA). Which of the following orders should the nurse question?
Administer acetylsalicylic acid (aspirin) as ordered.
The nurse is caring for a client with an arterial occlusion of the left leg. Which intervention should the nurse plan to implement?
Administer heparin intravenously as ordered.
A client's heart rate is 38 bpm and blood pressure (BP) is 70/30 mm Hg. What is the nurse's top priority action?
Administer intravenous (IV) atropine
The nurse is caring for a client with myocarditis. Which of the following interventions should the nurse implement?
Administer lisinopril as ordered
The nurse is caring for a client with myocarditis. Which of the following interventions should the nurse implement?
Administer lisinopril as ordered.
The nurse is caring for a client with thrombophlebitis. Which of the following interventions should the nurse implement?
Administer nonsteroidal anti-inflammatory drugs (NSAIDS) as ordered.
Which of the following is a nonmodifiable risk factor for heart disease?
Age
The nurse is preparing a client for a cardiac catheterization. Which of the following is the most important piece of data to know prior to the procedure?
Allergies to iodine, shellfish, or contrast dye
The nurse is caring for a client taking digoxin. Which medication in the client's orders should the nurse question?
Amlodipine
Which client is at highest risk for developing heart failure?
An African American woman
The nurse is assigned to care for four clients. Which client should the nurse see first?
An older adult client who has an S4 heart sound
Which new class of medications used to treat heart failure (HF) has reduced hospitalizations and deaths from chronic HF?
Angiotensin receptor neprilysin inhibitors (ARNIs)
A client who is asymptomatic has an irregularly irregular rhythm with no identifiable P waves. Which initial order should the nurse expect? Select all that apply.
Anticoagulant therapy Beta blocker Calcium channel blocker
The nurse is caring for a client with mitral valve prolapse (MVP). Which of the following clinical manifestations can the nurse expect to find? Select all that apply.
Anxiety Dyspnea Murmur Fatigue
The nurse is caring for a client with venous stasis ulcers. Which of the following interventions should the nurse implement?
Apply compression stockings.
The nurse is caring for a client with a deep vein thrombosis (DVT). Which interventions should the nurse implement? Select all that apply.
Apply compression stockings. Instruct the client to quit smoking Encourage ambulation as tolerated Administer warfarin as ordered.
The nurse is caring for a client with a deep vein thrombosis (DVT). Which interventions should the nurse implement? Select all that apply.
Apply compression stockings. Instruct the client to quit smoking. Encourage ambulation as tolerated. Administer warfarin as ordered.
A client's electrocardiogram (ECG) tracing shows ventricular fibrillation (VF). What action should the nurse make the first priority?
Apply external defibrillation
A client's electrocardiogram (ECG) tracing reveals ventricular fibrillation. Which action should the nurse take first?
Apply self-adhesive pads to the client's chest
The nurse is obtaining data to assess a client for fluid retention. Which questions should the nurse include in the assessment? Select all that apply.
Are your shoes tight?" "Have you had any weight gain recently?"
The nurse is caring for a client with hypertension. Which clinical manifestations should the nurse expect the client to exhibit? Select all that apply.
Asymptomatic Headache Bloody nose Shortness of breath
Which hormones are secreted by the atria?
Atrial natriuretic peptide (ANP)
A client with heart failure is taking furosemide (Lasix). The nurse is teaching about appropriate food choices when taking furosemide. Which food selection by the client indicates understanding of this teaching?
Baked potato
The nurse is teaching a colleague about blood flow through the heart. Which teaching should the nurse include?
Blood flows from the right atrium through the tricuspid valve.
A client returns to the clinic for a follow-up after being treated for hypertension for 4 months. Which assessment data indicates that the medication has been effective?
Blood pressure is 116/70
he nurse is reviewing laboratory results before administering medication and notes a potassium level of 2.5. Which medication would the nurse question?
Bumetanide (Bumex)
A client's sinoatrial (SA) and atrioventricular (AV) nodes have failed to fire. Which of these results should the nurse expect as the ventricles take over and initiate impulses? Select all that apply.
Change in level of consciousness Dyspnea
. A client's sinoatrial (SA) and atrioventricular (AV) nodes have failed to fire. Which of these results should the nurse expect as the ventricles take over and initiate impulses? Select all that apply.
Change in level of consciousness Dyspnea
The nurse is providing teaching for a client being discharged home with metoprolol. Which of the following is most important for the nurse to include in the teaching? Select all that apply.
Check blood pressure before taking the medication Sit up slowly from a lying position Do not stop taking the medication abruptly Notify the health-care provider if dizziness occurs
The nurse is caring for a client with pericarditis. Which clinical manifestation can the nurse expect to find?
Chest pain radiating to the clavicle
The nurse is caring for a client with heart failure who has a pattern of shallow respirations building to deep breaths, followed by apnea. Which of the following does this describe?
Cheyne-Stokes breathing
The nurse is caring for a client who underwent valve replacement surgery 1 hr ago. Which of the following interventions should the nurse implement?
Communicate using simple terms and closed-ended questions.
A 75-year-old client is undergoing an exercise stress test. Which symptom experienced by the client should cause the stress test be stopped? Select all that apply.
Complaints of chest pain Report of leg pain
The nurse is assessing a client with heart failure. What should the nurse expect to hear upon auscultating lung sounds?
Crackles
The nurse is caring for a client with left-sided heart failure. Which clinical manifestations should the nurse expect to see? Select all that apply.
Crackles Dry, hacking cough Orthopnea
The nurse is teaching a client about monitoring fluid status at home. How often should the nurse encourage the client to weigh?
Daily
The nurse is assessing the temperature of a client's lower extremities and notes that one leg is cool to the touch. Which of these answers describes the meaning of a cool extremity?
Decreased arterial blood flow
The nurse provides postprocedural care for a client who underwent a transesophageal echocardiogram (TEE). Which action should the nurse take?
Determine whether gag reflex is intact
The nurse reviews a client's electrocardiogram (ECG) tracing. Which action should the nurse take?
Determine whether the client is taking digoxin
The nurse is caring for a client who underwent a heart transplant. Which of the following interventions should the nurse implement to promote sleep? Select all that apply.
Dim the lights. Allow visitors for short periods. Play soothing music. Administer narcotics as ordered.
The nurse is caring for a client with suspected orthostatic hypotension. Which factors place this client at risk? Select all that apply.
Diuretics Analgesics
The nurse is teaching a client about an exercise stress test. Which of the following should the nurse include in the teaching?
Do not smoke 2 to 4 hours before the test.
A client's digoxin level is 0.9 mg/mL. What should the nurse do next?
Document the client's digoxin level
The nurse is caring for a client receiving enalapril (Vasotec). The nurse should expect the client to report which side effect?
Dry cough
Which of the following is the only symptom of a myocardial infarction (MI) in an older adult?
Dyspnea
The nurse is caring for a client with varicose veins. Which clinical manifestations can the nurse expect to find? Select all that apply.
Edema Dull pain Feeling of heaviness Spider veins
The nurse is assessing a client with a suspected deep vein thrombosis (DVT) of the left leg. Which clinical manifestations can the nurse expect to find? Select all that apply.
Edema Pain Calf tenderness Venous distention
A client presents to the clinic with chest pain. For which test should the nurse prepare the client first?
Electrocardiogram (ECG)
A 75-year-old client is undergoing an exercise stress test. Which symptom experienced by the client should cause the stress test be stopped? Select all that apply.
Electrocardiogram (ECG) changes Report of inability to exercise further
The nurse is reviewing laboratory values for a client with heart failure. Which of the following should the nurse expect to find?
Elevated brain natriuretic peptide (BNP)
Which of the following are clinical manifestations related to a decrease in oxygenation? Select all that apply.
Fatigue Dyspnea Confusion
Which of the following are the earliest symptoms of chronic heart failure? Select all that apply.
Fatigue Weakness
The nurse is caring for a client with aortic regurgitation. Which of the following clinical manifestations should the nurse expect to find?
Forceful heartbeat when lying down
The nurse is caring for a client with pulmonary edema. In which position should the nurse place the client?
Fowler's
A client is scheduled for a computed tomography (CT) scan with contrast to view blood vessels in the heart. Which laboratory tests should the nurse prepare to check?
Glomerular filtration rate and creatinine
The nurse is caring for a female client experiencing a myocardial infarction (MI). Which clinical manifestation is the client likely to exhibit?
Heartburn
The nurse is caring for a male client with angina. Which clinical manifestations can the nurse expect to find? Select all that apply.
Heaviness in chest Dyspnea Diaphoresis Radiating jaw pain
The nurse is preparing to administer propranolol to a client with hypertension. The nurse obtains a blood pressure reading of 76/42. Which action should the nurse take?
Hold the medication and notify the health-care provider (HCP)
The nurse is reviewing a client's laboratory results. Because the client is taking digoxin, which electrolyte imbalance most concerns the nurse?
Hypokalemia
The nurse notes a client's chest tube drainage is 200 mL/hr. For which of the following should the nurse monitor the client?
Hypovolemia
A client's electrocardiogram (ECG) tracing reveals a regular rhythm with a rate of 130 bpm. For which etiology should the nurse assess? Select all that apply.
Hypoxia Shock Dehydration
A client's electrocardiogram (ECG) tracing reveals a regular rhythm with a rate of 130 bpm. For which etiology should the nurse assess? Select all that apply.
Hypoxia Shock Dehydration Atropine use Anxiety
The nurse is caring for a client about to undergo valve replacement. The nurse expects the health-care provider to ask the client if they prefer bovine, mechanical, or human valves if the client is of which religion?
Jewish
Which of the following is shown here?
Left pulmonary artery
In heart failure, which part of the heart fails first?
Left ventricle
Which of the following is shown here?
Left ventricle
Which of the following is the most common cause of right-sided heart failure?
Left-sided heart failure
A client with a diagnosis of hypertension who has been taking medication reports a dry cough. Which medication can the nurse expect to find in the client's medication history?
Lisinopril
The nurse receives laboratory results on multiple clients. Which laboratory value should be immediately reported to the health-care provider?
Magnesium level 1.1 mg/dL
A client scheduled for the next dose of atenolol has a blood pressure (BP) of 94/60 mm Hg. Which action should the nurse take next?
Notify the health-care provider
The nurse is caring for a client with exacerbation of asthma and hypertension. Which medication order should the nurse question?
Metoprolol
Which of the following are valves of the heart? Select all that apply.
Mitral Tricuspid Pulmonic Aortic
The nurse is preparing to administer digoxin (Lanoxin). Which of the following interventions should the nurse implement?
Monitor apical heart rate for 1 minute.
The nurse is caring for a client undergoing an angiography. After injection of the dye, the client states, "I have a hot, burning feeling." Which action by the nurse is the priority?
Monitor the client
The nurse is caring for a client who underwent a cardiac catheterization. Which of the following interventions should the nurse implement? Select all that apply.
Monitor vital signs Monitor peripheral pulses Keep the client on bed rest as ordered Monitor the puncture site
The nurse is auscultating a client's heart sounds and notes a prolonged, faint swishing sound. The nurse suspects the client may be exhibiting which abnormality?
Murmur
The nurse reinforces teaching for a client scheduled for a cardiac catheterization. Which client statement indicates that teaching is effective?
My skin will become flushed and feel warm."
Which of the following can result from coronary artery disease (CAD) if untreated?
Myocardial infarction (MI)
The nurse is caring for a client with angina. Which medication would the nurse expect to administer?
Nitroglycerin (Nitrostat)
A client scheduled for the next dose of atenolol has a blood pressure (BP) of 94/60 mm Hg. Which action should the nurse take next?
Notify the health care provider.
The nurse is caring for a client with a myocardial infarction (MI). Which of the following are used as treatments for an MI? Select all that apply.
Oxygen Nitroglycerin Aspirin Morphine
Which of the following are clinical manifestations of arterial occlusion? Select all that apply.
Pain Pallor Paresthesia
A client returns to the unit immediately after a cardiac catheterization in which the femoral artery was used. Which action should the nurse take first?
Palpate peripheral pulses
The nurse is caring for a client with heart failure who awakens during the night with feelings of suffocation and anxiety. The nurse knows the client is experiencing which of the following?
Paroxysmal nocturnal dyspnea
The nurse is caring for a client with pericarditis. Which of the following is a clinical manifestation the nurse can expect to find?
Pericardial friction rub
The nurse is caring for a client with infective endocarditis (IE). Which clinical manifestations can the nurse expect to find? Select all that apply.
Petechiae Aching muscles Fever
The nurse is calculating the intake for a client with heart failure. The client received two antibiotics of 50 mL each and drank 240 mL of juice, 200 mL of water, and 120 mL of milk. What is the total intake for this client? Enter the numeral only.
Pink, frothy sputum
The nurse is caring for a client with an arterial thrombosis. Which of the following are contributing factors? Select all that apply.
Polycythemia Repeated arterial needlesticks Hypotension
The nurse is reviewing lab values for a client taking furosemide. Which of these lab values would concern the nurse the most?
Potassium 2.5 mEq/L
The nurse is administering furosemide (Lasix) to a client with heart failure. Which laboratory value would concern the nurse?
Potassium 2.8 mEq/dL
A client's cardiac rhythm is supraventricular tachycardia (SVT), despite drug therapy. Which action should the nurse take?
Prepare for synchronized cardioversion
An older adult client reports coughing and dyspnea. During assessment, the nurse auscultates S1, S2, and S3 heart sounds and crackles in the lung fields. What is the nurse's priority action?
Prepare the client for a chest radiograph
The nurse is providing teaching for a client who is being sent home with a Holter monitor. Which information is important for the nurse to include in the teaching?
Press the button on the monitor if symptoms occur.
The nurse is reviewing orders for a client with angina and a history of asthma. Which order should the nurse question?
Propranolol (Inderal)
A client undergoing cardiopulmonary bypass is ready to come off the pump. Which medication should the nurse prepare to administer?
Protamine sulfate
The nurse is reviewing a client's electrocardiogram (ECG) tracing. Which of the following are characteristics of normal sinus rhythm (NSR)?
QRS interval less than or equal to 0.10 seconds
The nurse obtains a blood pressure (BP) reading of 134/86. According to the blood pressure categories, this client's blood pressure is in which category?
Stage I Hypertension
The nurse is caring for a client with suspected cardiomyopathy. Which statement made by the client requires correction by the nurse?
Restrictive cardiomyopathy is the most common type."
Which part of the heart is depicted?
Right atrium
Which part of the heart pumps deoxygenated blood toward the lungs?
Right ventricle
The first heart sound heard at the beginning of systole when the tricuspid and mitral valves close is known as which sound?
S1
The nurse is caring for a client with aortic regurgitation. Which of the following interventions should the nurse implement?
Schedule periods of rest between activities.
The nurse is preparing a presentation about cardiovascular disease. Which should the nurse include in the presentation as risk factors? Select all that apply.
Smoking Poor diet Obesity High total cholesterol
The nurse is preparing a presentation about preventing coronary artery disease (CAD). Which of the following should the nurse include in the teaching?
Smoking cessation
The nurse assists with discharge planning of a client with cardiovascular disease. Which teaching should the nurse reinforce? Select all that apply.
Smoking reduces blood flow and can worsen symptoms. The top of elastic stockings should be 1 to 2 inches below the bottom of the kneecap. Avoid open flames when oxygen is in use
The nurse assists with discharge planning of a client with cardiovascular disease. Which teaching should the nurse reinforce? Select all that apply.
Smoking reduces blood flow and can worsen symptoms. The top of elastic stockings should be 1 to 2 inches below the bottom of the kneecap. Avoid open flames when oxygen is in use.
A client has no palpable pulse and no waveform activity on an electrocardiogram (ECG) tracing. Which action should the nurse make the top priority?
Start chest compressions
The nurse is preparing to draw blood for a creatine kinase (CK) test. Which of the following should the nurse avoid before drawing the blood?
Starting the client's intravenous (IV) line
The nurse is caring for a client with hypertension. Which of the following are complications that can occur? Select all that apply.
Stroke Myocardial infarction (MI) Kidney failure
The nurse is caring for a client with hypertension. The client is at risk for which of the following? Select all that apply.
Stroke Heart failure Pulmonary edema
The nurse is caring for a client with an abdominal aortic aneurysm (AAA). Which of the following should the nurse report to the health-care provider?
Sudden abdominal pain
The nurse is caring for a client with an abdominal aortic aneurysm (AAA). Which finding should the nurse report to the health-care provider immediately?
Sudden back pain
Which of the following is shown here?
Superior vena cava
A client with flutter waves on a recent electrocardiogram (ECG) reports syncopal episode, dyspnea, and angina. Which treatment should the nurse expect to be prescribed?
Synchronized cardioversion
The nurse is caring for a client receiving furosemide. The nurse should provide the following education to the client:
Take the medication in the morning
The nurse is applying a nitroglycerin patch (Nitro-Dur) for a client. Which of the following requires correction?
The nurse applies the patch at the same location as the old patch.
A client is scheduled to have a leadless pacemaker implanted. Which client statement indicates additional teaching is needed?
The pacemaker will be inserted through an incision in my chest."
The nurse is caring for a client with heart failure. Which intervention should the nurse implement?
Weigh the client daily at the same time.
A client started having chest pain 2 hours ago. After the health-care provider explains to the client that her cardiac troponin level is normal," the client states, "I'm so happy that I didn't have a heart attack." Which response by the nurse is the priority?
The troponin level may be normal right now even if you have had a heart attack."
A client recovering from cardiopulmonary bypass states, "I'm afraid something went wrong. I have tubes coming from my chest." Which response should the nurse make?
The tubes drain remaining blood and fluid from the chest."
Which of the following describes Stage C heart failure (HF)?
Those with heart failure with reduced ejection fraction and symptoms
A client's electrocardiogram (ECG) tracing reveals no relationship between P waves and QRS complexes. The client is confused, and blood pressure is 60/30 mmHg. Which order should the nurse expect?
Transcutaneous pacing
Which of the following is shown here?
Tricuspid valve
The nurse is caring for a client who is at risk for orthostatic hypotension. Which action should the nurse take?
Use a walking belt when ambulating the client
A client taking warfarin for atrial fibrillation has a critically high international normalized ratio (INR). Which order should the nurse expect?
Vitamin K
The nurse is caring for a client receiving warfarin who begins to bleed. Which medication is the antidote for warfarin?
Vitamin K
The nurse is taking a medication history of a client about to undergo cardiovascular surgery. Which medication reported by the client would require the nurse to notify the surgeon?
Warfarin
A client is scheduled to be placed on a cardiopulmonary bypass pump (CBP). Which of the following causes the nurse to intervene immediately?
Warfarin is administered for anticoagulation
The nurse is caring for a client who reports pink and frothy sputum. The nurse suspects this client may have a diagnosis of which condition?
acute heart failure
The nurse is caring for a client who underwent a heart transplant. Which of the following would be of most concern to the nurse?
Yellow-green sputum
The nurse is caring for a client with mild mitral regurgitation. Which clinical manifestations can the nurse expect to find?
asymptomatic
Hypertension can lead to which change in the heart?
increase in size of left ventricle
A client presents to the emergency department with chest pain. Which blood study is most important to monitor to rule out a myocardial infarction (MI)?
cardiac troponin
Which answer describes the role of arteries?
carry blood from heart to capillaries
Which internal factor may contribute to hypertension?
decreased elasticity of blood vessels
The nurse is caring for a client with pericarditis who develops cardiac tamponade. For which treatment should the nurse prepare the client?
pericardiocentesis
The nurse is caring for a client with myocarditis. Which of the following is an early clinical manifestation of this condition?
pharyngitis
The nurse is caring for a client receiving heparin sodium who begins bleeding. Which medication is an antidote to heparin?
protamine sulfate
The nurse is assessing a client who reports chest pain along with pain in the shoulder. Which term describes this pain?
radiate
Where does pulmonary circulation begin?
right ventricle
What is the term for a normal heartbeat?
sinus rhythm
Rheumatic fever is a rare complication of which condition
strep throat
The nurse is caring for group of clients. Which client is at highest risk for developing deep vein thrombosis (DVT)?
truck driver
