RN Targeted Med Surg Cardiovascular ATI

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

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

B- BP 160/80

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.

B- elevate the head of the client's bed

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.

D- Inquire about the presence or absence of claudication

a nurse is assessing a client who has dilated cardiomyopathy. which of the following findings should the nurse expect

D- dyspnea on exertion

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

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

a nurse is caring for a client who has endocarditis. which of the following findings should the nurse recognize as a potential complication

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)

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

C- I cannot get rid of these hiccups

A nurse is assessing a client who has Left-Sided heart failure. which of the following manifestations should the nurse expect to find

B- Weak Peripheral Pulses

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

C- Previous allergic reaction to shellfish

A nurse is planning a presentation for a group of clients who have hypertension. which of the following lifestyle modifications should the nurse include

- Tobacco Cessation -Regular exercise program -Limited alcohol intake

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

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

B- Absence of Adventitious breath sounds

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

B- Lightheadedness

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

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

B- Vagal Stimulation

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.

B- assisting with thrombolytic therapy

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

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

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

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 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

Urine output of 20ml/hr

A nurse in an emergency room is assessing a client who has bradydysrhythmia. which of the following findings should the nurse monitor for?

B- Confusion

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

B- INR 2.0

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

C- Cholesterol 190 HDL 25 LDL 160

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?

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 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