week 7 cc

The client asks the nurse what urine output has to do with cardiac function. What is the best response by the nurse? "Poor urine output may indicate inadequate blood flow to the kidneys." "The heart may be working too hard if there is not enough urine." "The heart and kidneys work independently to keep the body's fluids in balance." "High urine output may indicate poor cardiac function."

"Poor urine output may indicate inadequate blood flow to the kidneys."

A monitor technician on the telemetry unit asks a charge nurse why every client whose monitor shows atrial fibrillation is receiving warfarin. Which response by the charge nurse is best? "It's just a coincidence; most clients with atrial fibrillation don't receive warfarin." "Warfarin controls heart rate in the client with atrial fibrillation." "Warfarin prevents atrial fibrillation from progressing to a lethal arrhythmia." "Warfarin prevents clot formation in the atria of clients with atrial fibrillation."

"Warfarin prevents clot formation in the atria of clients with atrial fibrillation."

The nurse is caring for a client who has just returned from having a percutaneous transluminal balloon angioplasty. In which order, from first to last, should the nurse obtain information about the client? All options must be used. 1 catheterization site 2 vital signs and oxygen saturation 3 pedal and radial pulses 4 color and sensation of extremity

2 vital signs and oxygen saturation 3 pedal and radial pulses 1 catheterization site 4 color and sensation of extremity

A male client has called the clinic because he is taking digoxin and is concerned about his pulse rate. The nurse should tell the client to hold the medication if he reports a pulse rate of: 52 beats/minute. 84 beats/minute. 78 beats/minute. 66 beats/minute.

52 beats/minute.

The nurse documents the skin color change of a dark-skinned African American patient in cardiogenic shock as: Ashen gray and dull. Dusky blue. Reddish pink. Whitish pink.

Ashen gray and dull.

A client comes to the emergency department reporting a "racing" heart and feeling "anxious." On a heart monitor, the nurse notes a heart rate of 134 and proceeds to monitor for which complications related to tachycardia? Select all that apply. Decrease in blood pressure Decrease in oxygen levels Decrease in stroke volume Increase in cardiac output Risk for angina

Decrease in blood pressure Decrease in oxygen levels Decrease in stroke volume Risk for angina

A nurse in the emergency department admits a male client who has experienced severe frostbite to his hands and toes after becoming lost on a ski hill. The nurse recognizes that which phenomena has contributed to his tissue damage? Decreased blood viscosity has resulted in interstitial bleeding. Reactive vasodilation has compromised perfusion. Autonomic nervous stimulation has resulted in injury. Decreased blood flow has induced hypoxia.

Decreased blood flow has induced hypoxia.

During assessment of a client admitted for cardiomyopathy, the nurse notes the following symptoms: dyspnea on exertion, fatigue, fluid retention, and nausea. The initial appropriate nursing diagnosis is which of the following? Decreased cardiac output Autonomic dysreflexia Disturbed sensory perception Ineffective airway clearance

Decreased cardiac output

The nurse is visiting the home of a client who is prescribed antidysrhythmic medication. The nurse will teach the client to report which possible adverse effect? Increased energy Improved functional status Dizziness Improved mentation

Dizziness

The community health nurse finds the client collapsed outdoors. The nurse assesses that the client is shallow breathing and has a weak pulse. Emergency medical services (EMS) is notified by the neighbor. Which nursing action is helpful while waiting for the ambulance? Place a cool compress on head. Elevate the legs higher than the heart. Shake the client to arouse. Cover the client with a blanket.

Elevate the legs higher than the heart.

A young child is brought to the emergency department and requires advanced life support. The nurse is preparing to administer medication to maintain the child blood pressure and systemic perfusion. Which of the following might the nurse administer? Epinephrine Dopamine Dobutamine Atropine Glucose

Epinephrine Dopamine Dobutamine

Adrenergic drugs produce which effect? Increased heart rate Decreased respiratory rate Urinary retention Decreased kidney perfusion

Increased heart rate

Which of the following is the hallmark symptom for peripheral arterial disease (PAD) in the lower extremity? Intermittent claudication Acute limb ischemia Dizziness Vertigo

Intermittent claudication

A patient is prescribed digoxin (Lanoxin), which affects the function of the sinoatrial node. Which statement describes the function of the sinoatrial node? The aortic cusp Normal pacemaker Contractile property Source of collateral circulation

Normal pacemaker

Most of the free norepinephrine molecules are taken up by the nerve terminal that releases them in which process? Diffusion Perfusion Osmosis Reuptake

Reuptake

A child with heart disease is receiving digoxin and a diuretic. Which laboratory test result would be most important for the nurse to monitor? Serum sodium level Erythrocyte sedimentation rate Serum potassium level Oxygen saturation level

Serum potassium level

At 3 years of age, a child has a cardiac catheterization. After the procedure, which interventions would be most important? Assuring the child that the procedure is now over Allowing the child to adapt to the light in the room gradually Taking pedal pulses for the first 4 hours Allowing the child to talk about the procedure

Taking pedal pulses for the first 4 hours

A nurse is preparing to give an intramuscular (IM) injection to an infant. Which site does the nurse identify as mandatory for this administration? Gluteal muscle Vastus lateralis muscle Deltoid muscle Ventrogluteal muscle

Vastus lateralis muscle

The nurse at a fertility clinic determines the risk factors for clients using oral contraceptives. Which client would be at highest risk for heart attack or stroke related to use of these contraceptives? a 15-year-old with a previous miscarriage a 22-year-old woman who drinks alcohol a 38-year-old woman who smokes a 32-year-old woman who has asthma

a 38-year-old woman who smokes

Which breathing technique(s) will the nurse teach to the client who has hypoxemia and hypercarbia? Select all that apply. deep breathing incentive spirometry pursed-lip breathing diaphragmatic breathing apply nasal strips

pursed-lip breathing diaphragmatic breathing

When assessing a client with heart failure, the nurse should immediately report which findings to the health care provider (HCP)? Select all that apply. bibasilar crackles blood pressure 108/62 mm Hg, heart rate 88 beats per minute O2 saturation 94% on room air 2-pound (0.9- Kg) weight gain in 5 days urine output 20 mL/hr confusion

urine output 20 mL/hr confusion