CAI Week 3 quiz

A nurse is caring for a client who came to the emergency department reporting chest pain. The provider suspects a MI. While waiting for the troponin levels report, the client asks what the blood test will show. Which of the following explanation should the nurse provide to the client?

Troponin is a heart muscle protein that appears in the bloodstream when there is damage to the heart

A nurse is caring for a client who reports a new onset of severe chest pain. Which of the following actions should the nurse take to determine if the client is experiencing a myocardial infarction?

perform a 12-lead ecg

A nurse in a cardiac care unit is caring for a client with acute right-sided heart failure. Which of the following findings should the nurse expect?

Elevated CVP

A nurse is teaching the partner of a client who had an acute myocardial infarction about the reason blood was drawn from the client. Which of the following statement should the nurse make regarding cardiac enzymes?

"These tests help determine the degree of damage to the heart tissues."

A nurse is admitting a client who has acute heart failure following myocardial infarction. The nurse recognizes that which of the following prescriptions by the provider requires clarification?

0.9% normal saline IV at 50 mL/hr continuous

In which patient would a mechanical prosthetic valve be preferred over a biologic valve for a valve replacement?

35 year old man with a history of seasonal asthma.

A nurse is assessing for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect?

Decrease in systolic pressure by more than 10 mm Hg during inspiration

A nurse is providing teaching to a client who is post op following a CABG surgery and is receiving opioid medication to manage discomfort. Aside from managing pain, which of the following desired effects of medication should the nurse identify as most important for the client's recovery?

It facilitates the client's deep breathing.

A nurse is planning care for a client following a cardiac catherization accessed through his femoral artery. Which of the following actions should the nurse plan to take?

Perform neuro checks with vitals

A nurse is completing discharge planning for a client who has bacterial endocarditis. The client will need to receive 12 weeks of antibiotic therapy. Which of the following venous access devices would be appropriate for the client?

Peripherally inserted central catheter

What is the most important role of the nurse in preventing rheumatic fever?

Promote the early diagnosis and immediate treatment of group A streptococcal pharyngitis.

A nurse is caring for a client who has valvular heart disease and is at risk for developing left-sided heart failure. Which of the following manifestations

breathlessness

A nurse at a provider's office receives a phone call from a client who reports unrelieved chest pain after taking a nitroglycerin (Nitrostat) tablet 5 minutes ago. Which of the following is an appropriate response by the nurse?

call 911

A nurse is assessing a client who has infective endocarditis. Which of the following should be the priority for the nurse to report to the provider?

dyspnea

A nurse is caring for a client who has infective endocarditis. Which of the following manifestations is the priority for the nurse to monitor?

dyspnea

A nurse is providing teaching for a client who has a new diagnosis of angina pectoris. The nurse should give the client which of the following information about anginal pain?

exertion and anxiety can trigger the pain

A nurse is caring for a client 4hr following a cardiac catherization. Which of the following actions should the nurse take?

have the client lie flat in bed

A nurse in the ICU is caring for a client who has heart failure and is receiving a dobutamine drip. The nurse should identify that which of the following medication finding indicates that the medication is effective?

increased heart rate

While admitting a client for a cardiac catheterization, the nurse asks the client about allergies. The client states, "I always get a rash when I eat shellfish." Which of the following is the priority nursing intervention?

notify provider

A nurse on a medical-surgical unit is caring for a client who reports pain in the jaw, back, and shoulder, and shortness of breath and nausea. Which of the following actions should the nurse take?

obtain an EKG

A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse for a therapeutic effect of warfarin?

prothrombin time

The nurse is evaluating a client who had a cardiac catheterization with a left antecubital insertion site. Which of thefollowing pulses should the nurse palpate?

radial pulse in the left arm

A nurse in the emergency department is caring for client who is experiencing manifestations of MI. Which of the following laboratory tests should the nurse expect the provider to prescribe?

troponin