Cardiac

A nurse is monitoring for reperfusion following thrombolytic therapy to treat acute MI. Which of the following indicatiors should the nurse identify to confirm reperfusion? a. ventricular dysrhythmias b. appearance of Q waves c. Elevated ST segments d. recurrence of chest pain

A

While participating in a community health fair, a nurse is providing information to a client who has a blood pressure of 150/90 mmHg during screening. Which of the following actions should the nurse take? a. give the client a written record of his BP to bring to his provider b. encourage the client to go to the nearest emergency department c. instruct the client to follow up with a provider within 6 months d. explain to the client that he is not at risk unless he has manifestations of hypertension.

A

A nurse is examining the ECG of a client who is having an acute MI. The nurse should identify that the elevated ST segments of the ECG indicate which of the following alterations? a. necrosis b. hypokalemia c. hypomagnesemia d. insufficiency

A necrosis

A nurse is assisting in collecting data from a client who has a history of unstable angina. Which of the following findings should the nurse expect? a. the client reports chest pain at rest b. nitro relieves chest pain c. physical exertion does not precipitate chest pain. d. chest pain lasts less than 5 min.

A the client reports chest pain when at rest

A nurse is caring for a client who has late-stage heart failure and is experiencing fluid volume overload. Which of the following findings should the nurse expect? a. weight gain of 1 kg (2.2 lb) in one day b. pitting edema +1 c. client reports a nocturnal cough d. B type Natriuretic peptide (BNP) level of 100 pg/mL

A weight gain of 1 kg in one day

A nurse is teaching a client who has CAD about the difference between angina pectoris and MI. Which of the following manifestations should the nurse identify as indications of MI? a. nausea/vomiting b. diaphoresis and dizziness c. chest and left arm pain that subsides with rest d. anxiety and feelings of doom e. bounding pulse and bradypnea

A, B, D

A nurse is collecting data from a client who has fluid volume overload resulting from a CVD. Which of the following manifestations should the nurse expect? SATA a. jugular vein distention b. moist crackles c. postural hypotension d. increased HR e. fever

A,B,C

A nurse is reinforcing teaching about lifestyle changes with a client who had a myocardial infarction and has a new prescription for a beta blocker. Which of the following client statements indicates an understanding of the teaching? a. I should eat food high in saturated fats b. before taking my medication, I will check my blood pressure and radial pulse rate. c. I will exercise once a week for an hour at the health club. d. I will stop taking my medication when my blood pressure is within a normal range.

B

A nurse on a telemetry unit is caring for a client who has an irregular radial pulse. Which of the following ECG abnormalities should the nurse recognize as atrial flutter? a. P waves occurring at 0.16 seconds before each QRS complex b. atrial rate of 300/min with QRS complex of 80/min c. ventricular rate of 82/min with an atrial rate of 80/min d. irregular ventricular rate of 125/min with a wide QRS pattern

B

A nurse completing an assessment on a client. Which of the following findings should the nurse identify as a risk factor for CAD? SATA a. hypothyroidism b. hypertension c. diabetes mellitus d. hyperlipidemia e. tobacco smoking

B,C,D,E

A client who just learned that he has variant (prinzmetal's) angina. Which of the following replies should the nurse make? a. exertion often brings on pain b. variant angina occurs randomly at various times c. variant angina can cause changes on your ECG d. reducing your cholesterol can help you experience less pain

C

A nurse is preparing an in service presentation about assessing clients who are having an acute myocardial infartion. What is the most common assessment finding with acute MI? a. dyspnea b. pain in the shoulder and left arm c. substernal chest pain d. palpitations

C substernal chest pain

A nurse is caring for a client who has advances heart failure. Which of the following actions should the nurse take? a. place the client in low-fowlers position b assist the client to use the incentive spirometer every 4 hr. c. weigh the client every other day. d. enforce fluid restrictions

D

A nurse is planning care for a client who is having a percutaneous transluminal coronary angioplasty (PTCA) with stent placement. Which of the following actions should the nurse anticipate in the post-procedure plan of care? a. instruct the client about a long term cradiac conditioning program b. administer scheduled doses of acetaminophen c. check for peak lab markers of myocardial damage d. monitor for bleeding.

D monitor for bleeding

A nurse is caring for a client who has heart failure and is lethargic with muscle weakness. The client's telemetry reading displays dysrhythmias. Which of the following laboratory results should the nurse anticipate? a. potassium 2.8 b. digoxin 0.7 ng c. hgb 11.5 d. calcium 8.0

a

A nurse is caring for a client who had a myocardial infarction 5 days ago. The client has a sudden onset of shortness of breath and begins coughing frothy, pink sputum. The nurse auscultates loud, bubbly sounds on inspiration. Which of the following adventitious breath sounds should the nurse document? a. wheeze b. coarse crackles c. rhonchi d. friction rub

b. coarse crackles

a nurse is collecting data from a client who has pericarditis. Which of the following manifestations should the nurse expect? a. bradycardia b. relief of chest pain with deep inspiration. c. dyspnea d. chest pain that increases when sitting upright

c. dyspnea

A nurse is caring for a client who is having a possible MI. Which of the following findings should the nurse identify as an associated manifestation of an MI? a. headache b. hemoptysis c. nausea d. diarrhea

c. nausea

A nurse is assisting in monitoring a client who had a myocardial infarction. For which of the following complications should the nurse monitor in the first 24 hr? a. infective endocarditis b. pericarditis c. ventricular dysrhythmias d. pulmonary emboli

c. ventricular dysrhythmias

A nurse is assisting in the plan of care for a client who is having a percutaneous transluminal coronary angioplasty (PTCA) with stent placement. Which of the following actions should the nurse anticipate in the postoperative plan of care? a. reinforce teaching with the client about a long-term conditioning program b. administer scheduled doses of acetaminophen. c. check for peak lab markers of myocardial damage. d. initiate an aspirin regimen.

d

A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect? a. decreased cap refill b. dyspnea c. dizziness d. dependent edema

d