Cardio

A client arrives at the outpatient clinic with a painful leg ulcer, and the nurse performs a physical assessment. Which clinical findings in the lower extremity support a diagnosis of an arterial ulcer? (Select all that apply.) 1.Lack of hair 2.Thickened toenails 3.Pain at the ulcer site 4.Diminished pedal pulse 5.Brown skin discoloration

1.Lack of hair 2.Thickened toenails 3.Pain at the ulcer site 4.Diminished pedal pulse

A client develops internal bleeding after an abdominal surgery. Which signs and symptoms of hemorrhage should the nurse expect the client to exhibit? (Select all that apply.) 1.Pallor 2.Polyuria 3.Bradypnea 4.Tachycardia 5.Hypertension

1.Pallor 4.Tachycardia

A nurse identifies premature ventricular complexes (PVCs) on a client's cardiac monitor and concludes that these complexes are a sign of: 1.Atrial fibrillation 2.Cardiac irritability 3.Impending heart block 4.Ventricular tachycardia

2.Cardiac irritability

A nurse is caring for a client who has a prescription for a diuretic, 2-gram sodium diet, and an oral fluid restriction of 1200 mL daily. The most recent laboratory results are blood urea nitrogen (BUN) level 42 mg/dL and creatinine 1.1 mg/dL. Considering the assessment findings, what is the most appropriate intervention by the nurse? 1.Sending the client's urine for analysis 2.Expecting an increase in the oral fluid intake 3.Placing the client on strict intake and output measurements 4.Notifying a nutritionist/dietitian so that sodium can be restricted further

2.Expecting an increase in the oral fluid intake

The nurse is caring for a client with an abdominal aortic aneurysm before surgery. Which nursing care is essential preoperatively? 1.Administering supplemental oxygen 2.Maintaining a reduced blood pressure 3.Keeping the client in a supine position 4.Monitoring the peripheral vascular status

2.Maintaining a reduced blood pressure

Valsartan (Diovan), an angiotensin II receptor antagonist, is prescribed for a client. For which possible side effects should the nurse monitor the client? (Select all that apply.) 1.Constipation 2.Hypokalemia 3.Irregular pulse rate 4.Change in visual acuity 5.Orthostatic hypotension

3.Irregular pulse rate 5.Orthostatic hypotension

Thrombus formation is a danger for postoperative clients. Which independent interventions should the nurse perform to prevent this complication? (Select all that apply.) 1.Increase the client's intravenous (IV) flow rate 2.Massage the client's extremities with lotion 3.Place the client's legs in pneumatic stockings 4.Instruct the client to avoid crossing the legs 5.Instruct the client to dorsiflex the feet routinely

4.Instruct the client to avoid crossing the legs 5.Instruct the client to dorsiflex the feet routinely

A client with impaired peripheral pulses and signs of chronic hypoxia in a lower extremity is scheduled for a femoral angiogram. What would be appropriate for the nurse to include in the postprocedure plan of care? 1.Elevate the foot of the bed 2.Perform urinary catheter care every 12 hours 3.Place in the high-Fowler position 4.Perform a neurovascular assessment every two hours

4.Perform a neurovascular assessment every two hours

A client with rheumatoid arthritis has been taking a steroid medication for the past year. For which complication of prolonged use of this medication should the nurse assess the client? 1.Decreased white blood cells 2.Increased C-reactive protein 3.Increased sedimentation rate 4.Decreased serum glucose levels

1.Decreased white blood cells

A nurse is caring for a client with right-sided heart failure. Which are key features of right-sided heart failure? (Select all that apply.) 1.Dependent edema 2.Distended abdomen 3.Polyuria at night 4.Collapsed neck veins 5.Cool extremities

1.Dependent edema 2.Distended abdomen 3.Polyuria at night

A client with heart failure is digitalized and placed on a maintenance dose of digoxin (Lanoxin) 0.25 mg by mouth daily. What responses does the nurse expect the client to exhibit when a therapeutic effect of digoxin is achieved? 1.Diuresis and decreased pulse rate 2.Increased blood pressure and weight loss 3.Regular pulse rhythm and stable fluid balance 4.Corrected heart murmur and decreased pulse pressure

1.Diuresis and decreased pulse rate

Which factors should the nurse identify that can precipitate hyponatremia? (Select all that apply.) 1.Gastrointestinal (GI) suction 2.Diuretic therapy 3.Inadequate antidiuretic hormone (ADH) secretion 4.Continuous bladder irrigation 5.Parenteral infusion of 0.9% sodium chloride

1.Gastrointestinal (GI) suction 2.Diuretic therapy 4.Continuous bladder irrigation

A client's diet is modified to eliminate foods that act as cardiac stimulants. The nurse should teach the client to avoid what foods? (Select all that apply.) 1.Iced tea 2.Red meat 3.Club soda 4.Hot cocoa 5.Chocolate pudding

1.Iced tea 4.Hot cocoa 5.Chocolate pudding

A nurse is caring for a client with varicose veins. Which clinical manifestations should the nurse expect with this diagnosis? (Select all that apply.) 1.Presence of ankle edema 2.Increased muscle fatigue 3.Diminished peripheral pulses 4.Report of nocturnal leg cramps 5.Leg pain with activity that diminishes with rest

1.Presence of ankle edema 2.Increased muscle fatigue 4.Report of nocturnal leg cramps

A client is brought to the emergency department with moderate substernal chest pain radiating to the inner aspect of the left arm, unrelieved by rest and nitroglycerin. The pain is associated with slight nausea and anxiety. What is the priority nursing intervention for this client? 1.Provide pain medication 2.Obtain an electrocardiogram (ECG) 3.Transfer to the coronary care unit 4.Have a blood specimen drawn for enzyme studies

1.Provide pain medication

What is the most objective way that a nurse can assess the extent of edema in a client? 1.Weighing the client 2.Monitoring the intake and output 3.Performing the Trendelenburg test 4.Assessing the extent of pitting edema

1.Weighing the client

A nurse provides dietary instruction to a client who has iron deficiency anemia. Which food choices by the client does the nurse consider most desirable? (Select all that apply.) 1.Raw carrots 2.Boiled spinach 3.Sweet potatoes 4.Brussels sprouts 5.Asparagus spears

2.Boiled spinach 3.Sweet potatoes

The nurse is reviewing a teaching plan for a client that has been prescribed a 2-gram sodium diet. The plan should include which foods that are low in sodium? 1.Meat and fish 2.Fruits and juices 3.Milk and cheese 4.Dry cereals and grains

2.Fruits and juices

A client has been experiencing extreme fatigue lately. The nurse suspects anemia and examines the client to identify additional clinical manifestations to support this inference. What locations on the client's body should the nurse assess? (Select all that apply.) 1.Sclera 2.Nail beds 3.Lining of eyelids 4.Palms of hands 5.Bony prominences

2.Nail beds 3.Lining of eyelids 4.Palms of hands

A nurse provides instruction when the beta-blocker atenolol (Tenormin) is prescribed for a client with moderate hypertension. What action identified by the client indicates to the nurse that the client needs further teaching? 1.Move slowly when changing positions. 2.Take the medication before going to bed. 3.Expect to feel drowsy when taking this drug. 4.Count the pulse before taking the medication

2.Take the medication before going to bed

A client has surgery to replace a prolapsed mitral valve. What should the nurse teach the client? 1.The signs and symptoms of pericarditis 2.The possible need for prophylactic antibiotic therapy before dental work 3.That cardiac surgery will have to be done eventually for the other valves 4.That pregnancy and childbirth are too stressful when one has this problem

2.The possible need for prophylactic antibiotic therapy before dental work

The nurse is providing teaching to a client who is scheduled for a cardiac catheterization via the femoral approach. The teaching includes that the client will be: 1.Ambulated shortly after being transferred to the inpatient room after the procedure. 2.Given a general anesthesia and therefore will be asleep during the procedure. 3.In the supine position with the affected leg extended for several hours postprocedure. 4.Given only clear liquids for the remainder of the procedure day

3.In the supine position with the affected leg extended for several hours postprocedure.

A nurse reviews the laboratory test results of a client with emphysema who is recovering from a myocardial infarction. The nurse obtains the client's vital signs and performs a physical assessment. Which prescribed medication should the nurse consider the priority at this time? 1.Albuterol (Proventil) 2.Warfarin (Coumadin) 3.Metoprolol (Lopresor) 4.Acetaminophen (Tylenol)

3.Metoprolol (Lopresor)

A nurse begins to develop a plan of care with a client who has left ventricular heart failure that resulted from a myocardial infarction (MI). What should be the primary focus of the plan during the acute phase of recovery? 1.Increasing activity tolerance 2.Preventing cardiac dysrhythmias 3.Promoting physical and emotional rest 4.Maintaining potassium and sodium intake

3.Promoting physical and emotional rest

The nurse is making rounds on a patient who has developed severe bone marrow depression after receiving chemotherapy for cancer. Which of these actions by the nurse is appropriate? (Select all that apply.) 1.Monitor for signs of alopecia. 2.Encourage an increase in fluids. 3.Wash hands before entering the client's room. 4.Advise use of a soft toothbrush for oral hygiene. 5.Report an elevation in temperature immediately. 6.Encourage the client to eat raw, fresh fruits and vegetables

3.Wash hands before entering the client's room. 4.Advise use of a soft toothbrush for oral hygiene. 5.Report an elevation in temperature immediately.

Amlodipine (Norvasc) is prescribed for a client with hypertension. Which response to the medication should the nurse instruct the client to report to the health care provider? 1.Blurred vision 2.Dizziness on rising 3.Excessive urination 4.Difficulty breathing

4.Difficulty breathing

A client takes isosorbide dinitrate (Isordil) daily. The client states, "I would like to start taking sildenafil (Viagra) for erectile dysfunction. I was told I can't take sildenafil and isosorbide dinitrate at the same time." The nurse explains that taking both of these medications concurrently may result in severe: 1.Nausea 2.Tachypnea 3.Constipation 4.Hypotension

4.Hypotension

A client with bilateral varicose veins of the lower extremities questions the nurse about the brownish discoloration of the lower legs. The best response by the nurse is, "This is probably the result of: 1.Inadequate arterial blood supply." 2.Delayed healing of tissues after an injury." 3.Increased production of melanin in the area." 4.Leakage of red blood cells through the vascular wall."

4.Leakage of red blood cells through the vascular wall."

A client with a history of hypertension and left ventricular failure arrives for a scheduled clinic appointment and tells the nurse, "My feet are killing me. These shoes got so tight." The nurse's best initial action is to: 1.Weigh the client 2.Notify the primary health care provider 3.Take the client's pulse rate 4.Listen to the client's breath sounds

4.Listen to the client's breath sounds

A client is brought to the emergency department after an automobile collision. The client's blood pressure is 100/60 mm Hg, and the physical assessment suggests a ruptured spleen. For which early clinical indicator of decreased arterial pressure should the nurse assess the client? 1.Warm, flushed skin 2.Increased pulse pressure 3.Lethargy with confusion 4.Reduced peripheral pulses

4.Reduced peripheral pulses