Cardiovascular

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?

"I can't get rid of these hiccups."

A nurse is caring for a client who has a history of angina and is scheduled for a stress test at 1100. Which of the following statements by the client requires the nurse to contact the provider for possible rescheduling?

"I smoked a cigarette this morning to calm my nerves about having this procedure."

A nurse is caring for a client who is scheduled for a coronary artery bypass graft (CABG) in 2 hr. Which of the following client statements indicates a need for further clarification by the nurse?

"I took my warfarin last night according to my usual schedule."

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 client who has diabetes mellitus

A nurse in the emergency department is caring for a client who had an anterior myocardial infarction. The client's history reveals she is 1 week postoperative open cholecystectomy. The nurse should recognize that which of the following interventions is contraindicated?

Assisting with thrombolytic therapy

A nurse is monitoring a client following coronary artery bypass graft surgery. Which of the following findings can indicate cardiac tamponade?

Blood pressure 140/82 mm Hg on inspiration and 154/90 mm Hg on expiration

A nurse is caring for a client in the first 8 hr following coronary artery bypass graft (CABG) surgery. Which of the following client findings should the nurse report to the provider?

Blood pressure 160/80 mm Hg

A nurse is reviewing the laboratory results of several 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?

Cholesterol 190 mg/dL, HDL 25 mg/dL, LDL 160 mg/dL

A nurse is assessing a client in the emergency room who has a bradydysrhythmia. Which of the following findings should the nurse expect?

Confusion

A nurse is caring for a client who had an onset of chest pain 24 hr ago. The nurse should recognize that an increase in which of the following is diagnostic of a myocardial infarction (MI)?

Creatine kinase-MB

A nurse is caring for a client who has a history of deep-vein thrombosis and is receiving warfarin. Which of the following client findings provides the nurse with the best evidence regarding the effectiveness of the warfarin therapy?

INR 2.5

A nurse is performing a cardiac assessment on a client. Identify the area the nurse should inspect when evaluating the point of maximal impulse.

Image: (Second box on bottom)

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 status ulcer?

Inquire about the presence or absence of claudication.

A nurse is caring for a client who has dilated cardiomyopathy. The client reports increasing difficulty completing her daily 1-mile walks. The nurse should recognize that this is a finding of which of the following?

Left ventricular failure

A nurse caring for a client who is being treated for heart failure and has prescriptions for digoxin and furosemide. The nurse should plan to monitor for which of the following as an adverse effect of these medications?

Lightheadedness

A nurse is planning a presentation about hypertension for a community women's group. Which of the following lifestyle modifications should the nurse include? (Select all that apply.)

Limited alcohol intake. Regular exercise program. Smoking cessation

A client who has a new diagnosis of hypertension has a prescription for an ACE inhibitor. The nurse instructs the client about the adverse effects of the medication. The client demonstrates an understanding of the teaching by stating that he will notify his provider if he experiences which of the following?

Persistent cough

A nurse is caring for a client who presents to the emergency department with a blood pressure of 254/139 mm Hg. The nurse recognizes that the client is in hypertensive crisis. Which of the following actions should the nurse take first?

Place the head of the bed at 45°.

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?

Place the patch on an area of skin away from skin folds and joints.

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?

Previous allergic reaction to shellfish.

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?

Slurred speech

A nurse is reviewing the medical record of a client who is receiving heparin therapy for treatment of deep-vein thrombosis. Which of the following interventions should the nurse anticipate taking if the client's aPTT is 96 seconds?

Stop the heparin infusion.

A nurse is caring for a client following an abdominal aortic aneurysm resection. Which of the following is the priority assessment for this client?

Urine output

A nurse is caring for a client in the first hour following an aortic aneurysm repair. Which of the following findings can indicate shock and should be reported to the provider?

Urine output of 20 ml/hr

A nurse is watching a client's ECG monitor and notes that the client's rhythm has changed from a normal sinus rhythm to supraventricular tachycardia. The client is conscious with a heart rate of 200 to 210/min and has a faint radial pulse. The nurse should anticipate assisting with which of the following interventions?

Vagal stimulation

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

Valvular disease

A nurse is assessing a client who has left-sided heart failure. Which of the following manifestations should the nurse expect to find?

Weak peripheral pulses

A nurse is proving discharge teaching for a client who has heart failure. The nurse should instruct the client to report which of the following findings to the provider?

Weight gain of 0.9 kg (2 lb) in 24 hr

A nurse providing teaching for a client who is 2 days postoperative following a heart transplant. Which of the following statements should the nurse include in teaching?

You may no longer be able to feel chest pain.

A nurse is reviewing the ECG rhythm strip of a client who is receiving telemetry. Identify the area of the strip the nurse should examine to observe for atrial depolarization.

Image: (The first box)