cardiovascular passpoint

During surgery, a client develops sinus bradycardia. The physician orders atropine sulfate. Which dose and route should the nurse use? - 2 mg I.M. - 1 mg I.V. - 0.6 mg I.M. - 2 mg I.V.

1 mg I.V.

A client who has undergone a mitral valve replacement has had a mediastinal chest tube inserted. The client has persistent bleeding from the sternal incision during the early postoperative period. What action(s) should the nurse take? Select all that apply: - Monitor the mediastinal chest tube drainage. - Confirm the availability of blood products. - Administer warfarin. - Check the postoperative complete blood count (CBC), international normalized ratio (INR), partial thromboplastin time (PTT), and platelet levels. - Start a dopamine drip for a systolic blood pressure of less than 100 mm Hg.

Check the postoperative complete blood count (CBC), international normalized ratio (INR), partial thromboplastin time (PTT), and platelet levels. Confirm the availability of blood products. Monitor the mediastinal chest tube drainage.

The nurse is admitting an older adult to the hospital. The echocardiogram report revealed left ventricular enlargement. The nurse notes 2+ pitting edema in the ankles when getting the client into bed. Based on this finding, what should the nurse do first? - Assess respiratory status. - Draw blood for laboratory studies. - Insert a Foley catheter. - Weigh the client.

Assess respiratory status.

For each assessment finding, click to specify if the finding indicates digoxin toxicity or salicylate toxicity. Each finding may support more than one condition. Assessment Finding: Dizziness Abdominal discomfort Loss of appetite Yellow-green halos

Dizziness - digoxin toxicity, salicylate toxicity Abdominal discomfort - digoxin toxicity, salicylate toxicity Loss of appetite - digoxin toxicity Yellow-green halos - digoxin toxicity

A nurse is evaluating a client who had a myocardial infarction (MI) 7 days earlier. Which outcome indicates that the client is responding favorably to therapy? - The client demonstrates ability to tolerate more activity without chest pain. - The client exhibits a heart rate within normal limits. - The client requests information regarding smoking cessation. - The client is able to verbalize the action of all prescribed medications.

The client demonstrates ability to tolerate more activity without chest pain.

A client is recovering from an acute myocardial infarction (MI). During the first week of the client's recovery, the nurse should stay alert for which abnormal heart sound? - opening snap - Graham Steele murmur - pericardial friction rub - ejection click

pericardial friction rub

A client with a UTI exhibits these vital signs; blood pressure of 90/60 mm Hg, respiratory rate of 24 breaths per minute, and heart rate 100 beats per minute. Which nursing action would be most appropriate for this client? - placing the client in modified Trendelenburg position - assisting the client to lateral position - assisting the client to the lithotomy position - increasing the head of bed to semi-Fowler's position

placing the client in modified Trendelenburg position

A nurse is preparing a teaching plan for a client with thromboangiitis obliterans (Buerger's disease). Which goal is the highest priority for this client? - begin a walking exercise program - report wounds promptly to healthcare provider - stop smoking - avoid trauma to extremities

stop smoking

The transducer system of an arterial line was disconnected from the monitoring cable. What is the best action by the nurse after reconnecting the transducer system to the monitoring cable? - Perform a dynamic response test. - Change the tubing. - Zero the transducer system. - Perform a square wave test.

Zero the transducer system.

When assessing a client with left-sided heart failure, the nurse expects to note - pitting edema of the legs. - air hunger. - jugular vein distention. - ascites.

air hunger.

Three days after mitral valve replacement surgery, the client tells the nurse there is a "clicking" noise coming from the chest incision. The nurse's response should reflect the understanding that the client may be experiencing: - anxiety related to altered body image. - depression related to altered health status. - lack of knowledge regarding the postoperative course. - altered tissue perfusion.

anxiety related to altered body image.

The nurse is monitoring a client postoperatively after a permanent pacemaker insertion. Which finding would be most concerning to the nurse? - urine output of 30 mL over 1 hour - heart rate of 48 beats/minute - blood pressure of 160/91 mm Hg - reports of left chest soreness

heart rate of 48 beats/minute

A client with stage IV heart failure documents in an advance directive that no ventilatory support should be provided. What should the nurse do when the client begins experiencing severe dyspnea? - Coach the client to take slow deep breaths. - Administer oxygen, morphine, and a bronchodilator for comfort. - Ask the client's family to consent to ventilator placement. - Ask the healthcare provider to prescribe bilevel positive airway pressure (BIPAP).

Administer oxygen, morphine, and a bronchodilator for comfort.

The nurse is planning the care for a client with risk factors for atherosclerosis. What should the nurse include in the teaching plan for this client as modifiable risk factors? Select all that apply: - e-cigarette use - gender - genetics - stress - hypertension

e-cigarette use hypertension stress