Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder (AHN Ch. 8)

The nurse reinforces discharge instructions to a postoperative client who is taking warfarin sodium. Which statement made by the client reflects the need for further teaching?

"I will take enteric-coated aspirin for my headaches because it is coated."

The home health care nurse is visiting a client with elevated triglyceride levels and a serum cholesterol level of 398 mg/dL. The client is taking cholestyramine. Which statement made by the client indicates the need for further teaching?

"I'll continue my nicotinic acid from the health food store."

A client is taking nicotinic acid for hyperlipidemia, and the nurse reinforces instructions to the client about the medication. Which statement by the client indicates an understanding of the instructions?

"Ibuprofen taken 30 minutes before the nicotinic acid should decrease the flushing."

Heparin sodium is prescribed for the client. Which laboratory result indicates that the heparin is prescribed at a therapeutic level?

Activated partial thromboplastin time (aPTT) of 55 seconds

Before administering a dose of digoxin to an assigned patient, the nurse observes that the patient's pulse rate is 52. What is the most appropriate nursing action?

Administer the medication

When a patient returns to the unit following cardiac catheterization, which nursing activity should follow immediately after taking of vital signs?

Assessing the patient's peripheral pulses

What is the primary goal of patient teaching after a myocardial infarction?

Assisting the patient in developing a healthy lifestyle

The nurse is providing patient teaching for a patient with Raynaud's disease. Which information should be included? (Select all that apply.)

Avoid cold Practice stress reduction techniques Comply with smoking cessation Limit caffeine intake

What is the most useful noninvasive diagnostic tool for evaluating the patient with heart failure?

echocardiogram

When a patient is receiving heparin therapy, what would be the nurse's most appropriate action?

observe emesis, urine, and stools for blood

A patient presents with dependent edema of the extremities, enlargement of the liver, oliguria, jugular vein distention, and abdominal distention. What does the nurse suspect the patient is experiencing?

right sided heart failure

A 10-year-old is diagnosed with rheumatic fever. Of all the manifestations seen in rheumatic fever, which is most likely to lead to permanent complications?

Carditis

A patient has Buerger's disease. What is the most important aspect of patient compliance to decrease signs and symptoms of Buerger's disease?

Cessation of tobacco use

What is the best nursing action that will lessen the severity of a patient's orthostatic hypotension?

Change his position routinely, especially from horizontal to vertical.

A hospitalized client with coronary artery disease complains of substernal chest pain. After checking the client's heart rate and blood pressure, the nurse administers nitroglycerin, 0.4 mg, sublingually. After 5 minutes, the client states, "My chest still hurts." Which appropriate actions would the nurse take?

Check the client's pain level Check the client's blood pressure Administer a second nitroglycerin, 0.4 mg, sublingually

What actions would the nurse expect to be used to treat heart failure? (Select all that apply.)

Diuretic agents ACE inhibitors, beta-adrenergic blockers (carvedilol), nitrates Oxygen therapy

The nurse is assessing a patient and suspects the patient is experiencing thrombophlebitis in the lower leg. What symptoms would the nurse assess?

Edema in the extremity Calf is warm to the touch Pain in the effected extremity

The nurse is planning to administer hydrochlorothiazide to a client. Which are concerns related to the administration of this medication?

Hypokalemia, hyperglycemia, sulfa allergy

The nurse is aware that the patient will benefit from the administer of streptokinase and tissue plasminogen activators when administered how long after admission for acute MI signs and symptoms?

In the first 30 minutes to 1 hour

A patient is admitted to the medical floor with a diagnosis of HF. Which assessment findings are consistent with the medical diagnosis? (Select all that apply.)

Increase in abdominal growth Pitting edema

A patient has a diagnosis of hypertension. When providing discharge teaching what should the nurse include? (Select all that apply.)

Instruction to limit sodium intake to 2g/day Education on continuing to take antihypertensive medications as prescribed

A patient experienced intense chest pain, anxiety, and nausea. The admitting diagnosis is suspected myocardial infarction. When providing care for the patient in the emergency department, the nurse must understand what about myocardial infarction?

It involves a critical reduction in blood supply to the myocardium

A client is diagnosed with an acute myocardial infarction and is receiving tissue plasminogen activator, alteplase. Which action is a priority nursing intervention?

Monitor for signs of bleeding

A 75-year-old patient is diagnosed with heart failure. The nursing diagnosis of Activity Intolerance, related to dyspnea and fatigue, would be appropriate. What nursing intervention would be most appropriate for this diagnosis?

Plan frequent rest periods

When caring for a patient whose health care provider has ordered furosemide (Lasix), what will the nurse recognize when the medication is having the desired effect? (Select all that apply.)

Production of urine is decreased; the patient's weight decreases

A patient is admitted to the hospital with a diagnosis of heart failure. Recently the patient's symptoms have been getting worse as a result of arteriosclerosis. In establishing a patient care plan, what is the primary goal of treatment?

Reduce the workload of the heart

A patient with a history of IV drug use is diagnosed with acute infective endocarditis. Which nursing intervention for this patient is most appropriate?

Restricted activity for several weeks

When providing patient teaching regarding coronary artery disease, the nurse can include which of the following when advising the patient about modifiable risk factors? (Select all that apply.)

Smoking Cholesterol level Obesity

A patient receives a diagnosis of angina pectoris, with no subsequent cardiac involvement. The health care provider prescribes nitroglycerin. What explanation would the nurse give to this patient about why this medication is given sublingually?

Superficial blood vessels promote rapid absorption of the medication

A patient has a history of angina pectoris. To decrease the pain from angina pectoris, what should the patient do?

Take a cardiac glycoside at the first symptom of cardiac pain

Isosorbide mononitrate is prescribed for a client with angina pectoris. The client tells the nurse that the medication is causing a headache. Which action would the nurse suggest to the client?

Take the medication with food

The nurse is monitoring a client who is taking propranolol. Which data collection finding would indicate a potential serious complication associated with propranolol?

The development of audible expiratory wheezes

An 86-year-old patient is receiving an intravenous infusion at 83mL/hour via an electronic infusion pump. Why is it so vital that the IV lines of older adult patients be monitored carefully?

These patients are at an increased risk for developing fluid overload of the circulatory system

A client is receiving digoxin daily. The nurse suspects digoxin toxicity after noting which signs/symptoms? (Select all that apply.)

Visual disturbances Nausea and vomiting Serum digoxin level of 2.3 ng/mL (2.93 nmol/L)

A patient is admitted with a diagnosis of possible aortic abdominal aneurysm. What is the most important factor to monitor as a possible complication?

blood pressure