ch 30, 31, 32 questions MED SURG questions test 3

A client with chronic heart failure has been prescribed ivabradine. Which assessment data requires the nurse to contact the health care provider before administering this medication? A. Hypotension B. Ejection fraction of 29% C. Resting heart rate 80 beats/min D. Patient is currently on a beta blocker

A. Hypotension

You are suctioning a tracheostomy tube and during the patient becomes diaphoretic and the heart rate drop to 35 beats per minute. What do you do? A. continue the suctioning and then listen to the heart B. immediately stop suctioning C. give atropine D. call a rapid response

B. immediately stop suctioning

The nurse administers amiodarone to a client with ventricular tachycardia. Which monitoring by the nurse is necessary with this drug? (Select all that apply.) A. Urine output B. Respiratory rate C. Heart rate D. Heart rhythm E. QT interval

C. Heart rate D. Heart rhythm E. QT interval

The nurse expects which outcome in a client who is taking a beta blocker for mild heart failure? A. Increased orthopnea B. Improved urinary output C. Improved activity tolerance D. Increased myocardial contractility

C. Improved activity tolerance

Which assessment finding does the nurse anticipate in a client with right-sided heart failure? (Select all that apply.) A. Pulmonary congestion B. Shortness of breath C. Neck vein distension D. Enlarged abdominal girth E. A third heart sound

C. Neck vein distension D. Enlarged abdominal girth

The nurse is caring for a client who experienced a recent cardiac event. Which client statement indicates maladaptive denial? A. "I don't need to change. It hasn't killed me yet." B. "I don't think it is as bad as the doctors say." C. "I don't know how I am going to change my lifestyle." D. "I will have to change my diet and exercise more."

A. "I don't need to change. It hasn't killed me yet."

The nurse is teaching a client with a new permanent pacemaker. Which client statement indicates a need for further teaching? A. "I no longer need my heart pills." B. "I need to take my pulse every day." C. "I will be able to shower again soon." D. "I might trigger airport security metal detectors."

A. "I no longer need my heart pills."

The nurse is caring for a client with heart failure. What assessment data will the nurse anticipate? (Select all that apply.) A. Fatigue B. Sleeping on back without a pillow C. Chest discomfort or pain D. Tachycardia E. Expectorating thick, yellow sputum

A. Fatigue C. Chest discomfort or pain D. Tachycardia

Which nursing statement reflects appropriate cardiac physical assessment technique? A. "I will auscultate the aortic valve in the second intercostal space at the right sternal border." B. "I will palpate the apical pulse over the third intercostal space in the midclavicular line." C. "I will assess for orthostatic hypotension by moving the client from a standing to a reclining position." D. "I will assess for carotid bruit by auscultating over the anterior neck."

A. "I will auscultate the aortic valve in the second intercostal space at the right sternal border."

The nurse is assessing the client's heart sounds. Which instruction will the nurse provide if there is difficulty in hearing heart sounds? A. "Please roll onto your left side" B. "Lay all the way down on your back" C. "Please hold your breath while I use my stethoscope" D. "I will just take your pulse instead"

A. "Please roll onto your left side"

What teaching will the nurse provide to a client who says, "Smoking doesn't hurt my heart"? A. "Smoking increases risks for heart disease." B. "Lungs are the only organ damaged by smoking." C. "The impact of smoking is only on the heart." D. "Are you worried about smoking?"

A. "Smoking increases risks for heart disease."

The nurse is teaching a client about the risk for brady dysrhythmias. What teaching will the nurse include? A. "Use a stool softener." B. "Stop smoking and avoid caffeine." C. "Avoid potassium-containing foods." D. "Take nitroglycerin for a slow heartbeat."

A. "Use a stool softener."

Which risk factors are known to contribute to atrial fibrillation? (Select all that apply.) A. Advancing age B. Palpitations C. High blood pressure D. Excessive alcohol use E. Use of beta blockers

A. Advancing age C. High blood pressure D. Excessive alcohol use

The nurse caring for a client with heart failure who is taking digoxin. What assessment data requires that nurse notify the health care provider? (Select all that apply.) A. Anorexia B. Blurred vision C. Fatigue D. Heart rate 110/beats/min E. Serum digoxin level of 1.5 ng/mL (1.92 nmol/L)

A. Anorexia B. Blurred vision C. Fatigue

The home health nurse visits a client with heart failure who has gained 5 lb (2.3 kg) in the past 3 days. The client states, "I feel so tired and short of breath." Which action does the nurse take first? A. Auscultate the client's posterior breath sounds. B. Notify the health care provider about the client's weight gain. C. Remind the client about dietary sodium restrictions. D. Assess the client for peripheral edema.

A. Auscultate the client's posterior breath sounds.

The nurse is conducting an admission assessment on a male client. Which assessment data does the nurse identify as a risk factor for cardiovascular disease? SATA A. BMI of 25 B. BP 126/66 C. Triglycerides of 140 D. Moderate exercise for 20 to 30 minutes weekly E. Exposure to secondhand cigarette smoke F. Family history of cardiovascular disease

A. BMI of 25 D. Moderate exercise for 20 to 30 minutes weekly E. Exposure to secondhand cigarette smoke F. Family history of cardiovascular disease

The nurse is caring for a client with heart rate of 143 beats/min. Which assessment data will the nurse anticipate? (Select all that apply.) A. Chest discomfort B. Hypotension C. Flushing of the skin D. Increased energy E. Palpitations

A. Chest discomfort B. Hypotension E. Palpitations

The client asks the nurse about modifiable risk factors for heart disease. What nursing response is appropriate? (Select all that apply.) A. Cigarette smoking is one of the most significant modifiable risk factors. B. Your personal health over the past 10 years a modifiable risk. C. Your overall body mass index is nonmodifiable. D. Increasing physical exercise is a method to modify your risk. E. Diabetes mellitus is a modifiable risk factor.

A. Cigarette smoking is one of the most significant modifiable risk factors. D. Increasing physical exercise is a method to modify your risk.

The nurse is caring for a client with heart failure in a cardiac clinic. What assessment data indicates that the client has demonstrated a positive outcome related to the addition of metoprolol to the medication regimen? A. Client states, "I can sleep on one pillow." B. Current ejection fraction is 25%. C. Client reports feeling like her heart beats very fast at times. D. Records indicate five episodes of pulmonary edema last year.

A. Client states, "I can sleep on one pillow."

The nurse is teaching a client with a new pacemaker. What teaching will the nurse include? (Select all that apply.) A. Do not lean over electrical or gasoline motors. B. Take your pulse for 20 seconds each day and record the rate. C. You may bathe, taking only showers. D. Be sure that you remember the rate at which your pacemaker is set. E. Avoid the use of microwave ovens. F. Avoid sudden, jerky movements for 8 weeks.

A. Do not lean over electrical or gasoline motors. D. Be sure that you remember the rate at which your pacemaker is set. F. Avoid sudden, jerky movements for 8 weeks.

Which nursing action may be delegated to assistive personnel (AP) working on the medical unit? A. Obtain daily weights for several clients with class IV heart failure. B. Check for peripheral edema in a client with endocarditis. C. Monitor the pain level for a client with acute pericarditis. D. Determine the usual alcohol intake for a client with cardiomyopathy.

A. Obtain daily weights for several clients with class IV heart failure.

Which intervention best assists the client with acute pulmonary edema in reducing anxiety and dyspnea? A. Place the client in high-Fowler position with the legs down. B. Reassure the client that distress can be relieved with proper intervention. C. Ask a family member to remain with the client. D. Monitor pulse oximetry and cardiac rate and rhythm.

A. Place the client in high-Fowler position with the legs down.

The nurse is reviewing the medical record of a client admitted with heart failure. Which laboratory result warrants a call to the primary health care provider by the nurse for further instructions? A. Potassium 3.0 mEq/L (3.0 mmol/L) B. Magnesium 2.1 mEq/L (1 mmol/L) C. International normalized ratio (INR) of 1.0 D. Calcium 8.5 mEq/L (4.25 mmol/L)

A. Potassium 3.0 mEq/L (3.0 mmol/L)

The nurse is teaching a class on risk factors for cardiovascular disease. Which risk factors will the nurse include? (Select all that apply.) A. Smoking history B. Elevated high-density lipoprotein C. (HDL) level D. Decreased bone density E. Low blood pressure F. Family history of heart disease G. Fiber-rich diet H. Elevated C-reactive protein levels I. Diabetes Mellitus

A. Smoking history F. Family history of heart disease H. Elevated C-reactive protein levels I. Diabetes Mellitus

A client admitted for heart failure has a priority problem of hypervolemia related to compromised regulatory mechanisms. Which nursing assessment data, obtained the day after admission, is the best indicator that the treatment has been effective? A. The client's weight decreases by 2.5 kg. B. The client has diuresis of 400 mL in 24 hours. C. The client's blood pressure is 122/84 mm Hg. D. The client has an apical pulse of 82 beats/min.

A. The client's weight decreases by 2.5 kg.

A client who is to undergo cardiac catheterization must be taught which essential information by the nurse? A. "Take your oral hypoglycemic with a sip of water on the morning of the procedure." B. "Keep your affected leg straight for 2 to 6 hours." C. "Do not take your blood pressure medications on the day of the procedure." D. "Monitor the pulses in your feet when you get home."

B. "Keep your affected leg straight for 2 to 6 hours."

Which intervention provides safety during cardioversion? A. Setting the defibrillator at 220 joules B. Setting the defibrillator to the synchronized mode C. Applying oxygen D. Obtaining informed consent

B. Setting the defibrillator to the synchronized mode

While suctioning a client with a tracheostomy, the client becomes diaphoretic and nauseous and the heart rate decreases 37 beats/min. What is the priority nursing action? A. Continue to clear the airway B. Stop suctioning the patient C. Administer atropine D. Call the health care provider immediately

B. Stop suctioning the patient

The nurse discusses the importance of restricting sodium in the diet for a client with heart failure. Which client statement indicates the need for further teaching? A. "I won't put the salt shaker on the table anymore." B. "I need to avoid eating hamburgers." C. "I need to avoid lunchmeats but may cook my own turkey." D. "I must cut out bacon and canned foods."

B. "I need to avoid eating hamburgers."

The nurse is caring for a patient with HF who is prescribed spironolactone. Which client statement requires further nursing education? A. "I may need to take this drug every other day according to lab values" B. "I need to take potassium supplements with this medication" C. "I will try my best not to use table salt on my food" D. "This medication will cause me to urinate more often"

B. "I need to take potassium supplements with this medication"

Which statement made by the client on the way to the catheterization laboratory requires an immediate action by the nurse? A. "My allergies are bothering me, so I took some Benadryl last night before bed" B. "I was nervous last night, but I still remembered to take my warfarin" C. "I sure am hungry. I Haven't had anything to eat since I went to bed last night" D. "I don't know what I will do if they find a blockage in my heart"

B. "I was nervous last night, but I still remembered to take my warfarin"

The nurse is teaching a class on diagnostic cardiovascular testing. Which teaching will the nurse include? A. The left side of the heart is catheterized first and may be the only side examined. B. An alternative to injecting a medium into the coronary arteries is intravascular ultrasonography. C. Holter monitoring allows periodic recording of cardiac activity during an extended period of time. D. Complications of coronary arteriography include stroke, nonlethal dysrhythmias, arterial bleeding, and thromboembolism.

B. An alternative to injecting a medium into the coronary arteries is intravascular ultrasonography.

The nurse is assessing a client with right-sided heart failure. What assessment findings will the nurse anticipate? (Select all that apply.) A. Oliguria B. Ascites C. Pulmonary congestion D. Peripheral edema E. Shortness of breath F. Third heart sound

B. Ascites D. Peripheral edema

A patient is diagnosed with left-sided heart failure. Which client assessment findings will the nurse anticipate? SATA A. Peripheral edema B. Crackles in both lungs C. Tachycardia D. Ascites E. Tachypnea F. S3 gallop

B. Crackles in both lungs C. Tachycardia E. Tachypnea F. S3 gallop

A client with heart failure reports a 7.6-lb (3.4 kg) weight gain in the past week. What intervention does the nurse anticipate from the primary health care provider? A. Sodium restriction B. Daily weight monitoring C. Restricted activity D. Dietary consult

B. Daily weight monitoring

The nurse is caring for a client immediately following a cardioversion. What nursing actions are appropriate? (Select all that apply.) A. Allow the client to eat a meal. B. Ensure electrodes are in place for continued monitoring. C. Assess the chest for burns. D. Document results of procedure. E. Remove crash cart from the room. F. Provide continued sedation. G. Administer oxygen.

B. Ensure electrodes are in place for continued monitoring. C. Assess the chest for burns. D. Document results of procedure. G. Administer oxygen.

The nurse is caring for a patient with acute coronary syndrome (ACS) and atrial fibrillation who has a new prescription for metoprolol. Which data is essential for the nurse to assess prior to administration? A. Troponin B. Heart rate C. ST segment D. Myoglobin

B. Heart rate

The nurse is caring for a client immediately following cardiac catheterization. Which assessment data requires immediate nursing intervention? A. BP of 146/70 B. Hematoma developing at insertion site C. Client reports headache pain D. Client reports extreme thirst

B. Hematoma developing at insertion site

The nurse is preparing to administer digoxin as prescribed to a client with heart failure and notes: Temperature: 99.8° F (37.7° C), Pulse: 48 beats/min and irregular, Respirations: 20 breaths/min, Potassium level: 3.2 mEq/L (3.2 mmol/L). What action will the nurse take? A. Hold the digoxin, and obtain a prescription for an additional dose of furosemide. B. Hold the digoxin, and obtain a prescription for a potassium supplement. C. Give the digoxin; document assessment findings in the medical record. D. Give the digoxin; reassess the heart rate in 30 minutes.

B. Hold the digoxin, and obtain a prescription for a potassium supplement.

Which action will the nurse delegate to experienced assistive personnel (AP) working in the cardiac catheterization laboratory? A. Educate the client about the need to remain on bedrest after the procedure. B. Obtain client vital signs and a resting electrocardiogram (ECG). C. Have the client sign the consent form before the procedure is performed. D. Assess preprocedural medications the client took that day.

B. Obtain client vital signs and a resting electrocardiogram (ECG).

Which client assessment data is most consistent with cardiac pain requiring the nurse to notify the primary health care provider? A. Reports of abdominal pain and belching B. Reports of pressure in the upper abdomen and sternum and diaphoresis C. Apparent dyspnea on exertion (DOE) and an inability to sleep flat D. Reports claudication with ambulation and fatigue

B. Reports of pressure in the upper abdomen and sternum and diaphoresis

Which client has the highest risk for cardiovascular disease? A. Man who is sedentary and reports four episodes of strep throat. B. Woman with diabetes whose high-density lipoprotein (HDL) cholesterol is 75 mg/dL (1.94 mmol/L). C. Man who smokes and whose father died at 49 of myocardial infarction (MI). D. Woman with abdominal obesity who exercises three times per week.

C. Man who smokes and whose father died at 49 of myocardial infarction (MI).

The nurse is assessing a client's cardiac rhythm and notes the following: HR 64, PR interval 0.20, QRS 0.10. How will the nurse document this rhythm interpretation in the EHR? A. Sinus tachycardia B. Sinus bradycardia C. NSR D. Sinus arrythmia

C. NSR

The nurse is teaching a client with atrial fibrillation about a new prescription for warfarin. What teaching will the nurse include? A. "Avoid caffeinated beverages." B. "You would take aspirin or ibuprofen for headache." C. "Report bruising to your health care provider." D. "It is important to consume a diet high in green leafy vegetables."

C. "Report bruising to your health care provider."

After receiving change-of-shift report about these four clients, which client would the nurse assess first? A. A 79 year old admitted for possible rejection of a heart transplant who has sinus tachycardia, heart rate 104 beats/min. B. A 55 year old admitted with pulmonary edema who received furosemide and whose current O2 saturation is 94%. C. A 46 year old with aortic stenosis who takes digoxin and has new-onset frequent premature ventricular contractions. D. A 68 year old with pericarditis who is reporting sharp chest pain with inspiration.

C. A 46 year old with aortic stenosis who takes digoxin and has new-onset frequent premature ventricular contractions.

Which client is best to assign to an LPN/LVN working on the telemetry unit? A. Client with pericarditis who has a paradoxical pulse and distended jugular veins. B. Client with heart failure who is receiving dobutamine. C. Client with dilated cardiomyopathy who uses oxygen for exertional dyspnea. D. Client with rheumatic fever who has a new systolic murmur.

C. Client with dilated cardiomyopathy who uses oxygen for exertional dyspnea.

Which action will the nurse take when having difficulty auscultating the first heart sound, S1? A. Listen at the heart base B. Assess only for higher pitched sounds. C. Direct the client to lay on his or her left side. D. Have the client hold their breath while auscultation takes place

C. Direct the client to lay on his or her left side.

A client who is suffering from dyspnea on exertion and heart failure (HF) will most likely report which symptom during the health history? A. Brown discoloration of lower extremities B. Swelling of one leg C. Fatigue D. Slow heart rate

C. Fatigue

The nurse receives a report that a client with a pacemaker has experienced loss of capture. What assessment data would the nurse anticipate? A. The heart rate is 42 beats/min, and no pacemaker spikes are seen on the rhythm strip. B. The patient demonstrates hiccups. C. Pacemaker spikes are noted, but no P wave or QRS complex follows. D. The pacemaker spike falls on the T wave.

C. Pacemaker spikes are noted, but no P wave or QRS complex follows.

The nurse is caring for a client with heart failure in the coronary care unit. The client is exhibiting signs of air hunger and anxiety. Which nursing intervention will the nurse perform first for this client? A. Monitor and document heart rate, rhythm, and pulses. B. Encourage alternate rest and activity periods. C. Position the client to alleviate dyspnea. D. Determine the client's physical limitations.

C. Position the client to alleviate dyspnea.

The nurse is teaching a class about mechanical properties of the heart. What teaching will the nurse include? A. Body size does not affect overall cardiac output. B. Cardiac output is the amount of blood ejected by the ventricles during each contraction. C. Preload is the degree of stretch in the myocardial fibers D. Stroke volume is the amount of blood pumped out of the heart each minute.

C. Preload is the degree of stretch in the myocardial fibers

Which nursing intervention for a client admitted today with heart failure will assist the client to conserve energy? A. The nurse monitors the client's pulse and blood pressure frequently. B. The client ambulates around the nursing unit with a walker. C. The nurse obtains a bedside commode before administering furosemide. D. The nurse returns the client to bed when the client becomes tachycardia.

C. The nurse obtains a bedside commode before administering furosemide.

Which laboratory finding is consistent with acute coronary syndrome (ACS)? A. Triglycerides 400 mg/dL (4.52 mmol/L) B. C-reactive protein 13 mg/dL (130 mg/L) C. Troponin 3.2 ng/mL (3.2 mcg/L) D. Lipoprotein-a 18 mg/dL (0.64 mcmol/L)

C. Troponin 3.2 ng/mL (3.2 mcg/L

The nurse is assessing a client with heart failure. Which assessment data are the best indicator of fluid balance? A. BP of 144/79 B. Urine output 200 mL in the last 4 hrs C. Weight increase of 9 lb in the past week D. Generalized edema in the lower extremities

C. Weight increase of 9 lb in the past week

The nurse is educating a group of women about the differences in symptoms of myocardial infarction (MI) in men versus women. Which teaching will the nurse include? A. Men more than women tend to deny the importance of symptoms. B. Men do not tend to report chest pain. C. Women may experience extreme fatigue and dizziness as sole symptoms. D. Men are more likely than women to die after MI.

C. Women may experience extreme fatigue and dizziness as sole symptoms.

Upon entering a client's room, the nurse finds the client unresponsive. In what order will the nurse provide care? A. Begin chest compressions B. Check carotid pulses C. Notify RRT D. Get crash cart and AED E. Provide rescue breaths

C., D., B., A., E.

The nurse is assessing a client with mitral stenosis who is to undergo a transesophageal echocardiogram (TEE) today. Which nursing action is essential? A. Reassure the client that they will not feel pain. B. Teach the client about the reason for the TEE. C. Auscultate the client's precordium for murmurs. D. Validate that the client has remained NPO

D. Validate that the client has remained NPO

A client's rhythm strip shows a heart rate of 116 beats/min, one P wave occurring before each QRS complex, a PR interval measuring 0.16 second, and a QRS complex measuring 0.08 second. How does the nurse interpret this rhythm strip? A. Sinus rhythm with premature ventricular contractions B. Normal sinus rhythm C. Sinus bradycardia D. Sinus tachycardia

D. Sinus tachycardia

The nurse is providing discharge teaching to a client with heart failure, focusing on when to seek medical attention. Which client statement indicates understanding of the teaching? A. "I should expect occasional chest pain." B. "I will try walking for 1 hour each day." C. "I will report to the provider weight loss of 2 to 3 lb (0.9 to 1.4 kg) in a day." D. "I will call the provider if I have a cough lasting 3 or more days."

D. "I will call the provider if I have a cough lasting 3 or more days."

The nurse is teaching a client about the purpose of electrophysiology studies (EPS). Which teaching will the nurse include? A. "This is a painless test that is done to assess the structure of your heart using sound waves." B. "You will receive an injection of dobutamine and will walk on a treadmill to reveal whether you have coronary artery disease." C. "This is a noninvasive test performed to assess your heart rhythm." D. "This test evaluates you for potentially fatal cardiac rhythms."

D. "This test evaluates you for potentially fatal cardiac rhythms."

The cardiac care unit charge nurse is assigning clients to the oncoming shift. Which patient is appropriate to assign to a float RN from the medical-surgical unit? A. A 92-year-old client admitted with chest pain who has premature ventricular complexes and a heart rate of 102 beats/min. B. An 88-year-old client admitted with elevated troponin level who is hypotensive with a heart rate of 96 beats/min. C. A 71-year-old client admitted for heart failure who is shortness of breath and has a heart rate of 120 to 130 beats/min. D. A 64-year-old client admitted for weakness with sinus bradycardia and heart rate 58 beats/min.

D. A 64-year-old client admitted for weakness with sinus bradycardia and heart rate 58 beats/min.

Which assessment data indicates proper function of the sinoatrial (SA) node? A. The QRS complex is present. B. The ST segment is elevated. C. The PR interval is 0.24 second. D. A P wave precedes every QRS complex.

D. A P wave precedes every QRS complex.

A client in the telemetry unit is on a cardiac monitor. The monitor technician alerts the nurse that there are no ECG complexes, and the alarm is sounding. What is the first action by the nurse? A. Suspend the alarm. B. Call the emergency response team. C. Press the record button to get an ECG strip. D. Assess the client and check lead placement.

D. Assess the client and check lead placement.

The nurse is caring for a patient on a telemetry unit who has a regular heart rhythm and rate of 60 beats/min; a P wave precedes each QRS complex, and the PR interval is 0.20 second. Additional vital signs are: blood pressure 118/68 mm Hg, respiratory rate 16 breaths/min, and temperature 98.8° F (37° C). All of these medications are available on the medication record. What action will the nurse take? A. Administer clonidine. B. Administer atropine. C. Administer digoxin. D. Continue to monitor.

D. Continue to monitor.

The nurse is caring for a patient with atrial fibrillation (AF). In addition to an antidysrhythmic, what medication does the nurse anticipate administering? A. Magnesium sulfate B. Atropine C. Dobutamine D. Heparin

D. Heparin

A client recovering from cardiac angiography develops slurred speech. What will the nurse do first? A. Assess the site of the procedure for bleeding. B. Call in another nurse for a second opinion. C. Maintain NPO status until the slurred speech resolves. D. Perform a neurologic assessment and notify the primary care provider.

D. Perform a neurologic assessment and notify the primary care provider.

A client admitted after using cocaine develops ventricular fibrillation. After determining unresponsiveness, which action will the nurse take next? A. Place an oral airway and ventilate. B. Start cardiopulmonary resuscitation (CPR). C. Establish IV access. D. Prepare for defibrillation.

D. Prepare for defibrillation.

A client with heart failure is prescribed furosemide. Which assessment data concerns the nurse with this new prescription? A. Serum sodium level of 135 mEq/L (135 mmol/L) B. Serum magnesium level of 1.9 mEq/L (0.95 mmol/L) C. Serum creatinine of 1.0 mg/dL (88.4 mcmol/L) D. Serum potassium level of 2.8 mEq/L (2.8 mmol/L)

D. Serum potassium level of 2.8 mEq/L (2.8 mmol/L)

A client's rhythm strip shows a heart rate of 116 beats/min, one P wave occurring before each QRS complex, a PR interval measuring 0.16 second, and a QRS complex measuring 0.08 second. How does the nurse interpret this rhythm strip? A. Sinus Bradycardia B. Atrial fibrillation C. NSR D. Sinus Tachycardia

D. Sinus Tachycardia

Which assessment data is most important for the nurse to report to the primary care provider prior to a coronary arteriogram? A. The client reports intermittent substernal chest pain for 6 months. B. The client has peripheral vascular disease, and the dorsalis pedis pulses are difficult to palpate. C. The client reports that a previous arteriogram was negative for coronary artery disease. D. The client develops wheezes and dyspnea after eating crab or lobster.

D. The client develops wheezes and dyspnea after eating crab or lobster.

A client begins therapy with lisinopril. What does the nurse consider at the start of therapy with this medication? A. The client's ability to understand medication teaching B. The potential for bradycardia C. Liver function tests D. The risk for hypotension

D. The risk for hypotension

A client has been admitted to the hospital with chest pain radiating down the left arm. Which test result best confirms that the client sustained a myocardial infarction (MI)? A. C-reactive protein of 1 mg/dL (10 mg/L) B. Homocysteine level of 13 mcmol/L C. Creatine kinase (CK) of 125 units/L D. Troponin of 5.2 ng/mL (5.2 mcg/L)

D. Troponin of 5.2 ng/mL (5.2 mcg/L)

A patient on the cardiac step down unit starts to alarm that they have no ECG reading and the PCT calls you to inform you. What do you do? A. tell them to suspend the alarm B. call a rapid response C. call the physician D. go to assess the patient and check placement

D. go to assess the patient and check placement