Circulation practice

1. A client is taking clonidine for treatment of hypertension. The nurse should teach the client about which of the following common adverse effects of this drug? Select all that apply. A. Dry mouth B. Hyperkalemia C. Impotence D. Pancreatitis E. Sleep disturbance

Dry mouth, Impotence, Sleep disturbance

1. A nurse is reviewing the laboratory results of a client with anemia and anticipates which lab value would be decreased?

Erythrocytes

1. Which sound will be heard during the first phase of the Korotkoff's sounds?

Faint, clear tapping sounds

1. The client with early-stage iron-deficiency anemia is on a high-iron diet. An increase in the level of which specific serum laboratory test should indicate to the nurse that the diet has been effective?

Ferritin

1. A client is admitted with stage 2 hypertension. What diastolic pressure does the nurse consider to be consistent with this diagnosis?

More than 100mmHg

1. The nurse is evaluating the following telemetry strip from one of her clients. Which of the following would the nurse document?

Normal sinus rhythm with a heart rate of about 80 beats per minute.

1. The nurse evaluates her teaching by asking the student nurse which term is used to describe the amount of stretch on the myocardium at the end of diastole. Which is the most accurate response?

Pre-load

1. The nurse is preparing to assess a client for jugular vein distention. How should the nurse position the head of the client's bed?

Raised 30 degrees

1. The cardiac care nurse is reviewing the conduction system of the heart. The nurse is aware that electrical conduction of the heart usually originates in the SA node and then proceeds in what sequence?

SA node to AV node to bundle of His to Purkinjie fibers

1. What should the nurse teach a client who is taking antihypertensives to do to minimize orthostatic hypotension?

Sit on the edge of the bed for 5 minutes before standing.

1. A client with anemia has a nursing diagnosis of Activity Intolerance. Which intervention should the nurse implement? Select all that apply. A. Space interventions during the day. B. Teach client the basics of good nutrition. C. Promote active or passive range of motion activities. D. Teach client to change position slowly to prevent dizziness. E. Encourage defined rest periods during the day.

Space interventions during the day. Teach client to change position slowly to prevent dizziness. Encourage defined rest periods during the day.

1. What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor? Select all that apply. A. The RR intervals are relatively consistent. B. One P wave precedes each QRS complex. C. The ST segment is higher than the PR interval. D. Four to eight complexes in a 6-second strip. E. The QRS complexes range from 0.12 to 0.2 seconds.

The RR intervals are relatively consistent. One P wave precedes each QRS complex.

1. The client's BP is being taken at a screening clinic. Which client statement to the nurse demonstrates awareness of having a risk factor for hypertension?

"I plan to get my blood pressure checked more often, as I am African American."

1. The nurse is calculating a cardiac client's pulse pressure. If the client's blood pressure is 122/76mmHg, what is the client's pulse pressure? A. _________

46

1. The nurse is taking the BP on multiple clients. Which reading warrants the nurse notifying the health care provider because the client's MAP is abnormal?

98/36mmHg

1. When assessing an 85-year-old client's vital signs, the nurse anticipates a number of changes in cardiac output that result from the aging process. Which finding is consistent with a pathologic condition rather than the aging process?

A pulse rate irregularity

1. The nurse is reviewing client's charts. Select the client who would be most at risk for developing anemia.

An 80-year-old nursing home resident

1. A client is ordered to start receiving digoxin 0.25mg PO. What is the priority assessment by the nurse administering the medication?

Apical pulse

1. The new nurse is experiencing difficulty hearing the client's heart sounds during auscultation and consults an experienced nurse. Which techniques should the experienced nurse recommend to identify the heart sounds correctly? Select all that apply. A. Auscultate over the client's gown B. Auscultate from the left side of the client C. Ask the client to sit and lean forward D. Feel the radial pulse while listening to heart sounds E. Turn the client to the left side-lying position

Ask the client to sit and lean forward Feel the radial pulse while listening to heart sounds Turn the client to the left side-lying position

1. A client with hypertension is being treated with metoprolol, hydrochlorothiazide, and captopril. Other scheduled medications include docusate and a multivitamin. The client's current blood pressure is 124/86mmHg and pulse rate is 48. Which scheduled medications does should the nurse administer? Select all that apply. A. Metoprolol B. Captopril C. Hydrochlorothiazide D. Docusate E. Multivitamin

Captopril Hydrochlorothiazide Docusate Multivitamin