Exam 5
A nurse is reviewing the medical record of a client who has heart failure. which of the following findings should the nurse expect?
BNP of 200 pg/ml
A nurse is teaching a client who has coronary artery disease bout the difference between angina pectoris and myocardial infarction (MI). which of the following manifestations should the nurse identify as indications of MI?
1. nausea and vomiting 2. diaphoresis and dizziness 3. anxiety and feelings of doom 4 epigastric distress 5. diminished absent pulse 6. tachypnea
A nurse is providing teaching to a class about transient ischemic attacks (TIAs). which of the following pieces of information should the nurse include in the teaching?
A TIA can precede an ischemic stroke
A nurse is admitting a client who has atrial fibrillation with a hear rate of 155/min. The nurse should anticipate a prescription from the provider for which of the following medications?
Diltiazem
A nurse is caring for a client who has atrial fibrillation and is scheduled for cardioversion. The nurse should anticipate a prescription from the provider for which of the following medications for this procedure?
Diltiazem
A nurse is assessing a client who has pericarditis. which of the following manifestations should the nurse expect?
Dyspnea with hiccups
A nurse is providing discharge teaching to a client who has a new permanent pacemaker. which of the following statements by the client indicates an understanding of the teaching?
I should check my heart rate at the same time each day
A nurse is providing discharge teaching to an adult female client who has infective endocarditis about how to prevent recurrence. which of the following statements by the client indicates an understanding of the teaching?
I will notify my doctor before I have dental procedures
A nurse is preparing to administer warfarin to a client who has a new onset of atrial fibrillation. The client asks the nurse, "what should this medication do?" which of the following responses should the nurse make?
It can reduce your risk of having a stroke
A nurse is caring for a client following a stroke. Which of the following actions should the nurse take first?
Keep the client NPO
A nurse is providing discharge teaching for a client who has a newly inserted permanent pacemaker. which of the following instructions should the nurse include in the teaching?
Keep you cell phone 6 inches away from your pacemaker when making a call
A nurse is examining the ECG of a client who has frequent premature ventricular contractions (PVCs). which of the following QRS changes should the nurse expect to see on the clients ECG?
Much greater amplitude than the usual QRS complexes
A nurse is caring for a client who is having a possible myocardial infarction (MI). which of the following findings should the nurse identify as an associated manifestation of an MI?
Nausea
A nurse on a telemetry unit is caring for a client who has an irregular radial pulse. which of the following ECG abnormalities should the nurse recognize as atrial flutter?
Atrial rate of 300/min with QRS complex of 80/min
A nurse is caring for a client who has a left intracranial hemorrhage from a stroke. Which of the following findings should the nurse expect?
Right-sided hemiplegia
A nurse is preparing an automated external defibrillator (AED) for a client receiving CPR after a cardiac arrest. which of the following actions should the nurse perform first?
apply the defibrillator pad to the clients chest
A nurse in a rehabilitation center is performing an assessment for a client who is recovering from a left hemisphere stroke. which of the following findings should the nurse expect?
difficulty with speech
A nurse is caring for a client who has expressive aphasia following a stroke. the nurse should identify that the stroke affected which of the following lobes of the client's brain?
frontal
A nurse is caring for an older adult client who is having a stroke. After assessing the client's airway, breathing and circulation, which of the following assessments is the nurse's priority?
level of consciousness
A nurse is planning care for a client who is having a percutaneous transluminal coronary angioplasty (PTCA) with stent placement. which of the following actions should the nurse anticipate in the post-procedure plan of care?
monitor for bleeding
A nurse is planning care for a client following a stroke. which of the following interventions should the nurse identify as the priority in the client's plan of care?
monitor the client for ICP
A nurse is planning care for a client who has aphasia following a stroke. which of the following actions should the nurse take?
offer pictures for the client to point to as an alternative form of communication
A nurse is planning care for a client who had a stroke. the client has hemiplegia and occasional urinary incontinence. which of the following actions should the nurse include in the clients plan of care?
offer the client a bedpan every 2 hr
A nurse is caring for a client who has aphasia following a stroke. Which of the following actions should the nurse take?
present a single idea in a sentence
A nurse is preparing an in-service presentation about assessing clients who are having an acute myocardial infarction (MI). what is the most common assessment finding with acute MI?
substernal chest pain
A nurse is caring for a client who has a demand pacemaker inserted with a set of 72/min. which of the following findings should the nurse expect?
telemetry monitoring showing QRS complexes occurring at a rate of 74/min with no pacing spikes
A nurse is caring for a client who is recovering from a recent stroke. Which of the following assessments is the nurse's priority?
the clients ability to clear oral secrections
A nurse is caring for an older adult client who is unresponsive following a stroke. which of the following actions should the nurse take while providing oral care?
turn the client on his side before staring oral care
A nurse is monitoring a client who had a myocardial infarction. for which of the following complications should the nurse monitor in the first 24 hr?
ventricular dysrhythmias
