Med Surge Cardiac

The nurse is providing teaching to a client about chest pain. Which of the following statements made by the client would be of most concern to the nurse?

"I have chest pain a lot, but it is from indigestion."

What disorder is diagnosed with ECG changes, elevated troponin T or I and elevated CK-MB?

myocardial infarction (MI)

The nurse is caring for a group of clients. Which client is at highest risk for having a myocardial infarction (MI) at a younger age?

A female who smokes and uses oral contraception

The nurse is caring for a group of patients. Which patient is at highest risk for having a myocardial infarction (MI) at a younger age?

A female who smokes and uses oral contraception

The nurse is teaching a group of clients about preventing infective endocarditis (IE). Which of the following should the nurse include in the teaching?

Emphasize importance of regular dental care.

The nurse is caring for a client with heart failure (HF). Which medication does the nurse know is often a first-choice drug for HF?

Enalapril (Vasotec)

The nurse is caring for a client with orthostatic hypotension. Which intervention should the nurse implement to promote safety?

Encourage the client to ask for assistance prior to getting out of bed

The nurse is monitoring a client's pulse and notes there are fewer radial beats than apical beats. Which action by the nurse is best?

Notify the health-care provider

The nurse is assessing the nailbeds of a client. The nurse notes the base of each nail elevates, and the angle exceeds 180 degrees, feeling spongy. Which action should the nurse take first?

Notify the health-care provider (HCP)

The nurse is assessing a client with peripheral arterial disease and notes an absent pulse. Which action should the nurse take?

Notify the health-care provider (HCP) immediately.

The nurse has administered three doses of nitroglycerin (Nitrostat) to a client with angina who still reports chest pain. Which action should the nurse take?

Notify the health-care provider (HCP).

The nurse is caring for a client who is receiving lisinopril (Prinivil). The nurse notes a pulse of 52 beats per minute. Which action should the nurse take?

Notify the health-care provider (HCP).

The nurse is reviewing laboratory results of a client who is taking spironolactone (Aldactone) and notes a potassium level of 6.5. Which action should the nurse take?

Notify the health-care provider (HCP).

The nurse is reviewing the prothrombin time (PT) of a client receiving warfarin. The PT is 64 seconds. Which action should the nurse take first?

Notify the health-care provider (HCP).

The nurse notes skin cool to the touch and a decreased capillary refill in a client with infective endocarditis (IE). Which action should the nurse take first?

Notify the health-care provider (HCP).

The nurse is caring for a client with cardiomyopathy. The client suddenly develops orthopnea, extreme fatigue, and chest pain. Which action should the nurse take first?

Notify the health-care provider.

Which of the following are modifiable risk factors for coronary artery disease? Select all that apply.

Obesity Hypertension

A patient presents to the emergency department after a motor vehicle accident. The patient's heart rate is 165 beats/min, and a large amount of blood is noted from a wound on the left leg. Which interventions would the nurse perform for this patient? Select all that apply.

Obtain an ECG Administer packed RBCs as ordered Administer metoprolol as ordered

The nurse obtains a blood pressure (BP) reading of 134/86. According to the blood pressure categories, this client's blood pressure is in which category?

Stage I Hypertension

The nurse is caring for a client who reports pink and frothy sputum. The nurse suspects this client may have a diagnosis of which condition?

acute heart failure

Which of the following is shown here?

left pulmonary artery

Where does systemic circulation begin?

left ventricle

The nurse reinforces preoperative teaching for a client scheduled for cardiopulmonary bypass. Which client statement indicates teaching is effective? Select all that apply.

"I'll be given a blood thinner before surgery." "My heart will be stopped during surgery." "I need to cough and take deep breaths after surgery."

The nurse is caring for a group of clients. Which client is at highest risk for heart disease mortality?

. An obese African American male who smokes

The nurse is assessing a client's blood pressure (BP). Which finding would the nurse document as normal?

110/70

The nurse is administering enalapril (Vasotec) 2.5 mg twice daily by mouth. Available are 5-mg tablets. How many tablets will the nurse give for one dose? Enter the numeral only.

2.5

A client with heart failure has a resting heart rate of 70 beats per minute. The client's stroke volume is 60 mL/beat. The client weighs 220 pounds. Calculate the client's cardiac output per minute. Record your answer in liters (L). Enter the numeral only.

4.2

The nurse is caring for a client with hypertension. Which clinical manifestations should the nurse expect the client to exhibit? Select all that apply.

Asymptomatic Headache Bloody nose Shortness of breath

The nurse is teaching a colleague about blood flow through the heart. Which teaching should the nurse include?

Blood flows from the right atrium through the tricuspid valve.

A patient is on continuous telemetry monitoring that shows regular P-to-P and R-to-R intervals but no 1:1 ratio of P waves to QRS complexes. This patient would be experiencing which kind of dysrhythmia?

Complete Heart Block

Infection and inflammation of the lymphatic vessels/channels; lymph nodes in the area can be enlarged and painful S/S fever, chills, and painful red streaks in the arms or legs

Lymphangitis

The nurse receives laboratory results on multiple clients. Which laboratory value should be immediately reported to the health-care provider?

Magnesium level 1.1 mg/dL

The nurse is caring for a client with exacerbation of asthma and hypertension. Which medication order should the nurse question?

Metoprolol

Which of the following are valves of the heart? Select all that apply.

Mitral Tricuspid Pulmonic Aortic

The nurse is preparing to administer digoxin (Lanoxin). Which of the following interventions should the nurse implement?

Monitor apical heart rate for 1 minute.

The nurse is caring for a client undergoing an angiography. After injection of the dye, the client states, "I have a hot, burning feeling." Which action by the nurse is the priority?

Monitor the client

The nurse reviews a client's electrocardiogram (ECG) tracing. Which action should the nurse take?

Obtain the client's potassium level

The nurse reviews a client's electrocardiogram (ECG) tracing. Which action should the nurse take?

Obtain the client's potassium level

What is the correct action for a patient with tracing on ECG?

Obtain the patients potassium level (low potassium can cause a U wave)

Which of the following are clinical manifestations of arterial occlusion? Select all that apply.

Pain Pallor Paresthesia

The nurse is caring for a patient with lymphangitis. Which clinical manifestations can the nurse expect to find? Select all that apply.

Painful red streaks on the extremity enlarged lymph nodes

The nurse is caring for a client with pericarditis. Which of the following is a clinical manifestation the nurse can expect to find?

Pericardial friction rub

The nurse is preparing to draw blood for a creatine kinase (CK) test. Which of the following should the nurse avoid before drawing the blood?

Starting the client's intravenous (IV) line

A client is scheduled to have a leadless pacemaker implanted. Which client statement indicates additional teaching is needed?

The pacemaker will be inserted through an incision in my chest."

The nurse is assessing a client with aortic stenosis. Which of the following should concern the nurse the most?

Wet lung sounds

Clinical manifestations of decreased oxygenation

fatigue, dyspnea, confusion

The nurse is caring for a client receiving heparin sodium who begins bleeding. Which medication is an antidote to heparin?

protamine sulfate

A client with hypertension presents to the clinic with a blood pressure reading of 218/112. Which question is most important for the nurse to ask?

"Have you been taking your blood pressure medications?"

The nurse is taking a health history of a client with suspected heart failure. Which question assesses respiratory function?

"How many flights of stairs can you climb without dyspnea?

The nurse is providing teaching to a client undergoing a heart transplant. Which statement made by the client indicates the need for further teaching?

"I am only at risk for rejection right after surgery."

The nurse is providing teaching regarding the DASH diet for a client diagnosed with hypertension. Which statement made by the client indicates a need for further education?

"I can eat foods high in sodium as long as I drink plenty of water."

The nurse is teaching a client who recently experienced a myocardial infarction (MI) about sexual activity. Which of the following indicates an understanding of the teaching?

"I can have sex when I can walk up two flights of stairs without symptoms

After a pacemaker placement, a client is ready for discharge. Which client statement indicates additional teaching is needed? Select all that apply.

"I can no longer use a cell phone or microwave." "Dizziness and chest pain are normal sensations." "Discharge at the incision site is a sign of healing.

The nurse is providing teaching to a client with Buerger disease. Which of the following statements made by the client indicates a need for further teaching?

"I can still smoke as long as I cut back."

The nurse is providing teaching for a client with heart failure about decreasing their oxygen consumption. Which statement made by the client indicates a need for further teaching?

"I should exercise at least 30 minutes per day."

The nurse is teaching a client about simvastatin (Zocor). Which statement made by the client indicates an understanding of the teaching?

"I should report any muscle pain to the health-care provider."

The nurse is teaching a client with heart failure about ways to prevent orthopnea. Which statement made by the client indicates an understanding of the teaching?

"I should sleep with two or three pillows so I can breathe easier."

The nurse is providing teaching to a client who will be discharged taking clonidine. Which statement made by the client indicates an understanding of the teaching?

"I should suck on hard candy if my mouth is dry."

The nurse is providing teaching to a client taking bumetanide (Bumex). Which statement made by the client indicates an understanding of the teaching?

"I should take this medication early so I don't pee all night."

The nurse is providing teaching to a client with an abdominal aortic aneurysm. Which statement made by the client indicates a need for further teaching?

"I still work at my moving company business."

The nurse reinforces preoperative teaching for a client scheduled for cardiac surgery in 1 hour. Which client statement most concerns the nurse?

"I stopped taking warfarin and aspirin 2 days ago."

A client reporting palpitations has multiple premature ventricular contractions (PVCs) on an electrocardiogram (ECG) tracing. Which client statement indicates teaching is effective?

"I will drink decaffeinated coffee."

The nurse is providing teaching for a client with thrombophlebitis. Which of the following statements made by the client indicates an understanding of the teaching?

"I will elevate my legs to promote circulation and reduce edema."

The nurse is reinforcing discharge teaching for a client being prescribed metoprolol succinate. Which client statement indicates teaching is effective?

"I will move slowly when I get out of bed each morning."

A client is being discharged with Holter monitoring for 48 hours. Which client statement indicates teaching is effective?

"I will push the event button when I start having symptoms."

A client with atrial fibrillation is prescribed apixaban to reduce blood clot risk. Which client statement indicates teaching is successful?

"I'm glad that frequent blood monitoring will not be needed."

The nurse is teaching a client with Raynaud disease. Which of the following statements made by the client indicates a need for further teaching?

"If I immerse my hands in cold water, it will decrease vasospasm."

The nurse is providing teaching for a client taking metoprolol succinate (Toprol XL). Which statement made by the client indicates a need for further teaching?

"If my systolic blood pressure (BP) is less than 100 mm Hg, I can take the pill."

A client tells the nurse they have atherosclerosis and asks what this means. Which response by the nurse is most appropriate?

"It is a form of plaque in the arteries that can lead to coronary artery disease."

The nurse is reinforcing discharge teaching for a client with an implantable cardioverter defibrillator (ICD). Which client statement indicates that teaching is effective?

"It will feel like a kick in the chest when the ICD delivers a shock."

A client asks the nurse about the goal for heart failure treatment. Which response by the nurse is best?

"The goal is to improve your heart's ability to pump and decrease oxygen demands of the heart."

A patient asks the nurse about the goal for heart failure treatment. Which response by the nurse is best?

"The goal is to improve your heart's ability to pump and decrease oxygen demands of the heart."

The nurse is teaching a postoperative client how to apply antiembolism stockings. Which statement made by the client indicates a need for further teaching?

"The top of the stocking need to be 2 inches over the kneecap."

The nurse is preparing to administer enoxaparin to a client who weighs 60 kg. The ordered dose is 1 mg/kg every 12 hr. The available dose is enoxaparin 60 mg/0.6 mL. How many milliliters will the nurse administer? Enter the numeral only.

0.6

The nurse is assessing the pulse of a client. The pulse disappears when slight pressure is applied and returns when the pressure is removed. This describes a pulse of what quality?

1+

The nurse is preparing to administer nitroglycerin (Nitrostat) 0.4 mg sublingually. The health-care provider's order states the client may receive the medication every 5 minutes for a max of three doses. How many milligrams will the client receive if they receive all three doses? Enter the numeral only.

1.2

The nurse is caring for a client on warfarin. A normal prothrombin time (PT) range is 9 to 12 seconds. Calculate the therapeutic range. Enter the numeral only.

13.5-24

The nurse is calculating intake for a client with hypertension. The client has consumed three servings of grape juice with 240 mL volume in each container, 110 mL of diet soda, and 1 L of water. Calculate the client's total intake. Enter the numeral only.

1830

The nurse is administering furosemide 40 mg by mouth to a client with hypertension. Available is furosemide 20 mg tablets. How many tablets will the nurse administer? Enter the numeral only.

2

The health-care provider suspects a client has hypertension. The nurse should anticipate preparing the client for which of the following?

24-hour ambulatory blood pressure (BP) monitoring

The nurse is preparing to administer bumetanide (Bumex) 1 mg intramuscularly (IM). Available is bumetanide (Bumex) 0.25 mg/mL. How many milliliters will the nurse administer? Enter the numeral only.

4

The nurse is assessing the resting heart rate of a marathon runner. Which heart rate is an expected finding in this client?

50 beats/minute

The nurse is calculating the intake for a client with heart failure. The client received two antibiotics of 50 mL each and drank 240 mL of juice, 200 mL of water, and 120 mL of milk. What is the total intake for this client? Enter the numeral only

660

The nurse is calculating the intake for a patient with heart failure. The received two antibiotics of 50 mL each and drank 240 mL of juice, 200 mL of water, and 120 mL of milk. What is the total intake for this ? Enter the numeral only.

660

The nurse is caring for a group of clients. Which client is at highest risk for mitral valve prolapse (MVP)?

A 20-year-old female client

The nurse is caring for a group of clients. Which client is at highest risk for developing hypertension?

A 56-year-old African-American female who is 5'4" and weighs 260 pounds.

The nurse is caring for a group of clients. Which client does the nurse identify as a high risk for developing dilated cardiomyopathy?

A client who recently received chemotherapy

The nurse is caring for a group of clients. Which client should the nurse see first?

A client who underwent valve replacement surgery 2 hr ago who is reporting pain

The nurse is caring for a group of clients. Which client should the nurse see first?

A client with a blood pressure of 180/90 who reports chest pain

The nurse is caring for a group of clients. Which client should the nurse see first?

A client with a manual blood pressure of 224/114

The nurse is caring for a group of clients. Which client should the nurse see first?

A client with chest pain radiating to the shoulder

The nurse is caring for a group of clients. Which client should the nurse see first?

A client with deep vein thrombosis (DVT) who reports dyspnea

The nurse is caring for a group of clients. Which client does the nurse identify as high risk for developing infective endocarditis (IE)? Select all that apply.

A client with human immunodeficiency virus (HIV) A client who reports using intravenous (IV) drugs A client with gingival gum disease A client with an artificial heart valve

The nurse is caring for a group of clients. Which client should the nurse identify as high risk for heart failure?

A client with hypertension

The nurse is caring for a group of clients. Which client is at highest risk for developing Buerger disease?

A client with lupus who is a heavy smoker

The nurse is caring for a group of clients with heart failure (HF). Which client should the nurse see first?

A client with new-onset confusion

The nurse is caring for a group of clients. Which client should the nurse see first?

A client with peripheral arterial disease who has no pedal pulse

The nurse is caring for a group of clients. Which client will warrant a call to the health-care provider?

A client with pink, frothy sputum

A patient's electrocardiogram (ECG) tracing shows ventricular fibrillation (VF). What action should the nurse make the first priority?

APPLY EXTERNAL DEFIBRILLATION

A condition in which the walls of the aorta in the abdomen weaken and blood leaks into the layers of the vessel, causing it to bulge. S/S back pain flank pain and pulsating mass

Abdominal Aortic Aneurysm (AAA)

The nurse is caring for a 64-year-old patient brought to the emergency department with worsening shortness of breath. The nurse reviews the patient's assessment data to prepare the plan of care. Complete the bowtie by dragging and dropping the condition the patient is most likely experiencing, two interventions the nurse would perform/anticipate related to the condition, and two parameters the nurse would monitor.

Actions to take: Apply oxygen as needed & recheck vital signs Condition most likely experiencing: Pulmonary Edema Parameters to Monitor: Blood pressure & Oxygen saturation

A client scheduled for an exercise stress test states, "I am not able to exercise." The nurse should assess the client for an allergy to which medication?

Adenosine

A client with a regular heart rhythm of 155 bpm reports dyspnea and angina. Which prescribed medications will the nurse expect to administer?

Adenosine

The nurse is caring for a client receiving tissue plasminogen activator (tPA). Which of the following orders should the nurse question?

Administer acetylsalicylic acid (aspirin) as ordered.

The nurse is caring for a client with an arterial occlusion of the left leg. Which intervention should the nurse plan to implement?

Administer heparin intravenously as ordered.

A client's heart rate is 38 bpm and blood pressure (BP) is 70/30 mm Hg. What is the nurse's top priority action?

Administer intravenous (IV) atropine

The nurse is caring for a client with myocarditis. Which of the following interventions should the nurse implement?

Administer lisinopril as ordered.

The nurse is caring for a client with thrombophlebitis. Which of the following interventions should the nurse implement?

Administer nonsteroidal anti-inflammatory drugs (NSAIDS) as ordered.

Which of the following is a nonmodifiable risk factor for heart disease?

Age

The nurse is preparing a client for a cardiac catheterization. Which of the following is the most important piece of data to know prior to the procedure?

Allergies to iodine, shellfish, or contrast dye

The nurse is caring for a client taking digoxin. Which medication in the client's orders should the nurse question?

Amlodipine

Which client is at highest risk for developing heart failure?

An African American woman

The nurse is assigned to care for four clients. Which client should the nurse see first?

An older adult client who has an S4 heart sound

Which new class of medications used to treat heart failure (HF) has reduced hospitalizations and deaths from chronic HF?

Angiotensin receptor neprilysin inhibitors (ARNIs)

The nurse is obtaining data to assess a client for fluid retention. Which questions should the nurse include in the assessment? Select all that apply.

Are your shoes tight?" "Have you had any weight gain recently?"

MI (heart attacks) can cause these conditions?

Arrhythmias Cardiogenic shock pericarditis

Which disease process do the following nursing diagnoses belong too? Acute pain and Deficient Knowledge

Artheroslerosis ND

A client with heart failure is taking furosemide (Lasix). The nurse is teaching about appropriate food choices when taking furosemide. Which food selection by the client indicates understanding of this teaching?

Baked potato

A client returns to the clinic for a follow-up after being treated for hypertension for 4 months. Which assessment data indicates that the medication has been effective?

Blood pressure is 116/70

This disorder exhibits signs and symptoms such as tingling pain and Cyanosis of the hands. Associated with tobacco or cannabis use. Smokking cessation stops this disorder.

Buerger Disease

he nurse is reviewing laboratory results before administering medication and notes a potassium level of 2.5. Which medication would the nurse question?

Bumetanide (Bumex)

The nurse is providing teaching for a client being discharged home with metoprolol. Which of the following is most important for the nurse to include in the teaching? Select all that apply.

Check blood pressure before taking the medication Sit up slowly from a lying position Do not stop taking the medication abruptly Notify the health-care provider if dizziness occurs

The nurse is caring for a client with pericarditis. Which clinical manifestation can the nurse expect to find?

Chest pain radiating to the clavicle

The nurse is caring for a client with heart failure who has a pattern of shallow respirations building to deep breaths, followed by apnea. Which of the following does this describe?

Cheyne-Stokes breathing

The nurse is reviewing orders for a client with peripheral arterial disease (PAD). Which of the following medications should the nurse anticipate administering?

Cilostazol (Pletal)

The nurse is caring for a client who underwent valve replacement surgery 1 hr ago. Which of the following interventions should the nurse implement?

Communicate using simple terms and closed-ended questions.

A 75-year-old client is undergoing an exercise stress test. Which symptom experienced by the client should cause the stress test be stopped? Select all that apply.

Complaints of chest pain Report of leg pain

The nurse is assessing a client with heart failure. What should the nurse expect to hear upon auscultating lung sounds?

Crackles

The nurse is caring for a client with left-sided heart failure. Which clinical manifestations should the nurse expect to see? Select all that apply.

Crackles Dry, hacking cough Orthopnea

The nurse is teaching a client about monitoring fluid status at home. How often should the nurse encourage the client to weigh?

Daily

The nurse is assessing the temperature of a client's lower extremities and notes that one leg is cool to the touch. Which of these answers describes the meaning of a cool extremity?

Decreased arterial blood flow

A patient goes into v- fib what is the priority intervention?

Defibrillate the patient, start CPR immediately, and prepare to administer epi

The nurse provides postprocedural care for a client who underwent a transesophageal echocardiogram (TEE). Which action should the nurse take?

Determine whether gag reflex is intact

The nurse reviews a client's electrocardiogram (ECG) tracing. Which action should the nurse take?

Determine whether the client is taking digoxin

The nurse is caring for a client who underwent a heart transplant. Which of the following interventions should the nurse implement to promote sleep? Select all that apply.

Dim the lights. Allow visitors for short periods. Play soothing music. Administer narcotics as ordered.

The nurse is caring for a client with suspected orthostatic hypotension. Which factors place this client at risk? Select all that apply.

Diuretics Analgesics

The nurse is teaching a client about an exercise stress test. Which of the following should the nurse include in the teaching?

Do not smoke 2 to 4 hours before the test.

A client's digoxin level is 0.9 mg/mL. What should the nurse do next?

Document the client's digoxin level

The nurse is caring for a client receiving enalapril (Vasotec). The nurse should expect the client to report which side effect?

Dry cough

Which of the following is the only symptom of a myocardial infarction (MI) in an older adult?

Dyspnea

The nurse is caring for a client with aortic stenosis. Which of the following interventions should the nurse implement?

Encourage the client to use the call light when getting up.

. A client is scheduled for a cardiac catheterization in 1 hour. Which action should the nurse take? Select all that apply.

Ensure informed consent is obtained Report a client allergy to shellfish

A client is scheduled for a cardiac catheterization in 1 hour. Which action should the nurse take? Select all that apply.

Ensure informed consent is obtained Report a client allergy to shellfish

The nurse is providing teaching to a client about risk factors for heart disease. Which of the following is a nonmodifiable risk factor?

Ethnicity

The nurse is preparing to measure orthostatic blood pressures on a client who fell. In which order should the nurse perform the following actions?

Explain the procedure to the client Measure the blood pressure (BP) and HR in a lying position Measure the BP and HR in the sitting position Report abnormal findings to the health-care provider

Which of the following are clinical manifestations related to a decrease in oxygenation? Select all that apply.

Fatigue Dyspnea Confusion

Which of the following are the earliest symptoms of chronic heart failure? Select all that apply.

Fatigue Weakness

The nurse is caring for a client with aortic regurgitation. Which of the following clinical manifestations should the nurse expect to find?

Forceful heartbeat when lying down

The nurse is caring for a client with pulmonary edema. In which position should the nurse place the client?

Fowler's

Correct teaching for Metoprolol succinate

Get up slowly If HR lower than 60 call HCP IF dizzy call HCP If systolic BP is below 100 call HCP

A client is scheduled for a computed tomography (CT) scan with contrast to view blood vessels in the heart. Which laboratory tests should the nurse prepare to check?

Glomerular filtration rate and creatinine

The nurse is preparing to administer propranolol to a client with hypertension. The nurse obtains a blood pressure reading of 76/42. Which action should the nurse take?

Hold the medication and notify the health-care provider (HCP)

what info is needed to collect for a patient for fluid retention with heart failure?

How many pillows do you use for sleeping? have your shoes become tighter? Have you had any weight gain recently? How often do you urinate at night?

The nurse is reviewing a client's laboratory results. Because the client is taking digoxin, which electrolyte imbalance most concerns the nurse?

Hypokalemia

The nurse notes a client's chest tube drainage is 200 mL/hr. For which of the following should the nurse monitor the client?

Hypovolemia

A client's electrocardiogram (ECG) tracing reveals a regular rhythm with a rate of 130 bpm. For which etiology should the nurse assess? Select all that apply.

Hypoxia Shock Dehydration Atropine use Anxiety

After a pacemaker placement, a patient is ready for discharge. Which patient statement indicates additional teaching is needed? Select all that apply.

I can no longer use a cell phone or microwave Dizziness and chest pain are normal sensations Discharge at the incision site is a sign of healing.

The nurse is providing teaching to a patient about chest pain. Which of the following statements made by the patient would be of most concern to the nurse?

I have chest pain a lot, but its just heart burn.

The nurse is teaching a patient about simvastatin (Zocor). Which statements made by the patient indicate a need for further education? Select all that apply.

I need to monitor for signs of bleeding I should take this medication in the morning I will not need to have any routine labratory work while taking this

The nurse is providing teaching for a client with mitral valve prolapse. Which of the following statements made by the client indicates an understanding of the teaching?

I should follow a healthy diet.

The nurse is providing teaching to a patient with an abdominal aortic aneurysm. Which statement made by the patient indicates a need for further teaching?

I still work at my moving company business. Dont read into question.

The nurse is providing teaching to a client with strep throat about preventing rheumatic fever. Which statement made by the client indicates an understanding of the teaching?

I will be given penicillin to treat the strep throat."

The nurse is reinforcing discharge teaching for a patient being prescribed metoprolol succinate. Which patient statement indicates teaching is effective?

I will move slowly when I get out of bed each morning. rationale: orthostatic hypotension can occur on this medication

Understanding of a pacemaker device

I will need to carry a pacemaker id card with me at all times I will have to limit the movement of my left arm for a while It is important to let my care team know about this device before getting imaging procedures

A patient with atrial fibrillation is prescribed apixaban to reduce blood clot risk. Which patient statement indicates teaching is successful?

I'm glad that frequent blood monitoring will not be needed.

Leadless pacemaker information

Implanted into the right side of the heart The battery will last for about 12 years the pacemaker is about the size of a vitamin capsule IT will be inserted through a vein in the leg

The nurse is teaching a patient with heart failure who just had a myocardial infarction (MI) about nutrition. Which of the following should the nurse include in the teaching?

Important to avoid caffeine

The nurse notes a client's vital signs change from blood pressure (BP) 122/80 mm Hg, pulse 75 bpm; to BP 101/70 mm Hg, pulse 96 bpm when sitting up. Which action should the nurse take first?

Instruct the client to change positions slowly

The nurse is caring for a client with peripheral arterial disease. Which of the following clinical manifestations should the nurse expect the client to exhibit as a late finding?

Intermittent claudication

Peripheral arterial disease clinical manifestations;

Intermittent claudication deminished pedal pulses

The nurse is caring for a client receiving warfarin. Which lab value should the nurse monitor?

International normalized ratio (INR)

The nurse is teaching a client with heart failure who just had a myocardial infarction (MI) about nutrition. Which of the following should the nurse include in the teaching?

It is important to avoid caffeine.

The nurse is caring for a client about to undergo valve replacement. The nurse expects the health-care provider to ask the client if they prefer bovine, mechanical, or human valves if the client is of which religion?

Jewish

In heart failure, which part of the heart fails first?

Left ventricle (highest work load)

Which of the following is the most common cause of right-sided heart failure?

Left-sided heart failure

These are the substances that accumulate in the artery walls causing atherosclerosis.

Lipids, platelets, and other clotting factors

A client with a diagnosis of hypertension who has been taking medication reports a dry cough. Which medication can the nurse expect to find in the client's medication history?

Lisinopril

The nurse is caring for a client receiving anticoagulant therapy for a deep vein thrombosis (DVT) of the left leg. How will the nurse know that therapy has been effective?

Measurement of the effected calf has shown a decrease in size.

The nurse is caring for a client who underwent a cardiac catheterization. Which of the following interventions should the nurse implement? Select all that apply.

Monitor vital signs Monitor peripheral pulses Keep the client on bed rest as ordered Monitor the puncture site

The nurse is caring for a patient with a myocardial infarction (MI). Which of the following are used as treatments for an MI? Select all that apply.

Morhpine, oxygen, nitroglycerin, aspirin

The nurse is auscultating a client's heart sounds and notes a prolonged, faint swishing sound. The nurse suspects the client may be exhibiting which abnormality?

Murmur

The nurse reinforces teaching for a client scheduled for a cardiac catheterization. Which client statement indicates that teaching is effective?

My skin will become flushed and feel warm."

Which of the following can result from coronary artery disease (CAD) if untreated?

Myocardial infarction (MI)

The nurse is caring for a client with angina. Which medication would the nurse expect to administer?

Nitroglycerin (Nitrostat)

What should be done for a patient presenting with pink frothy sputum?

Notify HCP immediately

A client scheduled for the next dose of atenolol has a blood pressure (BP) of 94/60 mm Hg. Which action should the nurse take next?

Notify the health-care provider

The nurse is caring for a client with a myocardial infarction (MI). Which of the following are used as treatments for an MI? Select all that apply.

Oxygen Nitroglycerin Aspirin Morphine

A client returns to the unit immediately after a cardiac catheterization in which the femoral artery was used. Which action should the nurse take first?

Palpate peripheral pulses

The nurse is caring for a client with heart failure who awakens during the night with feelings of suffocation and anxiety. The nurse knows the client is experiencing which of the following?

Paroxysmal nocturnal dyspnea

The nurse is caring for a client with infective endocarditis (IE). Which clinical manifestations can the nurse expect to find? Select all that apply.

Petechiae Aching muscles Fever

The nurse is caring for a patient who develops pulmonary edema. Which classic symptom can the nurse expect to find?

Pink frothy sputum

The nurse is calculating the intake for a client with heart failure. The client received two antibiotics of 50 mL each and drank 240 mL of juice, 200 mL of water, and 120 mL of milk. What is the total intake for this client? Enter the numeral only.

Pink, frothy sputum

The nurse is caring for a client with an arterial thrombosis. Which of the following are contributing factors? Select all that apply.

Polycythemia Repeated arterial needlesticks Hypotension

The nurse is reviewing lab values for a client taking furosemide. Which of these lab values would concern the nurse the most?

Potassium 2.5 mEq/L

The nurse is administering furosemide (Lasix) to a client with heart failure. Which laboratory value would concern the nurse?

Potassium 2.8 mEq/dL

A client's cardiac rhythm is supraventricular tachycardia (SVT), despite drug therapy. Which action should the nurse take?

Prepare for synchronized cardioversion

The nurse is reviewing orders for a client with angina and a history of asthma. Which order should the nurse question?

Propranolol (Inderal)

This patient is prescribed a medication for their angina. The patient has a history of asthma. This medication should be questioned.

Propranolol (Inderal)

A client undergoing cardiopulmonary bypass is ready to come off the pump. Which medication should the nurse prepare to administer?

Protamine sulfate

The nurse is reviewing a client's electrocardiogram (ECG) tracing. Which of the following are characteristics of normal sinus rhythm (NSR)?

QRS interval less than or equal to 0.10 seconds

This disorder is due to cold exposure or emotional distress. S/S are white or blue digits.

Raynaud's disease OR Phenomenon

Clients with heart failure typically present with a decrease of which of the following?

Red blood cells (RBCs)

The nurse is caring for a client with lymphangitis. Which clinical manifestation can the nurse expect to find?

Red streaks on the extremity

The nurse is caring for a client with suspected cardiomyopathy. Which statement made by the client requires correction by the nurse?

Restrictive cardiomyopathy is the most common type."

Which part of the heart is depicted?

Right atrium

Which part of the heart pumps deoxygenated blood toward the lungs?

Right ventricle

The first heart sound heard at the beginning of systole when the tricuspid and mitral valves close is known as which sound?

S1

The nurse is caring for a client with aortic regurgitation. Which of the following interventions should the nurse implement?

Schedule periods of rest between activities.

The nurse is preparing a presentation about cardiovascular disease. Which should the nurse include in the presentation as risk factors? Select all that apply.

Smoking Poor diet Obesity High total cholesterol

The nurse is caring for a client with hypertension. Which of the following are complications that can occur? Select all that apply.

Stroke Myocardial infarction (MI) Kidney failure

The nurse is caring for a client with hypertension. The client is at risk for which of the following? Select all that apply.

Stroke Heart failure Pulmonary edema

The nurse is caring for a client with an abdominal aortic aneurysm (AAA). Which of the following should the nurse report to the health-care provider?

Sudden abdominal pain

A client's electrocardiogram (ECG) tracing reveals no relationship between P waves and QRS complexes. The client is confused, and blood pressure is 60/30 mmHg. Which order should the nurse expect?

Transcutaneous pacing

Which of the following is shown here?

Tricuspid valve

Age (men after 50; women after menopause) Ethnicity (african american increased risk) Gender (men higher risk) Genetics (hyperlipidemia- family HX increases risk)

Unchangeable risk factors for Ather/CAD

The nurse is caring for a client who is at risk for orthostatic hypotension. Which action should the nurse take?

Use a walking belt when ambulating the client

A client taking warfarin for atrial fibrillation has a critically high international normalized ratio (INR). Which order should the nurse expect?

Vitamin K

The nurse is caring for a client receiving warfarin who begins to bleed. Which medication is the antidote for warfarin?

Vitamin K

The nurse is taking a medication history of a client about to undergo cardiovascular surgery. Which medication reported by the client would require the nurse to notify the surgeon?

Warfarin

A client is scheduled to be placed on a cardiopulmonary bypass pump (CBP). Which of the following causes the nurse to intervene immediately?

Warfarin is administered for anticoagulation

The nurse is caring for a client with heart failure. Which intervention should the nurse implement?

Weigh the client daily at the same time.

The nurse is caring for a client with right-sided heart failure. Which clinical manifestations can the nurse expect to find? Select all that apply.

Weight gain Dependent peripheral edema

Expected findings for right sided heart failure

Weight gain dependent peripheral edema

The nurse is caring for a patient with right-sided heart failure. Which clinical manifestations can the nurse expect to find? Select all that apply

Weight gain and dependent

The nurse is caring for a client who underwent a heart transplant. Which of the following would be of most concern to the nurse?

Yellow-green sputum

First action for a patient in vfib

apply adhesive pads to patients chest

Hypertension can lead to which change in the heart?

increase in size of left ventricle

Refractory HF requiring specialized interventions (hospice)

stage d HF

Rheumatic fever is a rare complication of which condition

strep throat

Which statement made by a client indicates a possible exacerbation of heart failure (HF)?

"I have gained 8 pounds this week."

The nurse is caring for a client with a mechanical valve replacement. Which statement made by the client requires correction?

"I have to take anticoagulant therapy for only a few years."

The nurse is teaching a client about enoxaparin. Which statement made by the client indicates the need for further teaching?

"I need to get the air bubble out of the syringe."

The nurse is caring for a client about to undergo cardiac catheterization. Which of the following statements made by the client indicate an understanding of the procedure? Select all that apply.

"I need to inform the health-care provider that I am allergic to contrast dye." "It may feel warm when they inject the dye." "They will check my vital signs and electrocardiogram (ECG) during the procedure."

The nurse is teaching a client with heart failure about nutrition. Which statement made by the client indicates an understanding of the teaching?

"I need to reduce the amount of fluids I drink like the health-care provider said."

The nurse is providing preoperative teaching to a client about to undergo cardiac surgery. Which of the following statements made by the client indicates a need for further education?

"I should avoid coughing and deep breathing so my incision does not reopen."

A client started having chest pain 2 hours ago. After the health-care provider explains to the client that her cardiac troponin level is normal," the client states, "I'm so happy that I didn't have a heart attack." Which response by the nurse is the priority?

"The troponin level may be normal right now even if you have had a heart attack."

A client recovering from cardiopulmonary bypass states, "I'm afraid something went wrong. I have tubes coming from my chest." Which response should the nurse make?

"The tubes drain remaining blood and fluid from the chest."

The nurse is providing teaching to a client who will undergo a percutaneous coronary intervention (PCI). Which statement made by the client indicates an understanding of the teaching?

"This procedure will open up my blocked artery."

The nurse is caring for a client who is about to undergo coronary artery bypass graft (CABG) surgery. Which statement made by the client indicates an understanding of the surgery?

"This surgery will increase blood flow to the myocardium.

The nurse is answering questions for a client about to undergo angiography. Which statement made by the client indicates an understanding of the procedure?

"This test will inject dye into my vessels and see if I have a clot somewhere."

Which of the following is shown here?

. Aortic semilunar valve

The nurse is teaching a client about a low-cholesterol diet. Which food choice selected by the client indicates a need for further teaching?

A large order of fried okra

The nurse is caring for a group of patients. Which patient is at highest risk for developing Buerger disease?

A patient with lupus who is a heavy smoker

A client who is asymptomatic has an irregularly irregular rhythm with no identifiable P waves. Which initial order should the nurse expect? Select all that apply.

Anticoagulant therapy Beta blocker Calcium channel blocker

The nurse is caring for a client with mitral valve prolapse (MVP). Which of the following clinical manifestations can the nurse expect to find? Select all that apply.

Anxiety Dyspnea Murmur Fatigue

The nurse is caring for a client with venous stasis ulcers. Which of the following interventions should the nurse implement?

Apply compression stockings.

diabetes, hypertension, elevated serum cholesterol, elevated low-density lipoprotein LDL

Changeable risk factors

The nurse is caring for a client with varicose veins. Which clinical manifestations can the nurse expect to find? Select all that apply.

Edema Dull pain Feeling of heaviness Spider veins

The nurse is assessing a client with a suspected deep vein thrombosis (DVT) of the left leg. Which clinical manifestations can the nurse expect to find? Select all that apply.

Edema Pain Calf tenderness Venous distention

A client presents to the clinic with chest pain. For which test should the nurse prepare the client first?

Electrocardiogram (ECG)

The nurse is caring for a client who underwent abdominal aortic aneurysm (AAA) repair. Which of the following should concern the nurse?

Increase in abdominal girth measurement

The nurse teaches a colleague about the effect of epinephrine on the heart. Which teaching should the nurse include? Select all that apply.

Increased cardiac output Increased force of cardiac contractions Increased heart rate

The nurse is teaching a group of clients about risk factors for pericarditis. Which of the following should the nurse include in the teaching? Select all that apply.

Infections Medications Liver disease Systemic lupus erythematosus (SLE)

he nurse is preparing to measure orthostatic blood pressures on a client who fell. In which order should the nurse perform the following actions?

Measure the blood pressure (BP) and HR in the supine position Report abnormal findings to the health-care provider Measure the BP and HR in the sitting position Explain the procedure to the client

The nurse is monitoring a patient with peripheral arterial disease and notes an absent pulse. Which action should the nurse take?

Notify the health care provider immediately.

A patient's cardiac rhythm is supraventricular tachycardia (SVT), despite drug therapy. Which action should the nurse take?

Prepare for synchronized cardioversion

An older adult client reports coughing and dyspnea. During assessment, the nurse auscultates S1, S2, and S3 heart sounds and crackles in the lung fields. What is the nurse's priority action?

Prepare the client for a chest radiograph

A patient on continuous telemetry monitoring shows a pattern of "sawtooth" waves occurring at a rapid rate. Which intervention would the nurse perform?

Prepare the patient for synchronized cardioversion

The nurse is providing teaching for a client who is being sent home with a Holter monitor. Which information is important for the nurse to include in the teaching?

Press the button on the monitor if symptoms occur.

The nurse is preparing a presentation about preventing coronary artery disease (CAD). Which of the following should the nurse include in the teaching?

Smoking cessation

The nurse is caring for a patient who is about to undergo coronary artery bypass graft (CABG) surgery. Which statement made by the patient indicates an understanding of the surgery?

This surgery will increase blood flow to the myocardium

thickening, loss of elasticity, and calcification (hardening) of arterial walls occurs with aging

arteriosclerosis

The nurse is caring for a client with mild mitral regurgitation. Which clinical manifestations can the nurse expect to find?

asymptomatic

The nurse is caring for group of clients. Which client is at highest risk for developing deep vein thrombosis (DVT)?

truck driver

A patient asks the nurse about the difference between stable and unstable angina. Which statement by the nurse is most appropriate?

unstable angina occurs with minor exertion

A client asks the nurse about the difference between stable and unstable angina. Which statement by the nurse is most appropriate?

"Unstable angina occurs with moderate exertion."

The nurse is caring for a client with mitral regurgitation. The client asks the nurse what this means. Which response by the nurse is best?

"Your mitral valve leaflets do not close all the way. This allows backflow of blood into the left atrium every time the left ventricle contracts."

The nurse is providing teaching to a patient taking bumetanide (Bumex). Which statement made by the patient indicates an understanding of the teaching?

"i should take this medication at bedtime so i don't pee all night."

. A client's electrocardiogram (ECG) tracing shows ventricular fibrillation (VF). What action should the nurse make the first priority?

. Apply external defibrillation

Which of the following is the most common cause of left-sided heart failure?

. Hypertension

The nurse is caring for a client who reports pink and frothy sputum. Which action should the nurse take first?

. Notify the health-care provider (HCP) immediately.

The nurse is caring for a client with Raynaud disease. Which of the following clinical manifestations of the affected area can the nurse expect to find?

. Pain when warm

The nurse is administering atenolol 25 mg to a client with hypertension. Available is atenolol 50 mg tablets. How many tablets will the nurse administer? Enter the numeral only.

0.5

The nurse is preparing to administer heparin sodium 5,000 units. Available is heparin sodium 10,000 units/mL. How many milliliters will the nurse administer? Enter the numeral only.

0.5

The nurse is providing teaching regarding healthy food choices to a client with hypertension. Which food choice indicates that the client understood the teaching?

1 small apple with 1 cup of raw leafy vegetables and 1 ½ ounce of cheese

The nurse reviews a client's electrocardiogram tracing. Calculate the client's heart rate. Round to the nearest whole number.

70

The nurse reviews a client's electrocardiogram tracing. Calculate the client's heart rate. Round to the nearest whole number.

70

The nurse is preparing to administer cyclosporine (Neoral) 15 mg/kg/day in two divided doses to a client who weighs 105 kg. How many milligrams will the nurse administer per dose? Enter the numeral only.

787.5

The nurse is reviewing laboratory values for a client with heart failure. Which of the following should the nurse expect to find?

Elevated brain natriuretic peptide (BNP)

The nurse is caring for a client with a deep vein thrombosis (DVT). Which interventions should the nurse implement? Select all that apply.

Apply compression stockings. Instruct the client to quit smoking Encourage ambulation as tolerated Administer warfarin as ordered.

A client's electrocardiogram (ECG) tracing shows ventricular fibrillation (VF). What action should the nurse make the first priority?

Apply external defibrillation

A client's electrocardiogram (ECG) tracing reveals ventricular fibrillation. Which action should the nurse take first?

Apply self-adhesive pads to the client's chest

A patient's electrocardiogram (ECG) tracing reveals ventricular fibrillation. Which action should the nurse take first?

Apply self-adhesive pads to the patients chest needed for immediate defibrillation

formation of plaque in the arteries

Atherosclerosis

This condition can cause CHD or CAD

Atherosclerosis (increased risk)

Which hormones are secreted by the atria?

Atrial natriuretic peptide (ANP)

What is another term for coronary heart disease (CHD)?

CAD Coronary artery disease

A client's sinoatrial (SA) and atrioventricular (AV) nodes have failed to fire. Which of these results should the nurse expect as the ventricles take over and initiate impulses? Select all that apply.

Change in level of consciousness Dyspnea

. A client's sinoatrial (SA) and atrioventricular (AV) nodes have failed to fire. Which of these results should the nurse expect as the ventricles take over and initiate impulses? Select all that apply.

Change in level of consciousness Dyspnea

The nurse is caring for a female client experiencing a myocardial infarction (MI). Which clinical manifestation is the client likely to exhibit?

Heartburn

The nurse is caring for a male client with angina. Which clinical manifestations can the nurse expect to find? Select all that apply.

Heaviness in chest Dyspnea Diaphoresis Radiating jaw pain

structural heart disease but no symptoms

Stage B HF

The nurse assists with discharge planning of a client with cardiovascular disease. Which teaching should the nurse reinforce? Select all that apply.

Smoking reduces blood flow and can worsen symptoms. The top of elastic stockings should be 1 to 2 inches below the bottom of the kneecap. Avoid open flames when oxygen is in use

At high risk for HF but without structural heart disease or symptoms of HF

Stage A HF

A client has no palpable pulse and no waveform activity on an electrocardiogram (ECG) tracing. Which action should the nurse make the top priority?

Start chest compressions

A patient has no palpable pulse and no waveform activity on an electrocardiogram (ECG) tracing. Which action should the nurse make the top priority?

Start chest compressions

The nurse is caring for a client with an abdominal aortic aneurysm (AAA). Which finding should the nurse report to the health-care provider immediately?

Sudden back pain

A client with flutter waves on a recent electrocardiogram (ECG) reports syncopal episode, dyspnea, and angina. Which treatment should the nurse expect to be prescribed?

Synchronized cardioversion

The nurse is caring for a client receiving furosemide. The nurse should provide the following education to the client:

Take the medication in the morning

The nurse is applying a nitroglycerin patch (Nitro-Dur) for a client. Which of the following requires correction?

The nurse applies the patch at the same location as the old patch.

Which of the following describes Stage C heart failure (HF)?

Those with heart failure with reduced eject fraction and symptoms.

The nurse is caring for a male patient with angina. Which clinical manifestations can the nurse expect to find? Select all that apply.

heaviness in chest, dyspnea, diaphoresis, radiating jaw pain

A client presents to the emergency department with chest pain. Which blood study is most important to monitor to rule out a myocardial infarction (MI)?

cardiac troponin

Which answer describes the role of arteries?

carry blood from heart to capillaries

What disorder is diagnosed with an exercise stress test, cardiac CT, and coronary angiography?

coronary artery disease (CAD)

The nurse is monitoring a patient with heart failure. What should the nurse expect to hear upon auscultating lung sounds?

crackles

The nurse is caring for a patient with left-sided heart failure. Which clinical manifestations should the nurse expect to see? Select all that apply

crackles dry hacking cough orthopnea

Which internal factor may contribute to hypertension?

decreased elasticity of blood vessels

The nurse is caring for a client with pericarditis who develops cardiac tamponade. For which treatment should the nurse prepare the client?

pericardiocentesis

This condition is the disorder of the arterial circulation usually caused by chronic, progressive narrowing of arterial vessels that leads to obstruction or occlusion. Diagnosed with: ankle-brachial index is used to compare blood pressures in the upper and lower extremities, duplex ultrasound, MRI, CT, plethysmography, and angiography.

peripheral arterial disease (PAD)

The nurse is caring for a client with myocarditis. Which of the following is an early clinical manifestation of this condition?

pharyngitis

Ways to combat this condition low-fat, low cholesterol diet; smoking cessation; exercise

plaque build up in arteries

The nurse is assessing a client who reports chest pain along with pain in the shoulder. Which term describes this pain?

radiate

Where does pulmonary circulation begin?

right ventricle

What is the term for a normal heartbeat?

sinus rhythm