RN targeted medical surgical cardiovascular online practice 2019

A nurse is caring for a client following insertion of a permanent pacemaker. Which of the following client statements indicates a potential complication of the insertion procedure?

A. " I cant get rid of these hiccups" B. "i feel dizzy when i stand" C. " my incision site stings" D. " i have a head ache" Answer =

A nurse is caring for a client who has a history of angina and is scheduled for exercise ECG at 11:00. which of the following statements by the client requires the nurse to contact the provider for possible rescheduling?

A. " im still hungry after the bowl of cereal I ate at 7" B. "i didnt take my heart pills thsi morning because the doctor told me not to" C. " I have had chest pain a couple times since i say my doctor in the office last week" D. I smoked a cigarett this morning to calm my nerves about having this procedure" Answer =

A nurse is providing teaching to a client who is 2 days post op following a heart transplant. which of the following statements should the nurse include in teaching?

A. " you might no longer be able to feel chest pain" b. "your level of activity intolerance will not change" C. "after 6 months, you will no longer need to restrict your sodium intake" D. " you will be able to stop taking immunosuppresants after 12 months answer=

A nurse is caring for a client who is scheduled for a coronary artery bypass graft (CABG) in 2 hours. Which of the following statements indicates a need for further clarification by the nurse?

A. "my arthritis is really bothering me because i havnt taken my asprin in a week" B. "my blood pressure shouldnt be this high because I took my blood pressure medication this morning" C. " I took my warfarin last night according to my usual schedlue D. " i will check my b/s because i tood a reduced dose of insulin this morning Answer =

A nurse is assessing a client who has pulmonary edama related to heart failure. Which of the following findings indicates effective treatment of the clients condition?

A. Absence of adventitious breath sounds B. presents of a nonproductive cough C. decrease in respiratory rate at rest D. SaO2 86% on room air Answer

A nurse is monitoring a client's ECG monitor and notes the clients rythm has changed from normal sinus rythm to supraventricular tachycardia. The nurse should prepare to assist with which of the following interventions?

A. Initiate chest compressions B. Vagal stimulation C. administration of atropine IV D. defibrillation Answer =

A nurse is caring for a client who is being treated for heart failure and has a prescription for furosemide. The nurse should plan to monitor for which of the following adverse effects of the medications?

A. SOB B. lightheadedness C. Dry cough D. metalic taste Answer =

A nurse is providing health teaching to a group of clients. which of the following clients is at risk for developing peripheral arterial disease?

A. a client who has hypothyroidism B. A client who has diabetes mellitus C. a client whose daily caloric intake consists of 25% fat D. a client who consumes two 12 L bottles of beer a day Answer =

A nurse in an emergency department is caring fo ra client who had an anterior myocardial infarction. The clients history reveals they are 1 week post op following an open cholecystectomy. the nurse should identify that which of the following interventions is contraindicated?

A. administerine IV morphine sulfate B. Administering oxygen 2L via nasal canula C. helping client to bedside commode D. assisting with thrombolytic therapy answer=

A nurse is providing discharge teaching to a client who has a prescritpion for Nitroglycerine patches. which of the following instructions should the nurse include in the teaching?

A. apply the new patch to the same site as the previous patch B. place the patch on an area of skin away from skin folds and joints C. keep the patch on 24 hours a day D. replace the patch at the onset angina answer =

A nurse is reviewing the laboratory results of several male clients who have periphreal arterial disease. the nurse should plan to provide dietary teaching for the client who has which of the following lab values

A. cholesterol 180 Hdl70 LDL90 B. Cholesterol 185 HDL 50 Ldl 120 C. Cholesterol 90 Hdl25 LDL 160 D. cholesterol 195 Hdl 55 LDL 125 Answer

A nurse in an emergency department is assing a client who has a bradydysrhythmia. which of the follwoing findings should the nurse monitor for

A. confusion B. friction rub C. Hypertension D. dry skin Answer =

A nurse is assessing a client who has dilated cardiomyopathy. which of the following findings should the nurse expect?

A. dyspena on exertion B. tracheal deviation C. pericardial rub D. weight loss

A nurse is admitting a client who has a leg ulcer and history of diabetes. which of the following focused assessments should the nurse use to help differentiate between an arterial ulcer and venous statis ulcer?

A. explor the clients family history of peripheral vascular disease B. note the presence or absence of pain at the ulcer site C. inquite about the presence of absence of claudication D. ask if patient has had a recent infection Answer =

A nurse is preparing a client for coronary angiography. Which of the following findings should the nurse report to the provider prior to the procedure

A. hemoglobin 14.4 B. history of PAD C. urine output of 200ml/4hr D. previous allergic reaction of shellfish Answer =

A nurse is assessing a client who has a history of DVT and is receiving warfarin. Which of the following findings should indicate to the nurse that the med is effective?

A. hemoglobin 14g/dl B. minimal brusing of expremities C. Decreased blood pressure D. INR 2 Answer = D

A nurse is caring for a client who is receiving heparin therapy and develops hematauria. which of the following actions shoudl the nurse take if the clients PTT is 96 seconds

A. increase the heparin infusion flow rate by 2ml/hr B. continue to monitor the heparin infusion as prescribed C. request a prothrombin time (PT) D. stop the heparin infusion Answer =

A nurse is assessing a client who has left sided heart failure. which of the following manifestations should the nurse expect to find?

A. increased abdominal girth B. weak peripheral pulses C. jugular venous neck distention D. Dependent edema Answer =

A nurse in an ED is caring for a client who has BP of 254/139. the nurse recognizes that the client is in hypertensive crisis. which of the following actions should the nurse take first?

A. initiate seizure percautions B. tell the client to report vision changes C. elevate the head of the clients bed D. start a peripheral IV Answer =

A nurse is planning a presentation for a group of clients who have hypertension. Which of the following lifestyle medifications should the nurse include?(select all that apply)

A. limited alcohol use B. regular excercise program C. decreased magnesium intake D. reduced potassium intake E. tobacco cessation Answer =

A nurse is caring for a client who is 8 hrs postoperative following CABG. which of the follwoing findings should the nurse report?

A. mediastinal drainage 100ml/hr B. BP 160/80 C. Temp 98.8 D. potassium 4 Answer

A nurse is caring for a client who had an onset of chest pain 25 hours ago. the nurse should identify that the increase of which of the following values is diagnostic of ME

A. myoglobin B. C reactive protein C. creatine kinase D. homocysteine answer =

A nurse is caring for a client who was admitted for treatment of L HF and is receiving IV loop diretics and digitalis therapy. The client is experencing weakness and irregular HR. which of the following actions should the nurse take first?

A. obtain the clients current weight B. review serum electrolyte values C. determine the time of the last digoxin dose D. check the clients urine output Answer =

A nurse is caring for a client who i s 1 hour post op folllwoing an aortic aneurysm repair. which of the following findings can indicate shock and should be reported to the provider?

A. serosanguineous drainage on dressing B. severe pain with coughing C. uring output of 20lm/hr D. increase temp of 98.2-99.5 Answer =

A nurse is caring for a client who has HF and is experiencing A fib. Which of the following findings should the nurse plan to monitor for and report to the provider immediately?

A. slurred speach B. irregular pulse C. dependent edema D. persistent fatigue Answer =

A nurse is teaching a client who has a new prescription for an ACE inhibitor to treat hypertension. the nurse should instruct the client to notify their provider if they experience which of the following adverse effects of this medicaion?

A. tendon pain B. persistent cough C. frequent urination D. constipaion

A nurse is caring for a client who has endocarditis. which of the following assessments should the nurse recognize as a potential complication?

A. ventricular depolarization B. Guillain Barré syndrome C. myelodysplastic syndrome D. Valvular disease Answer =

A nurse is providing discharge teaching to a client who has HF. the nurse should instruct the client to report which of the following findings immediately to the provider?

A. wt gain of 2lb in 24 hr B. Increase of 10mm Hg is systolic BP C. Dyspena with exertion D. dizziness when rising quickly Answer =