week 6 cc

Which type of aortic aneurysm is the most common? Abdominal aortic Thoracic Ascending aorta Aortic arch

Abdominal aortic

A patient is undergoing a pericardiocentesis. Following withdrawal of pericardial fluid, which assessment by the nurse indicates that cardiac tamponade has been relieved? Decrease in central venous pressure (CVP) Increase in CVP Decrease in blood pressure Absence of cough

Decrease in central venous pressure (CVP)

The nurse working on the cardiac floor identifies which of the following to be the initial treatment of choice for small pericardial effusions and mild cardiac tamponade? NSAIDS Pericardiocentesis Corticosteroids Colchicine

Pericardiocentesis

A client presenting with which clinical situation is a candidate for enoxaparin therapy? A post-surgical hip replacement History of atrial fibrillation A post-surgical gastric resection History of unstable angina Post non-Q-wave myocardial infarction

A post-surgical hip replacement A post-surgical gastric resection History of unstable angina Post non-Q-wave myocardial infarction

The client tells the provider he has lower back pain. Although most abdominal aneurysms are asymptomatic, the provider examines the client for which initial sign of this condition? A pulsating mass in the abdomen Syncope The pulse is unobtainable in one or both arms Hemiplegia

A pulsating mass in the abdomen

A 46-year-old man has been diagnosed with pericarditis and has begun treatment. When assessing this patient, the nurse should prioritize assessments relevant to what complications of pericarditis? Select all that apply. Cardiac tamponade Pericardial effusion ST elevation myocardial infarction (STEMI) Cardiac arrest Transient ischemic attacks (TIAs)

Cardiac tamponade Pericardial effusion

The nursing instructor is talking about myocardial infarctions (MI) to her junior nursing class. What would the instructor tell the students is the most common cause of an MI? Coronary thrombosis Venous stasis Arteriosclerosis Stroke

Coronary thrombosis

The nurse is reviewing the laboratory results for a patient having a suspected myocardial infarction (MI). What cardiac-specific isoenzyme does the nurse observe for myocardial cell damage? Alkaline phosphatase Creatine kinase MB Myoglobin Troponin

Creatine kinase MB

Administration of a cardiotonic drug is contraindicated in which conditions? (Select all that apply.) Digitalis toxicity Hypertension Cardiac tamponade Hypotension Ventricular tachycardia

Digitalis toxicity Cardiac tamponade Ventricular tachycardia

A client who recently had a myocardial infarction develops pericarditis and complains of chest pain rated 6 (on a scale of 0-10) with deep breathing. Which ordered pro re nata medications is mostappropriate for the nurse to administer? Acetaminophen 650 mg PO every 4 hours Fentanyl 2 mg intravenous pyelogram (IVP) every 2-4 hours Ibuprofen 800 mg PO every 8 hours Morphine sulfate 6 mg IVP every 2-4 hours

Ibuprofen 800 mg PO every 8 hours

The nurse is caring for a client with ECG changes consistent with a myocardial infarction. Which of the following diagnostic test does the nurse anticipate to confirm heart damage? Fluoroscopy Nuclear cardiology Serum blood work Chest radiography

Nuclear cardiology

A nurse is assessing a patient who has had valvular heart disease for more than 15 years. Which signs and symptoms should the nurse expect? (Choose all that apply.) Paroxysmal nocturnal dyspnea Orthopnea Cough Pericardial friction rub Pulsus paradoxus

Paroxysmal nocturnal dyspnea Orthopnea Cough

A client is treated in the intensive care unit (ICU) following an acute myocardial infarction (MI). During the nursing assessment, the client reports shortness of breath and chest pain. In addition, the client's blood pressure (BP) is 100/60 mm Hg with a heart rate (HR) of 53 bpm, and the electrocardiogram (ECG) tracing shows more P waves than QRS complexes. Which action should the nurse complete first? Initiate transcutaneous pacing Prepare for defibrillation Administer 1 mg of IV atropine Obtain a 12-lead ECG

Prepare for defibrillation

A client has the following arterial blood gas values: pH, 7.52; PaO2, 50 mm Hg (6.7 kPa); PaCO2, 28 mm Hg (3.7 kPa); HCO3-, 24 mEq/L (24 mmol/l). The nurse determines that which of the following is a possible cause for these findings? Chronic obstructive pulmonary disease (COPD). Diabetic ketoacidosis with Kussmaul's respirations. Myocardial infarction. Pulmonary embolus.

Pulmonary embolus.

Cardiac tamponade is a serious, life-threatening condition that can arise from a number of other conditions. What is a key diagnostic finding in cardiac tamponade? Increase in stroke volume Pulsus paradoxus Narrowed pulse pressure Rise in systolic blood pressure

Pulsus paradoxus

Aortic aneurysms take varied forms and can occur anywhere along the aorta. What are the types of aneurysm termed abdominal aortic aneurysms? Select all that apply. Berry aneurysms Dissecting aneurysms Saccular aneurysms Fusiform aneurysms Bifurcating aneurysms

Saccular aneurysms Fusiform aneurysms

A mediastinal shift occurs in which type of chest disorder? Tension pneumothorax Traumatic pneumothorax Simple pneumothorax Cardiac tamponade

Tension pneumothorax

An angiogram reveals 80% to 90% occlusions in several coronary arteries but the client's troponin I level is normal. The client asks the nurse, "How it was possible to have such blockage yet have no symptoms?" How should the nurse respond? To compensate for long-standing narrowing of the vessels, new arteries formed to increase blood supply. Some people have no symptoms despite lack of blood supply. This is called "silent myocardial ischemia." The release of nitrous oxide from the narrowed vessels causes dilation and allows for adequate blood supply. Symptoms will not occur until at least one vessel is 100% occluded. This results in a myocardial infarction.

To compensate for long-standing narrowing of the vessels, new arteries formed to increase blood supply.

A male client had a myocardial infarction. He was told that his infarction size was decreased as a result of collateral circulation. This means the client likely had: atherosclerosis, which caused resultant narrowing of the coronary artery. an acute occlusion, which caused resultant dilation of the artery and increased circulation. atherosclerosis, which caused resultant dilation of the artery and increased circulation. hypokalemia, which caused resultant dilation of the artery and increased circulation.

atherosclerosis, which caused resultant dilation of the artery and increased circulation.

The nurse is caring for a client with chronic hypertension who struggles with medication compliance due to financial issues. When reviewing recent lab work results, which reflects the client's blood pressure issues? Select all that apply. blood urea nitrogen (BUN) complete blood count creatinine cardiac enzymes alanine aminotransferase (ALT) calcium

blood urea nitrogen (BUN) creatinine calcium

The nurse is preparing to present an educational session on pediatric cardiopulmonary arrests. The nurse will include which statement in the teaching? "Most pediatric arrests stem from airway and breathing issues." "Obtaining an automated external defibrillator (AED) is vital to survival." "Activate the emergency response system first in an unwitnessed event." "Start cardiopulmonary resuscitation (CPR) in an infant if the heart rate is below 75 beats per minute."

"Most pediatric arrests stem from airway and breathing issues."

The client is admitted to the telemetry unit due to chest pain. The client has polysubstance abuse, and the nurse assesses that the client is anxious and irritable and has moist skin. What should the nurse do in order of priority from first to last? All options must be used. 1 Position electrodes on the chest. 2 Take vital signs. 3 Administer the prescribed dose of morphine. 4 Obtain a history of which drugs the client has used recently.

1 Position electrodes on the chest. 2 Take vital signs. 3 Administer the prescribed dose of morphine. 4 Obtain a history of which drugs the client has used recently.

When the electrocardiogram (ECG) of a client in the emergency department indicates an ST elevation myocardial infarction (STEMI) in progress, the physician orders a beta-adrenergic blocker. Which factors in the client's history will cause the nurse to withhold medication pending discussion with physician? Select all that apply. Myocardial infarction caused by cocaine use Third-degree heart block Hypertension Shock Cerebrovascular accident

Myocardial infarction caused by cocaine use Third-degree heart block Shock

After 2-hour onset of acute chest pain, the client is brought to the emergency department for evaluation. Elevation of which diagnostic findings would the nurse identify as suggestive of an acute myocardial infarction at this time? Troponin I Myoglobin WBC (white blood cell) count C-reactive protein

Myoglobin

A nurse working in the OB clinic is talking to a client who asks the nurse why her primary care provider has not prescribed estrogen replacement therapy (ERT) to treat her pelvic organ prolapse (POP). The nurse informs the client that ERT is not for everyone and should not be given to clients who are at risk for developing which conditions? Select all that apply. endometrial cancer myocardial infarction (MI) stroke breast cancer deep vein thrombosis (DVT) pulmonary emboli (PE)

endometrial cancer myocardial infarction (MI) stroke breast cancer deep vein thrombosis (DVT) pulmonary emboli (PE)