Abrams Quiz 2

A client is experience muscle tremors and premature atrial contractions. Which electrolyte imbalance does the nurse suspect?

Hypomagnesemia

An adult client recently diagnosed with hypertension has begun combination therapy. Which client statement would suggest a need for additional health education?

"I'll only need to take these drugs on days when my blood pressure is particularly high."

Antianginal drugs are most often used to manage what conditions? (Select all that apply.) Severe angina Serious cardiac arrhythmias Severe hypertension

Severe angina Serious cardiac arrhythmias Severe hypertension

A client is hospitalized for heart failure and is being treated with a beta blocker. What client teaching should the nurse include about side effects? Select all that apply. "Your heart rate will decrease so, your blood pressure could become low, too. Notify the nurse if you feel like you are lightheaded." "You may feel light-headed and dizzy when you stand up, so ask for assistance prior to getting out of bed."

"Your heart rate will decrease so, your blood pressure could become low, too. Notify the nurse if you feel like you are lightheaded." "You may feel light-headed and dizzy when you stand up, so ask for assistance prior to getting out of bed."

The nurse is caring for a client diagnosed with coronary artery disease and a history of angina receiving the medication nitroglycerin ointment 2%, 2 inches every 8 hours. The nurse should perform which assessment(s) for safe administration of the nitroglycerin? Select all that apply. -Wear gloves when removing old application and applying new application to prevent the development of headache. -Remove previous nitroglycerin ointment and applicator paper and fold in half before disposing in trash. -Do not massage area of nitroglycerin ointment, and secure the applicator paper with tape with date, time, initials.

-Wear gloves when removing old application and applying new application to prevent the development of headache. -Remove previous nitroglycerin ointment and applicator paper and fold in half before disposing in trash. -Do not massage area of nitroglycerin ointment, and secure the applicator paper with tape with date, time, initials.

Increases in neurohormonal activity cause which of the following to occur in clients with heart failure? Select all that apply: Increased need for oxygen Remodeling of the cardiac muscle cells Hypertrophy of the heart Cardiac necrosis

All of the above

The nurse is aware that heart failure may result from what problems? (Select all that apply.) Impaired myocardial contraction during systole Cardiomyopathy A combination of systolic and diastolic dysfunction Impaired relaxation and filling of ventricles during diastole

All of the above

What cardiac risk factors are related to metabolic syndrome? (Select all that apply.) Elevated triglycerides Reduced high density lipoprotein cholesterol Elevated fasting blood glucose Central adiposity

All of the above

A client diagnosed with heart failure has been prescribed digoxin. The nurse is aware that caution is required if the client exhibits which electrolyte imbalance? Select all that apply -Hypercalcemia -Hyperkalemia -Hypokalemia -Hypermagnesemia

Hypokalemia Hypermagnesemia Hypercalcemia

A nurse administers calcium IV slowly based on the understanding that rapid IV administration of calcium can lead to which adverse effects?

Hypotension

An elderly client with dyslipidemia has had fenofibrate added to the existing medication regimen. In addition to having the lipid profile drawn on a regular basis, the nurse should educate the client about the need for what ongoing laboratory testing during therapy?

Liver panel

Before discharge from the cardiac step-down (status post-MI), a client questions the prescription for beta-blockers. What should the client be told about the purpose for taking beta-blockers? (Select all that apply.) Protect the heart from reinfarction. Decrease mortality rates over several years.

Protect the heart from reinfarction. Decrease mortality rates over several years.

Which single class drug is known to be most effective in reducing the major types of dyslipidemia?

Statins

A nurse is completing an admission assessment. During a 24-hour diet recall, the client reports eating spinach, asparagus, and green beans for lunch and dinner. Which vitamin is the client most likely consuming?

Vitamin K

Most acute CNS responses are caused by fast-acting neurotransmitters, which include:

acetylcholine, dopamine, norepinephrine, and serotonin

Which classes of medications are currently used as first-line treatments for heart failure? Select all that apply. angiotensin-converting enzyme inhibitors (ACEIS) loop diuretics beta blockers angiotensin II receptor blockers (ARBS)

angiotensin-converting enzyme inhibitors (ACEIS) beta blockers loop diuretics

When preparing a plan of care for a client in hypovolemic shock, which partial nursing diagnosis might be relevant to the patient's condition?

ineffective tissue perfusion

The client with a 10-year history of hypertension would like to know what effect the condition has on the heart. What is the nurse's best response?

myocardial hypertrophy

Which of the following is a correct route of administration for potassium?

oral

A client is taking atorvastatin calcium to reduce serum cholesterol. Which aspect of client teaching is most important?

Call the health care provider if muscle pain develops

What will occur when oxygen is administered to a client in heart failure? (Select all that apply.) Reduce the work of breathing Relieve dyspnea Decrease constriction of pulmonary blood vessels Improve oxygen delivery

Reduce the work of breathing Relieve dyspnea Decrease constriction of pulmonary blood vessels Improve oxygen delivery

After teaching a group of nursing students about antianginal agents, the instructor determines that the teaching was successful when the students identify which mechanisms of calcium channel blockers? Select all that apply. Slow the conduction velocity of the cardiac impulse. Dilate coronary arteries and arterioles. Depress myocardial contractility.

Slow the conduction velocity of the cardiac impulse. Dilate coronary arteries and arterioles. Depress myocardial contractility.

What sequence describes the flow of electrical impulses in the heart?

The Sinoatrial node, the atrioventricular node, bundle of His, right and left bundle branches, and the Purkinje fibers.

A nurse is caring for a patient who is having a sympathetic response. A sympathetic response involves:

an increase in blood pressure, bronchi dilation, and decreased bowel sounds

Sympathetic stimulation of the heart causes:

an increased rate and force of myocardial contraction