Alterations in Cardiovascular Function & Perfusion
A nurse is reinforcing teaching to a client who has coronary artery disease (CAD) about prevention of progression of the disease. Which of the following lifestyle modifications should the nurse include in the teaching?
Answer: Controlling of hypertension
A nurse is reinforcing discharge teaching for a client who has been diagnosed with supraventricular tachycardia (SVT). Which of the following should the nurse include in the teaching?
Answer: Evaluate potential fall risks in the home environment
A nurse is collecting data from a client who has atrial fibrillation. Which of the following client statements should indicate to the nurse that this condition is affecting the client's activities of daily living (ADLs)?
Answer: " I feel pressure in my chest when I climb stairs."
A nurse is reinforcing teaching to a client about reducing risk factors for coronary artery disease (CAD). Which of the following client statements indicates to the nurse understanding of the teaching?
Answer: "I will follow a moderate exercise regimen."
A nurse is reinforcing teaching to a client who has aortic regurgitation. Which of the following statements indicates that the client understands the pathophysiology of valvular regurgitation?
Answer: "The valve is not closing completely. Blood in the heart is backing up from one chamber of the heart to another due to the valve not completely closing."
A nurse is reinforcing teaching to a client who has hypertrophic cardiomyopathy (HCM) about the cause of the condition. Which of the following statements should the nurse include in the teaching?
Answer: "Your heart condition is caused by thickening of the ventricular walls and septum."
A nurse is reviewing diagnostic tests for a client who has peripheral artery disease. Which of the following ankle-brachial index results (ABI) should the nurse understand indicates peripheral artery disease?
Answer: - ABI ratio of 0.7
A nurse is collecting data on a client who has coronary artery disease. Which of the following manifestations should the nurse identify as needing immediate intervention? Select All that Apply
Answer: - Angina - Shortness of breath - Diaphoresis - Nausea
A nurse is reinforcing discharge teaching to a client who has atrial fibrillation (A-Fib) about prevention of complications. Which of the following should the nurse include in the teaching?
Answer: - Avoid taking over the counter decongestants
A nurse is reviewing laboratory results for a client who has heart failure. Which of the following blood tests should the nurse understand will evaluate the severity of heart failure and risk of death?
Answer: - B type natriuretic peptide (BNP)
A nurse is reviewing laboratory results for a client who has cardiomyopathy. Which of the following blood tests should the nurse anticipate the provider prescribing to evaluate cardiomyopathy severity?
Answer: - Brain natriuretic peptide (BNP)
A nurse is assisting in caring for a client who has pericarditis. Based on the assessment findings, which of the following lab tests should the nurse anticipate will have abnormal results? Select All that Apply
Answer: - C reactive protein (CRP) - Erythrocyte sedimentation rate (ESR) - White blood cell count (WBC)
A nurse is preparing to administer medications to a client with peripheral artery disease. Which of the following medications should the nurse anticipate administering? Select All that Apply
Answer: - Cilostazol - Pentoxifylline
A nurse is assessing a client who has acute pericarditis. Which of the following manifestations should the nurse anticipate? Select All that Apply
Answer: - Hiccups - Dysphagia - Chest pain
A nurse is reinforcing teaching to a group of clients regarding risk factors for coronary artery disease (CAD). Which of the following risk factors should the nurse include in the teaching? Select All that Apply
Answer: - High levels of stress - Diabetes mellitus - Family history of CAD - Hypertension - Hyperlipidema
A nurse is presenting an in-service to nursing staff on heart failure. Which of the following risk factors for heart disease should the nurse identify as the result of structural changes to the heart?
Answer: - Hypertension
A nurse is reinforcing teaching to a group of clients regarding modifiable risk factors for developing valvular dysfunction. Which of the following risk factors should the nurse include in the teaching?
Answer: - Hypertension
A nurse is reinforcing discharge teaching to a client who has heart failure. Which of the following instructions should the nurse include in the teaching?
Answer: - Maintain 6 feet between oxygen and an open flame
A nurse is reinforcing teaching to a group of clients about chronic health conditions that increase the risk for developing premature ventricular contractions (PVCs). Which of the following should the nurse include in the teaching?
Answer: - Myocardial infarction that required stent placement
A nurse is collecting data from a client's ECG strip and identifies the following information: HR: 75 bpm Rhythm: Regular P wave: One before each QRS complex PR interval: 0.16 seconds QRS interval: 0.08 seconds Based upon this information, the nurses will interpret the client's rhythm as which if the following?
Answer: - Normal sinus rhythm (NSR)
A nurse is assisting in caring for a client who has dilated cardiomyopathy. Which of the following interventions should the nurse implement with this client? Select All that Apply
Answer: - Prepare client for insertion of left ventricular assistive device - Increase oxygen to 4L/min via nasal canula - Administer furosemide 80 mg intravenous push
A nurse is reinforcing discharge teaching to a client who has cardiomyopathy. Which of the following should the nurse include in the teaching? Select all that Apply
Answer: - Restrict fluids to approximately 2L each day - Limit dietary intake of sodium - Check weight every morning - Report ankle edema
A nurse is reinforcing teaching to a group of clients about risk factors for developing chronic venous disease. Which of the following risk factors should the nurse include in the teaching?
Answer: - Standing for prolonged periods of time
A nurse is reviewing the medical history of a client who has heart failure. Which of the following client conditions should the nurse understand contributes to heart failure? Select All that Apply
Answer: - Thyrotoxicosis - Anemia - Hypertension - Thiamine deficiency
A nurse is preparing to collect data from a client's ECG strip. Place the following steps the nurse should take in order from first to last.
Answer: 1- Calculate heart rate 2- Determine rhythm regularity 3- Assess for P wave 4- Measure PR interval 5- Measure duration if QRS complex 6- Observe for changes in T wave
A nurse is assisting in caring for a client who has coronary artery disease that has progressed to an ST elevation myocardial infarction (STEMI). Which of the following procedures should the nurse anticipate for this client?
Answer: Heart catheterization and percutaneous intervention
A nurse is collecting data from a client's ECG strip and identifies the following information: HR: 145 bpm Rhythm: Regular P wave indiscernible QRS duration: 0.06 seconds Base upon this information, the nurse will interpret the client's rhythm as which of the following?
Answer: Supraventricular tachycardia (SVT)
A nurse is assisting in caring for a client who has chronic venous disease, and the client asks why their legs have been swelling and feel so heavy at times. Which of the following statements should the nurse include?
Answer: "Damaged or occluded veins cause blood to pok in the legs instead of returning to the heart."
A nurse is collecting data from a client who had valvular dysfunction. Which of the following client statements should indicate to the nurse that this condition is affecting the client's ability to perform activities of daily living (ADLs)?
Answer: "I get short of breath when I make my bed."
A nurse is caring for a client who is experiencing heart palpitations. Which of the following interventions should the nurse include in the plan of care for this client? Select All that Apply
Answer: - Have the client bear down as if for a bowel movement - Ask the client to cough forcefully
