ATI chapter 38 questions

A nurse is teaching a client who has coronary artery disease about the difference between anging pectoris and myocardial infarction. Which of the following manifestations should the nurse identify as indications of MI? a. nausea and vomiting b. diaphoresis and dizzieness c. chest and arm left pain that subsides with rest d. anxiety and feeling of doom e. bounding pulse and bradypnea

a. nausea and vomiting b. diaphoresis and dizzieness d. anxiety and feeling of doom

The nurse is caring for a client who has a demand pacemaker with a set rate of 72/min. Which of the following findings should the nurse expect? a. telemetry monitoring showing QRS complexes occurring at a rate of 74/min with no pacing spikes b. premature ventricular complexes at 12/min c. telemetry monitoring showing pacing spikes with no QRS complexes d. hiccups

a. telemetry monitoring showing QRS complexes occurring at a rate of 74/min with no pacing spikes

A nurse is assessing a client who has peripheral vascular disease and a venous ulcer on the right ankle. Which of the following findings should the nurse expect in the client's affected extremity? a. absent pedal pulses b. ankle swelling c. hair loss d. skin atrophy

b. ankle swelling

A nurse is completing an assessment on a client. Which of the following findings should the nurse identify as a risk factor for coronary artery disease? select all that apply a. hypothyroidism b. hypertension c. diabetes melitius d. hyperlipidemia e. tobacco smoking

b. hypertension c. diabetes melitius d. hyperlipidemia e. tobacco smoking

A nurse is monitoring the electrocardiogram of a client who has hypocalemia. Which of the following findings should the nurse expect? a. flattened T wave b. prolonged QT intervals c. shortened QT intervals d. widened QRS complexes

b. prolonged QT intervals

A nurse in a clinic is assessing the lower extremities and ankles of a client who has a history of peripheral arterial disease. Which of the following findings should the nurse expect? a. pitting edema b. areas of reddish-brown pigmentation c. dry, pale skin with minimal body hair d. sunburned appearance with desquanation

c. dry, pale skin with minimal body hair

A nurse is caring for a client who has peripheral vascular disease (PVD) and ulcers on the toes. Which of the following findings of PVD is a risk factor for ulceration of the extremities? a. insufficient skincare b. dehydration c. immobility d. impaired circulation

d. impaired circulation

A nurse is showing a client who has right-sided heart failure an illustration of the heart. Which of the following blood vessels carry deoxygenated blood to the right atrium? a. right coronary artery b. left carotid artery c. aorta d. superior vena cava

d. superior vena cava

A nurse is reviewing the progress notes for a client who has heart failure. The provider noted some improvement in the clients cardiac output. The nurse should understand that cardiac output reflects which of the following physiologic parameters? a. the percentage of blood the ventricles pump during each heart beat b. the amount of blood the left ventricle pumps during each beat c. the amount of blood in the left ventricle at the end of diastole d. the heart rate times the stroke volume

d. the heart rate times the stroke volume

A nurse is assessing a client who has left-sided heart failure. Which of the findings should the nurse expect? a. pitting peripheral edema b. crackles in the lung bases c. jugular vein distension d. hepatomegaly

b. crackles in the lung bases

A nurse is examining the ECG who has hyperkalemia. Which of the following ECG changes should the nurse expect? a. elevated ST segments b. absent P waves c. depressed ST segments d. varying PP intervals

a. elevated ST segments

A nurse is assessing a client who has deep vein thrombosis in her left calf. Which of the following manifestations should the nurse expect to find? (select all that apply) a. hardening along the blood vessel b. absence of peripheral pulse c. tenderness in the calf d. cool skin on the leg e. increased leg circumferences

a. hardening along the blood vessel c. tenderness in the calf e. increased leg circumferences

A nurse is assessing a client who has fluid volume overload from a cardiovascular disorder. Which of the following manifestations should the nurse expect? a. jugular vein distension b. moist crackles c. postural hypotension d. increased heart rate e. fever

a. jugular vein distension b. moist crackles d. increased heart rate

A nurse is examining the ECG of a client who is having an acute myocardial infarction. The nurse should identify that the elevated ST segments on the ECG indicate which of the following? a. necrosis b. hypokalemia c. hypomagnemia d. insufficiency

a. necrosis

A nurse is caring for an adult male client who is undergoing screening tests for atherosclerosis. Which of the following laboratory findings should the nurse identify as an increase risk for this disorder? a. cholesterol levels at 195 mg/dL b. elevated HDL levels c. elevated LDL levels d. triglyceride level 135 mg

c. elevated LDL levels

A nurse is caring for a client who is having a possible myocardial infarction (MI). Which of the following findings should the nurse identify as an associated manifestation of MI? a. headache b. hemopytsis c. nausea d. diarrhea

c. nausea

A nurse is teaching a 70 year old client about risk factors for heart failure. The client has mild asthma, diabetes mellitus, and coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching? a. "my diabetes will not increase my risk of heart failure" b. "my asthma makes it more likely for me to have heart failure" c. "my age does not increase my risk of heart failure" d. "my coronary artery disease is a risk factor for heart failure"

d. "my coronary artery disease is a risk factor for heart failure"

A nurse is completing an assessment of a client who has a history of unstable angina. Which of the following findings should the nurse expect? a. chest pain is relieved soon after resting b. nitroglycerin relieves chest pain c. physical exertion does not precipitate chest pain d. chest pain lasts for longer than 15 minutes

d. chest pain lasts for longer than 15 minutes

A nurse is assessing a client who has right-sided heart failure. Which of the following findings should the nurse expect? a. decreased capillary refill b. dyspnea c. orthopnea d. dependent edema

d. dependent edema