Cardiac pt 1 peds

A nurse is providing discharge instructions for a client who has congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective?

"I plan to slow down if I am tired the day after exercising."

A nurse is teaching a parent of an infant who has heart failure about meeting the infant's nutritional needs. Which of the following statements by the parent indicates an understanding of the teaching?

"I will add polycose to each of my baby's bottles

A nurse is providing discharge instructions to a client following a cardiac cathaterization. Which of the following information should the nurse include?

"You will notice a small hematoma at the incision site as expected"

A nurse is caring for a client who has heart failure and a prescription for digoxin 125mcg PO daily. Available is digoxin PO 0.25mg/tablet. How many tablets should the nurse administer per dose?

0.5

A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). The nurse recognizes that which of the following prescriptions by the provider required clarification?

0.9% normal saline IV at 50ml/hr continuous

A nurse is preparing to administer indomethacin 75mg PO bid. Available is indomethacin 25mg/5ml. How many mL should the nurse administer per dose?

15

While admitting a client for a cardiac catheterization, the nurse asks the client about allergies. The client states, "I always get a rash when I eat shellfish." Which of the following is the priority nursing intervention?

Notify the provider of the client's allergy

A nurse is planning care for a client following a cardiac catheterization assessed through his femoral artery. Which of the following actions should the nurse plan to take?

Perform neurovascular

A nurse is caring for a client who has heart failure and a new prescription for furosemide. Which of the following laboratory values should the nurse review before administering furosemide

Potassium

A nurse is caring for a client who receives furosemide (Lasix) to treat heart failure. Which of the following laboratory values should the nurse be sure to monitor specifically for this client?

Potassium

A nurse if providing instruction to a new nurse about caring for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia

Spironolactone

A nurse is monitoring the cardiac output of a client who has left-sided heart failure using pressure pulse analysis. Which of the following findings can compromise the readings?

The client is experiencing premature atrial contractions.

The nurse is evaluating a client who had a cardiac catheterization with a left antecubital insertion site. Which of the following pulses should the nurse palpate?

radial pulse in the left arm

A nurse is caring for a client who is taking digoxin for heart failure and develops indications of severe digoxin toxicity. Which of the following medications should the nurse prepare to administer?

Fab antibody fragments

A nurse in the ICU is caring for a client who has heart failure and is receiving a dobutamine drip. The nurse should identify that which of the following findings indicates they the medication is effective

Increased urine output

A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicates an adverse effect of the medication?

"I feel nauseated and have no appetite."

A nurse is teaching the partner of a client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzymes studies?

A. These tests help to determine the degree of damage to the heart tissues

A nurse is caring for a client 4hr following a cardiac catheterization. Which of the following actions should the nurse take?

Have the client lie flat in bed.

A nurse is interpreting the ECG strip of a client who has bradycardia. Which of the following cardiac components should the nurse identify as the role of the P wave

atrial depolarization

A home health nurse is making a home visit to a client who takes a daily diuretic for heart failure. Which of the following manifestations should the nurse identify as indicating the client is hypokalemic?

fatigue

A nurse is assessing a client who has left sided heart failure. Which of the following findings should the nurse expect?

hacking cough

A nurse is admitting a client who has a serum calcium level of 12.3 mg/dL and initiates cardiac monitoring. Which of the following findings should the nurse expect during the initial assessment

lethargy

the nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?

metformin

A nurse is caring for a client who just had a cardiac catheterization. Which of the following nursing interventions should the nurse include in the client's plan of care?

Check peripheral pulses in affected extremity Keep the client's hip and leg extended Have the client remain in bed up to 6hr

A nurse in a cardiac care unit is caring for a client with acute right-sided heart failure. Which of the following findings should the nurse expect?

Elevated central venous pressure (CVP)

a nurse is assessing a 3 year old child who has aortic stenosis. which of the following findings should the nurse expect?

hypotension, weak pulses, murmur

The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the providers orders and recognizes clarification is needed for which of the following medications?

Carvedilol

A nurse is caring for a client who has heart failure and a potassium level of 2.4 mEq/L. The nurse should identify which of the following medications as the cause of the client's low potassium level?

Furosemide

A nurse is providing discharge instructions to the parent of a 10 year old child following a cardiac catheterization. Which of the following instructions should the nurse include?

Give the child acetaminophen for discomfort.

A nurse is caring for a client who has HF and is receiving IV furosemide. The nurse should monitor the client for which of the following electrolyte imbalances?

hyperuricemia Rationale: uric acid, notify the provider for any tenderness or swelling of the joints

A nurse is caring for a client who has heart failure and a new prescription for furosemide. For which of the following adverse effects should the nurse monitor?

hypokalemia

A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. for which of the following adverse effects should the nurse monitor when giving this medication?

hypotension

a nurse is assessing a client who has heart failure and is prescribed furosemide. which of the following findings is an adverse effect of this med?

leg cramps

A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect?

orthopnea

A nurse is performing a cardiac assessment on a client and auscultates an S3 sound. The nurse should recognize that this sound represents which of the following heart conditions?

ventricular gallop

A nurse is caring for a client in the critical care unit follwoing a knife wound to the chest. The nurse suspects the client is developing cardiac tamponade. Which of the following findings supports this suspicion?

Muffled heart sounds

A nurse is preparing to administer digoxin to a client who has heart failure. Which of the following actions is appropriate?

Evaluating the client for nausea, vomiting, and anorexia

A nurse is caring for a client who has congestive heart failure and is taking Digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?

Check the client's vital signs.

A nurse is assessing a newborn who has a coarcation of the aorta. following are clinical manifestations of coarctation of the aorta?

Increased blood pressure in the arms with decreased blood pressure in the legs

A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?

Exercise at least three times per week

A nurse is caring for an older adult client who has left sided heart failure. Which of the following assessment findings should the nurse expect?

Frothy sputum

A nurse is planning to administer digoxin to a client who has heart failure. Which of the following laboratory results is the priority for the nurse to review prior to administering the medication?

Potassium

A nurse is caring for a client who has valvular heart disease and is at risk for developing left-sided heart failure. Which of the following manifestations should alert the nurse that the client is developing this condition?

breathlessness

A nurse is preparing to administer a transfusion of RBCs to a client who has heart failure. For which of the following manifestations should the nurse monitor to prevent fluid volume overload?

o Dyspnea o Jugular vein distention o Confusion

A client who has had a significant myocardial infarction receives a referral to the cardiac rehabilitation unit. During his first visit to the unit, he tells the nurse that he doesn't understand why he needs to be there because there is nothing more to do as the damage is done. Which of the following is an appropriate nursing response?

"Cardiac rehabilitation cannot undo the damage to your heart but it can help you get back to your previous level of activity safely