Cardio

A woman comes to the emergency department reporting signs and symptoms determined by the health care provider to be caused by a myocardial infarction. The nurse obtains a health history. Which reported symptoms does the nurse determine are specifically related to a myocardial infarction in women? (Select all that apply.) 1.Severe fatigue 2.Sense of unease 3.Choking sensation 4.Chest pain relieved by rest 5.Pain radiating down the left arm

1.Severe fatigue 2.Sense of unease

What clinical indicator is the nurse most likely to identify when completing a history and physical assessment of a client with complete heart block? 1.Syncope 2.Headache 3.Tachycardia 4.Hemiparesis

1.Syncope

A nurse witnesses a person fall. The person becomes unresponsive and pulseless. The nurse plans to use an automated external defibrillator (AED) that is available on site. What should the nurse do first? 1.Remove all jewelry 2.Wash the chest area 3.Use a grounded electric source 4.Remove any medication patches

4.Remove any medication patches

When a client has a myocardial infarction, one of the major manifestations is a decrease in conductive energy provided to the heart. What is most important for the nurse to assess that has a direct relationship to the action potential of the heart? 1.Heart rate 2.Refractory period 3.Pulmonary pressure 4.Strength of contractions

4.Strength of contractions

A client is admitted with thrombocytopenia. What specific nursing actions are appropriate to include in the plan of care for this client? (Select all that apply.) 1.Avoid intramuscular injections. 2.Institute neutropenic precautions. 3.Monitor the white blood cell count. 4.Administer prescribed anticoagulants. 5.Examine the skin for ecchymotic areas

1.Avoid intramuscular injections. 5.Examine the skin for ecchymotic areas

How should the nurse make the bed of a client who is in the acute phase after a myocardial infarction? 1.Replace the top linen and only the necessary bottom linen. 2.Lift the client from side to side while changing the bed linen. 3.Change the linen from top to bottom without lowering the head of the bed. 4.Slide the client onto a stretcher to remake the bed and then slide the client back to the bed.

1.Replace the top linen and only the necessary bottom linen.

A nurse is completing the admission assessment of a client with peripheral arterial disease. What assessments are consistent with this diagnosis? (Select all that apply.) 1.Absence of hair on the toes 2.Superficial ulcer with irregular edges 3.Pitting edema of the lower extremities 4.Reports of pain associated with exercising 5.Increased pigmentation of the medial malleolus area

1.Absence of hair on the toes 4.Reports of pain associated with exercising

A client with varicose veins is scheduled for sclerotherapy. What clinical finding does the nurse expect to identify when assessing the lower extremities of this client? 1.Pallor 2.Ankle edema 3.Yellowed toenails 4.Diminished pedal pulses

2.Ankle edema

A client with chronic heart failure is taking a diuretic twice a day. The health care provider prescribes a diet that includes the intake of dietary potassium. What foods that have a higher amount of potassium should the nurse instruct the client to consume? (Select all that apply.) 1.Corn 2.Bananas 3.Strawberries 4.Cucumber salad 5.Mashed sweet potatoes 6.Baked potatoes with skins

2.Bananas 6.Baked potatoes with skins

An older client who lives alone was found unconscious on the floor at home. The client was admitted to the hospital with the diagnoses of a fractured hip, kidney failure, and dehydration. In the 24 hours since admission, the client received 1500 mL of intravenous fluid and the serum electrolyte value demonstrates hyponatremia. The nurse concludes that the element that most likely contributed to the hyponatremia is: 1.Salt intake 2.Fluid intake 3.Sodium absorption 4.Glomerular filtration

2.Fluid intake

The nurse is caring for a client with an abdominal aortic aneurysm before surgery. Which nursing care is essential preoperatively? 1.Administering supplemental oxygen 2.Maintaining a reduced blood pressure 3.Keeping the client in a supine position 4.Monitoring the peripheral vascular status

2.Maintaining a reduced blood pressure

A nurse is caring for a client with a diagnosis of varicose veins. Which clinical findings can the nurse expect to identify when assessing this client? (Select all that apply.) 1.Discolored toenails 2.Reports of leg fatigue 3.Localized heat in a calf 4.Reddened areas on a leg 5.Tortuous veins in the legs 6.Pain in lower extremities when standing

2.Reports of leg fatigue 5.Tortuous veins in the legs 6.Pain in lower extremities when standing

A nurse is teaching a client who had a myocardial infarction about the prescribed 1500-calorie, 2-gram-sodium, weight-reducing diet. Which low-sodium, low-calorie nutrients should the nurse recommend that the client include in the diet? (Select all that apply.) 1.Lean steak 2.Celery sticks 3.Baked chicken 4.Tuna fish salad 5.Mashed potatoes

3.Baked chicken 5.Mashed potatoes

A nurse caring for a client with a myocardial infarction is concerned that the client may develop left ventricular failure. For which clinical manifestation should the nurse assess the client? 1.Weight loss 2.Distended neck veins 3.Paroxysmal nocturnal dyspnea 4.Right upper quadrant tenderness

3.Paroxysmal nocturnal dyspnea

A client with a distal femoral shaft fracture is at risk for developing a fat embolus. The nurse considers that a distinguishing sign that is unique to a fat embolus is: 1.Oliguria 2.Dyspnea 3.Petechiae 4.Confusion

3.Petechiae

A nurse observes the following dysrhythmia on a client's cardiac monitor. What rhythm does the nurse identify? 1.Atrial flutter 2.Atrial fibrillation 3.Ventricular fibrillation 4.Ventricular tachycardia

3.Ventricular fibrillation

A health care provider prescribes a dose of medication that is much higher than is recommended for the clinical situation, and directs the nurse to give the medication immediately. Which response by the nurse is most appropriate? 1."The dose is too high. I do not feel comfortable administering this dose." 2."Please tell me how you arrived at this dose. I think your calculations are incorrect." 3."You're probably thinking of another drug. This is beyond the safe dosage limits indicated for this drug." 4."That dose is more than I can give legally. However, if the dose is medically indicated, please administer it yourself.

4."That dose is more than I can give legally. However, if the dose is medically indicated, please administer it yourself.

The cardiac monitor reveals a series of premature ventricular complexes (PVCs). The nurse anticipates that the client will be receiving a prescription for: 1.Atropine (Atropine Sulfate) 2.Epinephrine (Adrenaline) 3.Sodium bicarbonate (Sodium bicarbonate 5% injection) 4.Amiodarone (Cordarone)

4.Amiodarone (Cordarone)

A client who was admitted with a diagnosis of acute lymphoblastic leukemia is receiving chemotherapy. Which assessment findings should alert the nurse to the possible development of the life threatening response of thrombocytopenia? (Select all that apply.) 1.Fever 2.Diarrhea 3.Headache 4.Hematuria 5.Ecchymosis

4.Hematuria 5.Ecchymosis

A client with impaired peripheral pulses and signs of chronic hypoxia in a lower extremity is scheduled for a femoral angiogram. What would be appropriate for the nurse to include in the postprocedure plan of care? 1.Elevate the foot of the bed 2.Perform urinary catheter care every 12 hours 3.Place in the high-Fowler position 4.Perform a neurovascular assessment every two hours

4.Perform a neurovascular assessment every two hours

The nurse is completing an assessment on a couple seeking genetic counseling for sickle cell anemia. Both prospective parents carry sickle cell traits. The nurse recognizes that the couple has what chance of having a child who develops the disease? 1. 25% 2. 50% 3. 75% 4. 100%

1. 25%

A client comes to the ambulatory surgery unit on the morning of an elective surgical procedure. The client reports shortness of breath, dizziness, and palpitations. The nurse observes profuse diaphoresis and is concerned that the client may be having either a panic attack or a myocardial infarction. Which assessments support the conclusion that the client may be experiencing a myocardial infarction? (Select all that apply.) 1.Anxiety 2.Chest pain 3.Irregular pulse 4.Fear of losing control 5.Feelings of depersonalization

1.Anxiety 2.Chest pain 3.Irregular pulse

A beta-blocker, atenolol (Tenormin), is prescribed for a client with moderate hypertension. What information should the nurse include when teaching the client about this medication? (Select all that apply.) 1.Change positions slowly 2.Take the medication before going to bed 3.Count the pulse before taking the medication 4.Mild weakness and fatigue are common side effects 5.It is safe to take concurrent over-the-counter (OTC) medications

1.Change positions slowly 3.Count the pulse before taking the medication 4.Mild weakness and fatigue are common side effects

A client's laboratory report indicates hyperkalemia. Which responses should the nurse expect the client to exhibit? (Select all that apply.) 1.Anorexia 2.Vomiting 3.Constipation 4.Muscle weakness 5.Irregular heart rate

2.Vomiting 4.Muscle weakness 5.Irregular heart rate

Which of the following symptoms indicates to the nurse that the client has an inadequate fluid volume? (Select all that apply.) 1.Decreased urine 2.Hypotension 3.Dyspnea 4.Dry mucous membranes 5.Pulmonary edema 6.Poor skin turgor

1.Decreased urine 2.Hypotension 4.Dry mucous membranes 6.Poor skin turgor

A nurse is caring for a client with right-sided heart failure. Which are key features of right-sided heart failure? (Select all that apply.) 1.Dependent edema 2.Distended abdomen 3.Polyuria at night 4.Collapsed neck veins 5.Cool extremities

1.Dependent edema 2.Distended abdomen 3.Polyuria at night

A nurse is collecting data from a client with varicose veins who is to have sclerotherapy. What should the nurse expect the client to report? 1.Feeling of heaviness in both legs. 2.Intermittent claudication of the legs. 3.Calf pain on dorsiflexion of the foot. 4.Hematomas of the lower extremities

1.Feeling of heaviness in both legs

A client is brought to the emergency department with moderate substernal chest pain radiating to the inner aspect of the left arm, unrelieved by rest and nitroglycerin. The pain is associated with slight nausea and anxiety. What is the priority nursing intervention for this client? 1.Provide pain medication 2.Obtain an electrocardiogram (ECG) 3.Transfer to the coronary care unit 4.Have a blood specimen drawn for enzyme studies

1.Provide pain medication

A nurse is caring for a client who has a prescription for a diuretic, 2-gram sodium diet, and an oral fluid restriction of 1200 mL daily. The most recent laboratory results are blood urea nitrogen (BUN) level 42 mg/dL and creatinine 1.1 mg/dL. Considering the assessment findings, what is the most appropriate intervention by the nurse? 1.Sending the client's urine for analysis 2.Expecting an increase in the oral fluid intake 3.Placing the client on strict intake and output measurements 4.Notifying a nutritionist/dietitian so that sodium can be restricted further

2.Expecting an increase in the oral fluid intake

A nurse is caring for a client who had pelvic surgery. The nurse should monitor for which clinical manifestations of thrombophlebitis? (Select all that apply.) 1.Pruritus of the calf 2.Tender area on the leg 3.Warm area over the calf 4.Pitting edema of the ankle 5.Reddened area at the ankle

2.Tender area on the leg 3.Warm area over the calf