Cardio

An increase in the creatine kinase-MB isoenzyme (CK-MB) can be caused by:

myocardial necrosis.

Continual assessment is an important component in cardiopulmonary resuscitation (CPR). Before initiating CPR, the nurse should always assess for:

responsiveness.

A child receives prednisone after undergoing a heart transplant. What is the desired outcome of this medication?

suppress immune response

In a client with cardiogenic shock who experiences low blood pressure, baroreceptors respond by stimulating the:

sympathetic nervous system.

On a routine visit to the health care provider, a client with chronic arterial occlusive disease reports stopping smoking after 34 years. To relieve symptoms of intermittent claudication, which suggestion should the nurse recommend?

Take daily walks.

On a routine visit to the physician, a client with chronic arterial occlusive disease reports stopping smoking after 34 years. To relieve symptoms of intermittent claudication, a condition associated with chronic arterial occlusive disease, the nurse should recommend which additional measure?

Taking daily walks

The nurse is caring for a client diagnosed with left-sided cerebrovascular accident, with expressive aphasia and right-sided weakness. When administering care for this client, which intervention should the nurse delegate to unlicensed assistive personnel (UAP)?

Turn and position the client every 2 hours.

A client, who is newly prescribed metoprolol, has a headache and asks the nurse what medication to take. The nurse should reinforce the physician's instructions to take which of the following medications?

acetaminophen

A client with left-sided heart failure reports of increasing shortness of breath and is agitated and coughing up pink-tinged, foamy sputum. The nurse should recognize these as signs and symptoms of:

acute pulmonary edema.

The nurse cares for an older adult client with a history of left-sided heart failure. Which finding indicates to the nurse that the client is experiencing an exacerbation of heart failure?

bibasilar fine crackles

When gathering data from a client admitted with hypertension, the nurse should expect the client to report which symptom?

headache

The student nurse correctly identifies that which condition causes the majority of abdominal aortic aneurysms?

hypertension

A child with suspected bacterial endocarditis arrives at the emergency department. Which finding is expected during data collection?

low-grade fever

Which of the following signs and symptoms suggest that a client's abdominal aortic aneurysm is extending?

Increased abdominal and back pain

Which interventions are appropriate when caring for a client with acute thrombophlebitis?

Apply warm soaks and elevate the client's legs higher than the level of the heart.

To avoid a falsely elevated serum digoxin level, the nurse should wait how long after administering oral digoxin to draw a blood sample?

At least 8 hours

A client is in hemorrhagic shock. What data best reflects the effectiveness of fluid replacement therapy?

Blood pressure

The parents of a 14-year-old child who underwent an atrial septal repair 5 days ago have asked if a few family members can visit. Which response by the nurse is appropriate?

"While controlling infection and promoting rest are important, a few visitors would not be a problem at this stage of recovery."

The nurse advises a client recovering from a myocardial infarction to decrease fat and sodium intake. Which foods should the nurse instruct the client to avoid? Select all that apply.

-soft drinks -bacon -cheese -pepperoni pizza

A client is recovering from an acute myocardial infarction (MI). During the first week of recovery, the nurse should stay alert for which abnormal heart sound?

Pericardial friction rub

The health care provider has prescribed digoxin and a diuretic for a child. How should the nurse administer the drug to the child?

Use a graduated dropper.

A nurse is preparing a client for a stress test. Which is an appropriate nursing intervention?

Verify that a consent form has been signed.

A client is experiencing cardiac tamponade after a chest trauma. Which type of shock will the nurse monitor for?

cardiogenic

A 58-year-old male with heart failure is experiencing tachycardia, decreased blood pressure, and decreased peripheral pulses. The nurse interprets these symptoms as indicating which condition?

cardiogenic shock

A client with a deep vein thrombosis (DVT) is admitted to the hospital for treatment. Which medication will the nurse administer orally to prevent further thrombus formation?

warfarin

A client who has been diagnosed with intermittent claudication is prescribed cilostazol. Which statement made by the client indicates a need for further education?

"Cilostazol works by decreasing blood flow."

A client has a blockage in the proximal portion of a coronary artery. After learning about treatment options, the client decides to undergo percutaneous transluminal coronary angioplasty (PTCA). During this procedure, the nurse expects which medication to be administered to the client?

Anticoagulant

A client is admitted to the hospital displaying sinus bradycardia, nausea, anorexia, and blurred vision. What should the nurse suspect this client to be experiencing?

digoxin toxicity

A client hospitalized for treatment of hypertension is being prepared for discharge. Which statement from the client indicates an understanding of discharge instructions?

"I should only have approximately 2,400 mg of sodium per day."

A nurse is reinforcing education for the parents of a child with Kawasaki disease. Which statement should the nurse include in the education about this disorder?

"It's an acute systemic vasculitis of unknown cause."

The nurse is teaching a client who receives nitrates for the relief of chest pain. Which of the following instructions should the nurse emphasize?

"Lie down for 5 to 10 minutes after taking the drug."

Treatment for a child with sinus bradycardia includes atropine 0.02 mg/kg. If the child weighs 20 kg, how much is given per dose? Record your answer using one decimal place. __________ mg

0.4

Erythromycin is given to a 6-year-old child before dental work to prevent endocarditis. The child weighs 44 lb (20 kg). The order is for 20 mg/kg by mouth 2 hours before the procedure. How many milligrams should be given to this child? Record your answer using a whole number.

400

A client is being discharged from the hospital with a permanent cardiac pacemaker that is set at 72 beats/minute. The nurse should instruct the client to report which pulse rate immediately to the physician?

64 beats/minute

A nurse is monitoring a client who has just returned from a vein ligation and stripping. Which is an appropriate nursing intervention?

Apply bilateral compression stockings.

Which statement best explains why furosemide is administered to treat hypertension?

It inhibits reabsorption of sodium and water in the loop of Henle.

A male client is receiving digoxin and furosemide to treat heart failure. He reports feeling weak and having muscle cramps. His apical pulse is 76 beats/minute; respirations, 16 breaths/minute; and blood pressure, 148/86 mm Hg. What action should the nurse take?

Look at the chart for his last potassium level and contact the physician.

A 9-year-old child had cardiac surgery 2 days ago. The child tells the nurse he is sore and doesn't want to move much today. Which action by the nurse is most appropriate?

Medicate the child for discomfort and then begin activities related to ambulation.

A nurse is monitoring a client receiving a continuous infusion of lidocaine for ventricular dysrhythmias. During breakfast, the client states, "I am so tired. My vision is so blurry I can't see my food." What is the nurse's best action?

Notify the primary registered nurse of the client's symptoms.

The nurse is caring for a child with heart failure. What should the nurse recognize when monitoring administration of oxygen to avoid complications?

Oxygen decreases the work of breathing.

Which instruction by the nurse would be most appropriate for a child with symptomatic aortic stenosis?

Restrict exercise.

Which potential side effects should the nurse include when assisting in discharge teaching of a male client who was started on atenolol?

causes and treatments for erectile dysfunction

A client is admitted to the emergency department with chest discomfort, diaphoresis, and nausea. Suspecting possible myocardial infarction (MI), the nurse would anticipate that the health care provider will prescribe which diagnostic test to quickly determine myocardial damage?

electrocardiogram

A nurse is aware that the kidneys play an important role in regulating blood pressure. When hypertension occurs, the kidneys help normalize blood pressure by:

excreting sodium and excreting water

A nurse is aware that the kidneys play an important role in regulating blood pressure. When hypertension occurs, the kidneys help normalize blood pressure by:.

excreting sodium and excreting water

The nurse is caring for a client with acute pulmonary edema. To immediately promote oxygenation and relieve dyspnea, the nurse should:

place the client in high Fowler's position.

A child has undergone a repair of total anomalous pulmonary venous return and develops pulmonary hypertension postoperatively. Which finding would the nurse be most likely to observe in a child with this condition?

tachypnea