Cardio final

28.A nurse is reinforcing teaching with a client who has hemophilia A. Which of the following manifestations should the nurse include in the teaching ?

Disabling joint pain

A nurse is reinforcing teaching with a female client who has thrombocytopenia . Which of the following instructions should the nurse include ? ( Select all that apply . )

Do not use dental floss , Brush your teeth with a soft toothbrush , Blow nose gently

21.A nurse is giving a presentation to a community group about preventing atherosclerosis . Which of the following should the nurse include as a modifiable risk factor for this disorder ? ( Select all that apply .

Hyper Cholesterolemia , Hypertension Obesity Smoking

6.A nurse is reviewing laboratory data from a client who has pulmonary embolism and is receiving IV heparin . Which of the following findings should the nurse report to the provider ?

Platelets 74,000 / mm3

What should a person with unstable angina avoid ?

Shoveling Snow

24. The nurse clarifies that the master pacemaker of the heart is the :

Sinoatrial ( SA ) Node

The nurse assessing a cardiac monitor notes that the cardiac complexes each have a P wave followed by a QRS and a T. The rate is 120. The nurse recognizes this arrhythmia as :

Sinus Tachycardia

A nurse is reinforcing teaching with a client has a new diagnosis of aplastic anemia . When discussing the pathology of this disease , which of the following instructions should the nurse include in the teaching ?

" Aplastic anemia results from decreased bone marrow production of RBC "

A client who is 7 days postpartum calls the provider's office and reports pain , swelling , and redness of her left calf . Besides the client seeing the provider , which of the following interventions should the nurse suggest

Elevate the leg

7.A nurse is caring for a client who has hemophilia and has developed hemarthrosis of the left knee . Which of the following actions should the nurse take ?

Elevate the knee

33. The nurse making a teaching plan for a client with Buerger disease ( thromboangiitis obliterans ) will encourage :

Cessation of smoking

A nurse is reinforcing teaching with a client regarding reduction of risk factors for coronary artery disease . Which of the following statements by the client indicates an understanding of the teaching ? ( Select all that apply

" I need to monitor my weight , I must stop smoking , I am limiting my intake of fast foods "

3.A nurse is reinforcing teaching with a client who has peripheral vascular disease ( PVD ) . The nurse should recognize that which of the following statements by the client indicates a need for further teaching ?

" I will wear stockings with elastic tops "

A nurse is reinforcing instructions with a client who is scheduled for a cardiac catheterization with angiography . Which of the following statements should the nurse include in the instructions ?

" You might have to lie in bed for 6hr after the procedure "

5.A nurse is planning care for a client who is to receive a unit of packed RBCs . Within which of the following time spans must the nurse complete the infusion ?

4 hr

4.The presence of excess bands in the peripheral blood that indicate severe infection is called

A shift to the left "

The nurse identifies the " lub " sound of the " lub / dub " of the cardiac cycle as the sound of the :

AV Valves Closing

A nurse is contributing to the plan of care for a child who has sickle cell crisis . Which of the following actions should the nurse recommend to include ?

Administer IV Fluids and Oral Fluids

15.A nurse is assisting with the plan of care for a client who has leukemia and whose platelet count is 50,000 mm³ . Which of the following interventions should the nurse include in the plan of care

Administer a stool softener

The nurse is aware that persons of the Jehovah's Witness faith accept which types of blood transfusions ?

Autologous Blood Transfusion

31. A nurse is assisting with the care of a client who is postoperative following a cardiac catheterization via the femoral artery . Which of the following actions should the nurse take ? ( Select all that apply . )

Check for peripheral pulses in the affected extremity , keep the clients hips and legs extended , have the client remain in bed up to 6HRs

A nurse is caring for a client with suspected internal bleeding . The client complains of abdominal pain and during her assessment , the nurse noticed a bluish periumbilical discoloration on the client's abdomen which confirms retroperitoneal bleeding . What is this discoloration called ?

Cullens Sign

19.A nurse is reviewing the laboratory data of a client who has acute leukemia and received aggressive chemotherapy treatment 10 days ago . Which of the following abnormalities should the nurse expect to see ? ( Select all that apply . )

Decreased platelet count , decreased WBC count , Decreased RBC count

A nurse is reinforcing teaching with a class about preventing deep - vein thrombosis . The nurse should include in the teaching that which of the following is a risk factor for this disorder ? ( Select all that apply )

Dehydration , Oral Contraceptives and Immobility

20.A nurse is collecting data from a client who has anemia due to excess blood loss during surgery . The nurse should expect which of the following findings ?

Dyspnea on exertion

30. A nurse is preparing to administer digoxin to a client who has left - sided heart failure . Which of the following clinical manifestations should the nurse expect to see in this client ? ( Select all that apply . )

Dyspnea orthopnea tachypnea

43. A nurse is reinforcing teaching with a client who has a new diagnosis of angina pectoris . Which of the following information about anginal pain should the nurse include in the teaching ?

Exertion and Anxiety can trigger the pain

A nurse is assisting with the care of a client who is at risk for disseminated intravascular coagulopathy ( DIC ) . The nurse should plan to report which of the following laboratory values that indicates DIC ?

Fibrinogen 85mg / dL

The hematocrit the Helps prevent neural effects in pregnancy :

Folic Acid

The nurse explains that in the event of an invasion of an allergen , the basophils release a strong vasodilator , which is :

Histamine

The nurse caring for a client recovering from a myocardial infarct who is wearing a portable telemetry monitor ( EKG ) recognizes the need for added instruction when the client says :

I always take off the device when I shower "

The nurse is aware that the symptoms of an impending myocardial infarction ( MI ) differ in women because acute chest pain is not present . Women are frequently misdiagnosed as having :

Indigestion

When instructing the client taking an oral liquid iron preparation , what should the nurse include ?

Information relative to taking the oral preparation through a straw to prevent staining of the teeth

2.A nurse is reviewing the laboratory results for a male adult client who is at risk for peripheral arterial disease from atherosclerosis . The nurse should identify that which of the following results places the client at risk ?

LDL 172mg / dL

A nurse is contributing to the plan of care for a client who is admitted with a deep vein thrombosis DVT ) of the left leg . Which of the following interventions should the nurse include in the plan ?

Monitor platelet levels

A nurse is collecting data from a client who has an acute myocardial infarction ( MI ) . Which of the following clinical manifestations should the nurse expect to find ? Select all that apply . )

Nausea , Tachycardia , Diaphoresis

Following admission , a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet . Which of the following nursing actions should the nurse take to promote the client's comfort ?

Obtain a pair of slipper socks for the client

An increase in immature neutrophils

Overwhelming bacterial infection

A nurse is collecting data from a female adult client who reports heavy menstrual periods . The client has a hemoglobin level of 8 g / dL and hematocrit of 28 % . Which of the following findings should the nurse expect ?

Pale mucous membrane

From which location would the bone marrow sample come in the aspiration of a 25 - year - old client ?

Posterior iliac crest

A nurse is caring for a client who has a hemoglobin of 10.8 g / dL and a hematocrit of 30 % . The nurse should expect the client is at risk for which of the following conditions ?

Prolonged Bleeding

A nurse is caring for a client whose history reveals the clinical manifestations of pernicious anemia . The nurse should anticipate a prescription for which of the following diagnostic tests ?

Schilling Test

13. A nurse is monitoring a client who reports having chills and back pain during a blood transfusion . Which of the following actions should the nurse take first ?

Stop the transfusion

A nurse is reinforcing teaching with a group of nurses about the administration of nitroglycerin . Which of the following routes of administration provides the most rapid onset for the client ?

Sublingual

8. A nurse is reinforcing teaching with a client who uses a nitroglycerine patch to treat angina . The client now has a new prescription for nitroglycerin sublingual tablets . Which of the following instructions should the nurse include ?

Take the medication at the first indication of chest pain

12. A nurse is collecting data on a client who is to receive a blood transfusion . Which of the following data is the nurse's priority before the transfusion begins ?

Temperature

A nurse is monitoring a client who is receiving a blood transfusion . For which of the following time spans should the nurse remain in the client's room ?

The first 15 minutes

A nurse is reinforcing teaching with a client who is scheduled for a thallium scan . When talking with the client about this procedure , which of the following statements should the nurse give ?

This detects damage to the heart muscle

39. A nurse is caring for a client who has been taking warfarin and has a prothrombin time of 30 seconds . Which of the following medications should the nurse anticipate the provider to prescribe ?

Vitamin K

A 23 - year - old male patient with hemophilia A says , " How can I keep my children from having hemophilia A ? " Which of the following is the most informative response ?

Your daughter may be a carrier and her children may have hemophilia A , your son is not at risk "