Cardio

Potassium supplements are prescribed for a client receiving diuretic therapy. What client statement indicates that the teaching about potassium supplements is understood? 1."I will report any abdominal distress." 2."I should use salt substitutes with my food." 3."The drug must be taken on an empty stomach." 4."The dosage is correct if my urine output increases."

1."I will report any abdominal distress."

Which instructions should the nurse include in the teaching plan for a client with hyperlipidemia who is being discharged with a prescription for cholestyramine (Questran)? 1."Increase your intake of fiber and fluid." 2."Take the medication before you go to bed." 3."Check your pulse before taking the medication." 4."Contact your health care provider if your skin or sclera turn yellow."

1."Increase your intake of fiber and fluid."

A client is to be transferred from the coronary care unit to a progressive care unit. The client asks the nurse, "Are you sure I'm ready for this move?" From this statement the nurse determines that the client most likely is experiencing: 1.Fear 2.Depression 3.Dependency 4.Ambivalence

1.Fear

A client with a suspected dysrhythmia is to wear a Holter monitor for 24 hours at home. What should the nurse instruct the client to do? 1.Keep a record of the day's activities 2.Avoid going through laser-activated doors 3.Record the pulse and blood pressure every four hours 4.Delay taking prescribed medications until the monitor is removed

1.Keep a record of the day's activities

A client comes to the emergency department reporting symptoms of the flu. When the health history reveals intravenous drug use and multiple sexual partners, acute retroviral syndrome is suspected, and a test for the human immunodeficiency virus (HIV) is performed. Which clinical responses are associated most commonly with this syndrome? (Select all that apply.) 1.Malaise 2.Confusion 3.Constipation 4.Swollen lymph glands 5.Oropharyngeal candidiasis

1.Malaise 4.Swollen lymph glands

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

The primary health care provider has prescribed for a client's apical pulse to be taken. Place the steps in the order that the nurse should follow to identify the client's point of maximal impulse when taking the client's apical pulse. Incorrect 1. Place the index finger in the second intercostal space and continue palpating downward to the fifth intercostal space 2. Slide the finger down from the sternal notch to the angle of Louis (the bump where the manubrium and sternum meet) 3. Slide the finger to the edge of the left sternal border to the second intercostal space 4. Move the finger laterally along the fifth intercostal space to the midclavicular line

1.Slide the finger down from the sternal notch to the angle of Louis (the bump where the manubrium and sternum meet) 2.Slide the finger to the edge of the left sternal border to the second intercostal space 3.Place the index finger in the second intercostal space and continue palpating downward to the fifth intercostal space 4.Move the finger laterally along the fifth intercostal space to the midclavicular line

The nurse provides discharge medication education to a client who has been switched from a prescription for heparin to a prescription for warfarin sodium (Coumadin). The nurse concludes that the teaching was effective when the client states, "I will: 1.Take acetaminophen (Tylenol) for my occasional headaches." 2.Spend most of the day working at my desk." 3.Ask my health care provider for antibiotics before going to the dentist." 4.Make an appointment to have a complete blood count drawn."

1.Take acetaminophen (Tylenol) for my occasional headaches."

A nurse asks a client with ischemic heart disease to identify the foods that are most important to restrict. The nurse determines that the client understands the dietary instructions when the client identifies the following foods. (Select all that apply.) 1.Olive oil 2.Chicken broth 3.Enriched whole milk 4.Red meats, such as beef 5.Vegetables and whole grains 6.Liver and other glandular organ meats

2.Chicken broth 3.Enriched whole milk 4.Red meats, such as beef 6.Liver and other glandular organ meats

A client is scheduled to have a cardiac catheterization via the femoral approach. The nurse teaches the client about post-procedure interventions that protect the catheter insertion site. The nurse instructs the client that the leg used for catheter insertion will be: 1.Elevated on a pillow 2.Kept extended while on bed rest 3.Positioned dependent to the level of the heart 4.Put through range of motion exercises several times an hour

2.Kept extended while on bed rest

A client has a tentative diagnosis of Hodgkin disease. The nurse recalls that the diagnosis is confirmed by a: 1.Bone scan 2.Lymph node biopsy 3.Computed tomography (CT) scan 4.Radioactive iodine (131I) uptake study

2.Lymph node biopsy

A child with a congenital heart defect has a cardiac catheterization. What is an essential element of nursing care after this procedure? 1.Encouraging early ambulation 2.Monitoring the extremity distal to the insertion site 3.Restricting fluids until blood pressure and heart rate have stabilized 4.Comparing blood pressure in the affected and unaffected extremities

2.Monitoring the extremity distal to the insertion site

Before a client has a cardiac catheterization, an electrocardiogram (ECG) is performed and hypokalemia is suspected. The nurse expects that the diagnosis will be confirmed by which diagnostic test? 1.Complete blood count 2.Serum potassium level 3.X-ray film of long bones 4.Blood cultures times three

2.Serum potassium level

A client hospitalized for heart failure is receiving digoxin (Lanoxin) and will continue taking the drug after discharge. What should be included in the plan of care for the next few days? 1.Monitoring vital signs and encouraging a vigorous aerobic exercise program. 2.Taking the apical pulse before drug administration and teaching the client how to count the pulse. 3.Contacting Social Services for a home health nursing consultation. 4.Providing written material on the adverse effects of the medication

2.Taking the apical pulse before drug administration and teaching the client how to count the pulse.

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

A client develops a non-healing ulcer of a lower extremity and complains of leg cramps after walking short distances. The client asks the nurse what causes these leg pains. The nurse's best response is: 1."Muscle weakness occurs in the legs because of a lack of exercise." 2."Edema and cyanosis occur in the legs because they are dependent." 3."Pain occurs in the legs while walking because there is a lack of oxygen to the muscles." 4."Pressure occurs in the legs because of vasodilation and pooling of blood in the extremity."

3."Pain occurs in the legs while walking because there is a lack of oxygen to the muscles."

The nurse is caring for a client who has an occlusion of the left femoral artery and is scheduled for an arteriogram. Which clinical finding is most significant when assessing the left extremity before the arteriogram? 1.Mottling of the leg 2.Coolness of the foot 3.Absence of the pedal pulse 4.Thickening of the toenails on the foot

3.Absence of the pedal pulse

The nurse provides discharge teaching to a client with a history of angina. The nurse instructs the client to call for emergency services immediately if the client's pain: 1.Causes mild perspiration 2.Occurs after moderate exercise 3.Continues after rest and nitroglycerin 4.Precipitates discomfort in the arms and jaw

3.Continues after rest and nitroglycerin

A nurse is advising a client about the risks associated with failing to seek treatment for acute pharyngitis caused by beta-hemolytic streptococcus. For what health problem is the client at risk? 1.Asthma 2.Anemia 3.Endocarditis 4.Reye syndrome

3.Endocarditis

When a client is experiencing hypovolemic shock with decreased tissue perfusion, the nurse expects that the body initially attempts to compensate by: 1.Producing less antidiuretic hormone (ADH) 2.Producing more red blood cells 3.Maintaining peripheral vasoconstriction 4.Decreasing mineralocorticoid production

3.Maintaining peripheral vasoconstriction

A nurse is assessing a client with the diagnosis of primary hypertension. What clinical finding does the nurse identify as an indicator of primary hypertension? 1.Mild but persistent depression 2.Transient temporary memory loss 3.Occipital headache in the morning 4.Cardiac palpitation during periods of stress

3.Occipital headache in the morning

A client diagnosed with multiple myeloma has been given a poor prognosis. After discharge, the client plans to travel on an airplane and attend sporting events with friends and family. The nurse prepares a discharge teaching plan for this client and includes: 1.Eliminating travel plans to combat anemia-related fatigue 2.Reinforcing a positive mental attitude to improve prognosis 3.Preventing infection; the client is at risk for leukopenia 4.Restricting fluid intake; the client is at risk for congestive heart failure

3.Preventing infection; the client is at risk for leukopenia

A nurse begins to develop a plan of care with a client who has left ventricular heart failure that resulted from a myocardial infarction (MI). What should be the primary focus of the plan during the acute phase of recovery? 1.Increasing activity tolerance 2.Preventing cardiac dysrhythmias 3.Promoting physical and emotional rest 4.Maintaining potassium and sodium intake

3.Promoting physical and emotional rest

A client who is recovering from an acute myocardial infarction reports not being happy about the lack of salt with meals. Recognizing that adherence to a medical regimen improves with understanding, the nurse explains that the salt must be limited to: 1.Prevent an increase in blood pressure from tissue edema. 2.Reduce the circulating blood volume via a diuretic effect. 3.Reduce the amount of edema present, which interferes with heart action. 4.Prevent further accumulation of fluid, which increases the workload of the heart

4.Prevent further accumulation of fluid, which increases the workload of the heart

During a client's routine physical examination, an abdominal aortic aneurysm is diagnosed. The client is admitted to the hospital immediately, and surgery is scheduled for the next morning. Which clinical finding should the nurse expect when completing the admission assessment? 1.Signs of shock 2.Visible peristaltic waves 3.Radiating abdominal pain 4.Pulsating abdominal mass

4.Pulsating abdominal mass

A home care nurse makes an initial visit to a 60-year-old female client with heart failure. The client lives with her daughter who is addicted to drugs and a single parent of seven children. When the nurse enters the home, the client is feeding a 6-month-old granddaughter and preparing dinner for the rest of the family. A 14-year-old grandson, disabled and in a wheelchair, states his mother is sleeping. What should the nurse do? 1.Sit down with the client and exchange identifying data 2.Accept coffee when offered by the client and socialize for a few minutes 3.Ask the client whether it is all right to look around the apartment and evaluate environmental conditions 4.Question the client to determine whether there is a private place to take a health history and perform an examination

4.Question the client to determine whether there is a private place to take a health history and perform an examination

A client is brought to the emergency department after an automobile collision. The client's blood pressure is 100/60 mm Hg, and the physical assessment suggests a ruptured spleen. For which early clinical indicator of decreased arterial pressure should the nurse assess the client? 1.Warm, flushed skin 2.Increased pulse pressure 3.Lethargy with confusion 4.Reduced peripheral pulses

4.Reduced peripheral pulses

A client with a long history of bilateral varicose veins questions a nurse about the brownish discoloration of the skin on the lower extremities. What should the nurse include in the response to the client's question? 1.The arterial blood supply is inadequate. 2.There is delayed healing in the area after an injury. 3.The production of melanin in the area has increased. 4.There is leakage of red blood cells (RBCs) through the vascular wall

4.There is leakage of red blood cells (RBCs) through the vascular wall

A client with cancer of the tonsils and enlarged lymph glands in the neck is receiving chemotherapy after surgery. Which laboratory report is most important for the nurse to monitor when considering the effects of chemotherapy? 1.Platelets 2.Hemoglobin level 3.Red blood cell count 4.White blood cell count

4.White blood cell count