Cardiovascular

A male client receiving hemodialysis undergoes surgery to create an arteriovenous fistula. The nurse is discussing home care with the client and his wife before discharge. Which statement by the client's wife indicates that further teaching is required? -"I must touch the shunt several times a day to feel for the bruit." -"I have to take his BP every day in the arm with the fistula." -"He will have to be very careful at night not to lie on the arm with the fistula." -"We really should check the fistula everyday for signs of redness and swelling."

"I have to take his BP every day in the arm with the fistula."

What body process associated with vitamin B12 is assessed with the Schilling test?

Absorption

These conditions may result from immunoglobulin IgE antibodies on mast cells reacting with antigens?

Asthma and hay fever

A teaching plan for a pt who has been prescribed a 2 g sodium diet would include which foods that are low in sodium?

Fruits and juices

The nurse encourages a pt with Raynaud's disease to stop smoking because it causes ___________.

Peripheral vasoconstriction

What nursing assessment supports the medical dx right ventricular HF?

distended jugular veins

What sign would the nurse expect if right ventricular failure occurs in the pt?

neck vein distention

What reading is the minimum systolic pressure the nurse would expect when obtaining a client's blood pressure in untreated stage 1 HTN?

140 mm Hg

How many mL would the nurse administer to a pt who is receiving 0.25 mg of digoxin IM when the ampule is labeled 0.5 mg=2mL? Record your answer using a whole number.

1 mL

What is the correct time frame for nurses to monitor the blood pressure in a post anesthesia care unit after surgery?

10 to 15 minutes

A healthcare provider prescribes 0.2 mg of cyanocobalamin (Vitamin B12) IM for a pt with pernicious anemia. How much solution would the nurse administer if the vial of the drug is labeled 100 mcg=1mL is available? Record your answer using a whole number?

2 mL First convert mg to mcg, then use ratio to proportions.

The nurse recognizes that if both perspective parents carry sickle cells traits, the child has ________% chance of developing the disease.

25%

What blood type would be preferred for a client with type B negative blood?

B negative

Which leukocyte is responsible for the allergic response?

Basophils

What action will the nurse do first after witnessing a pt collapse and determining that the pt is in cardiopulmonary arrest?

Check for a carotid pulse

What client hx would the nurse recognize as a possible cause of mitral valve stenosis?

Childhood strep throat

What clinical finding would the nurse expect the pt with the dx of chronic HF to experience?

Dependent edema in the evenings

What finding indicates to the nurse that a client is HTN?

Diastolic blood pressure that remains higher than 90 mm Hg

What symptom does the nurse expect a pt with right sided HF to exhibit?

Distended neck veins

What significant risk factors for coronary heart disease carry greater risk for women than for men?

Dm and low levels of high density lipoprotein (HDL) cholesterol

What test would the nurse explain will be used for the initial screening for AIDS?

Enzyme-linked immunosorbent assay (ELISA)

A pt is admitted with a higher-than-expected RBC. Which physiological alteration does the nurse expect will result from this clinical finding?

Increased blood viscosity

The nurse knows that with a pt with peripheral artery disease, walking that sometimes results in severe pain in the calf muscles is best documented using which medical term?

Intermittent claudication

What condition does the nurse consider as the most likely cause of the pt's report that their legs hurt after walking for a short time, and the pain goes away with rest but returns when walking is resumed?

Intermittent claudication

What explanation about the mechanism of action would the nurse give to a client who is prescribed enoxaparin 40 mg SQ daily after abd surgery?

It provides prophylaxis against post operative thrombus formation

What information would the nurse consider when planning care for a client with HTN that is related to atherosclerosis?

Lipid plaque formation occurs within the arterial vessels.

What clinical finding most accurately identifies that the client has a fluid deficit?

Loss in body weight

What is the priority nursing intervention when providing post procedure care to a client who had cardiac cauterization via a brachial artery in the first hour after the procedure?

Monitor V/S every 15 minutes

An African American client has been diagnosed with primary HTN and wants to know if it is a disease of the African American people. What response would be the nurse's best response?

The higher risk population is composed of African American men and women.

What therapeutic effect would be expected if simvastatin administration is working for a client?

Triglyceride levels decrease

What blood type can a client with type A negative blood receive a transfusion?

Type A or O negative

The nurse determines that a client is probably referring to which vitamin that the client heard may reduce the effects of aging because of its prevention of the oxidative breakdown of the cell walls?

Vitamin E

What medication would the nurse expect the health care provider to prescribe in a client with warfarin overdose?

Vitamin K

What laboratory report is MOST important for the nurse to monitor when considering the effects of chemotherapy in a client with cancer of the tonsils and enlarged lymph glands in the neck?

WBC count

The nurse concludes that a pt on the 2g sodium diet needs further teaching when the client selects which foods?

cottage cheese, crackers, and relish dish (celery, olives, and sweet pickles)

The nurse expects to hear which lung sounds in a pt who is admitted with the dx of mild chronic HF?

crackles

What information is essential for the nurse to include in the education plan for a pt prescribed warfarin?

Periodic blood testing is necessary

What nursing intervention is the priority when obtaining an admission hx for a preop pt who is taking several herbal supplements?

Notify the healthcare provider because some herbal supplements can cause hemorrhage

What clinical finding does the nurse identify as an indicator of primary hypertension?

Occipital headache in the morning

What reason about why salt must be limited would the nurse give to a client recovering from an acute MI who reports not being happy about lack of salt with meals?

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

What specific drug classification would the nurse explain includes captopril?

Antihypertensives

What response indicates that sublingual nitroglycerin is effective for a pt who has been admitted to the hospital with a dx of unstable angina?

Pain subsides as a result of arterial and venous dilation

What would the nurse identify as the primary cause of the pain experienced by a pt with a coronary occlusion?

heart muscle ischemia Ischemia causes tissue injury and the release of chemicals, such as bradykinin, that stimulate sensory nerves and produce pain.

What action does the Schilling test for pernicious anemia determine?

absorbing vitamin B12

What instruction to a pt would the nurse include on how to reduce the dietary intake of sodium?

avoid canned soups