DrP remidiation 45 question

A client is admitted to the hospital with chest pain and a diagnosis of myocardial infarction. How does the nurse expect the client to describe the chest pain?

severe, intense

A person is brought to the emergency department after prolonged exposure to cold weather. What clinical manifestations of hypothermia does the nurse expect? Select all that apply.

stupor Paresthesia in affected body parts

Metoprolol is prescribed for a client. Which condition in the client's electronic medical record will cause the nurse to question the prescription

Sinus bradycardia

The nurse provides medication discharge instructions to a client who received a prescription for digoxin (Lanoxin) following the client's myocardial infarction. The nurse concludes that the teaching was effective when the client says what?

"I should check my radial pulse rate daily."

Which client is at greatest risk for the development of venous thrombosis

A 68-year-old male on bed rest following a left hip fracture

A nurse is working in the intensive care unit. Which client will the nurse be prepared to assist with cardioversion?

A client with supraventricular tachycardia

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

Anxiety Chest pain Irregular pulse

A client who was in an automobile collision is now in hypovolemic shock. Why is it important for the nurse to take the client's vital signs frequently during the compensatory stage of shock?

Arteriolar constriction occurs.

Which client's care can the registered nurse (RN) safely delegate to unlicensed nursing personnel (UNP) based on the given data?

Client A, with chronic hypertension and stable vitals

A nurse is teaching a group of clients with peripheral vascular disease about a smoking cessation program. Which physiological effect of nicotine should the nurse explain to the group?

Constriction of the peripheral vessels increases the force of flow.

When assessing the client with peripheral arterial disease, the nurse anticipates the presence of which clinical manifestations? Select all that apply

Dependent rubor Ulcers on the toes Delayed capillary refill

A nurse in the cardiovascular clinic reviews a client's ECG. What should the nurse do?

Document that the rhythm is normal.

Following a major abdominal surgery, a client has a nasogastric tube attached to continuous low suction. The nurse caring for the client postoperatively monitors the client for what signs of hypokalemia? Select all that apply.

Dysrhythmias Muscle weakness

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 what?

I will take acetaminophen (Tylenol) for my occasional headaches."

An older African-American client with hypertension is admitted to the hospital. Which data from the client's history and diagnostic workup represent risk factors for hypertension? Select all that apply.

Occasional cocaine use African American heritage

A client is admitted to the emergency department with crushing chest pain. A diagnosis of acute coronary syndrome is suspected. The nurse expects that the client's initial treatment will include which medication?

aspirin

A client returns from a cardiac catheterization procedure and is to remain in the supine position for four hours with the affected leg straight. The nurse explains that these measures are to prevent what?

bleeding

When assessing a client with the diagnosis of left ventricular failure, what does the nurse expect to identify?

dyspnea on exertion

What clinical indicators are the nurse most likely to identify when taking the admission history of a client with right ventricular failure? Select all that apply.

edema, dyspnea

Which herbal product is contraindicated when a client is receiving anticoagulant therapy?

garlic

A nurse is caring for a pregnant client with thrombophlebitis. Which anticoagulant medication may be prescribed? Select all that apply

heparin Enoxaparin

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 exhibits which characteristic?

Continues after rest and nitroglycerin

A client with heart failure is receiving digoxin and hydrochlorothiazide. The nurse will assess for which signs and symptoms that indicate digoxin toxicity? Select all that apply .

Nausea Yellow vision Irregular pulse

A client who is hospitalized after a myocardial infarction asks the nurse why the client is receiving morphine. The nurse replies that morphine does what?

Relieves pain and prevents shock

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.

Severe fatigue Sense of unease

A client is scheduled to have a coronary artery bypass graft (CABG). The client's spouse asks what the benefit of the surgery is. How should the nurse respond?

This surgery significantly decreases symptoms in most clients."

A client is admitted to the hospital with the diagnosis of myocardial infarction. The nurse should monitor this client for which signs and symptoms associated with heart failure? Select all that apply.

Unusual fatigue Dependent edema Nocturnal dyspnea

A client with a long history of cardiovascular problems, including angina and hypertension, is scheduled to have a cardiac catheterization. During preprocedure teaching, the nurse explains to the client that the major purpose for catheterization is to do what?

Visualize the disease process in the coronary arteries

The spouse of a client who had emergency coronary artery bypass surgery asks why there is a dressing on the client's left leg. What does the nurse explain?

a vein

A client undergoes cardiac catheterization via the femoral artery. What is the most important nursing action after the procedure?

assess

The nurse providing post-procedure care to a client who had a cardiac catheterization through the femoral artery discovers a large amount of blood under the client's buttocks. After donning gloves, which action should the nurse take first?

assess

A nurse collecting data from a client with atherosclerosis finds syncope, fatigue, pulse deficit, palpitations, and pulmonary edema. Which disease condition might the nurse suspect?

atrial

A client had surgery on the shoulder and the nurse is to obtain a brachial pulse. Use the illustration to indicate where the nurse should palpate to best obtain the brachial pulse rate.

b

Two hours after a cardiac catheterization that was accessed through the right femoral route, an adult client complains of numbness and pain in the right foot. What action should the nurse take first?

check

A client is on a cardiac monitor. The monitor begins to alarm showing ventricular tachycardia. What should the nurse do first?

check for pulse

or which client should the nurse conclude that a prescription for digoxin is appropriate?

client a

Four days after the client's total hip arthroplasty, the nurse is preparing to transfer the client to a rehabilitation center. Before admission the client took warfarin sodium (Coumadin) daily for a history of pulmonary embolus. While hospitalized, the client received subcutaneous heparin two times a day. The nurse does not see any anticoagulant therapy listed on the client's transfer prescriptions. What should the nurse do?

contact

An older client tells the nurse, "My legs begin to hurt after walking the dog for several blocks. The pain goes away when I stop walking, but it comes back again when I resume walking." Which condition does the nurse consider as the most likely cause of the client's responses?

intermittent

A client had a total knee replacement several days ago and has been receiving warfarin sodium (Coumadin) therapy. An international normalized ratio (INR) is performed each afternoon, and the evening warfarin sodium dose is prescribed by the health care provider on a daily basis. The nurse identifies that the afternoon INR is 4.6. What is the next action the nurse should take?

maintain

A client is admitted to the emergency department with chest pain and shortness of breath. An electrocardiogram indicates that the client is experiencing a myocardial infarction. An emergency cardiac catheterization is scheduled. What information should the nurse include in the pre-procedure teaching

mild sedation

After surgery, a client reports sudden severe chest pain and begins coughing. The nurse suspects the client has a thromboembolism. What characteristic of the sputum supports the nurse's suspicion that the client has a pulmonary embolus?

pink

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. Which is the priority nursing intervention for this client?

provide pain medication

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?

serum

A nurse is caring for a client with chronic occlusive arterial disease. Which precipitating cause is the nurse most likely to identify for the development of ulceration and gangrenous lesions?

trauma

A client is receiving continuous ECG monitoring while intravenous medication is being administered for premature ventricular complexes (PVC). Which dysrhythmia does the nurse conclude that the client is experiencing when the following rhythm appears on the ECG monitor

vetrical tachycardia