Med Surg (2)

a nurse is assessing a clients radial pulse and determines that the pulse is irregular. which of the following actions should the nurse take?

assess the apical pulse for a full minute

A nurse is reviewing the laboratory results for a client who has a history of atherosclerosis and notes elevated cholesterol levels. Which of the following statements by the client indicates the nurse should plan follow-up teaching on a low-cholesterol diet?

"I eat two eggs for breakfast each morning."

a nurse is caring for a client who has HF and a prescription for digoxin. which of the following statements by the client indicates an adverse effect of the medication?

"I feel nauseated and have no appetite"

a nurse is teaching a newly licensed nurse about evaluating a cardiac rhythm. which of the following options should the nurse identify as the P wave in the ECG complex?

B

a nurse is preparing to administer verapmil by IV bolus to a client who is having cardia dysrhythmias. for which of the following adverse effects should the nurse monitor when giving this medication

Hypotension

a nurse a nurse on a medical unit is planning care for an older adulty client who takes several medications. which of the following prescribed medications places the client at risk for orthostatic hypotension?

Furosemide Telmisartan

A nurse is caring for a pt who has atrial fibrillation and receives digoxin daily. Before administering this medication, which of the following actions should the nurse take?

Measure the pt's apical pulse

a nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin?

Prothrombin Time (PT)

a nurse is teaching about risk factors of developing a stroke with a group of older adult clients. which of the following nonmodifiable risk factors should the nurse include in the teaching?

Race

A nurse is teaching a client who has angina pectoris about starting therapy with SL nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication?

Take one tablet at the first indication of chest pain

A nurse is caring for a client who came to the emergency department reporting chest pain. The provider suspects a myocardial infarction. While waiting for the troponin levels report, the client asks what this blood test will show. Which of the following explanations should the nurse provide to the client?

Troponin is a heart muscle protein that appears in the bloodstream when there is damage to the heart

a nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. the client reports relief from the chest pain but now he is experiencing a headache. which of the following statements should the nurse make?

a headache is an expected adverse effect of the medication

while auscultating a client's heart sounds, the nurse hears turbulence between the S1 and S2 heart sounds. the nurse should document this finding as which of the following

a systolic murmur

a nurse is assessing an older adult client who is receiving digoxin. the nurse should recognize that which of the following findings is a manifestation of digoxin toxicity?

anorexia

a client who has a history of MI is prescribed aspirin 325 mg. the nurse recognizes that the aspirin is give due to which of the following actions of the medication

antiplatelet aggregate

a nurse is teaching a client who has anew prescription for transdermal nitroglycerin to treat angina pectoris. which of the following instructions should the nurse include in the teaching?

apply transdermal patch in the morning

a nurse is caring for four clients. after administering morning medications she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. which of the following actions should the nurse take first?

check the clients vitals

a nurse is preparing a community health program for adults at risk for cardiovascular disease. which of the following nurse include as a modifiable risk factor?

cigarette smoking

A nurse on a telemetry unit is caring for a pt who has unstable angina and is reporting chest pain with a severity of 6 on a 0 to 10 scale. The nurse administers 1 sublingual nitroglycerin tablet. After 5 min, the pt states that his chest pain is now a severity of 2. Which of the following actions should the nurse take?

Administer another nitroglycerin tablet

a nurse is assessing a clients peripheral circulation. which of the following locations should the nurse palpate to assess the posterior tibial pulse?

C

a nurse is caring for a client who has an elevated potassium level and is on a cardiac monitor. the nurse is aware that hyperkalemia may be associated with changes to the T-wave. on the graphic point and lick on the area of the ECG that represents the T wave

C

a nurse is assessing a client who had left femoral cardiac angiography. identify where the nurse will palpate to assess the most distal pulse on the affected side.

D

a nurse is performing a cardiac assessment. identify where the nurse should place the stethoscope to auscultate the clients apical pulse.

D

a nurse is teaching a client about following a low cholesterol diet after bypass grafting. which of the following client food choices reflects the clients understanding of dietary instructions?

beans

a nurse is reviewing a clients laboratory results and finds the hemoglobin is 10 g/dL and the hematocrit is 30%. the nurse recognizes that the client is at risk for which of the following

cellular hypoxia

a nurse is caring for a client who has CHF and is taking dig daily. the client refused breakfast and is complaining of nausea and weakness. which of the following actions should the nurse take first

check the clients vitals

a nurse is caring for a client who is taking lisinopril. which of the following outcomes indicates a therapeutic effect of the medication

decreased BP

a nurse is providing teaching to a client who has hypertension and a new prescription for captopril. which of the following instructions should the nurse provide?

do not use salt substitutes while taking this medication

a nurse is providing discharge teaching for a client who has pulmonary edema an dis about to start taking furosemide. which of the following instructions should the nurse include>

eat foods that have plenty of potassium

a home health nurse is making a home visit to a client who takes a daily diuretic for heart failure. which of the following manifestations should the nurse identify as indicating the client is hypokalmic

fatigue

a nurse is providing teaching to a client who has angina pectoris and a new prescription for nitroglycerin sublingual tablets. which of the following statements by the client indicates an understanding of the teaching?

ill dial 911 if 1 nitroglycerin tablet does not relieve my pain and then take up to 2 more tablets 5 minutes apart wile waiting

while performing an admission assessment for a client the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of feeling of heaviness. which of the following nursing diagnosis should the nurse identify as being the priority in the clients care?

impaired tissue perfusion

a nurse is providing discharge teaching to a client who has anew prescription for verapamil for angina. which of the following instructions should the nurse include?

increase your daily intake off dietary fiber

a nurse is caring for a client who has fluid overload. which of the following findings should the nurse expect?

increased respiratory rate increased HR increased BP

a nurse is providing teaching to a client about interventions to reduce the risk of developing cardiovascular disease. which of the following statements by the client should indicate to the nurse the need for further teaching?

increasing the intake of foods containing trans fatty acids can lower my risk

nurse is preparing to obtain a blood specimen from a client by venipuncture. the client is receiving IV fluids through an IV catheter inserted in the basilic vein of the right forearm. which sites should the nurse plan to use to obtain blood specimen

left forearm

a nurse is caring for a client who has peripheral vascular disease and reports difficulty sleeping because of cold feet. which of the following actions should the nurse take to promote client comfort?

obtain a pair of slipper socks for the client

the nurse is evaluating a client who had a cardiac catheterization with a left antecubital insertion site. which of the following pulses should the nurse palpate?

radial pulse in the left arm

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

smoking obesity hypercholesterolemia hypertension

a nurse is providing teaching to a client who has stable angina and a new prescription for nitroglycerin oral, sustained release capsules. which of the following instructions should the nurse include

swallow the capsules whole

a nurse is reviewing the health history for a client who has angina pectoris and a prescription for propranolol hydrochloride PO 40 mg twice daily. Which of the following findings in the history should the nurse report to the provider?

the client has a history of bronchial asthma

a nurse is auscultating a clients heart sounds and hears an extra heat sound before what should be the considered the fist heart sound S1. the nurse should document this finding as which of the following heart sounds?

the fourth heart sound (S4)

a nurse is monitoring a client who is on telemetry. which of the following findings on the ECG strip should the nurse recognize as NSR?

the p wave falls before the QRS complex

a nurse is teaching the partner of a client who had an acute MI about the reason blood was drawn form the client. which of the following statements should the nurse make regarding cardiac enzymes studies?

the tests help determine the degree of damage of the heart tissues

a nurse in a providers clinic is assessing a client who takes sublingual nitroglycerin for stable angina. the client reports getting a headache each time he takes the medication. which of the following statements should the nurse make?

try taking a mild analgesic to relive the headache