med surg:Cardiovascular System, Blood, and Lymphatic Systems

A beta-blocker, atenolol (Tenormin), is prescribed for a client with moderate hypertension. What information should the nurse include when teaching the client about this medication? (Select all that apply.)

Change positions slowly Count the pulse before taking the medication Mild weakness and fatigue are common side effects

What should the nurse include in a teaching plan for a client taking calcium channel blockers such as Nifedipine (Procardia)? (Select all that apply.)

Change positions slowly Report peripheral edema Avoid drinking grapefruit juice

A client with impaired peripheral pulses and signs of chronic hypoxia in a lower extremity is scheduled for a femoral angiogram. What would be appropriate for the nurse to include in the postprocedure plan of care?

Perform a neurovascular assessment every two hours

The nurse is caring for a client with an abdominal aortic aneurysm before surgery. Which nursing care is essential preoperatively?

Maintaining a reduced blood pressure

Which factors should the nurse identify that can precipitate hyponatremia? (Select all that apply.)

Gastrointestinal (GI) suction Diuretic therapy Continuous bladder irrigation

A client who had a myocardial infarction receives a prescription for a beta-blocker and a nitroglycerin patch. The nurse determines that the purpose of the nitroglycerin patch is to decrease the:

Preload of the heart, thereby reducing the cardiac workload

An older adult is brought to the emergency department after being found in the street without a coat during a snowstorm. What actions should the nurse implement? (Select all that apply.)

Obtain a rectal temperature Assess the fingers for areas of frostbite Determine client's level of consciousness Ask for client identification

A client is receiving total parenteral nutrition solution. Potassium has not been added to the solution. The nurse monitors the client for which signs of hypokalemia? (Select all that apply.)

Muscle weakness Cardiac dysrhythmias

A nurse observes the following dysrhythmia on a client's cardiac monitor. What rhythm does the nurse identify?

Ventricular fibrillation

A health care provider prescribes a dose of medication that is much higher than is recommended for the clinical situation, and directs the nurse to give the medication immediately. Which response by the nurse is most appropriate?

"That dose is more than I can give legally. However, if the dose is medically indicated, please administer it yourself."

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.)

Malaise Swollen lymph glands

While obtaining a health history, a nurse expects a client admitted to the hospital with chronic heart failure to report:

A need to use three pillows at night to sleep

What is the priority nursing action when caring for a client with disseminated intravascular coagulation?

Avoid giving intramuscular injections

The nurse is conducting a nutrition class for a group of clients with congestive heart failure (CHF). It would be most important for the nurse to explain the importance of:

Choosing fresh or frozen vegetables instead of canned ones

A client with a history of heart failure is admitted to the hospital with the diagnosis of pulmonary edema. For which signs and symptoms specific to pulmonary edema should the nurse assess the client? (Select all that apply.)

Coughing Orthopnea Diaphoresis

Which significant risk factors for coronary heart disease carry a greater risk for women than for men? (Select all that apply.)

Diabetes mellitus Low levels of high-density lipoprotein (HDL) cholesterol

A client takes isosorbide dinitrate (Isordil) daily. The client states, "I would like to start taking sildenafil (Viagra) for erectile dysfunction. I was told I can't take sildenafil and isosorbide dinitrate at the same time." The nurse explains that taking both of these medications concurrently may result in severe:

hypotension

Which responses should a nurse expect a client experiencing hypoglycemia to exhibit? (Select all that apply.)

palpitations tachycardia nervousness

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?

Pulsating abdominal mass

The nurse is making rounds on a patient who has developed severe bone marrow depression after receiving chemotherapy for cancer. Which of these actions by the nurse is appropriate? (Select all that apply.)

Wash hands before entering the client's room Advise use of a soft toothbrush for oral hygiene. Report an elevation in temperature immediately