Perfusion 1

A nurse is teaching a client who is taking atorvastatin daily. Which of the following statements by the client indicates an understanding of the teaching?

I will avoid drinking grapefruit juice"

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 caring for a client who has heart failure 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 providing teaching about a heart healthy diet to a group of clients with hypertension. Which of the following statements by one of the clients indicates a need for further teaching?

"I may eat 10 oz of lean protein each day"

A nurse is reinforcing teaching with a client regarding reduction of risk factors for coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching?

"I must stop smoking" "I need to monitor my weight" "I am limiting my intake of fast food"

A nurse is providing discharge instructions for a client who has congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective?

"I plan to slow down if I am tired the day after exercising"

A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of the following statements by the nurse indicates an understanding of the teaching?

"I should report a cough to the provider"

A nurse is teaching a client who has a new prescription for hydrochlorothiazide for management of hypertension. Which of the following instructions should the nurse include?

"Monitor for leg cramps" - this medication can cause hypokalemia. Leg cramps are a manifestation of this.

A nurse is providing teaching for a client who has hypertension and a prescription change from metoprolol to metoprolol/hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?

"With the new medication, I should experience fewer side effects"

A nurse is providing discharge instructions to a client following a cardiac catheterization. Which of the following information should the nurse include?

"You will notice a small hematoma at the incision site"

A nurse is admitting a client who has acute heart failure following myocardial infarction. The nurse recognizes that which of the following prescriptions by the provider requires clarification?

0.9% NS IV at 50mL/hr cont.

A nurse is preparing to administer digoxin to a 6m/o infant. Prior to administering the dose, the nurse measures the apical HR. The nurse should withhold the dose if the infant's apical HR is less than what rate?

90 bpm

A nurse is reviewing the medical record of a client who has hypertension and a new prescription for metoprolol. Which of the following findings should the nurse investigate further?

A history of left-sided heart failure

A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Which of the following beverages should the nurse tell the client to avoid?

Grapefruit juice

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- along with vomiting, confusion, headache, and vision changes

When checking a client's capillary refill, the nurse finds that color returns in 10 seconds. The nurse should understand that this finding indicates which of the following?

Arterial insufficiency

A nurse is caring for a client who has hypertension and asks the nurse for propranolol. The nurse should inform the client that this medication in contraindicated in clients who have a history of which of the following conditions?

Asthma

A nurse is teaching a client about following a low cholesterol diet after coronary artery bypass grafting. Which of the following client food choices reflects the client's understanding of these dietary restrictions?

Beans

A nurse is teaching a client who has hypertension and a new prescription for atenolol. Which of the following finding should the nurse include as adverse effects of this medication?

Bradycardia- atenolol is a beta-blocker which slows the heart rate

A nurse is caring for a client who has valvular heart disease and is at risk for developing left-sided heart failure. Which of the following manifestations should alert the nurse the client is developing this condition?

Breathlessness

A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?

Check the client's vital signs

A nurse is educating a group of client's about the contraindications of warfarin therapy. Which of the following statements should the nurse include in the teaching?

Clients who are pregnant should not take warfarin

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- ACE inhibitors can cause hyperkalemia due to potassium retention

A nurse is caring for a client who is postoperative following vascular surgery. Which of the following signs should indicate to the nurse that the client has developed a thrombus?

Dull, aching calf pain

A nurse is preparing to administer a transfusion of RBCs to a client who has heart failure. For which of the following manifestations should the nurse monitor to prevent fluid volume overload?

Dyspnea, jugular vein distention, and confusion

A nurse in a cardiac care unit is caring for a client with acute right-sided heart failure. Which of the following findings should the nurse expect?

Elevated central venous pressure (CVP)

A home health nurse is assessing a patient who has heart failure and notes the patient has had a weight gain of 1.8 kg, as well as generalized edema, since the last visit 3 days ago. Which of the following actions should the nurse take next?

Ensure the client has been taking their prescribed diuretic

A nurse is preparing to administer digoxin to a client who has heart failure. Which of the following actions is appropriate?

Evaluating the client for nausea, vomiting, and anorexia

A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?

Exercise at least three times a week

A nurse is caring for a client who is taking digoxin for heart failure and develops indications of sever digoxin toxicity. Which of the following medications should the nurse prepare to administer?

Fab antibody fragments

A nurse is teaching a client who takes aspirin daily for coronary artery disease about herbal supplements. The nurse should instruct the client that which of the following herbal supplements may interact adversely with aspirin?

Feverfew

A nurse is caring for an older adult client who has left-sided heart failure. Which of the following assessment findings should the nurse expect?

Frothy sputum

A nurse is caring for a client who has heart failure and a potassium level of 2.4 mEq/L. The nurse should identify which of the following medications as the cause of the client's low potassium level?

Furosemide

A nurse is providing discharge instructions to the parents of a 10-year-old child following a cardiac catheterization. Which of the following instructions should the nurse include?

Give acetaminophen for discomfort

A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect?

Hacking cough due to pulmonary congestion

A nurse in a provider's office is assessing a client who reports dyspnea and fatigue. Physical assessment reveals tachycardia and weak peripheral pulses. The nurse should recognize these findings as manifestations of which of the following conditions?

Heart failure

A nurse is assessing a client who has right ventricular failure. Which of the following findings should the nurse expect?

Hepatomegaly

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?

Hypercholesterolemia, hypertension, obesity, smoking

A nurse is caring for a client who has heart failure and a new prescription for furosemide. Which of the following adverse reactions should the nurse monitor?

Hypokalemia

A nurse is teaching a client who takes warfarin daily. Which of the following statements by the client indicates a need for further teaching?

I have started taking ginger root to treat my joint stiffness

A nurse is teaching a parent of an infant who has heart failure about meeting the infant's nutritional needs. Which of the following statements by the parent indicates an understanding of the teaching?

I will add Polycose to each of my baby's bottles to increase the number of calories/oz

A nurse is assessing a client who has heart failure and is prescribed furosemide. Which of the following findings is an adverse effect of this medication?

Leg cramps- which is a manifestation of hypokalemia

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

Measure the client's apical pulse

A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast materials and places the client at risk for acute kidney injury?

Metformin

A nurse is teaching a client who has a new prescription for aspirin to prevent cardiovascular disease. Which of the following instructions should the nurse include in the teaching?

Monitor for tinnitus

A nurse is assessing a client who has hypercholesterolemia and is receiving simvastatin. Which of the following findings should the nurse recognize as a potential adverse effect?

Muscle weakness caused by myopathy

A nurse in a clinic is caring for a client who has a prescription for digoxin. Which of the following statements indicates the client is experiencing digoxin toxicity?

My vision seems yellow- blurred and yellow vision is an indication of digoxin toxicity

A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse report?

Orthopnea

A nurse is planning care for a client following a cardiac catheterization accessed through his femoral artery. Which of the following actions should the nurse plan to take?

Perform neurovascular checks with vital signs

A nurse is assessing a client with right-sided heart failure. Which of the following findings should the nurse expect?

Peripheral edema

A nurse is caring for a client who has a new prescription for propranolol. The nurse should monitor the client for which of the following adverse reactions to this medication?

Postural hypotension

A nurse is planning to administer digoxin to a client who has heart failure. Which of the following lab results is the priority for the nurse to review prior to administering the medication?

Potassium

A nurse is monitoring a client who received epinephrine for angioedema after a first dose of losartan. Which of the following data indicates therapeutic response to epinephrine?

Respirations are unlabored

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 therapeutic effect of warfarin?

Prothrombin time (PT)

A home health nurse is caring for an elderly client who has heart failure. Which of the following interventions on the tertiary level of prevention could be included in the care?

Reinforce past teachings on how to read food labels

A nurse is teaching a client who has a new prescription for bumetanide. Which of the following instructions should the nurse include in the teaching?

Report changes in hearing- high-ceiling loop diuretics can cause ototoxicity

A nurse is providing instruction to a new nurse about caring for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia?

Spironolactone

A nurse is assessing a client who is taking lisinopril to treat hypertension. Which of the following findings is a priority to report?

Swelling of the tongue- manifestation of angioedema

A nurse is providing teaching to a client who is taking warfarin about monitoring its therapeutic effects. Which of the following explanations should the nurse provide about the international normalized test (INR)?

The INR is a standardized test, which means that the results will be the same no matter which laboratory performs it.

A nurse is monitoring the cardiac output of a client who has left sided heart failure using pulse pressure analysis. Which of the following findings can compromise the readings?

The client is experiencing premature atrial contractions

A nurse is completing a medical interview with a client who has elevated cholesterol levels and takes warfarin. The nurse should recognize that which of the following actions by the client can potentiate the effects of warfarin?

The client uses garlic to lower cholesterol levels

A nurse is providing a cardiac assessment on a client and auscultates and S3 sound. The nurse should recognize that this sound represents which of the following heart conditions?

Ventricular gallop

A nurse is caring for a client who has a new diagnosis of essential hypertension. The nurse should monitor the client for which of the following findings that is consistent with this diagnosis?

Vertigo

A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily. The amount available is digoxin 0.125 mg tab. The client's current vital signs are: blood pressure 144/96, HR 54/min, RR 18/min, and T 98.6 F. Which of the following actions should the nurse take?

Withhold the digoxin for decreased pulse rate

A nurse is teaching a client who has a new prescription for clopidogrel. Which of the following instructions should the nurse include?

You might have to stop taking this medication 5 days before any planned surgeries