perfusion

The nurse is caring for a client who has just returned from the cardiac catheterization laboratory following a coronary angioplasty. What is the nurse's priority assessment?

Check the temperature, color, and capillary refill of the affected extremity.

A client has recently been prescribed a drug that treats hypertension by blocking the sympathetic receptors in the sympathetic nervous system. This action is characteristic of which?

an adrenergic antagonist.

The nurse is caring for a client who is taking an adrenergic blocking agent. What assessment would be among the nurse's priorities?

assessing heart rate

Prior to administration of adrenergic blocking drug for hypertension, which should the nurse assess first?

blood pressure

What is a modifiable risk factor for the development of atherosclerosis?

consumption of a high-fat diet

The nurse is providing education to a client who has been prescribed captopril. What common adverse effect would the nurse mention in the teaching?

dry cough

A client returns for a follow-up visit to the cardiologist 4 days after a trip to the ED for sudden shortness of breath and abdominal pain. The nurse realizes the client had a myocardial infarction because the results from the blood work drawn in the hospital shows:

elevated troponin levels.

The nurse is teaching a client about atherosclerosis. The client asks the nurse what the substance causing atherosclerosis is made of. How does the nurse best respond?

fatty deposits in the lumen of arteries

The nursing student has learned in his class that coronary artery disease (CAD) is heart disease caused by:

impaired coronary blood flow.

The nurse is caring for a client who is having chest pain associated with a myocardial infarction (MI). What medication will the nurse administer intravenously to reduce pain and anxiety?

morphine sulfate

An older adult client with heart failure and 2+ pitting edema is prescribed furosemide. Due to the effects of furosemide, which additional medication should the nurse recommend to the client to supplement when taking furosemide?

potassium

A client with a family history of coronary artery disease reports experiencing chest pain and palpitations during and after morning jogs. What would reduce the client's cardiac risk?

smoking cessation

Another name for adrenergic drugs is:

sympathomimetic drugs.

What assessment should the nurse make before administering beta-adrenergic blocking agents?

Pulse and blood pressure

A client taking a calcium channel blocker is seen in the clinic and receives a diagnosis of drug toxicity. When collecting the nursing history, consumption of what product would indicate the likely cause of this drug toxicity?

Grapefruit juice

A patient is receiving verapamil. What would be important for the nurse to stress that the patient avoid?

Grapefruit juice

A resident of a long-term care facility receives 12.5 mg metoprolol (Lopressor) at 8 AM and 8 PM daily. Before administering this drug, the nurse should perform and document what assessment findings?

Heart rate and blood pressure

The nurse's assessment of an older adult client reveals the following data: Lying BP 144/82 mm Hg; sitting BP 121/69 mm Hg; standing BP 98/56 mm Hg. The nurse should consequently identify what nursing diagnosis in the client's plan of care?

Risk for falls related to orthostatic hypotension

A nurse is educating a community group about coronary artery disease. One member asks about how to avoid coronary artery disease. Which of the following items are considered modifiable risk factors for coronary artery disease? Choose all that apply.

Hyperlipidemia Obesity Tobacco use

A community health nurse is facilitating a health promotion session for a group of older adults. Which topic related to hypertension is most important to include in the information?

Hypertension will increase the risk of heart disease

A nurse is developing a nursing care plan for a client with peripheral arterial disease. Which of the following will be the priority nursing diagnosis?

Ineffective peripheral tissue perfusion

A group of students are reviewing the various antihypertensive agents. The students demonstrate understanding of the information when they identify what as an example of an angiotensin II receptor blocker?

Losartan

What should a client with newly diagnosed hypertension be counseled to do? Select all that apply.

Lose weight Stop smoking Reduce stress

A client with a suspected MI is brought to the emergency department by ambulance. The nurse caring for this client would expect to receive an order for which laboratory test to confirm a diagnosis of MI?

Troponin level

After reviewing the signs and symptoms of heart failure, a student demonstrates understanding when the student identifies which finding as associated with right sided heart failure?

Peripheral edema

A client, newly diagnosed with hypertension is started on captopril, an ACE inhibitor. The client should be informed of the possibility of what adverse effect?

Persistent cough

Which statement by a client who is taking atorvastatin indicates a need for further teaching?

"I should always take this medication with grapefruit juice."

A client diagnosed with hypertension begins drug therapy using an antihypertensive agent. The nurse instructs the client's spouse to remove any objects in the home that can lead to falls. Which client statement confirms that the teaching has been successful?

"Antihypertensive drugs can lead to falls."

A client with a strong family history of coronary artery disease asks the nurse how to reduce the risk of developing the disorder. Which is the best response by the nurse?

"Exercise, keep your blood sugar in check, and manage your stress."

An adult client recently diagnosed with hypertension has begun combination therapy. Which client statement would suggest a need for additional health education?

"I'll only need to take these drugs on days when my blood pressure is particularly high."

A client with an acute myocardial infarction is receiving nitroglycerin by continuous I.V. infusion. Which client statement indicates that this drug is producing its therapeutic effect?

"My chest pain is decreasing."

On a routine physical exam visit, the physician mentions that he hears a new murmur. The client gets worried and asks, "What does this mean?" The physician responds:

"One of your heart valves is not opening properly. We need to do an echocardiogram to see which valve is having problems."

The client asks the nurse what urine output has to do with cardiac function. What is the best response by the nurse?

"Poor urine output may indicate inadequate blood flow to the kidneys."

Four clients were admitted to the emergency department with severe chest pain. All were given preliminary treatment with aspirin, morphine, oxygen, and nitrates and were monitored by ECG. Which client most likely experienced myocardial infarction?

80-year-old woman whose pain was not relieved by nitrates or rest; the ECG showed ST-segment elevation with inverted T waves and abnormal Q waves; levels of cardiac markers subsequently rose

The nurse is assisting the client to manage the cardiovascular risk factors of hyperlipidemia and hypertension. The client asks the nurse what type of a diet would be best to follow. What is the best response by the nurse?

A diet low in sodium, fat, cholesterol

The nurse is caring for a client with coronary artery disease (CAD). What is an appropriate nursing action when evaluating a client with CAD?

Assess the characteristics of chest pain.

A client is experiencing urinary retention. The client has been prescribed terazosin (Hytrin). What condition contributes to the urinary retention?

Benign prostatic hypertrophy

What represents the two types of receptors that are found in the adrenergic nervous system? Select all that apply.

Beta receptors Alpha receptors

A client has been admitted to the cardiac unit for heart failure and has been ordered carvedilol (Coreg). The client's blood pressure is 80/50. What should the nurse do?

Call the provider and advise them of the client's blood pressure prior to administering the medication.

A 54-year-old client with CHF is admitted to the unit. The nurse knows that what physiologic changes will affect a client's stroke volume?

Changes in heart contraction

The home care nurse sees a client for the first time. The client has crackles in the lower lobes of the lungs, an audible S3, and pitting edema in the feet and ankles. What condition is the client experiencing?

Congestive heart failure

A client has just been diagnosed with prehypertension. What would the nurse instruct this client to do to restore blood pressure below hypertensive levels?

Decrease sodium intake

A client has been prescribed a beta blocker. The nurse knows that beta blockers can have which effect on the heart?

Decrease the heart rate

An older adult client who resides in a care facility has been prescribed antihypertensives for the first time following many years of generally good health. When administering the first dose of the prescribed antihypertensive medication to an older adult, the nurse should recognize the related risk to which possible side effect?

Falls

The nurse is completing a cardiac assessment. Upon auscultation, the nurse hears a grating sound using the diaphragm of the stethoscope. How will the nurse best document this finding?

Friction rub

The nurse is discharging a client after a cardiac catheterization. What would the nurse include in the discharge teaching?

Report any numbness, tingling, or sharp pain in the extremity.

A client has been diagnosed with aortic stenosis and asks the nurse what this means. The most appropriate response would be:

The valve opening is narrowed and produces increased resistance to blood flow out of the left ventricle and into the aorta.

Which serum digoxin level would the nurse interpret as indicating digoxin toxicity?

Therapeutic digoxin levels range from 0.5 ng/mL to 2 ng/mL. so 2.3 ng/mL

The nurse is caring for several clients who are being treated with adrenergic antagonists. Which client is most likely to benefit from the administration of tamsulosin?

a 76-year-old male client with urinary hesitation and nocturia

A client is seen in the emergency department and reports left arm pain, fatigue, palpitations, and shortness of breath. Which condition would the nurse suspect?

acute coronary syndrome