Test 2 Questions

A client with heart block who requires implantation of a permanent pacemaker expresses concern about having an increased risk of accidental electrocution. How would the nurse respond?

"The voltage emitted is not strong enough the electrocute"

A client receiving a blood transfusion reports itching and difficulty breathing. The heart rate has increased, and the blood pressure is failing. Which type of shock would the nurse suspect the client is experiencing?

Anaphylactic shock

When the nurse is auscultating a clients heart, where would S1 be loudest?

Apex of the heart

Which is the priority intervention for the unconscious client in ventricular fibrillation?

Defibrillation

When a client has a newly implanted demand pacemaker and the nurse observes spikes on the cardiac monitor at a regular rate but not QRS following the spikes, how will the finding be documented?

Failure to capture

When a client's rhythm strip shows that the P and QRS waves are consistent, with a P wave preceding every QRS complex and a PR interval of 0.26 seconds, how would the nurse interpret the rhythm?

First degree atrioventricular (AV) block

Which type of shock would the nurse suspect when a client is admitted to the emergency department after a motor vehicle accident with abdominal pain, a blood pressure decrease from 120/76 mmHg to 60/40 mmHg, and a heart rate increase from 82 beats/minute to 121 beats/minute?

Hemorrhagic shock

Which education would the nurse teach the parents of an infant with a cardiac defect about an early sign of heart failure?

Increased heart rate

A child has a congenital cardiac malformation that causes right-to-left shunting of the blood through the heart. Which clinical finding would the nurse expect?

Increased hematocrit

Which action would the nurse perform when a client is in ventricular fibrillation? SATA

Initiating CPR Assessing the EKG Using a defibrillator Obtaining electrolytes Administering epinephrine

When a norepinephrine intravenous infusion is prescribed for a client in septic shock, which intravenous line would the nurse choose for the infusion?

Peripherally inserted central catheter (PICC) line

Which information about a client who has heart failure would the nurse communicate to the health care provider before administration of the prescribed digoxin?

Potassium level of 2.3

Which autoimmune disease can result in damage to the heart?

Rheumatic fever

Which clinical findings would the nurse expect when assessing a 4-year-old child with suspected mucocutaneous lymph node syndrome (Kawasaki disease)?

Strawberry tongue

Which anatomic abnormalities are found in tetralogy of Fallot?

The disorder consist of right ventricular hypertrophy, ventricular septal defect, pulmonic stenosis, and overriding aorta

When a client's cardiac rhythm strip shows more P waves than QRS complexes and there is no relationship between the atria and ventricles, how would the nurse document the rhythm?

Third degree AV block (complete heart block)

Which assessment finding would the nurse expect to find in a full-term infant with a cardiac anomaly?

Unequal peripheral blood pressures

For which clinical manifestations will the nurse monitor for when caring for a client admitted with heart failure? SATA

Unusual fatigue Dependent edema Nocturnal dyspnea

Which dysrhythmia is this client on the telemetry unit exhibiting?

Ventricular Tachycardia

The nurse provides teaching to a client who is being discharged after an acute exacerbation of chronic obstructive pulmonary disease (COPD). The nurse would instruct the client to monitor for which indication of right-sided heart failure?

Weight gain

Which sign would indicate possible heart failure in a client with heart disease in the immediate postpartum period?

Tachypnea

When teaching a client about digoxin, which symptom will the nurse include as a reason to withhold the digoxin?

Yellow vision

Which statement by a client is consistent with a diagnosis of heart failure?

"I have trouble breathing when I climb a flight of stairs"

When a family member of a client with Cardiogenic shock asks the nurse for more information about the condition, how would the nurse describe Cardiogenic shock?

A failure of the circulatory pump

How can the nurse describe heart failure to a client?

An inability of the heart to pump blood in proportion to metabolic needs

Which client would the nurse care for first based on priority of condition and findings?

Chest trauma; breathing difficulty, coughing up blood

Which finding by the nurse who is caring for a client after major abdominal surgery may indicate impending hypovolemic shock?

Client report of feeling very thirsty

Which finding will the nurse expect when caring for a client who is in hypovolemic shock?

Cool skin temperature

Which clinical indicators is the nurse most likely to identify when taking the admission history of a client with right ventricular failure? SATA

Edema Ascites

A health care provider prescribes milrinone for a client with congestive heart failure. Which action would the nurse perform first?

Have the prescription, dosage calculations, and pump settings checked by a second nurse

When assessing a client with a diagnosis of left-ventricular failure, which statement by the client would the nurse expect?

"I have trouble breathing when I walk rapidly"

Which statement by a client who is seen for follow-up in the heart failure clinic is most important for the nurse to communicate to the health care provider?

"I wake up at night short of breath"

Which finding will the nurse expect when analyzing the cardiac rhythm for a client with first degree atrioventricular (AV) block?

Every P wave is conducted to the ventricles

Which would the nurse consider the major characteristic of a cardiac malformation associated with left-to-right shunting?

Increased blood flow to the lungs

Which treatment would the nurse anticipate when caring for an infant with heart failure?

Medications that are prescribed for both children and adults

The nurse preceptor is evaluating the nurse who is preparing to administer digoxin intravenously (IV) to a client. Which intervention by the nurse would require the preceptor to stop the nurse?

Piggybacking the digoxin in an existing infusion

When a client's cardiac monitor shows a PQRST wave for each beat, with a regular rhythm and rate of 120bpm, how will the nurse document the rhythm?

Sinus tachycardia

Which activity would the nurse teach clients to avoid after having implantation of a permanent cardiac pacemaker?

Touring a power plant

The nurse is caring for an infant with tetralogy of Fallot. Which clinical finding would the nurse expect when assessing the child?

Clubbing of the fingers

Which assessment finding will the nurse expect when caring for a client who has Cardiogenic shock?

Cold, clammy skin

When caring for a client with heart failure, which type of lung sounds would the nurse expect to hear?

Crackels

Which explanation would the nurse include when teaching a client with heart failure about the reason for a low-sodium diet?

Decreased fluid retention

Which adverse hemodynamic effects typically occur when a client develops tachycardia? SATA

Decreased ventricular filling time Lower cardiac output Weaker pulse quality

When the nurse in the coronary care unit (CCU) identifies ventricular fibrillation on a client's cardiac monitor, which intervention is priority?

Defibrillate the client

When caring for a client with symptomatic bradycardia caused by heart block, the nurse will anticipate the need to teach the client about which treatment option?

Demand pacemakers

When caring for a client with a diagnosis of right ventricular heart failure, the nurse expects which assessment findings? SATA

Dependent edema Swollen hands and fingers Right upper quadrant discomfort (ascites)

A child being treated with cardiac medications developed vomiting, bradycardia, anorexia, and dysrhythmias. The nurse understands which medication toxicity is responsible for these symptoms?

Digoxin

The client with hypokalemia reports nausea, vomiting, and seeing a yellow light around objects. Which of the clients medications is the likely cause of the clients symptoms?

Digoxin

Which assessment findings are consistent with a client diagnosis of right-sided heart failure? SATA

Distended abdomen Dependent edema Decreased appetite

When assessing a client with cardiogenic shock, which clinical manifestations will the nurse expect to find? SATA

Dyspnea Diaphoresis Tachycardia

When assessing a client with left ventricular failure, which finding would the nurse expect?

Dyspnea of exertion

When a client with heart failure reports sudden dyspnea and has bilateral crackles throughout the lungs with a respiratory rate of 32 breaths/minute, which action would the nurse take first?

Elevate the head of the bed to 75 degrees

A clients cardiac monitor indicates ventricular tachycardia. The nurse assesses the client and identifies an increase in apical pulse rate from 100 to 150 beats per minute. Which action is indicated?

Administer amiodarone

Which treatment would the nurse anticipate when caring for a preschooler with Kawasaki disease?

Administering intravenous immune globulin (IVIG) as prescribed

A client who had a myocardial infarction has runs of ventricular tachycardia. Which medication will the nurse prepare to administer?

Amiodarone

The cardiac monitor shows several runs of ventricular tachycardia. Which medication is used to treat this dysrhythmia?

Amiodarone

When the occupational health nurse is working at a construction site and observes a worker who collapses and is pulseless, which action would the nurse take first?

Ask someone to activate the emergency response system immediately

Which electrical activity of the cardiac conduction system is reflected in the P wave?

Atrial depolarization

When a client with heart failure reports a 9-pound (4kg) weight gain in the past 2 weeks, which assessment is priority?

Auscultate breath sounds

Heart failure develops in a 4-month-old infant with a congenial heart defect, and the infant exhibits marked dyspnea at rest. Which assessment finding would the nurse expect in this infant?

Bilateral crackles

Which assessment finding will the nurse expect when caring for a client with right ventricular failure?

Bilateral lower leg edema

Which finding would the preoperative nurse expect when assessing a child before repair of a ventricular septal defect?

Bilateral lung sounds with rales and Rhonchi

When caring for a client who has heart failure, with blood pressure 102/70 mmHg, pulse 106bpm, and bilateral lung crackles, which prescribed action would the nurse question?

Infuse normal saline at 100 mL/hr

Which action would the nurse take first after finding a hospitalized client who is unconscious and unresponsive?

Initiate a code

Which nursing intervention is the priority action when admitting a client to the emergency department during cardiac arrest from ventricular fibrillation?

Initiating defibrillation

When a client with heart failure is seen in the clinic with new onset ankle edema, the nurse would question the client about which lifestyle factors that may have contributed to the ankle swelling? SATA

Intake of salty foods Medication compliance Recent travel

Which description would the nurse provide the parents of an infant who are asking about what a patent ductus arteriosus (PDA) is?

It is a connection between the pulmonary artery and the aorta

In which position would the nurse place an infant with tetralogy of Fallot who begins to cry and exhibits worsening cyanosis and dyspnea?

Knee-chest

When caring for a client in late hypovolemic shock, which complication will the nurse anticipate?

Metabolic acidosis

Which physical examination finding would the nurse expect when assessing an infant with a ventricular septal defect (VSD)?

Murmur at the left sternal border

Which finding would the nurse expect when assessing a client with right ventricular failure?

Neck vein distention

When the nurse is analyzing an ECG, which waveform illustrates atrial depolarization?

P wave

Which clinical findings would the nurse expect when assessing a client who has cardiogenic shock? SATA

Pallor Agitation Tachycardia Narrow pulse pressure

Which finding would the nurse conclude is related to a child's diagnosis of rheumatic heart disease?

Positive antistreptolysin titer

Which assessment finding for a client with heart failure who is taking digoxin will be most important to communicate to the health care provider?

Premature ventricular contractions

When the nurse is caring for a client who has cardiogenic shock, which clinical manifestations will be expected? SATA

Rapid pulse Decreased urinary output

Which action would the nurse take first when using an automated external defibrillator (AED) for a pulseless and unresponsive client?

Remove any medication patches

Which structural defects are associated with tetralogy of Fallot?

Right ventricular hypertrophy, ventricular septal defect, pulmonic stenosis, and overriding of the aorta

Which medication requires the nurse to monitor the client for signs of hyperkalemia?

Spironolactone

Which clinical manifestations would the nurse observe in a client experiencing full-blown anaphylactic shock from a type I latex allergic reaction? SATA

Stridor Hypotension Dyspnea

Which information would be included in the discharge planning for a client who has had a new permanent pacemaker implanted above the left clavicle? SATA

Take your pulse daily and report changes to the health care provider Notify the HCP about swelling or drainage at the incision Inform airport security about the presence of a pacemaker if you are traveling

A toddler is found to have coarctation of the aorta. Which would the nurse expect to identify when taking the child's vital signs?

Weak femoral pulse

When the primary health care provider prescribes "bathroom privileges only" for a client with an exacerbation of heart failure, the client becomes irritable and asks why bed rest is needed. Which response by the nurse is best?

"Rest reduces the amount of work your heart has to do right now"

A client has a heart rate of 72 beats/min and stroke volume of 70 mL. What is the cardiac output?

5040 mL/min

Which of these clients in the emergency department would the nurse see first?

A client with ventricular fibrillation

After noting that a client in the clinic has an irregularly irregular pulse rhythm at a rate of 88 beats/minute, the nurse will anticipate further testing for which possible dysrhythmia?

Atrial fibrillation

During a procedure, the clients heart rate drops to 38bpm. Which medication is indicated to treat bradycardia?

Atropine sulfate

Which medication prescribed for a client with an acute episode of heart failure would the nurse question?

Beta blocker

Which information about a client who is in cardiac arrest and has been transported by ambulance to the emergency department is most important to communicate to the health care provider?

CPR was started 9 minutes after the cardiac arrest

Wen a client's cardiac monitor shows ventricular tachycardia, which action would the nurse take first?

Check for pulse

Which condition unrelated to cardiac disease is the major cause of right ventricular failure?

Chronic Obstructive Pulmonary Disease (COPD)

During the physical assessment of a newborn, the nurse palpates the infant's femoral pulses. Which cardiovascular anomaly is the nurse trying to detect?

Coarctation of the aorta

Which client response must the nurse monitor to determine the effectiveness of amiodarone?

Decrease in cardiac dysrhythmias

Which nursing actions have the highest priority when caring for a client who presents to the emergency department (ED) in cardiac arrest? SATA

Determining the need for rapid defibrillation Performing adequate chest compressions

When a client is diagnosed with left-sided congestive heart failure, which assessment findings would the nurse expect? SATA

Dyspnea Crackles Frequent Cough

Which clinical manifestations would the nurse expect to identify in a client experiencing spinal shock client immediately after sustaining a functional transection of the spinal cord at C7-C8? SATA

Flaccid paralysis Lack of reflexes below the injury

Which parameter would the nurse assess in a client with right-sided heart failure?

Fluid volume

When caring for a client who has a blood pressure of 80/60 mm Hg and heart rate of 120 beats/minute after a motor vehicle accident, the nurse anticipates the need to rapidly implement which type of collaborative action?

Increase circulating blood volume

When arterial blood gases done on a client who is being resuscitated after cardiac arrest show a low pH, which factor is the likely cause of the laboratory result?

Lactic acid production

The nurse will anticipate the need to administer which type of medication when a client with cardiogenic shock has an increased pulmonary artery wedge pressure reading of 30 mm Hg?

Loop diuretic

Which finding would the nurse expect when assessing a client with cor pulmonale?

Lower extremity edema

Which construction would influence the plan of care for a postpartum client with a history of rheumatic heart disease?

Monitoring during the first 48 hours is required because of stress on the cardiopulmonary system

Digoxin and verapamil are prescribed to manage a client's cardiac dysrhythmia. The nurse will monitor the client for signs and symptoms of which adverse effect?

Myocardial depression

Digoxin is prescribed for a client with heart failure. The nurse will assess for which signs and symptoms that indicate digoxin toxicity? SATA

Nausea Yellow vision Irregular pulse

Which finding would the nurse expect when assessing a client diagnosed with hypovolemic shock?

Oliguria

Which finding in a client with pulmonary edema requires the most rapid action by the nurse?

Oxygen saturation 82%

When the nurse needs to determine atrial rate and rhythm, which component of the electrocardiogram will be used?

P waves

Which dysrhythmia would the nurse identify on this clients ECG?

PVCs

When a client with a history of heart failure on daily weights has a 4-pound (1.8 kilogram) weight gain since the previous day, which action will the nurse take next?

Perform a head-to-toe assessment

When a client with a heart murmur reports gaining weight in spite of nausea and anorexia, which additional information is the priority to obtain?

Presence of cough and exertional dyspnea

Which part of the ECG represents depolarization of the ventricles?

QRS interval

The nurse is assessing a client who had a bowel resection 4 hours ago. Which finding would the nurse identify as an early sign of shock?

Restlessness

In which order does normal cardiac conduction occur through the heart?

SA Node AV Node Bundle of His Bundle branches Purkinje Fibers

Which topics would be included when teaching a client with heart failure who will be discharged with a new prescription of digoxin? SATA

Take your radial pulse daily and write it down Notify the health care provider if you develop any vision changes Call the health care provider if your pulse is irregular or less than 60bpm

The nurse observes the following dysrhythmia on a clients cardiac monitor. Which rhythm would the nurse identify?

Ventricular Fibrillation

A client who sustained serious burns now has a stress ulcer. If complications occur, which clinical indicators of shock would the nurse immediately report to the primary health care provider? SATA

Weakness Diaphoresis Tachycardia Cold extremities

Which assessment finding would indicate improvement in a 4-month-old infant admitted to the pediatric unit with a diagnosis of congestive heart failure?

Weight loss during the next 2 days

A registered nurse is teaching a nursing student about the third heart sound (S3). Which statement given by the nursing student is incorrect?

'S3 is normal in pregnant women'

Which finding would then nurse expect when caring for a client with right-sided heart failure?

Distended neck veins

Which type of shock is associated with a ruptured abdominal aneurysm?

Hypovolemic shock

Which early sign of heart failure would the nurse recognize in an infant who has congenital heart defect with left-to-right shunting of the blood?

Increased respiratory rate

Which is the priority nursing intervention immediately after a client has a ventricular demand pacemaker inserted?

Monitor the heart rate and rhythm

A child with Kawasaki disease is in pain caused by the desquamating rash. Which would the nurse identify as the best short-term goal for this child?

Pain will be maintained at a level of 3 on a 0-to-10 scale

Which would the nurse expect to see when reviewing the results of a complete blood count for an infant with tetralogy of Fallot?

Polycythemia

An infant is admitted to the pediatric intensive care unit (PICU) after open-heart surgery for the repair of a ventricular septal defect. List the nursing assessments in order of priority?

Respiratory status Heart rate Intravenous catheter Operative site Urinary output

A health care provider in the emergency department identifies that a client is in Cardiogenic shock. Which type of medication is indicated for management of this condition?

Sympathomimetic

Which nursing intervention would prevent septic shock in the hospitalized client?

Use aseptic technique during all invasive procedures

A health care provider prescribes digoxin for a client. The nurse teaches the client to be alert for which common early indication of acute digoxin toxicity?

Vomiting

A client has been receiving digoxin. The client calls the clinic and complains of "yellowish vision". Which response would the nurse provide?

"This medication may need to be discontinued. Come to the clinic this afternoon"

A toddler with a history of enlarged lymph nodes, prolonged fever, erythema of the extremities, and a rash is admitted to the pediatric unit with a diagnosis of Kawasaki disease. Which criteria would the nurse recognize as essential to confirming this diagnosis?

A combination of signds

A clients cardiac monitor indicates multiple multifocal premature ventricular complexed (PVCs). Which medication is indicated for treatment of ventricular dysrhythmias?

Amiodarone

Which change in the clients lab results indicates that the client is in septic shock?

An increased serum lactate level

When a client in the coronary care unit develops ventricular tachycardia, which action will the nurse take first?

Assess client pulse and blood pressure

When a client is admitted to the emergency department with a possible spinal cord injury, the nurse would monitor for which clinical manifestations of spinal shock? SATA

Bradycardia Hypotension Urinary retention

Which lifestyle advice does the nurse give to a client when oral digoxin therapy is initiated? SATA

Bran can decrease digoxin absorption Digoxin should not be taken with hawthorn supplements Ginseng may cause a dangerous increase in digoxin levels in the blood Medications that lower serum potassium or magnesium can cause digoxin toxicity

Which clinical manifestation would the nurse recognize as common in tetralogy of Fallot?

Clubbing of fingers

A 2-year-old child who is hospitalized for repair of tetralogy of Fallot is seen squatting in the playroom. In response to this behavior, which would the nurse do?

Continue to observe the child if there are no other signs of distress

A client with left ventricular heart failure and Supra-ventricular tachycardia is prescribed digoxin 0.25mg daily. Which changes would the nurse expect to find if this medication is therapeutically effective? SATA

Diuresis Decreased edema Decreased pulse rate

When teaching a client with heart failure about signs and symptoms that indicate a need to contact the primary health care provider, which clinical manifestations would the nurse? SATA

Extreme fatigue Coughing at night Difficulty breathing

Which diuretic would the nurse anticipate administering to a client admitted with acute pulmonary edema?

Furosemide

Which action will the nurse take first when treating a client who is having an anaphylactic reaction?

Give epinephrine 0.5 mg intramuscularly

Cardiac catheterization in a child with a ventricular septal defect (VSD) serves which purpose?

Identifies the specific location of the defect

Digoxin is prescribed for a client. Which therapeutic effect of digoxin would the nurse expect?

Increased contractile force of the myocardium

Which finding for a client who has a potassium level of 2.8 mEq/L would be of most concern to the nurse?

Irregular heart rate

When a client is admitted with right ventricular failure, which clinical manifestations would the nurse expect to find?

Peripheral edema

Which assessment finding is a late sign of heart failure?

Peripheral edema

Which intervention would the nurse implement for a 4-month-old infant with tetralogy of Fallot and heart failure?

Providing small, frequent feedings

A child comes to the school nurse reporting a sore throat, and the nurse verifies that the child has a fever and a red, inflamed throat. Which illness is of most concern if the sore throat is not treated?

Rheumatic fever

In which part of the cardiovascular system would the nurse expect an increase in pressure in a toddler with pulmonic stenosis?

Right ventricle

The cardiac monitor shows sudden bursts of a regular rhythm with a rate of 220 bpm, normal QRS duration, and P waves that are difficult to see. Which rhythm is the client experiencing?

SVT

When caring for a client with acute coronary syndrome who has frequent premature ventricular complexes (PVCs), the nurse will be most concerned about PVCs occurring in which phase of the cardiac cycle?

T wave

Which finding in a client who has just been admitted indicates that the nurse will anticipate assisting with insertion of a temporary pacemaker?

Third degree heart block

After a client has had a ventricular pacemaker inserted, which point on the rhythm strip shows a pacemaker spike?

Where the red arrow is

When a client exhibits severe bradycardia, which type of medication will the nurse be prepared to administer?

Anticholinergic

A 20-year-old client seen in the emergency department reports frequent "skipped heart beats", and the nurse notes frequent premature ventricular complexes (PVCs) on the cardiac monitor. Which action would the nurse take first?

Ask the client about use of caffeine or stimulant drugs

Which action would the nurse take first after noting a flat line on a clients cardiac monitor?

Assess the clients pulse

While assessing the skin of a client, the nurse notices edema at the dorsum of the foot and ankle. Which predisposing condition would the anticipate in the client?

Congestive heart failure

A client who has been admitted to the hospital with chest pain complains of shortness of breath, weakness, and vomiting. The nurse suspects cardiac arrest. Which site is correct the clients pulse rate?

Femoral

The nurse is assessing a newborn with suspected retention of a fetal structure that will result in a congenital heart defect. Which fetal structures should undergo change after birth? SATA

Foramen ovale Ductus arteriosus

To evaluate the effectiveness of treatment for a client with exacerbation of left ventricular failure, which clinical indicators will the nurse monitor? SATA

Lung sounds Heart sounds Heart rate Dyspnea on exertion

The nurse assess a client who is experiencing profound (late) hypovolemic shock. When monitoring the clients arterial blood gas results, which response would the nurse expect?

Metabolic acidosis

Which acid-base imbalance would the nurse anticipate in a client in the progressive stage of shock?

Metabolic acidosis

How would the nurse describe pulmonic stenosis to the parent of a 4-year-old child who was recently diagnosed?

Narrowing of the valve between the right ventricle and pulmonary artery

Which findings would the nurse expect when caring for a client with cor pulmonale? SATA

Neck vein distention Lower extremity edema Right upper quadrant abdominal tenderness Elevated BNP levels

Which condition would the nurse suspect in an emergency department client with C8 tetraplegia, blood pressure 80/40 mmHg, pulse of 48 beats per minute, and respiratory rate (RR) of 18 breaths per minute?

Neurogenic shock

How will the nurse document this rhythm for a client in the emergency department?

Normal Sinus Rhythm

Which action would the nurse anticipate taking when a client develops third degree atrioventricular block with a heart rate of 30 beats/minute?

Obtain the transcutaneous pacemaker

Which care plan would the nurse implement for an infant admitted to the pediatric unit with the diagnosis of heart failure?

Offer the infant small, frequent feedings

Which dietary choices will the nurse instruct the client taking spironolactone to avoid increasing? SATA

Potatoes Cantaloupe (Potassium containing foods)

After a client sustains multiple internal injuries in a motor vehicle accident, the blood pressure suddenly drops from 134/90 to 80/60 mmHg. What is the likely cause of this drop in blood pressure?

Reduction in the circulating blood volume

Which physiological factors help maintain blood pressure in the client hypovolemia? SATA

Release of aldosterone Activation of angiotensin II Sympathetic nervous system activation

A client is given a loading dose of digoxin and placed on a maintenance dose of digoxin 0.25mg by mouth daily. Which responses would the nurse expect the client to exhibit when a therapeutic effect of digoxin is achieved?

Resolution of heart failure

Which object would the nurse teach the client with a newly implanted pacemaker to avoid?

Strong magnet

Which assessment finding by the nurse caring for a client with new-onset atrial fibrillation would be most important to communicate to the health care provider?

Sudden vision change

When a client has supraventricular tachycardia that has persisted despite treatment with vagal maneuvers and medications, which collaborative intervention will the nurse anticipate to treat the dysrhythmia?

Synchronized cardioversion

Which clinical finding is the nurse most likely to identify when completing a history of physical assessment of a client with complete heart block?

Syncope

When a client suddenly develops second-degree heart block, type 1, with a rate of 48bpm, which action would the nurse take first?

Take the clients blood pressure

A medical surgical nurse completes the admission assessment on a client diagnosed with a urinary tract infection. The clients admitting weight is 165 lb (74.8 kg). The vital signs are: temperature 96F (35.6 C), pulse 110 beats per minute, respirations 20 per minute, and blood pressure 88

Transfer the client to a critical care unit

When taking the health history for a client admitted with heart failure, which assessment finding will the nurse expect the client to report?

Using several pillows at night to sleep

The nurse is monitoring a 6-year-old for toxicity precipitated by digoxin. Which sign of digoxin toxicity would the nurse monitor for?

Vomiting

The nurse is reviewing medication instructions with parents of an infant receiving digoxin and spironolactone. Which parental response indicates instructions have been understood?

Vomiting should be reported to the health care provider