Week 13 - PrepU Cardiovascular Alterations Questions
The nurse has been asked to teach a patient how to self-administer nitroglycerin. The nurse should instruct the patient to do which of the following?
- Let the tablet dissolve in the mouth and keep the tongue still. The tablet can be crushed between the teeth but not swallowed - renew the supply every 6 months - take the tablet in anticipation of any activity that can produce pain - Call emergency services if, after taking three tablets (one every 5 minutes), pain persists.
A nurse is preparing home care instructions for a client with infective endocarditis. What will the nurse include in the instructions?
- Monitor intravenous catheter sites for signs of infection - Encourage oral hygiene at least twice daily with a soft toothbrush - Inform all health care providers of the history of endocarditis
A nurse reviews an ECG strip for a client who is admitted with symptoms of an acute MI. The nurse should recognize what classic ECG changes that occur with an MI?
- abnormal Q-waves - T-wave hyperactivity and inversions - ST-segment elevations
The nurse providing care for a client post PTCA knows to monitor the client closely. For what complications should the nurse monitor the client?
- abrupt closure of the coronary artery - Bleeding at the insertion site - Retroperitoneal bleeding - arterial occlusion
A client who had coronary artery bypass surgery is exhibiting signs of heart failure. What medications will the nurse anticipate administering for this client?
- diuretics - inotropic agents - digoxin
A nurse is assigned four clients with diagnoses that rule out myocardial infarction (MI) due to chest pain. Which client's test results best demonstrate the specific diagnosis of unstable angina (USA)?
A 72-year-old client with an increase in myoglobin, no elevation in the ST segment, and no elevation in troponins
The nurse is obtaining a history from a client diagnosed with hypertrophic cardiomyopathy. What information obtained from the client is indicative of hypertrophic cardiomyopathy?
a parent has the same disorder
When assessing the client with pericardial effusion, the nurse will assess for pulsus paradoxus. Pulsus paradoxus is characterized by what assessment finding?
a systolic blood pressure that is lower during inhalation
Following a percutaneous coronary intervention (PCI), a client is returned to the nursing unit with large peripheral vascular access sheaths in place. The nurse understands that which method to induce hemostasis after sheath is contraindicated?
application of a sandbag to the area
Diagnostic imaging reveals that the quantity of fluid in a client's pericardial sac is dangerously increased. The nurse should collaborate with the other members of the care team to prevent the development of which complication?
cardiac tamponade
A client with chest pain arrives in the emergency department and receives nitroglycerin, morphine, oxygen, and aspirin. The health care provider diagnoses acute coronary syndrome. When the client arrives on the unit, vital signs are stable and the client does not report any pain. In addition to the medications already given, which medication does the nurse expect the health care provider to order?
carvedilol
The cardiac nurse is caring for a client who has been diagnosed with dilated cardiomyopathy (DCM). Echocardiography is likely to reveal what pathophysiological finding?
decreased ejection fraction
The nurse is interviewing a client during an initial visit at a cardiologist's office. What symptom will the nurse expect to find as an early symptom of chronic heart failure?
fatigue
A client who has recently recovered from a systemic viral infection is undergoing diagnostic testing for myocarditis. Which of the nurse's assessment findings is most consistent with myocarditis?
flu-like symptoms
The nurse is reevaluating a client 2 hours after a percutaneous transluminal coronary angioplasty (PTCA) procedure. Which assessment finding may indicate the client is experiencing a complication of the procedure?
urine output of 40 mL/hr
