ATI Cardiovascular Assessment
A nurse is caring for a client following insertion of a permanent pacemaker. Which of the following client statements indicates a potential complication of the insertion procedure? A. "I can't get rid of these hiccups." B. "I feel dizzy when I stand." C. "My incision site stings." D. "I have a headache."
A. "I can't get rid of these hiccups." hiccups can indicate the pacemaker is stimulating the chest wall or diaphragm
A nurse is providing teaching for a client who is 2 days postoperative following a heart transplant. Which of the following statements should the nurse include in the teaching? A. "You might no longer be able to feel chest pain." B. "Your level of activity intolerance will not change." C. "After 6 months, you will no longer need to restrict your sodium intake." D. "You will be able to stop taking immunosuppressants after 12 months."
A. "You might no longer be able to feel chest pain." heart transplants, clients are usually unable to feel chest pain due to the denervation of the heart
A nurse is assessing a client who has pulmonary edema related to heart failure. Which of the following findings indicates effective treatment of the client's condition? A. Absence of adventitious breath sounds B. Presence of a nonproductive cough C. Decrease in respiratory rate at rest D. SaO2 86% on room air
A. Absence of adventitious breath sounds adventitious breath sounds occur when there is fluid in the lungs. the absence of these sounds means the edema is resolving.
A nurse in an emergency room is assessing a client who has a bradydysrhythmia. Which of the following findings should the nurse monitor for? A. Confusion B. Friction rub C. Hypertension D. Dry skin
A. Confusion brady dysrhythmia can cause a decrease in systemic perfusion which can cause confusion -- monitor mental status
A nurse is assessing a client who has dilated cardiomyopathy. Which of the following findings should the nurse expect? A. Dyspnea on exertion B. Tracheal deviation C. Pericardial rub D. Weight loss
A. Dyspnea on exertion the nurse should identify this as an expected manifestation of dilated cardiomyopathy. Dyspnea is due to ventricular compromise and reduced cardiac output
A nurse is planning a presentation for a group of clients who have hypertension. Which of the following lifestyle modifications should the nurse include? (Select all that apply.) A. Limited alcohol intake B. Regular exercise program C. Decreased magnesium intake D. Reduced potassium intake E. Tobacco cessation
A. Limited alcohol intake B. Regular exercise program E. Tobacco cessation
A nurse is caring for a client who has heart failure and is experiencing atrial fibrillation. The nurse should plan to monitor for and report which of the following findings to the provider immediately? A. Slurred speech B. Irregular pulse C. Dependent edema D. Persistent fatigue
A. Slurred speech the greatest risk to this client is injury from an embolus caused by the pooling of blood that can occur with atrial fibrillation. slurred speech can indicate inadequate circulation to the brain because of an embolus. -- notify the provider
A nurse is providing discharge teaching for a client who has heart failure. The nurse should instruct the client to report which of the following findings immediately to the provider? A. Weight gain of 0.9 kg (2 lb) in 24 hr B. Increase of 10 mm Hg in systolic blood pressure C. Dyspnea with exertion D. Dizziness when rising quickly
A. Weight gain of 0.9 kg (2 lb) in 24 hr this weight gain is indicative of fluid retention resulting from worsening heart failure
A nurse is providing health teaching for a group of clients. Which of the following clients is at risk for developing peripheral arterial disease? A. A client who has hypothyroidism B. A client who has diabetes mellitus C. A client whose daily caloric intake consists of 25% fat D. A client who consumes two 12-oz bottles of beer a day
B. A client who has diabetes mellitus
A nurse is caring for a client who is 8 hr postoperative following a coronary artery bypass graft (CBAG). Which of the following client findings should the nurse expect? A. Mediastinal drainage 100 mL/hr B. Blood pressure 160/80 mm Hg C. Temperature 37.1° C (98.8° F) D. Potassium 4.0 mEq/L
B. Blood pressure 160/80 mm Hg the nurse should report an elevated blood pressure after a CABG because increased vascular pressure can cause bleeding at the incision sites
A nurse is caring for a client who is being treated for heart failure and has a prescription for furosemide. The nurse should plan to monitor for which of the following as an adverse effect of this medication? A. Shortness of breath B. Lightheadedness C. Dry cough D. Metallic taste
B. Lightheadedness it is a diuretic and can cause a substantial drop in blood pressure
A nurse is teaching a client who is starting to take an ACE inhibitor to treat hypertension. The nurse should instruct the client to notify his provider if he experiences which of the following adverse effects of this medication? A. Tendon pain B. Persistent cough C. Frequent urination D. Constipatio
B. Persistent cough
A nurse is providing discharge teaching for a client who has a prescription for the transdermal nitroglycerin patch. Which of the following instructions should the nurse include in the teaching? A. Apply the new patch to the same site as the previous patch B. Place the patch on an area of skin away from skin folds and joints C. Keep the patch on 24 hr per day D. Replace the patch at the onset of angina
B. Place the patch on an area of skin away from skin folds and joints the nurse should instruct the patient to apply the patch to an area of intact skin where is can fit smoothly
A nurse is caring for a client who was admitted for treatment of left-sided heart failure with intravenous loop diuretics and digitalis therapy. The client is experiencing weakness and an irregular heart rate. Which of the following actions should the nurse take first? A. Obtain client's current weight. B. Review serum electrolyte values. C. Determine the time of the last digoxin dose. D. Check the client's urine output.
B. Review serum electrolyte values. weakness and irregular heart rate indicate the clients is at the greatest risk for electrolyte imbalance, an adverse effect of loop diuretics
A nurse is monitoring a client's ECG monitor and notes the client's rhythm has changed from normal sinus rhythm to supraventricular tachycardia. The nurse should prepare to assist with which of the following interventions? A. Delivery of a precordial thump B. Vagal stimulation C. Administration of atropine IV D. Defibrillation
B. Vagal stimulation vagal stimulation might temporarily convert the clients heart rate to normal sinus rhythm.
A nurse is assessing a client who has left-sided heart failure. Which of the following manifestations should the nurse expect to find? A. Increased abdominal girth B. Weak peripheral pulses C. Jugular venous neck distention D. Dependent edema
B. Weak peripheral pulses this is related to decreased cardiac output resulting from LHF
A nurse is caring for a client who is scheduled for a coronary artery bypass graft (CABG) in 2 hr. Which of the following client statements indicates a need for further clarification by the nurse? A. "My arthritis is really bothering me because I haven't taken my aspirin in a week." B. "My blood pressure shouldn't be high because I took my blood pressure medication this morning." C. "I took my warfarin last night according to my usual schedule." D. "I will check my blood sugar because I took a reduced dose of insulin this morning."
C. "I took my warfarin last night according to my usual schedule." Contraindication for surgery due to excessive bleeding
A nurse is reviewing the laboratory results of several male clients who have peripheral arterial disease. The nurse should plan to provide dietary teaching for the client who has which of the following laboratory values? A. Cholesterol 180 mg/dL, HDL 70 mg/dL, LDL 90 mg/dL B. Cholesterol 185 mg/dL, HDL 50 mg/dL, LDL 120 mg/dL C. Cholesterol 190 mg/dL, HDL 25 mg/dL, LDL 160 mg/dL D. Cholesterol 195 mg/dL, HDL 55 mg/dL, LDL 125 mg/dL
C. Cholesterol 190 mg/dL, HDL 25 mg/dL, LDL 160 mg/dL
A nurse is caring for a client who had an onset of chest pain 24 hr ago. The nurse should recognize that an increase in which of the following is diagnostic of a myocardial infarction (MI)? A. Myoglobin B. C-reactive protein C. Creatinine kinase-MB D. Homocysteine
C. Creatinine kinase-MB
A nurse in an emergency department is caring for a client who has a blood pressure of 254/139 mm Hg. The nurse recognizes that the client is in a hypertensive crisis. Which of the following actions should the nurse take first? A. Initiate seizure precautions B. Tell the client to report vision changes C. Elevate the head of the client's bed D. Start a peripheral IV
C. Elevate the head of the client's bed the greatest risk to the client is organ injury due to severe HTN. elevating the clients HOB reduces blood pressure and promotes oxygenation
A nurse is admitting a client who has a leg ulcer and a history of diabetes mellitus. The nurse should use which of the following focused assessments to help differentiate between an arterial ulcer and a venous stasis ulcer? A. Explore the client's family history of peripheral vascular disease B. Note the presence or absence of pain at the ulcer site C. Inquire about the presence or absence of claudication D. Ask if the client has had a recent infarction
C. Inquire about the presence or absence of claudication knowing if the client is experiencing claudication can help differentiate PVD from PAD. PAD experiences claudication, PVD does not
A nurse is caring for a postoperative client 1 hr following an aortic aneurysm repair. Which of the following findings can indicate shock and should be reported to the provider? A. Serosanguineous drainage on dressing B. Severe pain with coughing C. Urine output of 20 mL/hr D. Increase in temperature from 36.8° C (98.2° F) to 37.5° C (99.5° F)
C. Urine output of 20 mL/hr urine output < 30 ml/hr is a manifestation of shock
A nurse is caring for a client who has a history of angina and is scheduled for exercise electrocardiography at 1100. Which of the following statements by the client requires the nurse to contact the provider for possible rescheduling? A. "I'm still hungry after the bowl of cereal I ate at 7 am." B. "I didn't take my heart pills this morning because the doctor told me not to." C. "I had chest pain a couple of times since I saw my doctor in the office last week." D. "I smoked a cigarette this morning to calm my nerves about having this procedure."
D. "I smoked a cigarette this morning to calm my nerves about having this procedure." smoking prior to the test can change the outcome and places the client at additional risk. the test should be rescheduled is this is the case
A nurse in an emergency department is caring for a client who had an anterior myocardial infarction. The client's history reveals she is 1 week postoperative following an open cholecystectomy. The nurse should recognize that which of the following interventions is contraindicated? A. Administering IV morphine sulfate B. Administering oxygen at 2 L/min via nasal cannula C. Helping the client to the bedside commode D. Assisting with thrombolytic therapy
D. Assisting with thrombolytic therapy the nurse should recognize that major surgery within 3 weeks is a contraindication for thrombolytic therapy
A nurse is assessing a client who has a history of deep-vein thrombosis and is receiving warfarin. The nurse should identify that which of the following findings indicates the medication is effective? A. Hemoglobin 14 g/dL B. Minimal bruising of extremities C. Decreased blood pressure D. INR 2.0
D. INR 2.0 the desired reference range is 2.0-3.0, the patient is also receiving warfarin to reduce the risk of new clot formation and stroke
A nurse is preparing a client for coronary angiography. The nurse should report which of the following findings to the provider prior to the procedure? A. Hemoglobin 14.4 g/dL B. History of peripheral arterial disease C. Urine output 200 mL/4 hr D. Previous allergic reaction to shellifsh
D. Previous allergic reaction to shellifsh The contrast medium used for coronary angiography is iodine based. CLients who are allergic to shellfish often react to iodine and might need a steroid or antihistamine before the procedure
A nurse is caring for a client who is receiving heparin therapy and develops hematuria. Which of the following actions should the nurse take if the client's aPTT is 96 seconds? A. Increase the heparin infusion flow rate by 2 mL/hr B. Continue to monitor the heparin infusion as prescribed C. Request a prothrombin time (PT) D. Stop the heparin infusion
D. Stop the heparin infusion the nurse should identify that the clients aPTT is ABOVE critical value and the client is showing manifestations of bleeding -- notify the provider to reduce the risk to the client
A nurse is caring for a client who has endocarditis. Which of the following findings should the nurse recognize as a potential complication? A. Ventricular depolarization B. Guillain-Barré syndrome C. Myelodysplastic syndrome D. Valvular disease
D. Valvular disease valvular disease or damage often occurs as a result of inflammation or infection of the endordium
