Cardiac Assessment
A client is concerned about an elevated cholesterol level and asks the nurse.intervention would work best. The nurse's most appropriate response is: A. "minimize the amount of animal products you consume." B. "It is related to genetics.." C. "stress levels affect cholesterol, try yoga classes." D. "Drink low fat milk and cheese."
A. "minimize the amount of animal products you consume."
The nurse reviews the health record of a patient with coronary artery disease (CAD). when assessing patient risk , which elevated lab value is the most likely to cause the progression of CAD?
A. High-density lipoproteins B. Blood glucose C. Low-density lipoproteins D. Microalbuminuria
When auscultating a patient's chest, a nurse assesses a second heart sound (S 2). What area in the heart is this sound results from? A. Opening of the aortic and pulmonic valves B. Closing of the aortic and pulmonic valves C. Closing of the mitral and tricuspid valves D. Opening of the mitral and tricuspid valves
B. Closing of the aortic and pulmonic valves
The nurse uses an automated external defibrillator (AED) to perform defibrillation for a patient with ventricular fibrillation. Which of the following steps is most important? A. Avoid touching the patient while the AED is analyzing the rhythm . B. Ensure no one is touching the patient before delivering a shock C. Shave the chest area D. Verify full defibrillator charge
B. Ensure no one is touching the patient before delivering a shock
After a femoral artery cardiac catheterization procedure, the nurse should monitor a patient for which of the following complication? A. MI B. Hematoma C. CAD D. Heart block
B. Hematoma
In presenting a workshop on parameters of cardiac function, which conditions should a nurse list as those most likely to lead to a decrease in preload? A. MI, fluid overload, and diuresis B. Hemorrhage, sepsis, and anaphylaxis C. Fluid overload, sepsis, and vasodilation D. Third space, HF, and diuresis
B. Hemorrhage, sepsis, and anaphylaxis
A nurse is caring for a patient 4-hours following post percutaneous coronary intervention . Which of the following plans of care best promotes comfort ? A. Perform deep breathing exercises often B. Use activities for distraction while in bed C. Assess patient's perception of pain D. Keep personal items within reach
C. Assess patient's perception of pain
A patient is scheduled for a cardiac catheterization . Which of the following , is a contraindication to the test? A. The patient is unable to lie on her right side for more than 15 minutes B. The patient has a history of asthma C. The patient has thrombocytopenia. D. The patient is allergic to eggs
C. The patient has thrombocytopenia.
A nurse assessing a patient who underwent cardiac catheterization finds the patient lying flat on the bed. His temperature is 99.8, and his blood pressure is 104/68 . His pulse is 76 beats/minute. The nurse detects weak pulses in the leg distal to the puncture site. Skin on the leg is cool to the touch. the puncture site is dry, but swollen. What is the most appropriate action for the nurse to take? A. Encourage the patient to perform isometric leg exercise to improve circulation in his legs B. Slow the IV fluid to prevent any more swelling at the puncture site C. call the physician and report her findings D. Document her findings and recheck the patient in 30 minuets
C. call the physician and report her findings
A client who is scheduled for echocardiography today asks why the test is being performed. How will the nurse respond? A. "This procedure will assess for electrical impulses from the SA node." B. "This procedure will evaluate the oxygen saturation in your blood." C. "This is the best way to evaluate the coronary arteries for any blockages that may be present." D. "This procedure is the best way to assess the structure of your heart noninvasively."
D. "This procedure is the best way to assess the structure of your heart noninvasively."
