Cardiac ATI- Med Surg II

A nurse is teaching a newly licensed nurse about evaluating a cardiac rhythm. Which of the following options should the nurse identify as the P wave in the ECG complex? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

1ST

A nurse is caring for a client who has an elevated potassium level and is on a cardiac monitor. The nurse is aware that hyperkalemia may be associated with changes to the T-wave. On the graphic, point and click on the area of the electrocardiogram (ECG) that represents the T-wave

4TH

A nurse is caring for a client who reports an area of redness, warmth, tenderness and pain in the right calf. The nurse anticipates which of the following orders when notifying the provider of this finding? A) Obtain a venous duplex ultrasound B) Obtain impedance plethysmography. C) Monitor Homan's sign. D) Apply cold therapy to the affected leg.

A

A nurse is monitoring a client who is on telemetry. Which of the following findings on the ECG strip should the nurse recognize as normal sinus rhythm? A) The P wave falls before the ORS complex. B) The T wave is in the inverted position. C) The P-R interval measures 0.22 seconds. D) The ORS duration is 0.20 seconds.

A

A nurse is preparing a client for magnetic resonance imaging (MRI) of the heart and great vessels. Which of the following instructions should the nurse include about this test? A) "It requires removing metal objects like jewelry." B) "It takes about 5 or 10 min." C) "It requires fasting the morning of the test." D) "'It requires electrodes on the client's chest."

A

A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia? A) Abnormally prominent U wave B) Elevated ST segment C) Wide QRS D) Inverted P wave

A

A nurse is teaching the partner of a client who had an acute mvocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzymes studies? A) "These tests help determine the degree of damage to the heart tissues." B) "Cardiac enzymes will identify the location of the MI." C) "These tests will enable the provider to determine the heart structure and mobility of the heart valves." D) "Cardiac enzymes assist in diagnosing the presence of pulmonary congestion."

A

While performing an admission assessment for a client, the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which of the following nursing diagnoses should the nurse identify as being the priority in the client's care? A) Impaired tissue perfusion B)Alteration in body image C) Alteration in activity tolerance D) Impaired skin integrity

A

A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.) A) Increased heart rate B) Increased blood pressure C) Increased respiratory rate D) Increase hematocrit E) Increased temperature

A, B, C

A nurse is teaching a client who is postoperative following the insertion of a permanent pacemaker. Which of the following instructions should the nurse include? (Select all that apply.) A) Count your pulse for 1 min each morning. B) Resume activities that can cause jolting, such as horseback riding, after 4 weeks. C) Do not wear tight clothing over the insertion area. D) Request to be scanned with a handheld metal detector when in the airport. E) Do not have a microwave oven in the home.

A, C

A nurse is caring for a male client who has peripheral vascular disease (PVD), is taking dietary supplements, and has a new prescription for warfarin. The nurse should instruct the client to stop which of the following supplements prior to starting the warfarin? (Select all that apply). A) Saw palmetto B) Flaxseed oil C) Glucosamine D) Black cohosh E) Gingko biloba

A, C, E

A nurse is caring for a client who just had a cardiac catheterization. Which of the following nursing interventions should the nurse include in the client's plan of care? (Select all that apply.) A) Check peripheral pulses in the affected extremity. B) Place the client in high-Fowler's position. C) Measure the client's vital signs every 4 hr. D) Keep the client's hip and leg extended. E) Have the client remain in bed up to 6 hr.

A, D, E

A nurse is caring for a client who has a central venous catheter and suddenly develops chest pain, dyspnea, dizziness, and tachycardia. The nurse suspects air embolism and clamps the catheter immediately. What other action should the nurse take at this time? A) Prepare for chest tube insertion. B) Place the client on his left side in Trendelenburg position. C) Remove the catheter. D) Replace the infusion system.

B

A nurse is caring for a client who has infective endocarditis. Which of the following manifestations is the priority for the nurse to monitor for? A) Anorexia B) Dyspnea C) Fever D) Malaise

B

A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations and shortness of breath. Which of the following assessments should indicate to the nurse that the client may have developed atrial fibrillation? A) Different blood pressures in the upper limbs. B) Different apical and radial pulses. C) Differences between oral and axillary temperatures. D) Differences in upper and lower lung sounds.

B

A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The nurse should instruct the client to avoid which of the following unsafe actions? A) Elevating her feet B) Massaging her legs C) Flexing her ankles D) Ambulating soon after surgery

B

A nurse is caring for a client who is scheduled for an exercise stress test. Which of the following comments made by the client should indicate to the nurse that the client requires further teaching? A) "I will not smoke prior to my test." B) "I'lI take my heart medications the morning of my test." C) "I'll get 8 hours of sleep the night before the test." D) "I'll skip my coffee the morning of my test."

B

A nurse is caring for a client who recently had surgery for insertion of a permanent pacemaker. Which of the following prescriptions should the nurse clarify? A) Serum cardiac enzyme levels B) MRI of the chest C) Physical therapy D) Low-sodium diet

B

A nurse is interpreting a client's ECG strip. Which of the following components of the ECG should the nurse examine to determine the time it takes for ventricular depolarization and repolarization? A) PR interval B) QT interval C) ST segment D) QRS complex

B

A nurse is providing discharge teaching to a client who has an implantable cardioverter/defibrillator (IC). Which of the following information should the nurse include? A) The client cannot travel by air due to security screening. B) The client should hold his cell phone on the side opposite the ICD. C) The client should avoid the use of small electric devices. D) The client can carry his ICD in a small pocket.

B

A nurse is reviewing the serum laboratory findings for a client who has hypertension and is prescribed hydrochlorothiazide. Which of the following findings should the nurse report to the provider? A) Sodium 136 mEg/L B) Potassium 2.3 mEq/L C) Chloride 99 mEq/L D) Calcium 10 mg/dL

B

A nurse is giving a presentation to a community group about preventing atherosclerosis. Which of the following should the nurse include as a modifiable risk factor for this disorder? (Select all that apply.) A) Genetic predisposition B) Hypercholesterolemia C) Hypertension D) Obesity E) Smoking

B, C, D, E

A nurse is caring for a client who has valvular heart disease and is at risk for developing left-sided heart failure. Which of the following manifestations should alert the nurse the client is developing this condition? A) Anorexia B) Weight gain C) Breathlessness D) Distended abdomen

C

A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication? A) analgesic B) anti-inflammatory C) antiplatelet aggregate D) antipyretic

C

A nurse in a clinic is caring for a client who has a prescription for digoxin. Which of the following statements indicates the client is experiencing digoxin toxicity? A) "I am gaining weight." B) "I am constipated." C) "My vision seems yellow." D) "My tongue is red and beefy."

C

A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). The nurse recognizes that which of the following prescriptions bv the provider requires clarificacion! A) Morphine sulfate 2 mg IV bolus every 2 hr PRN pain B) Laboratory testing of serum potassium upon admission C) 0.9% normal saline IV at 50 mL/hr continuous D) Bumetanide 1 mg IV bolus every 12 hr

C

A nurse is caring for a client who came to the emergency department reporting chest pain. The provider suspects a myocardial infarction. While waiting for the troponin levels report, the client asks what this blood test will show. Which of the following explanations should the nurse provide the client? A) Troponin is an enzyme that indicates damage to brain, heart, and skeletal muscle tissues. B) Troponin is a lipid whose levels reflect the risk for coronary artery disease. C) Troponin is a heart muscle protein that appears in the bloodstream when there is damage to the heart. D) Troponin is a protein that helps transport oxygen throughout the body.

C

A nurse is caring for a client who has a cardiopulmonary arrest. The nurse anticipates the emergency response team will administer which of the following medications if the client's restored rhythm is symptomatic bradycardia? A) Epinephrine B) Magnesium C) Atropine D) Sodium bicarbonate

C

A nurse is caring for a client who is postoperative following vascular surgery. Which of the following signs should indicate to the nurse that the client has developed a thrombus? A) Positive Kernig's sign B) Positive Homan's sign C) Dull aching calf path D) Soft, pliable calf muscle

C

A nurse is caring for a client with a ventricular pacemaker who is on ECG monitoring. The nurse understands that the pacemaker is functioning properly when which of the following appears on the monitor strip? A) Pacemaker spikes after each QRS complex B) Pacemaker spikes before each P wave C) Pacemaker spikes before each QRS complex D) Pacemaker spikes with each T wave

C

A nurse is interpreting the ECG strip of a client who has bradycardia. Which of the following cardiac components should the nurse identify as the role of the P wave? A) Ventricular depolarization B) Slow repolarization of ventricular Purkinje fibers C) Atrial depolarization D)Early ventricular repolarization

C

A nurse is preparing a client who is scheduled for an echocardiogram the following day. which of the following instructions should the nurse include about the test? A) "It might cause slight discomfort in the chest area." B) "It takes about 5 or 10 minutes." C) "It requires lying quietly on one side." D) "It is best to have no food or beverages the day of the test."

C

A nurse is providing discharge instructions to a client who developed deep-vein thrombosis (DVT) postoperatively and is prescribed anticoagulant therapy. Which of the following instructions should the nurse include? A) Applying cool compresses to her legs B) Wearing loose, non-constricting stockings C) Flexing her knees and feet frequently D) Taking an NSAID tablet daily

C

The nurse is evaluating a client who had a cardiac catheterization with a left antecubital insertion site. Which of the following pulses should the nurse palpate? A) Brachial pulse in the left arm B) Brachial pulse in the right arm C) Radial pulse in the left arm D) Radial pulse in the right arm

C

A nurse is providing teaching to a client about interventions to reduce the risk of developing cardiovascular disease. Which of the following statements by the client should indicate to the nurse the need for further teaching? A) "A weight loss program can decrease my LDL cholesterol level." B) "Exercising regularly will increase HDL cholesterol levels." C) "Adding foods containing omega-3 fatty acids to my diet can lower my risk." D) "Increasing my intake of foods containing trans-fatty acids can lower my risk."

D