Cardiac Med Surg week 7

A nurse in the emergency department is caring for a client with acute heart failure. Which laboratory value is most important for the nurse to check before administering medications to treat heart failure? Platelet count Potassium Calcium White blood cell count (WBC)

Potassium

A nurse who works in a busy emergency department provides care for numerous patients who present with complaints of chest pain. Which of the following questions is most likely to help the nurse differentiate between chest pain that is attributable to angina and chest pain due to myocardial infarction (MI)? Select all that apply "Does your chest pain make it difficult to move around like you normally would?" "When was the first time that you recall having chest pain? "Have you ever been diagnosed with high blood pressure or diabetes?" "Does resting and remaining still help your chest pain to decrease?"

"Does your chest pain make it difficult to move around like you normally would?" "Have you ever been diagnosed with high blood pressure or diabetes?" "Does resting and remaining still help your chest pain to decrease?"

A nurse is caring for a client with heart failure. The nurse knows that the client has left-sided heart failure when he makes which statement? "I sleep on three pillows each night" "My feet are bigger than normal." "My pants don't fit around my waist." "I don't have the same appetite I used to."

"I sleep on three pillows each night"

The area of the heart that is located at the third IC space to the left of the sternum is the aortic area pulmonic area Erb's point epigastric area

Erb's point

The nurse is caring for a patient in the ED who has a B-type natriuretic peptide (BNP) level of 315 pg/mL. The nurse understands that this finding is most suggestive of which of the following? Ventricular hypertrophy Myocardial infarction Pulmonary edema Heart failure

Heart failure

In a client with chronic bronchitis, which sign would lead the nurse to suspect right-sided heart failure? Cyanosis of the lips Bilateral crackles Productive cough Leg edema

Leg edema

The patient with cardiac failure is taught to report which of the following symptoms to the physician or clinic immediately? Increased appetite Persistent cough Weight loss Ability to sleep through the night

Persistent cough

A 55-year-old black male is found to have a blood pressure of 150/90 mm Hg during a work-site health screening. What should the nurse do? Consider this to be a normal finding for his age and race. Recommend he have his blood pressure rechecked in 1 year. Recommend he have his blood pressure rechecked within 2 weeks. Recommend he see his physician immediately for further evaluation.

Recommend he have his blood pressure rechecked within 2 weeks

The nurse is reviewing the laboratory results for a patient having a suspected myocardial infarction (MI). What biomarkers does the nurse observe for myocardial cell damage? Select all that apply. Creatine kinase BB Troponin I Creatine kinase MB Alkaline phosphatase

Troponin I Creatine kinase MB

A nurse is caring for a client with acute pulmonary edema. To immediately promote oxygenation and relieve dyspnea, the nurse should: administer oxygen have the client take deep breaths and cough place the client in high Fowler's position perform chest physiotherapy

place the client in high Fowler's position

A client with heart failure must be monitored closely after starting diuretic therapy. The best indicator for the nurse to monitor is: fluid intake and output urine specific gravity vital signs weight

weight