Cardio FINAL
. A nurse is preparing to administer digoxin to a client who has left-sided heart failure. Which of the following clinical manifestations should the nurse expect to see in this client? (Select all that apply.)
: Dyspnea, orthopnea, tachypnea
A nurse is contributing to the plan of care for a client who is admitted with a deep vein thrombosis (DVT) of the left leg. Which of the following interventions should the nurse include in the plan?
Monitor platelet levels
A nurse is reinforcing teaching with a female client who has thrombocytopenia. Which of the following instructions should the nurse include? (Select all that apply.)
Do not use dental floss, Brush your teeth with a soft toothbrush, Blow nose gently
A nurse is reinforcing teaching with a client who has hemophilia A. Which of the following manifestations should the nurse include in the teaching?
Disabling joint pain
.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.)
Hyper Cholesterolemia, Hypertension, Obesity, Smoking
A nurse is reviewing laboratory data from a client who has pulmonary embolism and is receiving IV heparin. Which of the following findings should the nurse report to the provider?
Platelets 74,000/mm3
The nurse clarifies that the master pacemaker of the heart is the:
Sinoatrial (SA) Node
A nurse is caring for a client who has a hemoglobin of 10.8 g/dL and a hematocrit of 30%. The nurse should expect the client is at risk for which of the following conditions?
prolonged bleeding
What should a person with unstable angina avoid?
shoveling snow
The nurse assessing a cardiac monitor notes that the cardiac complexes each have a P wave followed by a QRS and a T. The rate is 120. The nurse recognizes this arrhythmia as:
sinus tachycardia
A nurse is reinforcing teaching with a group of nurses about the administration of nitroglycerin. Which of the following routes of administration provides the most rapid onset for the client?
sublingual
A nurse is reinforcing teaching with a client has a new diagnosis of aplastic anemia. When discussing the pathology of this disease, which of the following instructions should the nurse include in the teaching?
" Aplastic anemia results from decreased bone marrow production of RBC"
The nurse caring for a client recovering from a myocardial infarct who is wearing a portable telemetry monitor (EKG) recognizes the need for added instruction when the client says:
" I always take off the device when I shower"
The nurse making a teaching plan for a client with Buerger disease (thromboangiitis obliterans) will encourage:
Cessation of smoking
A nurse is reinforcing teaching with a client regarding reduction of risk factors for coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)
" I need to monitor my weight, I must stop smoking, I am limiting my intake of fast foods"
A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize that which of the following statements by the client indicates a need for further teaching?
" I will wear stockings with elastic tops"
The presence of excess bands in the peripheral blood that indicate severe infection is called
"A shift to the left"
A 23-year-old male patient with hemophilia A says, "How can I keep my children from having hemophilia A?" Which of the following is the most informative response?
"Your daughter may be a carrier and her children may have hemophilia A, your son is not at risk"
A nurse is planning care for a client who is to receive a unit of packed RBCs. Within which of the following time spans must the nurse complete the infusion?
4 hr
A nurse is reinforcing instructions with a client who is scheduled for a cardiac catheterization with angiography. Which of the following statements should the nurse include in the instructions?
: "You might have to lie in bed for 6hr after the procedure"
The nurse identifies the "lub" sound of the "lub/dub" of the cardiac cycle as the sound of the:
: AV Valves Closing
A nurse is assisting with the plan of care for a client who has leukemia and whose platelet count is 50,000 mm3. Which of the following interventions should the nurse include in the plan of care?
Administer a stool softener
The nurse is aware that persons of the Jehovah's Witness faith accept which types of blood transfusions?
Autologous Blood Transfusion
A nurse is assisting with the care of a client who is postoperative following a cardiac catheterization via the femoral artery. Which of the following actions should the nurse take? (Select all that apply.)
Check for peripheral pulses in the affected extremity, keep the clients hips and legs extended, have the client remain in bed up to 6HRs
A nurse is caring for a client with suspected internal bleeding. The client complains of abdominal pain and during her assessment, the nurse noticed a bluish periumbilical discoloration on the client's abdomen which confirms retroperitoneal bleeding. What is this discoloration called?
Cullens Sign
A nurse is reviewing the laboratory data of a client who has acute leukemia and received aggressive chemotherapy treatment 10 days ago. Which of the following abnormalities should the nurse expect to see? (Select all that apply.)
Decreased platelet count, decreased WBC count, Decreased RBC count
. A nurse is reinforcing teaching with a class about preventing deep-vein thrombosis. The nurse should include in the teaching that which of the following is a risk factor for this disorder? (Select all tha
Dehydration, Oral Contraceptives and Immobility
A nurse is collecting data from a client who has anemia due to excess blood loss during surgery. The nurse should expect which of the following findings?
Dyspnea on exertion
A nurse is caring for a client who has hemophilia and has developed hemarthrosis of the left knee. Which of the following actions should the nurse take?
Elevate the knee
A nurse is reinforcing teaching with a client who has a new diagnosis of angina pectoris. Which of the following information about anginal pain should the nurse include in the teaching?
Exertion and Anxiety can trigger the pain
A nurse is assisting with the care of a client who is at risk for disseminated intravascular coagulopathy (DIC). The nurse should plan to report which of the following laboratory values that indicates DIC?
Fibrinogen 85mg/dL
The nurse explains that in the event of an invasion of an allergen, the basophils release a strong vasodilator, which is:
Histamine
The nurse is aware that the symptoms of an impending myocardial infarction (MI) differ in women because acute chest pain is not present. Women are frequently misdiagnosed as having:
Indigestion
When instructing the client taking an oral liquid iron preparation, what should the nurse include?
Information relative to taking the oral preparation through a straw to prevent staining of the teeth
A nurse is reviewing the laboratory results for a male adult client who is at risk for peripheral arterial disease from atherosclerosis. The nurse should identify that which of the following results places the client at risk?
LDL 172mg/dL
A nurse is collecting data from a client who has an acute myocardial infarction (MI). Which of the following clinical manifestations should the nurse expect to find? (Select all that apply.)
Nausea, Tachycardia, Diaphoresis
From which location would the bone marrow sample come in the aspiration of a 25-year-old client?
Posterior iliac crest
A nurse is caring for a client whose history reveals the clinical manifestations of pernicious anemia. The nurse should anticipate a prescription for which of the following diagnostic tests?
Schilling Test
A nurse is monitoring a client who reports having chills and back pain during a blood transfusion. Which of the following actions should the nurse take first?
Stop the transfusion
A nurse is reinforcing teaching with a client who uses a nitroglycerine patch to treat angina. The client now has a new prescription for nitroglycerin sublingual tablets. Which of the following instructions should the nurse include?
Take the medication at the first indication of chest pain
A nurse is collecting data on a client who is to receive a blood transfusion. Which of the following data is the nurse's priority before the transfusion begins?
Temperature
A nurse is reinforcing teaching with a client who is scheduled for a thallium scan. When talking with the client about this procedure, which of the following statements should the nurse give?
This detects damage to the heart muscle
A nurse is contributing to the plan of care for a child who has sickle cell crisis. Which of the following actions should the nurse recommend to include?
administer IV and oral fluids
A client who is 7 days postpartum calls the provider's office and reports pain, swelling, and redness of her left calf. Besides the client seeing the provider, which of the following interventions should the nurse suggest?
elevate the leg
. Helps prevent neural effects in pregnancy
folic acid
Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?
obtain a pair of slipper socks to the client
An increase in immature neutrophils
overwhelming
A nurse is collecting data from a female adult client who reports heavy menstrual periods. The client has a hemoglobin level of 8 g/dL and hematocrit of 28%. Which of the following findings should the nurse expect?
pale mucous membrane
A nurse is monitoring a client who is receiving a blood transfusion. For which of the following time spans should the nurse remain in the client's room?
the first 15 mins
A nurse is caring for a client who has been taking warfarin and has a prothrombin time of 30 seconds. Which of the following medications should the nurse anticipate the provider to prescribe?
vitamin k
