Cardio

Which instructions should the nurse include in the teaching plan for a client with hyperlipidemia who is being discharged with a prescription for cholestyramine (Questran)? 1."Increase your intake of fiber and fluid." 2."Take the medication before you go to bed." 3."Check your pulse before taking the medication." 4."Contact your health care provider if your skin or sclera turn yellow."

1."Increase your intake of fiber and fluid."

An older African-American client with hypertension is admitted to the hospital. Which data from the client's history and diagnostic workup represent risk factors for hypertension? (Select all that apply.) 1.Increased high-density lipoprotein (HDL) 2.Taking an aspirin a day 3.Occasional cocaine use 4.Reduced hemoglobin level 5.African-American heritage

3.Occasional cocaine use 5.African-American heritage

The left foot of a client with a history of intermittent claudication becomes increasingly cyanotic and numb. Gangrene of the left foot is diagnosed, and because of the high level of arterial insufficiency, an above-the-knee amputation (AKA) is scheduled. The response that demonstrates emotional readiness for the surgery is when the client: 1.Explains the goals of the procedure 2.Displays few signs of anticipatory grief 3.Participates in learning perioperative care 4.Verbalizes acceptance of future dependency needs

3.Participates in learning perioperative care

A health care provider in the emergency department identifies that a client is in mild hypovolemic shock. Which type of drug should the nurse anticipate will be prescribed? 1.Loop diuretic 2.Cardiac glycoside 3.Sympathomimetic 4.Alpha-adrenergic blocker

3.Sympathomimetic

A client had a total knee replacement several days ago and has been receiving warfarin sodium (Coumadin) therapy. An international normalized ratio (INR) is performed each afternoon, and the evening warfarin sodium dose is prescribed by the health care provider on a daily basis. The nurse identifies that the afternoon INR is 4.6. The next action the nurse should take is to: 1.Contact the health care provider to request the day's dosage of warfarin sodium 2.Obtain a blood specimen to have a partial thromboplastin time performed 3.Assist with meal planning to increase the intake of foods high in vitamin K 4.Maintain the client on bed rest until the health care provider reviews the laboratory results

4.Maintain the client on bed rest until the health care provider reviews the laboratory results

A client being treated for hypertension reports having a persistent hacking cough. What class of antihypertensive should the nurse identify as a possible cause of this response when reviewing a list of this client's medications? 1.Angiotensin-converting enzyme (ACE) inhibitors 2.Thiazide diuretics 3.Calcium channel blockers 4.Angiotensin receptor blockers

1.Angiotensin-converting enzyme (ACE) inhibitors

A client who was in an automobile collision is now in hypovolemic shock. Why is it important for the nurse to take the client's vital signs frequently during the compensatory stage of shock? 1.Arteriolar constriction occurs. 2.The cardiac workload decreases. 3.Contractility of the heart decreases. 4.The parasympathetic nervous system is triggered.

1.Arteriolar constriction occurs.

Which of the following symptoms indicates to the nurse that the client has an inadequate fluid volume? (Select all that apply.) 1.Decreased urine 2.Hypotension 3.Dyspnea 4.Dry mucous membranes 5.Pulmonary edema 6.Poor skin turgor

1.Decreased urine 2.Hypotension 4.Dry mucous membranes 6.Poor skin turgor

The nurse provides discharge medication education to a client who has been switched from a prescription for heparin to a prescription for warfarin sodium (Coumadin). The nurse concludes that the teaching was effective when the client states, "I will: 1.Take acetaminophen (Tylenol) for my occasional headaches." 2.Spend most of the day working at my desk." 3.Ask my health care provider for antibiotics before going to the dentist." 4.Make an appointment to have a complete blood count drawn."

1.Take acetaminophen (Tylenol) for my occasional headaches."

A client has a mitral valve replacement, and the nurse provides health teaching to promote optimum health. Which statement made by the client supports the nurse's conclusion that the client needs further teaching? 1."I should wear a MedicAlert bracelet." 2."I will start a vigorous aerobic exercise program." 3."I will take antibiotics when I have my teeth repaired." 4."I should go to the doctor when I get a respiratory infection."

2."I will start a vigorous aerobic exercise program."

A client has left ventricular heart failure. For which clinical indicators should the nurse assess the client? (Select all that apply.) 1.Ascites 2.Crackles 3.Peripheral edema 4.Dyspnea on exertion 5.Jugular vein distention

2.Crackles 4.Dyspnea on exertion

A client with hypertension has received a prescription for metoprolol (Lopressor). Which information should the nurse include when teaching this client about metoprolol? 1.Consume alcoholic beverages in moderation 2.Do not abruptly discontinue the medication 3.Increase the medication dosage if chest pain occurs 4.Report a heart rate of less than 70 beats per minute

2.Do not abruptly discontinue the medication

A nurse reviews the laboratory test results of a client with emphysema who is recovering from a myocardial infarction. The nurse obtains the client's vital signs and performs a physical assessment. Which prescribed medication should the nurse consider the priority at this time? 1.Albuterol (Proventil) 2.Warfarin (Coumadin) 3.Metoprolol (Lopresor) 4.Acetaminophen (Tylenol)

3.Metoprolol (Lopresor)

Amlodipine (Norvasc) is prescribed for a client with hypertension. Which response to the medication should the nurse instruct the client to report to the health care provider? 1.Blurred vision 2.Dizziness on rising 3.Excessive urination 4.Difficulty breathing

4.Difficulty breathing

The day after surgery a client is encouraged to ambulate. The client angrily asks the nurse, "Why am I being made to walk so soon after surgery?" The nurse explains that the primary purpose of early ambulation is to: 1.Promote healing of the incision 2.Lower the incidence of urinary tract infections 3.Use energy to help the client sleep better at night 4.Keep blood from pooling in the legs to prevent clots

4.Keep blood from pooling in the legs to prevent clots

Sublingual nitroglycerin is prescribed for a client with a history of a myocardial infarction and atrial tachycardia. The nurse instructs the client about the prophylactic use of these tablets. The statement by the client that indicates the teaching was effective is, "I should: 1.Take the medicine three times a day." 2.Avoid activities that are too strenuous." 3.Be sure to take my pulse after I have exercised." 4.Take one tablet before attempting to climb two flights of stairs."

4.Take one tablet before attempting to climb two flights of stairs."

A client with chronic liver disease reports, "My gums have been bleeding spontaneously." The nurse identifies small hemorrhagic lesions on the client's face. The nurse concludes that the client needs additional: 1.Bile salts 2.Folic acid 3.Vitamin A 4.Vitamin K

4.Vitamin K

A client comes to the emergency department complaining of weakness and dizziness. The blood pressure is 90/60, pulse is 92 and weak, and body weight reflects a 3-pound loss in two days. The weather has been hot. The nurse concludes that the biggest concern for this client is: 1.Deficient fluid volume 2.Impaired skin integrity 3.Inadequate nutritional intake 4.Decreased participation in activities

1.Deficient fluid volume

A nurse in the postanesthesia care unit identifies a progressive decrease in blood pressure in a client who had major abdominal surgery. What clinical finding supports the conclusion that the client is experiencing internal bleeding? 1.Oliguria 2.Bradypnea 3.Pulse deficit 4.High potassium levels

1.Oliguria

The client is diagnosed with peripheral arterial disease (PAD) and the nurse is discussing lifestyle modifications. Which of these is the most beneficial lifestyle modification the nurse should teach this client? 1.Stop smoking 2.Take an aspirin once daily 3.Start a walking program 4.Eat a low fat, low cholesterol diet

1.Stop smoking

What is the most objective way that a nurse can assess the extent of edema in a client? 1.Weighing the client 2.Monitoring the intake and output 3.Performing the Trendelenburg test 4.Assessing the extent of pitting edema

1.Weighing the client

A male client with aortic stenosis is scheduled for a valve replacement in two days. He tells the nurse, "I told my wife all she needs to know if I don't make it." What response is most therapeutic? 1."Men your age do very well." 2."You are worried about dying." 3."I know you are concerned, but your surgeon is excellent." 4."I'll get you a sleeping pill tonight because I know you will need it."

2."You are worried about dying."

Which responses should a nurse expect a client experiencing hypoglycemia to exhibit? (Select all that apply.) 1.Nausea 2.Palpitations 3.Tachycardia 4.Nervousness 5.Warm, dry skin 6.Increased respirations

2.Palpitations 3.Tachycardia 4.Nervousness

A client develops heart failure. Which response should the nurse expect when assessing the client? 1.Weight loss 2.Peripheral edema 3.Decreased heart rate 4.Increased urinary output

2.Peripheral edema

A nurse provides instruction when the beta-blocker atenolol (Tenormin) is prescribed for a client with moderate hypertension. What action identified by the client indicates to the nurse that the client needs further teaching? 1.Move slowly when changing positions. 2.Take the medication before going to bed. 3.Expect to feel drowsy when taking this drug. 4.Count the pulse before taking the medication

2.Take the medication before going to bed.

A client with small-cell lung cancer is receiving chemotherapy. A complete blood count is prescribed before each round of chemotherapy. The component of the complete blood count that the nurse is concerned about most is: 1.Red blood cells (RBCs) 2.White blood cells (WBCs) 3.Platelets 4.Hematocrit

2.White blood cells (WBCs)

A client who just returned from a cardiac catheterization reports to the nurse that the pressure bandage on the right groin is tight. What action should the nurse take? 1.Loosen the dressing slightly. 2.Notify the health care provider. 3.Assess the pulses distal to the dressing. 4.Have the client flex the joints of the right leg

3.Assess the pulses distal to the dressing.

A health care provider prescribes ophthalmic drops for a client. What should a nurse include in the instructions for a client learning to self-administer eye drops? 1.Lie on the unaffected side for administration. 2.Instill drops onto the pupil to promote absorption. 3.Close eyes tightly after administering the eye drops. 4.Apply pressure to the nasolacrimal duct after instillation

4.Apply pressure to the nasolacrimal duct after instillation

A client with arterial insufficiency of both lower extremities is visited by the home health care nurse. An essential nursing intervention is to teach the client to: 1.Maintain elevation of both legs 2.Massage the legs when painful 3.Apply a hot water bottle to the legs 4.Check pulses in the legs regularly

4.Check pulses in the legs regularly