Cardiovascular

A nurse is preparing a client for a stress test. Which is an appropriate nursing intervention? Administer a short-acting sedative. Remove all metal objects. Shave the client's inguinal area. Verify that a consent form has been signed.

Verify that a consent form has been signed.

A client who is being treated for unilateral lower extremity deep vein thrombophlebitis is being discharged. Which statement made by the client indicates to the nurse that additional discharge education is needed? "Tight compression hose rolled down behind the knee won't fall down and improves the circulation in my legs." "I need to take my warfarin exactly the way my health care provider ordered it." "I should elevate my legs when sitting and should get up and walk around periodically." "I should contact my health care provider immediately if I have frequent nosebleeds, bleeding from my gums, oozing from minor cuts, or if I see blood in my urine."

"Tight compression hose rolled down behind the knee won't fall down and improves the circulation in my legs."

The nurse is reinforcing discharge instructions for a client with varicose veins. Which statement by the client indicates a need for further instruction? "Exercise will make me feel better." "I have to elevate my legs." "Lying down can relieve my symptoms." "Wearing tight clothes won't affect me."

"Wearing tight clothes won't affect me."

The nurse is caring for a client with heart failure who is receiving furosemide daily. What action should the nurse instruct the client to perform? Check blood sugar daily. Hold the drug if there is no edema of the lower extremities. Weigh self daily. Check the radial pulse prior to taking the furosemide.

Weigh self daily

Which client statement given when obtaining data is consistent with the diagnosis of varicose veins? "My legs become numb and get weaker the farther I walk." "After I walk a half mile, I get severe calf pain that goes away when I rest." "My legs feel tired and have a dull ache, especially when I walk or stand for long periods." "I have severe foot pain that awakens me, but it gets better if I dangle my foot off the edge of the bed."

"My legs feel tired and have a dull ache, especially when I walk or stand for long periods."

A client hospitalized for treatment of hypertension is being prepared for discharge. Which statement from the client indicates an understanding of discharge instructions? "I should skip my medication dose if dizziness occurs." "I should avoid meat and milk." "I should schedule a visit once per week for IV antihypertensive medications." "My sodium intake shouldn't exceed 2,300 mg per day."

"My sodium intake shouldn't exceed 2,300 mg per day."

After experiencing a transient ischemic attack (TIA), a client is prescribed aspirin, 325 mg by mouth daily. Which statement(s) by the client indicate that more reinforcement of teaching is needed? Select all that apply. "The aspirin will reduce the inflammation in my blood vessels." "I should not stop taking the aspirin without speaking to my health care provider." "The aspirin will keep my platelet cells from sticking together." "The aspirin will protect me from getting an infection." "The aspirin will prevent bleeding in my brain."

"The aspirin will protect me from getting an infection." "The aspirin will prevent bleeding in my brain." "The aspirin will reduce the inflammation in my blood vessels."

The parents of a 3-year-old with a congenital heart disease report during a checkup that they are concerned about giving a flu vaccine to their child. Which statement is appropriate for inclusion in the nurse's response? "You are right to be concerned since this vaccine should be provided to children who are older than 3 years of age." "As long as you are careful who your child is exposed to, you should be fine to avoid giving this vaccine." "The flu vaccine is both safe and recommended to children who have chronic illness such as heart disease." "Since there are troubling side effects in the vaccine for your child, I would recommend that the other members of the household be immunized instead."

"The flu vaccine is both safe and recommended to children who have chronic illness such as heart disease."

A client in the emergency department reports squeezing substernal pain that radiates to the left shoulder and jaw. He also reports nausea, diaphoresis, and shortness of breath. What should the nurse do? Alert the cardiac catheterization team, administer oxygen, attach a cardiac monitor, and notify the physician. Gain I.V. access, give sublingual nitroglycerin (Nitrostat), and alert the cardiac catheterization team. Complete the client's registration information, perform an electrocardiogram, gain I.V. access, and take vital signs. Administer oxygen, attach a cardiac monitor, take vital signs, and administer sublingual nitroglycerin.

Administer oxygen, attach a cardiac monitor, take vital signs, and administer sublingual nitroglycerin.

A nurse is assigned the care of an 87-year-old client with multiple ulcerations, which require dressing changes. The nurse is also assigned the care of a 50-year-old client, who is ordered to receive 2 units of packed red blood cells. Which task can the nurse delegate to the nursing assistant? Irrigating the ulcerations Monitoring the blood transfusion flow rate Assisting the clients with bathing Performing sterile dressing changes

Assisting the clients with bathing

An older adult client has experienced an episode of acute pulmonary edema. Fearful of a repeat episode, the client asks what precautions should be taken to prevent another episode. What instruction should the nurse give to this client? Call the health care provider if he gains more than 3 lb (1.4 kg) in 1 day. Limit calorie intake. Restrict carbohydrates. Measure weight twice per day.

Call the health care provider if he gains more than 3 lb (1.4 kg) in 1 day.

A nurse has administered enalapril to a client. What intervention should the nurse perform to accurately determine the effectiveness of this drug? Check the client's legs on each shift to monitor for edema. Record the 24-hour urine output. Monitor the client for an increase in appetite with each meal. Check blood pressure 1 hour after administration.

Check blood pressure 1 hour after administration.

The telemetry monitor technician notifies the nurse that a client has sinus bradycardia with a heart rate of 42 beats/minute. What should the nurse do first? Obtain a 12-lead electrocardiogram. Check the client's level of consciousness, obtain vital signs, and assess the client for symptoms. Notify the client's health care provider. Immediately review the client's current medical regimen to see if the client is taking beta-blockers or calcium channel blockers.

Check the client's level of consciousness, obtain vital signs, and assess the client for symptoms.

The family of a client awaiting heart transplantation is concerned about the financial cost of lifelong antirejection medications following the procedure. Which intervention by the nurse is most appropriate? Suggest the family discuss the cost with the health insurance provider. Contact the social worker to discuss the client and family's financial concerns. Explain that all costs are covered if the client is unable to pay. Discuss how the family might consider fund raising efforts to pay for the costs.

Contact the social worker to discuss the client and family's financial concerns.

For a client with cardiomyopathy, the highest priority nursing diagnosis is: Excess fluid volume related to fluid retention and altered compensatory mechanisms. Ineffective coping related to fear of debilitating illness. Decreased cardiac output related to reduced myocardial contractility. Anxiety related to actual threat to health status.

Decreased cardiac output related to reduced myocardial contractility.

A client is admitted to the acute care facility for treatment of heart failure. The nurse expects the physician to prescribe which drug? Furosemide Prednisone Hydroxychloroquine sulfate Lidocaine

Furosemide

An elderly client who underwent total hip replacement exhibits a red, painful area on the calf of the affected leg. What test validates presence of thromboembolism? Rinne Romberg's Phalen's Homans'

Homans'

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

Leg edema

The nurse is caring for a child undergoing cardiac surgery? Which home care instruction is most appropriate? Maintain a sodium-restricted diet. Maintain the prescribed medication regimen until the health care provider makes a change. Routine dental care can be resumed. Immunizations are delayed indefinitely.

Maintain the prescribed medication regimen until the health care provider makes a change.

A nurse is monitoring a client receiving a continuous infusion of lidocaine for ventricular dysrhythmias. During breakfast, the client states, "I am so tired. My vision is so blurry I can't see my food." What is the nurse's best action? Cluster activities to allow the client uninterrupted rest time. Administer zolpidem. Notify the primary registered nurse of the client's symptoms. Ask the client when his or her last eye exam was completed.

Notify the primary registered nurse of the client's symptoms.

The nurse is monitoring a client, who is six hours post embolectomy, for an acute arterial occlusion of the left leg. When a Doppler ultrasound fails to detect a pedal pulse, the nurse notifies the surgeon who requests that the client be prepared for immediate surgery. The client refuses to consider additional surgery. What is the nurse's initial intervention? Reinforce the risks of not having the surgery Notify the provider immediately Notify the nursing supervisor Record the client's refusal in the nurses' notes

Notify the provider immediately

A 3-year-old child has a high red blood cell count and polycythemia. When assisting with the planning of care, which action will be of greatest impact in preventing complications? Administer iron supplements as prescribed. Promote adequate fluid intake. Encourage a daily period of exercise. Encourage the appropriate number of calories daily.

Promote adequate fluid intake.

A nurse is caring for a client with advanced heart failure. The client can't care for themself and hasn't been able to eat for the past week because of dyspnea. The client doesn't want a feeding tube inserted and expresses their desire for "nature to take its course." The client's family is pleading with the client to have a feeding tube inserted. What is the most appropriate action for the nurse to take? Schedule feeding tube placement and hope that the nurse can persuade the client to agree to it. Talk with the client's family about the client's right to decide for themself. Ask a priest to talk with the client about the importance of preserving life. Schedule a conference to help the client and the client's family reach a consensus about the feeding tube.

Talk with the client's family about the client's right to decide for themself.

After abdominal surgery, which factor would predispose a client to deep vein thrombosis? The client has been pregnant four times. The client usually walks 3 miles per day. The client will be immobile during and shortly after surgery. The client is 5' 9" tall and weighs 128 lb (58 kg).

The client will be immobile during and shortly after surgery.

A nurse is caring for a client returning from cardiac catheterization. The nurse helps transfer the client back to bed. Which transfer technique uses appropriate ergonomic principles? The nurse raises the bed for transfer, maintains a wide base of support during transfer, and lowers the bed before leaving the room. The nurse maintains a narrow base of support during transfer and encourages the client to hold onto the staff members if the client is frightened. The nurse explains the procedure to the client and grabs the client under the arms to pull them over to the bed. The nurse lowers the bed for transfer. The nurse raises the bed before leaving the room, making sure to place the call light within reach.

The nurse raises the bed for transfer, maintains a wide base of support during transfer, and lowers the bed before leaving the room.

A nurse is reinforcing education provided to a client about reducing risk factors for coronary artery disease. Which risk factor does the nurse inform the client is nonmodifiable? age personality hypertension smoking

age

A client with a history of chronic obstructive pulmonary disease (COPD) arrives in the emergency department with an oxygen saturation of 84%. Which diagnostic study does the nurse prepare the client for to evaluate cellular metabolism? electrocardiogram (ECG) lung scan arterial blood gas (ABG) analysis complete blood count (CBC)

arterial blood gas (ABG) analysis

Which potential side effects should the nurse include when assisting in discharge teaching of a male client who was started on atenolol? control of excessive flatus management of incontinence prevention of constipation causes and treatments for erectile dysfunction

causes and treatments for erectile dysfunction

A client is suspected to be experiencing a myocardial infarction (MI). Which symptom reported by the client would lead the nurse to this conclusion? palpitations dyspnea chest pain edema

chest pain

A postoperative client in the intensive care unit begins exhibiting signs of hypovolemic shock. When gathering data on this client, which symptoms does the nurse expect to see? Select all that apply. reduced urine output hypertension decreased sensorium cold, pale, clammy skin bradycardia

cold, pale, clammy skin decreased sensorium reduced urine output

A client is prescribed furosemide to manage heart failure. What laboratory values should be monitored while the client receives this medication? Select all that apply. thrombin time prothrombin time (PT) serum potassium level complete blood count international normalized ratio (INR)

complete blood count serum potassium level

A client with chest pain, dyspnea, and an irregular heartbeat comes to the emergency department. An electrocardiogram shows a heart rate of 110 beats/minute (sinus tachycardia) with frequent premature ventricular contractions. Shortly after admission, the client has ventricular tachycardia and becomes unresponsive. After successful resuscitation, the client is taken to the intensive care unit (ICU). Which nursing diagnosis is the priority at this time? social isolation related to restricted visiting hours in the ICU ineffective tissue perfusion (cardiopulmonary) related to arrhythmia fear related to threat of death activity Intolerance related to decreased cardiac output

ineffective tissue perfusion (cardiopulmonary) related to arrhythmia

An increase in the creatine kinase-MB isoenzyme (CK-MB) can be caused by: skeletal muscle damage due to a recent fall. myocardial necrosis. I.M. injection. cerebral bleeding.

myocardial necrosis.

An older adult client with heart failure and 2+ pitting edema is prescribed furosemide. Due to the effects of furosemide, which supplemental medication would the nurse expect to see ordered for this client? potassium digoxin Diflucan sodium bicarbonate

potassium

A client has sudden cardiac death. Which arrhythmia commonly associated with sudden cardiac death does the nurse suspect this client may have experienced? ventricular fibrillation atrial fibrillation atrial tachycardia ventricular bigeminy

ventricular fibrillation

A client comes to the emergency department with symptoms of a myocardial infarction (MI). The health care provider prescribes reteplase. The nurse is aware that this medication will be most effective when given at which time? within 6 hours of onset of symptoms within 1 to 3 hours of onset of symptoms within 12 hours of onset of symptoms within 6 to 8 hours of onset of symptoms

within 1 to 3 hours of onset of symptoms