CARDIOVASCULAR

A primary healthcare provider prescribes atenolol 20 mg by mouth four times a day for a client who has had double coronary artery bypass surgery. What information is most important for the nurse to include in the discharge teaching plan for this client?

Avoid abruptly discontinuing the medication.

A male client receiving hemodialysis undergoes surgery to create an arteriovenous fistula. Before discharge, the nurse discusses care at home with the client and his wife. Which statement by the client's wife indicates that further teaching is required?

"I have to take his blood pressure every day in the arm with the fistula."

A client has been receiving digoxin (Lanoxin). The client calls the clinic and complains of "yellow vision." What is the nurse's best response?

"The medication should be discontinued. Come to the clinic this afternoon."

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?

"You are worried about dying."

The nurse recognizes what as an early finding that indicates that a client is hypertensive?

A diastolic blood pressure that remains greater than 90 mm Hg

The nurse is caring for a client who has an occlusion of the left femoral artery and is scheduled for an arteriogram. Which clinical finding is most significant when assessing the left extremity before the arteriogram?

Absence of the pedal pulse

A client with impaired peripheral pulses and signs of chronic hypoxia in a lower extremity has a femoral angiogram. What is the priority nursing action after the angiogram?

Assess the client's affected extremity.

Which phase of wound healing involves adherence of blood platelets to the walls of an injured vessel?

Hemostasis

A nurse is providing post-procedure care to a client who had a cardiac catheterization via a brachial artery. For the first hour after the procedure, what is the priority nursing intervention?

Monitor the vital signs every 15 minutes

Which classic signs are observed in peripheral vascular disease? Select all that apply.

Pain Pallor Paresthesia

Which cells release lymphokines?

T cells

A child has been diagnosed with hemophilia type A after experiencing excessive bleeding from a minor trauma. How is hemophilia inherited?

X-linked recessive trait

A hospitalized client puts the call light on and reports a sudden onset of chest pain that feels like a pressure or weight on the chest. The client also states, "I feel nauseated and very weak." What action should the nurse take?

Call the rapid response team

The nurse provides discharge teaching to a client with a history of angina. The nurse instructs the client to call for emergency services immediately if the client's pain does what?

Continues after rest and nitroglycerin

A nurse is preparing to teach a client to apply a nitroglycerin patch (Nitro-Dur) as prophylaxis for angina. Which instruction should the nurse include in the teaching plan?

Remove a previous patch before applying the next one

A client who lives with the parents is diagnosed with stage III Hodgkin disease with a grossly involved spleen and is scheduled for a splenectomy. After the nurse performs preoperative teaching, the client appears anxious. What is the best approach for the nurse to use at this time?

State that that the client seems anxious and ask whether the client would like to talk for a while.

A client is admitted to the hospital with the diagnosis of myocardial infarction. The nurse should monitor this client for which signs and symptoms associated with heart failure? Select all that apply.

Unusual fatigue Dependent edema Nocturnal dyspnea

What should the nurse include in a teaching plan to help reduce the side effects associated with diltiazem (Cardizem)?

Change positions slowly.

The parent of a 5-month-old infant with heart failure questions the necessity of weighing the baby every morning. What does the nurse say to explain the importance this information to the infant's condition?

Fluid retention

A client with cancer of the tonsils and enlarged lymph glands in the neck is receiving chemotherapy after surgery. Which laboratory report is most important for the nurse to monitor when considering the effects of chemotherapy?

White blood cell count