Med surg 4

The nurse is completing a teaching session with a client with heart failure. The nurse determines that additional teaching is needed about cardiogenic drug therapy when the client states which comment?

"I should call if my pulse rate is below 80 beats per minute."

The nurse is caring for a client with infective endocarditis. The nurse teaches the client that he will have to take antibiotics periodically for the rest of the client's life. The client wants to know why. What would be the nurse's best answer to the client?

"You will be vulnerable to infective carditis for the rest of your life."

After teaching a client how to properly use translingual nitroglycerin spray, the nurse determines that the teaching was successful when the client states which statement? Select all that apply.

-"I can spray the drug onto or under the tongue." -"I should not exceed three metered doses in 15 minutes." -"I will place one to two metered doses under my tongue at the start of an attack."

A client is admitted to the emergency department with reports of anginal pain. which assessments should the nurse prioritize? Select all that apply.

-Apical pulse -Radial pulse -Blood pressure -Respiratory Rate

The student is preapring to adminsiter heparin subcutaneously to a client. The isntructor determines the student is well prepared by articulating which steps? Select all that apply.

-Apply firm pressure after injection -Pinch a fold of skin -Change sites for each dose

A nursing instructor is teaching a class on the actions of the different classes of diuretics. Which drugs will the instructor point out as exerting action on the loop of Henle and distal and proximal tubules? Select all that apply,

-Bumetanide -Furosemide

A nurse is preparing to administer the prescribed digoxin. After appraising the morning labratory results, the nurse determines caution is warranted with which result? Select all that apply.

-Calcium 4.3 mEq/L -Potassium 3 mEq/L -Magnesium 1.0 mEq/L

The nurse has administered atorvastin to a client. Which assessment findings should the nurse prioritize? Select all that apply.

-Constipation -Insomnia -Headache

The nursing instructor is teaching a group of students about the various medications used to treat hypertension. After the session the instructor determines the session is successful when the students correctly connect which action with calcium channel blockers? Select all that apply.

-Decreased blood pressure -Increased oxygen supply to the heart -Reduced work load on the heart -Relaxation of the blood vessels

The nurse is assessing a client diagnosed with left ventricular dysfunction. Which symptoms would the nurse most likely assess? Select all that apply.

-Dyspnea -Moist cough

A group of nursing students are analyzing the various triggers for arrhythmias. The instructor concludes that the students grasp the information by correctly choosing which factors as a potential trigger for an arrhythmia? Select all that apply.

-Electrolyte imbalance -Hypoxia -Emotional stress -heart disease

A nursing instructor is teaching a class on the action of statin drugs. The instructor determines the class is successful after the students correctly choose which actions? Select all that apply.

-Inhibit cholesterol production -Decrease cholesterol absorption in GI tract -Promote cholesterol breakdown

A client is admitted to the emergency department in hypertensive crisis. The nurse will prioritize which assessment to monitor for potential damage as this client receives emergent treatment? Select all that apply.

-Kidneys -Eyes -Heart

The nurse is conducting the ongoing assessment on a client who is prescribed an anticaogulant. The nurse will alert the health care provider if which finding are noted on the assessment. Select all that apply.

-PT exceeds 1.5 times the control value. -INR is greater than 3.0 -There is no evidence of bleeding.

The nursing instructor is teaching a class about the actions of anticoagulants. The instructor determines the class is successful when the students correctly choose which as actions of anticoagulants? Select all that apply.

-Prevention of thrombus -Prevent formation of a thrombus

The nurse is preparing to administer furosemide to a client. Which factrs should the nurse prioritie on the preadministration assessment? Select all that apply.

-Respiratory rate -pulse -weight -temperature

The nurse is preparing a teaching session for a client who is being discharged with a prescription for clopidrogel. Which potential adverse reactions should the nurse point out are associated with this drug? Select all that apply.

-Skin rash -Constipation

What disease processs contribute to chronic heart failure? Select all that apply.

-Tachydysrhytmias -Renal failure -Valvular disease

A nurse is analyzing the chemistry profile of a client diagnosed with hyperlipidemia. Which measurements will the nurse prioritize on the lipid profile? Select all that apply.

-Total cholesterol -LDL -Tryclyceride

The nurse is conducting an ongiong assessment after the administration of an antihypertensive. Which findings should the nurse prioritize? Select all that apply.

-Weight gain of 2 lb. or more per day -Edema

A client has been recieving a diuretic as prescribed. Which findings on the ongoing assessment should the nurse prioritxe. Select all that apply.

-dry mouth -muscle cramps -Tachycardia

The nurse is teaching a client, who has been prescribed warfarin, about maintaining a consistent intake of foods with vitamin K. the nurse determines the client is prepared after correctly choosing which foods as high in vitamin K? Select all that appl.

-fish -yogurt -cauliflower -broccoli

The nurse is preparing to administer to a diuretic to a client. The nurse should question this order if which disorder is noted in the client's history? Select all that apply.

-hyponatremia -hypokalemia -anuria

The nurse is monitoring a client who is receiving intravenous heparin. Which assessments should the nurse prioritize for this client?

-itching -inflammation -pain -tenderness

The nurse is preparing a presentation for a local health fair to explain various aspects of hypertension. Which factors should the nurse include when pointing out various risk factors which can cause the potential of developing hypertension? Select all that apply.

-lack of potassium in the diet -chronic alcohol use -obesity

The nurse is preparing to teach a group of middle-aged client's ways to reduce hypertension. Which instructions should the nurse point out during this session. Select all that apply.

-lose weight -reduce stress -stop smoking

A nurse is caring fr client who is receiving an oral antiarrythmic drug. Which apical pulse rate would lead the nurse to withhold the drug and notify the health care provider immediately?

58 beats/min

The nurse is reviewing lab work for a client whose blood CO2 level is elecated. The nurse is most correct to suspect an impairment of which?

Alveoli

The home nurse is caring for a male client in the emergency department who is experiencing a sudden onset of angina, rated 8/10 on pain scale with blood pressure 88/50 mm Hg. Which is the priority action?

Assess if the client has taken slidenafil

The nurse is caring for a client with coronary artery disease (CAD). What is an appropriate nursing action when evaluating a client with CAD?

Assess the characteristics of chest pain.

When caring for a client with angina, the nurse instructs the client to place the nitrogycerin tablet between the cheek and the gums. Which form of nitrogycerin is the nurse administering?

Buccal

The nurse is caring for a client with thrombophlebitis. When assessing this client, what would be most important to assess?

Chest pain and dyspnea

A pacemaker is the treatment choice for what cardiac arrythimia?

Complete heart block

The nurse is caring for client at risk for thrombosis. What is an appropriate nursing action when evaluating this client?

Examine the legs for color, capillary refill, and tissue integrity.

A client is admitted in acute renal failure and prescribed mannitol. The nurse prepares to administer the drug via which route?

Intravenously

The nurse is providing care to a child with a sore throat. With any sign of throat infection, the nurse should stress which of the following.

Obtaining a throat culture

The nurse is teaching a client and caregiver the proper technique for administering the prescribed nitroglycerin. Which method should the nurse point out is the best way to determine the amount of ointment to apply?

Paper applicator

The nurse is teaching a client with arrythmia about the prescribed vermapril. Which potential adverse reaction should the nurse point out to the client?

Peripheral edema

The instructor is talking with a nursing student who is caring for a client with pericarditis. The instructor asks the student to name the main characteristic of pericarditis. What should be the nurse's answer?

Precordial pain

A client receiving antiarrhytmic therapy develops a new arrythima potentially due to the administration of the drug. The nurse predicts this is related to which reaction?

Proarrythmic effect

A client has had oral anticoagulation ordered. What should the nurse monitor for when the client is taking oral anticoagulation?

Prothrombin time (PT) or international normalized ratio (INR)

The nurse is discharging a client after a cardiac catheterization. What would the nurse include in the discharge teaching?

Report any numbness, tingling, or sharp pain in the extremity.

A client with cerebral edema is prescribed mannitol. Which assessment should the nurse prioritize during the ongoing assessment?

Response of pupils to light

A client is prescribed nitrate therapy as treatment for angina. On a follow-up visit to the clinic, the client reports dizziness and weakness after taking the medication to the nurse. Which nursing diagnosis should the nurse prioritize for this client?

Risk for injury

A client is admitted with arrythmias and placed in cardiac monitoring and prescribed an antiarrythmic. Which finding on ongoing assessment should the nurse immediately notify the primary health care provider?

Sudden change in mental status

The nurse is caring for a client with a valvular disorder of the heart. What intervention should the nurse perform before adminsitering the prescribed beta-blockers to clients with valvular disorders of the heart?

Take the clients apical pulse

A client needs additional information about her heart condition. The client states to the nurse "What is considered the pacemaker of the heart?"

The SA node

What is blood pressure?

The force produced by the volume of blood in arterial walls.

What is the best technique to identofy structural changes in the mitral valve?

Transthoracic echocardiogram

A client with diagnosed aortic stenosis is exhibiting fatigue, shortness of breath on exertion, and systolic murmur. Which of the following should the nurse list as the most concerning nursing diagnosis?

decrease cardiac output