Nursing 1 Cardio Vascular

Activated partial thromboplastin time (aPTT) of 55 seconds.

Heparin sodium is prescribed for the client. Which laboratory result indicates that the heparin is prescribed at a therapeutic level?

Take the medication with food

Isosorbide mononitrate is prescribed for a client with angina pectoris. The client tells the nurse that the medication is causing a chronic headache. Which action should the nurse suggest to the client?

Smoking History

A 24-year-old man seeks medical attention for complaints of claudication in the arch of the foot. The nurse also notes superficial thrombophlebitis of the lower leg. Next, the nurse should check the client's medical history for which item?

Pulmonary Embolism

A client diagnosed with thrombophlebitis 1 day ago suddenlycomplains of chest pain and shortness of breath, and the client is visibly anxious. Which is a life threatening complication that could be occuring?

Monitor signs of bleeding

A client is diagnosed with an acute myocardial infarction and is receiving tissue plasminogen activator. Which action is a priority nursing intervention?

Visual disturbances nausea and vomiting Serum digoxin level of 2.3ng/mL (2.93 mmol/L)

A client is receiving digoxin daily the nurse suspects digoxin toxicity after noting which of the following signs and symptoms? SAA

Ibuprophen taken 30 minutes before the nicotronic acid should decrease the the flushing.

A client is taking nicotinic acid for hypolipidemia, and the nurse reinforces instructions to client about the medication. Which statement by the client indicates understanding of the instructions?

Check the client status and lead placement.

A client is wearing a continuous cardiac monitor which begins to alarm at the nurse's station. The nurse sees no electrocardiographic complexes on the screen. The nurse should do which action first?

Crackles

A client with myocardial infarction suddenly becomes tachycardic, shows signs of air hunger, and begins coughing frothy, pink-tinged sputum. The nurse listens to breathe sounds expecting to hear which breath sounds bilaterally?

Check clients pain level Check Blood Pressure Administer a second nitroglycerin, 0.4 mg, sublingually

A hospitalized client with coronary artery disease complains of substernal chest pain. After checking the client's heart rate blood pressure the nurse administrates nitroglycerin, 0.4 mg, sublingually after 5 minutes, the client states, "My chest still hurts" Which appropriate actions should the nurse take? SAA

Acute Kidney Injury

A postcardiac surgery client with a blood urea nitrogen BUN level of 45 mg/dL (16.2 mmol/L) and a serum creatinine level of 2.2 mg/dL (193.6 mcmol/L) has a total 2-hour urine output of 25 mL

I'll continue my nicotinic acid from the health food store.

The home health care nurse is visiting a client with elevated triglyceride levels and a serum cholesterol level of 398mg/dL. the client is taking cholestyramine. which statement made by the client indicates the need for further teaching?

Moving to a warmer climate should help.

The nurse has reinforced instructions to the client with Raynaud's disease about self-management of the disease process. The nurse determines that the client needs further teaching if the client makes which statement?

Administering oxygen Inserting a Foley catheter Administering furosemide Administering Morphine sulfate intravenously

The nurse is a medical unit is caring for a client with heart failure. The client suddenly develops extreme dyspnea, tachycardia, and lung crackles, and the nurse suspects pulmonary edema. The nurse immediately notifies the registered nurse (RN) and expects which interventions to be prescribed? Select all that apply.

Limiting movement and abduction of the right arm.

The nurse is assisting with caring for a client immediately after insertion of a permanent demand pacemaker via the right subclavian vein. The nurse prevents dislodgement of a permanent demand pacemaker via the right subclavian vein. The nurse prevents dislodgement of the pacing catheter by implementing which intervention?

Call for help and initiate cardiopulmonary resuscitation.

The nurse is caring for a client on a cardiac monitor who is alone in a room at the end of the hall. The client has a short burst of ventricular tachycardia, followed by ventricular fibrillation. The client suddenly loses consciousness. Which intervention should the nurse do first?

Normal, caused by increased blood flow through the leg.

The nurse is checking the neurovascular status of a client who returned to the surgical nursing unit 4 hours ago, after undergoing an aortoiliac bypass graft. The affected leg is warm, and the nurse notes redness and edema. The pedal pulse is palpable and unchanged from admission. Based on this data, the nurse should make which determination about the client's neurovascular status?

Dependent Edema

The nurse is collecting data on a client with a diagnosis of right sided heart failure. The nurse should expect to note which specific characteristic of this condition?

Status of airway

The nurse is monitoring a client following cardioversion. Which observations should be of the highest priority to the nurse?

The development of audible wheezing.

The nurse is monitoring a client who is taking propanolol. Which data collection finding would indicate a potential serious complication associated with propanolol?

Premedicate the client with an analgesic before ambulating.

The nurse is preparing to ambulate a postoperative client after cardiac surgery. The nurse plans to do which to enable the client to best tolerate the ambulation?

I will take enteric-coated aspirin for my headaches because it is coated.

The nurse reinforces discharge instruction to a postoperative client who is taking warfarin sodium. Which statement made by the client reflects need for further teaching?

The client should be placed on a cardiac monitor Rhythm strips should be obtained before, during, and after the procedure. Monitor the vital signs, cardiac rhythm, and level of consciousness after the procedure.

The primary health care provider is going to perform carotid massage on a client with rapid rate atrial fibrillation. Which interventions should the nurse anticipate? (SAA)

Applying the adhesive patch electrodes to the skin and moving away from the client.

To use an external cardiac defibrillator on a client, which action should be performed to check the cardiac rhythm?

BMP should be under 100. Echocardiogram

What are the two most important tests for diagnosing heart failure?

hypokalemia, hyperglycemia, sulfa allergy.

the nurse is planning to administer hydrochlorothiazide to a client. Which are concerns related to this medication administration?