Perfusion

The nurse knows that which food is excluded from the Dietary Approaches to Stop Hypertension (DASH) diet? A. Nuts B. Poultry C. Whole grains D. Steak

D

The nurse assessing a client who has arterial insufficiency of the legs and an ulcer on the left great toe would expect to find which characteristic?

Diminished or absent pulses

A client presents to the emergency department with a sudden onset of acute pain in his left lower leg. The practitioner is unable to palpate pedal pulses and finds the client to be in atrial fibrillation. Which test will the practitioner order to find the source of the emboli?

Echocardiogram

A client is being seen at the clinic for a routine physical when the nurse notes the client's blood pressure is 150/97. The client is considered to be a healthy, well-nourished young adult. What type of hypertension does this client have?

Essential (primary)

A 12-year-old boy has broken his arm and is showing signs and symptoms of shock. Which of the following would the nurse do first?

Establish a suitable IV site.

A client presents at the clinic complaining of shortness of breath, fatigue, and difficulty performing activities of daily living (ADLs). The nurse notes the bluish color around the client's mouth and fingernail beds. What condition would the nurse expect the client has?

Heart Failure

A young college football player was bought to the emergency room after collapsing on the football field during practice. When arriving he was unconscious and his ECG was abnormal. Subsequently he died after arresting in the emergency room. What does the physician suspect is the likely cause of this?

Hypertrophic cardiomyopathy

A client is seen in the emergency room reporting sharp chest pain that started abruptly. He says it has radiated to his neck and abdomen. He also states that it is worse when he takes a deep breath or swallows. He tells the nurse that when he sits up and leans forward the pain is better. Upon examination the nurse notes a pericardial friction rub and some EKG changes. Which disease should the nurse suspect this client to have?

Pericarditis

The most common cause of pulmonary edema is left-sided heart failure. Which explanation best describes the pathophysiology causing the development of pulmonary edema?

Pulmonary pressures are increased

The nurse is interpreting an electrocardiogram of a 65-year-old woman. Which should the nurse recognize as representing ventricular depolarization?

QRS complex

During a sleep study in the laboratory, the health care provider notices one client has a prolonged period of asystole. Which term will the nurse use to describe this event in the documentation? A. Bradycardia-tachycardia syndrome B. Sinus arrest C. Long QT syndrome D. Junctional rhythm

Sinus arrest

The most common cause of an ischemic stroke is which of the following?

Thrombosis

A client with new onset atrial fibrillation (AF) is being admitted to the hospital for possible cardioversion. The initial vital signs include a heart rate of 160 and blood pressure of 90/60. The admission nurse anticipates the presence of a pulse deficit. To verify this finding which action would the nurse take?

With another nurse, assess the apical and radial pulses simultaneously for one minute.

The nurse is caring for an infant diagnosed with a ventricular septal defect. Which assessment findings does the nurse anticipate?

a harsh murmur

A nurse is assessing a client who has a history of a bleeding peptic ulcer. What assessment findings should the nurse report immediately?

abdominal distension; cool, clammy skin; weak, thready pulse

In caring for a client with vasovagal syncope, the nurse should know that the associated temporary loss of consciousness is most commonly related to

bradyarrhythmia.

The nurse is noting a collection of blood under the scalp on a newborn being discharged to home. The nurse is correct to prepare teaching instructions of which topic?

cephalohematoma

When explaining to a client why there was only minimal muscle damage following 99% occlusion of the left anterior descending artery, the nurse will explain that this is primarily due to:

development of collateral circulation that build channels between some of the smaller arteries, usually when the flow is decreased gradually.

Which cause of pressure injuries (decubitus injuries or bedsores) impairs the flow of blood in the capillary beds?

external pressure

A client undergoes cerebral angiography for evaluation after an intracranial computed tomography scan revealed a subarachnoid hemorrhage. Afterward, the nurse checks frequently for signs and symptoms of complications associated with this procedure. Which findings indicate spasm or occlusion of a cerebral vessel by a clot?

hemiplegia, seizures, and decreased level of consciousness (LOC)

A client is prescribed digitalis medication. Which condition should the nurse closely monitor when caring for the client?

nausea and vomiting

A nurse assesses the skin of a child and documents evidence of plethora. Which finding did the nurse observe?

redness of the cheeks and lips

Which of the following is the most common site for a dissecting aneurysm?

thoracic region

A patient is admitted via ambulance to the emergency room of a stroke center at 1:30 p.m. with symptoms that the patient said began at 1:00 p.m. Within 1 hour, an ischemic stroke had been confirmed and the doctor ordered tPA. The nurse knows to give this drug no later than what time?

4:00pm

The nurse must calculate the adolescent's cardiac output. The child's heart rate is 76 beats per minute and the stroke volume is 75 ml. Calculate the child's cardiac output in ml/min. Record your answer using a whole number.

5700

A client with a history of acute coronary syndrome asks why she needs to take aspirin 81 mg every day. The most appropriate response by the nurse would be:

"Aspirin will help prevent blood clotting."

An older adult client asks her health care provider if the reason she has developed aortic stenosis is because she drank so much milk as a child growing up on a farm. Which response is most accurate?

"Atherosclerosis is a long process that eventually results in calcification of heart valves."

A nurse working in the clinic is seeing a client who has just been prescribed a new medication for hypertension. The client asks why hypertension is sometimes called the "silent killer." What is the best response by the nurse?

"Hypertension often causes no symptoms."

A nurse is caring for a client with a new prescription of digoxin. Which client statement would require further teaching about digoxin? Select all that apply.

"I will take the digoxin with my antacids at night." "If I forget a dose, I will catch-up by doubling the next dose." "I understand that I will need annual blood work to check therapeutic levels."

The nurse is assisting a patient with peripheral arterial disease to ambulate in the hallway. What should the nurse include in the education of the patient during ambulation?

"Walk to the point of pain, rest until the pain subsides, then resume ambulation."

An older adult client has been diagnosed with pernicious anemia as a result of the aging process. Which nursing intervention is appropriate to treat pernicious anemia?

Administering an intramuscular injection of cobalamin, a form of B12.

After birth, red blood cells are normally made in which location?

Bone Marrow

A client who is experiencing some angina associated with atrial tachycardia has been placed on verapamil, a calcium-channel blocker. Knowing that this medication blocks the slow calcium channels, thereby depressing phase 4 and lengthening phases 1 and 2 action potential, the nurse should assess this client for which adverse reaction?

Bradycardia

Which client is at greatest risk for orthostatic hypotension? A. A 70-year-old female client who has taken the same antihypertensive medication for 10 years B. A 20-year-old pregnant client at 36 weeks' gestation C. A 66-year-old postoperative client on bed rest D. A 42-year-old male client with history of pulmonary embolism

C

The nurse is caring for a girl with anorexia who has been hospitalized with unstable vital signs and food refusal. The girl requires enteral nutrition. The nurse is alert for which complications that signal refeeding syndrome?

Cardiac arrhythmias, confusion, seizures