Questions I got wrong in textbook

In providing care to a patient diagnosed with atherosclerosis, the nurse correlates the initiation of this disease to which process? 1. Oxidation 2. Inflammatory process 3. Injury to the vessel wall 4. Trapping of low-density lipoproteins

3 (order is 3, 2, 4, 1)

How soon does the nurse expect angel pain to begin subsiding after administering sublingual nitroglycerin to a client with chronic stable angina? A 1 to 2 minutes B 5 to 6 minutes C 10 to 12 minutes D 15 to 20 minutes

A

Which ECG strip pattern is evidence to the nurse that a clients temporary transvenous pacemaker has successfully depolarized the ventricles? A. A pacer spike followed by a QRS complex. B. Two spikes followed by a QRS complex. C. A pacer spike before and after the QRS complex. D. No pacer spike but regular QRS complexes.

A

Which is the most common and normal response by a client to a cardiovascular illness? A. Denial. B fear. C loss of control. D depression.

A

Which signs and symptoms would the nurse expect to assess in a client with sinus tachycardia? Select all that apply. A. fatigue B. Shortness of breath C. Decreased O2 saturation D. Decreased blood pressure E. Anginal pain F. Widened QRS complexes

ABCDE

What are the priority nursing actions r/t caring for an older adult client with HF who is prescribed digoxin? select all that apply A, monitor the ECG strip for early sx of toxicity like bradycardia. B auscultate the apical pulse HR and rhythm for a full min. before administering C observed for sx of toxicity, which are often nonspecific, such as anorexia fatigue, and blurred vision D report any changes in HR or rhythm to the HCP E. Monitor serum digoxin and k+ F. Check parameters to hold

ABCDEF

Which symptoms would indicate to the nurse that a client aneurysm had ruptured select all that apply A hypotension B diaphoresis C decrease of low consciousness. D loss of pulses distal to rupture. E Bradypnea. F scant urine output

ABCDF

For which manifestations with the nurse monitor when providing care for a client prescribed beta blocker therapy? Select all that apply. A depression. B bradycardia C decreased level of consciousness. D increased urine output E crackles or wheezes in the lungs F chest discomfort.

ABCEF

Which findings would the nurse expect in a client with mitral valve stenosis? Select all that apply. A a client with mild mitral valves stenosis will likely be a symptomatic. B classic signs include dyspnea angina and syncope. C rumbling apical diastolic murmur. D syncope on exertion. E sinus tachycardia. F right sided heart failure With jugular neck vein, distention

ABCF

What are potential benefits of a client receiving the drug digoxin? A reduced heart rate B increased contractility. C Venus vasodilation. D slowed conduction through the AV node. E inhibition of sympathetic activity with enhanced parasympathetic activity. F enhanced renal excretion of sodium and water

ABDE

Which assessment findings would cause the nurse to suspect cardiac tamponade in a client? Select all that apply. A. Neck vein distention. B paradoxical pulse. C hypertension. D muffled heart sounds. E tachycardia. F petechiae

ABDE

Which ECG waveforms and intervals are the normal measurements or positions? A. PR interval 0.12-0.20 second B. QRS complex 0.06-0.10 second C. PR segment isoelectric line D. QT interval less than half of the R to R interval E. U wave follows T wave if present F. TP segment one block above isoelectric line

ABCDE

Which signs and symptoms indicate to the nurse that a client with a myocardial infarction and heart failure is going into cardiogenic shock? Select all that apply. A. Cold clammy skin with poor peripheral pulses. B pulmonary congestion and tachypnea C bradycardia and hypertension. D urine output less than 0.5 to 1 mL/KG/HR E agitation, restlessness, or confusion. F systolic BP less than 100 mm hg

ABDE

Which actions are essential nursing care for a client immediately after elective cardioversion? Select all that applied. A administer oxygen. B assess vital signs and level of consciousness. C provide sips of water or ice chips. D monitor for dysrhythmias. E. Maintain an open airway. F document the results of the cardioversion.

ABDEF

Which assessment findings would suggest to the nurse that a client who received a heart transplant was experiencing organ rejection select all that apply. A shortness of breath. B hypertension. C abdominal pain. D decreased activity tolerance. E fluid gain (edema, increase weight) F atrial fibrillation, or flutter

ABDEF

Which are characteristics the nurse would expect to find in a client with unstable angina? Select all that apply. A chest pain occurs at rest or with exertion. B pain causes severe limitation of activities. C includes chronic stable, angina, vasospastic, angina, and new onset angina. D. Presents with ECG changes and elevation of troponin levels. E ischemia does not cause myocardial damage or cell death. F the pain or pressure is poorly relieved by nitroglycerin

ABEF

What are the characteristics that the nurse would expect when a client is diagnosed with mitral valve prolapse? Select all that apply A valve leaflets enlarge and bulge up into the left atrium during systole B hepatomegaly is a late sign C most clients are asymptomatic and this abnormality is benign D many clients have normal HR and blood pressures E older adults have increased risk for mitral valve prolapse F a midsystolic click and late systolic murmur is best heart at the apex of the heart

ACDF

Which early symptoms indicate to the nurse that a clients heart failure is getting worse and pulmonary edema is developing? Select all that apply. A crackles in the lung bases B. Frothy blood-tinged sputum C dyspnea at rest D cyanosis E disorientation F level of crackles rises higher in the lungs

ACE

Which mechanisms regulate in mediate blood pressure? Select all that apply. A. Kidneys. B gastrointestinal system C. Autonomic nervous system. D. Respiratory system. E. Endocrine system F. Carbon dioxide elimination.

ACE

Which signs and symptoms would the nurse expect to assess when a client is diagnosed with aortic stenosis? Select all that apply A dyspnea on exertion B atypical chest pain. C angina D hemoptysis E harsh systolic crescendo-decrescendo murmur. F orthopnea

ACEF

Which statements are accurate about a clients true aneurysm? Select all A the aneurysm may be described as fusiform or saccular. B an aneurysm is formed when blood accumulates in the wall of an artery. C the aneurysm creates a permanent dilation of an artery. D a true aneurysm can occur as a result of trauma to the arterial walls E a congenitally weakened arterial wall may result in an aneurysm. F the aneurysm section of the arterial wall is enlarged to at least twice its normal diameter

ACEF

An alert and oriented client comes to the walk-in clinic with left sided chest pain, mild shortness of breath and diaphoresis. What is the nurses first priority action? A obtain a complete cardiac history for the client. B placed the client in semi Fowlers position with supplemental oxygen. C Instruct the client to go immediately to the nearest full service hospital. D immediately alert the healthcare provider and establish IV access

B

The nurse would teach a client to seek treatment for symptoms of myocardial infarction immediately rather than delay, because physical changes occur, and how many hours after an MI? A 3 hours B 6 hours C 12 hours D 24 hours.

B

What is the priority intervention when a client comes to the emergency department with extreme anxiety, tachycardia, struggling for air and a moist cough productive of frothy and blood tinged sputum. A prepare for endotracheal intubation and mechanical ventilation. B administer high flow oxygen therapy by facemask. C prepare for continuous positive airway pressure ventilation. D apply a pulse oximeter and a cardiac monitor.

B

What would the nurse expect to find in the history of a client admitted with acute arterial occlusion? A history of chronic venous stasis disease treated with debridement B acute myocardial infarction or atrial fibrillation with within the previous weeks C episode of blunt trauma that occurred several months ago. D family history of coronary artery disease

B

When a client has an ejection fraction of less than 30%, about which potential treatment does the nurse prepare to educate the client? A heart transplant B implantable cardioverter/defibrillator. C ventricular reconstructive procedure. D implanted mechanical pump.

B

Which procedure would the nurse provide teaching about to a client who has chronic atrial fibrillation and is at increased risk for a stroke, but is not a candidate for anti-coagulation? A radio frequency, catheter ablation (RCA) B left atrial appendage, (LAA) occlusion C biventricular pacing D surgical maze procedure

B

Which findings does the nurse expect when assessing a client with infective endocarditis select all that apply. A grating pain that is aggravated by breathing. B ulcer nodes on palms of hands and soles of feet. C splinter hemorrhages. D Janeway lesions on the hands and feet. E anorexia and weight loss F pericardial friction rub

BCDE

Which client serum lipid test suggest an increased risk for cardiovascular disease? Select all that apply. A HDL 65 mg/dL B. LDL 170 mg/dL C. Triglycerides 185 mg/dL D. Total cholesterol 175 mg/dL E. VLDL 39 mg/dL F total cholesterol 250 mg/dL

BCEF

Which diagnostic test with the nurse obtain to determine whether a client admitted with acute onset chest pain and dyspnea had experience in myocardial infarction? Select all that apply. A C reactive protein. B 12 Lead ECG C chest x-ray D serial troponins T and I. E, lipid profile. F exercise stress test

BD

Which risk factors for atrial fibrillation would the nurse monitor for in client? Select all that apply A. Peripheral vascular disease B hypertension C COPD D diabetes mellitus. E excessive alcohol intake. F mitral valve disease

BDEF

Which actions by an older adult are likely to cause the experience of syncope? Select all all that apply. A walking briskly for 20 minutes B. Turning the head. C laughing D performing a Valsalva maneuver. E rapidly swallowing fluids. F shrugging the shoulders.

BDF

Because many sudden, cardiac arrest victims die before reaching the hospital, which priority teaching point with the nurse be sure to include in a community presentation about heart disease? A the importance of controlling alcohol consumption and smoking sensation B modifying risk factors and blood pressure medication, compliance See how to operate an automatic external defibrillator (AED) in the workplace. D recognizing unstable angina and when to call for help

C

When a client develops heart failure what initial compensatory mechanism of the heart does the nurse expect to occur that will maintain cardiac output? A parasympathetic stimulation B ventricular hypertrophy C sympathetic stimulation. D Renin angiotensin activation system.

C

Which drug does the nurse prepare to administer to a client diagnosed with the dysrhythmia torsade de pointes? A calcium chloride. B epinephrine. C magnesium sulfate. D adenosine

C

Which nursing actions have priority when a client with acute supraventricular tachycardia SVT is to be administer adenosine by the health care provider? Select all that apply. A. Have injectable beta blocker drugs at the bedside B. Give the drug slowly over 1-2 minutes C. Ensure that emergency equipment is at the bedside D. Follow the drug injection with a normal saline bolus E. Monitor the client for bradycardia, nausea, and vomiting F. Prepare for synchronized cardioversion

CDE

When would the telemetry unit nurse use temporary transcutaneous pacing for a client? Select all A, only when a client's ECG shows a Brady dysrhythmia, and is asymptomatic B when a client, ECG strip shows a-fib with a rapid ventricular response C only as a temporary emergency measure until invasive pacing method can be started D when a client is experiencing syncope, and dizziness E only until the clients heart rhythm returns to normal F when invasive pacing is not immediately available

CEF

What does the nurse suspect when a client describes substantial pain that radiates to the left shoulder is grading and worsens with inspiration and coughing? A. Chronic constrictive pericarditis. B cardiac tamponade. C hypertrophic cardiomyopathy. D acute pericarditis.

D

When would the nurse expect the release of B type natriuretic peptide (BNP) for a client with heart failure? A. When the client has an enlarged liver B when a client ejection fraction is lower than normal. C when a client develops ventricular hypertrophy. D when a client has fluid overload.

D

Which type of cardiomyopathy may present with sudden death as the first symptom A dilated? B arrhythmogenic right ventricular C restrictive. D hypertrophic.

D