adult theory cardiac ATI

a nurse on a medical-surgical unit is caring for a client who reports pain in the jaw, back, and shoulder, and shortness of breath and nausea. which of the following actions should the nurse take?

obtain an EKG

a nurse is planning to administer digoxin to a client who has heart failure. which of the following laboratory results is the priority for the nurse to review prior to administering the medication?

potassium

a nurse is providing discharge instructions for a client who has congestive heart failure. which of the following client statements indicates to the nurse that the teaching was effective?

"I plan to slow down if I am tired after exercising

a nurse is teaching a client who has acute kidney injury about dietary sources of potassium. which of the following statements by the client indicates a need for further clarification?

"adding pecans will be a change i can readily make"

a nurse is teaching a middle-age client about hypertension. which of the following information should the nurse include in the teaching?

"diuretics are the first type of medication to control hypertension"

a nurse is reinforcing teaching with a client regarding reduction of risk factors for coronary artery disease. which of the following statements by the client indicates an understanding of the teaching?

"i must stop smoking" "i need to monitor my weight" "i am limiting my intake of fast food"

a nurse is providing teaching to a client who has a new prescription for transdermal nitroglycerin paste. which of the following statements by the client indicates the need for further teaching?

"i should leave the patch in place until it is time for the next dose"

a nurse is teaching a client who is taking atorvastatin daily. which of the following statements by the client indicates an understanding of the teaching?

"i will avoid drinking grapefruit juice"

a nurse is performing an ECG on a client who is experiencing chest pain. which of the following statements should the nurse make?

"i will need to apply electrodes to your chest and extremities"

a nurse is providing teaching to a client about interventions to reduce the risk of developing cardiovascular disease. which of the following statements by the client should indicate to the nurse the need for further teaching?

"increasing my intake of foods containing trans-fatty acids can lower my risk"

a nurse is providing instructions to a client who has a new prescription for sublingual nitroglycerin (nitrostat) to treat angina pectoris. which of the following instructions should the nurse include?

"place the tablet under your tongue and then take a small sip of water."

a nurse is teaching the partner of a client who has an acute myocardial infarction (MI) about the reason blood was drawn from the client. which of the following statements should the nurse make regarding cardiac enzymes studies?

"these tests help determine the degree of damage to heart tissues."

a nurse in a provider's clinic is assessing a client who take sublingual nitroglycerin for stable angina. the client reports getting a headache each time he takes the medication. which of the following statements should the nurse make?

"try taking a mild analgesic to relieve the headache"

a nurse is teaching a client who has a new prescription for simvastatin. which of the following instructions should the nurse include?

"you should avoid grapefruit juice"

a nurse is an emergency department is preparing to administer alteplase accelerated therapy to a client who is having a myocardial infarction. which of the following actions should the nurse plan to take?

administer the medication within 30 min of the client's arrival to the department reconstitute the medication with sterile water administer the medication in a 15 mg IV bolus assess the client for back pain

a client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. the nurse recognizes that the aspirin is given due to which of the following actions of the medication?

antiplatelet aggregate

a nurse is providing teaching to a client who has stable angina and a new prescription for transdermal nitroglycerin. which of the following instructions should the nurse include?

apply the patch to a hairless area and rotate the sites, apply a new patch each morning, remove the patch for 10 to 12 hours daily

a nurse is teaching a client about following a low-cholesterol diet after coronary artery bypass grafting. which of the following client food choices reflects the client's understanding of these dietary instructions?

beans

a nurse is caring for a client who just had a cardiac catheterization. which of the following nursing interventions should the nurse include in the client's plan of care?

check peripheral pulses in the affected extremity keep the client's hip and leg extended have the client remain in bed up to 6 hr

a nurse is assessing a client who has infective endocarditis. which of the following findings should be the priority for the nurse to report to the provider?

dyspnea

a nurse in an emergency department is assessing a client who is having a suspected acute myocardial infarction (MI). which of the following manifestations should the nurse expect to find for a client experiencing an acute MI?

dyspnea, nausea, tachycardia, diaphoresis

a nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. which of the following instructions should the nurse include in the teaching?

exercise at least three times per week

a nurse is providing teaching for a client who has a new diagnosis of angina pectoris. the nurse should give the client which of the following information about anginal pain?

exertion and anxiety can trigger the pain

a nurse is caring for an older adult client who has left-sided heart failure. which of the following assessment findings should the nurse expect?

frothy sputum

a nurse is assessing a client who has left-sided heart failure. which of the following findings should the nurse expect?

hacking cough

a nurse in a providers office is assessing a client who reports dyspnea and fatigue. physical assessment reveals tachycardia and weak peripheral pulses. the nurse should recognize these findings as manifestations of which of the following conditions?

heart failure

a nurse is assessing a client who has right ventricular failure. which of he following findings should the nurse expect?

hepatomegaly

a nurse is giving a presentation to a community group about preventing atherosclerosis. which of the following should the nurse include as a modifiable risk factor for this disorder?

hypercholesterolemia, hypertension, obesity, smoking

a nurse is assessing a client who has fluid overload. which of the following findings should the nurse expect?

increased heart rate, increased blood pressure, increased respiratory rate

a nurse in an emergency room is caring for a client who presents with manifestations that indicate myocardial infarction. which of the following prescriptions should the nurse take first?

initiate oxygen therapy

a nurse is teaching about necessary baseline examinations with a female client who is to start taking atorvastatin. which of the following baseline examinations should the nurse include in the teaching?

liver function tests

a nurse is an emergency department is planning care for a client who is having an acute myocardial infarction (MI). the nurse should plan to administer which of the following medications after the initial acute phase to manage the client's pain and anxiety?

morphine

a nurse is assessing a client who has hypercholesterolemia and is receiving simvastatin. which of the following findings should the nurse recognize as a potential adverse effect?

muscle weakness

which of the following should be considered a risk factor for the development of hypertension?

obstructive sleep apnea (OSA)

a nurse is providing teaching to a client who has stable angina and a new prescription for nitroglycerin oral, sustained-release capsules. which of the following instructions should the nurse include?

swallow the capsules whole

a nurse is monitoring the cardiac output of a client who has left-sided heart failure using pulse pressure analysis. which of the following findings can compromise the readings?

the client is experiencing premature atrial contractions

a nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. which of the following goals should the nurse include?

the client will walk for 30 min 5 days a week

a nurse in the emergency department is caring for a client who is experiencing manifestations of a myocardial infarction (MI). which of the following laboratory tests should the nurse expect the provider to prescribe?

troponin

a nurse in the emergency department is caring for a client who reports chest pressure and shortness of breath. which of the following laboratory tests should the nurse anticipate the provider to prescribe?

troponin I

a nurse in an emergency department is caring for a client who reports substernal chest pain and dyspnea. the client is vomiting and is diaphoretic. which of the following laboratory tests are used to diagnose a myocardial infarction?

troponin I, troponin T, CPK, myoglobin

a nurse is caring for a client who came to the emergency department reporting chest pain. the provider suspects a myocardial infarction. while waiting for troponin levels report, the client asks what this blood test will show. which of the following explanations should the nurse provide the client?

troponin is a myocardial muscle protein that appears in the bloodstream when there is damage to the heart

a nurse is caring for a client who has a new diagnosis of essential hypertension. the nurse should monitor the client for which of the following findings that is consistent with the diagnosis?

vertigo