cardiac 1/07/22

A nurse is assisting in the plan of care for a client who os having a percutaneous transluminal coronary angioplasty (PTCA) with stent placement. Which of the following actions should the nurse anticipate in the postoperative plan of care?

Initiate an aspirin regimen

A nurse is reinforcing teaching with a client who has a new prescription for hydrochlorothiazide 50mg PO daily to treat hypertension. Which of the following instructions should the nurse include in the teaching?

"Take hydrochlorothiazide in the morning"

A nurse is reinforcing teaching with the family if a child about hospice care. Which of the following statements should the nurse include in the teaching?

"Hospice staff members consider the family's needs to be just as important as those of the child"

A nurse is reinforcing teaching with a client who has a new prescription of nitroglycerin via a transdermal patch. Which of the following client statements indicates an understanding of the teaching?

"I need to rotate the location of my patch every few days"

A nurse is assisting with the admission of a client who is in a sickle cell crisis. Besides pain management, which of the following interventions should the nurse suggest to include in the client's plan of care?

Ample hydration

A nurse is monitoring a client who is receiving phenytoin IV for the treatment of status epileptics. Which of the following findings should the nurse identify as an adverse effect of the medication?

Cardiac dysrhythmias

A nurse is caring for a client who is in the oliguric anuric stage of acute kidney injury. The client reports diarrhea, a dull headache, palpitations, and muscle tingling and weakness. Which of the following actions should the nurse take first?

Check the clients electrolyte values

A nurse is caring for a client who is receiving continuous cardiac monitoring. which of the following medications should the nurse anticipate administering to treat arterial fibrillation?

Dilitazem

A nurse is caring for a client who has advanced heart failure. Which of the following actions should the nurse take?

Enforce fluid restrictions

Which of the following described the legal doctrine of respondent superior?

Let the master answer

A nurse is caring for a client who is having a possible myocardial infarction. Which of the following findings should the nurse identify as an associated manifestation of MI?

Nausea

A nurse is caring for an older adult client who has an acute myocardial infarction. When collecting data from this client, the nurse should identify that older adults are prone to complications of MI in tissue perfusion because of which of the following age related factors?

Peripheral vascular resistance increases

A nurse is monitoring a client who is receiving a transfer of packed red blood cells. Which of the flooring actions should the nurse take first when suspecting a transfusion reaction?

Stop the infusion

When a client is injured during a seizure, which fact is most important to document in the incident report to reduce the risk of liability?

The signal cord was within the client's reach

A nurse is reinforcing teaching with a 70-year-old client about risk factor for heart failure. The client has mild asthma, diabetes mellitus, and coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching?

"My coronary artery disease is a risk factor for heart failure"

A home health nurse is caring for a toddler who has terminal cancer who is scheduled to begin receiving hospice care. The child's parents tell the nurse "This is all my fault, and I wish I could trade places with my child." Which of the following responses should the nurse provide?

"Tell me marabout what you are feeling"

A nurse is assisting with the plan of care for a client who has heart failure and lives alone. A referral has been made for a case manager to visit with the client about the role of a case manager?

"The case manager will coordinate and plan your care while you recover from your surgery."

A nurse is reinforcing teaching with a client with a new diagnosis of heart failure who has a prescription for furosemide. Which of the following statements should the nurse include in the teaching?

"You should eat foods that are high in potassium while taking this medication."

Which of the following nursing behaviors promote interdisciplinary collaboration?(SATA)

1. Good communication 2. Assertiveness 3. Conflict negotiation skilled 4. Decision making and critical thinking

A nurse is caring for a group of clients in a long term care facility. The nurse should understand that which of the following clients is eligible for hospice services at this time?

A client who has end-stage cirrhosis

A nurse is speaking with the family member of a client who has early Alzheimer's disease. The family member would like to keep the client living at home, but the client requires assistance while the family member is away at work. Which of the following services should the nurse include in the discussion?

Adult day care

a nurse is preparing an automated external defibrillator (AED) for a client receiving CPR after a cardiac arrest. Which of the following actions should the nurse perform first?

Apple the defibrillator pads to the client's chest

A nurse is checking a client who has pericarditis for cardiac tamponade. Which of the following actions should the nurse take?

Ausucltate blood pressure for pulses paradoxes

A client on a postpartum unit begins ti hemorrhage. the nurse quickly takes charge and delegates tasks to other members of the working group. this leadership style would be best described as?

Autocratic

A nurse is caring for a client who had a myocardial infarction 5 days ago. The client has a sudden onset of shortness of breath and begins coughing frothy, pink sputum. The nurse auscultates loud, bubbly sounds on inspiration. Which of the following adventitious breath sounds should the nurse document?

Coarse crackles

A nurse is assisting with the admission of a client who has arterial fibrillation with a heart rate if 155/min. The nurse should anticipate a prescription from the provider for which of the following medications?

Diltiazem

A nurse is assisting with the preparation of an in-service presentation about the management of myocardial infarction. The nurse should identify that death following MI is most often a result of which of the following complications?

Dysrhythmias

A nurse is preparing to administer digoxin to a client. Which of the following findings should the nurse identify as a contraindication to the client receiving this medication?

Heart rate 51/min

A nurse is reviewing the laboratory report of a client who has chronic kidney disease (CKD). The nurse notes the following laboratory test results: potassium 6.8 mEq/L, calcium 7.4 mg/dl, hemoglobin 10.2g/dl, and phosphate 4.8 mg/dL. Which of the following findings is the priority for the nurse to report to the provider?

Hyperkalemia

A nurse is caring for a client who has heart failure and is prescribed dobutamine hydrochloride by continuous IV infusion. The nurse should identify that which of the following is the therapeutic effects of this medication?

Improve cardiac output

A nurse is assisting with the admission of a client who has unstable angina. Which of the following medications should the nurse anticipate administering to the client?

Nitroglycerin

A nurse is caring for a client who received naloxone for a suspected opioid overdose. which of the following findings should the nurse identify as an adverse effect of this medication?

Report of pain

A nurse is contributing to the plan of care for a client with COPD who requires continuous oxygen therapy and us being discharged to return home. Which of the following referrals should the nurse recommend?

Social worker

A nurse is assisting with the preparation of an in-service presentation about collection data from clients who are having acute myocardial infarction. The nurse should identify that the most common finding of acute MI is which of the following?

Substernal chest pain

The nurse is supervising a nursing assistance complete oral care on a comatose client. Which of the following observations indicate the nursing assistant needs further training?

The client is positioned in high-fowler's position during oral care

A hospice nurse is visiting with the family member of a client. The family member states that the client has insomnia almost nightly> Which of the following practices should the nurse identify as contributing to the clients insomnia?

The client watches television in bed during the day

Which of the following is a necessary condition of proving malpractice?

The standard of care was violated

A frequent site and cause of nosocomial infection is the?

Urinary tract, related to placing the drainage bag above the bladder