Cardiac EAQ

72 mm Hg

A nurse is taking the blood pressure of a client with hypertension. The first sound is heard at 140 mm Hg; the second sound is a swishing sound heard at 130 mm Hg; a tapping sound is heard at 100 mm Hg; a muffled sound is heard at 90 mm Hg; the sound disappears at 72 mm Hg. When recording just the systolic and diastolic readings, what is the diastolic pressure?

Vitamin E

The nurse determines that a client is probably referring to which vitamin that the client heard may reduce the effects of aging because of its prevention of the oxidative breakdown of cell walls?

Hemoglobin (Hb)

The nurse identifies that which lab test is part of the complete blood count?

Absorbing vitamin B12

Which action does the Shilling test for pernicious anemia determine?

Taking the apical pulse before drug administration and teaching the client how to count the pulse

Which action would be included in the plan of cause for the next few days for a client hospitalized for heart failure who is receiving digoxin and will continue taking the drug after discharge?

Climbing a flight of stairs to the bedroom

Which activity would the nurse expect to cause significant distress in a client with heart failure?

Vitamin K

Which antidote would the nurse recall when administering warfarin to a client?

Apical heart rate

Which assessment would the nurse perform before administering digoxin to a client?

Failure of the bone marrow to produce blood cells

Which condition would the nurse identify as the cause of a clients aplastic anemia?

Sodium

Which dietary restriction would the nurse teach a client with heart failure?

Fear

Which emotion would the client be experiencing when they ask, "Are you sure I'm ready to move?" just before being transferred from an intensive care unit to an intermediate care unit?

"It provides prophylaxis against postoperative thrombus formation."

Which explanation about the mechanism of action would the nurse give to a client who is prescribed enoxaparin 40mg subcutaneously daily after abdominal surgery?

Do not abruptly discontinue the medication.

Which information would the nurse include when teaching a client with hypertension about metoprolol?

Remove a previous patch before applying the next one

Which instruction would the nurse include in the teaching plan for a client to apply a nitroglycerin patch as prophylaxis angina?

White blood cell count

Which laboratory report is MOST important for the nurse to monitor when considering the effects of chemotherapy in a client with cancer of the tonsils and enlarged lymph glands in the neck?

Apex of the heart

Which location would the nurse expect the first heart sound (S1) to be heard the loudest when auscultating a clients heart?

Electrolyte panel

A client has an electrocardiogram (ECG), and hypokalemia is suspected. The nurse expects that the diagnosis will be confirmed by which diagnostic test?

"A vein in the leg was used to bypass the coronary artery."

Which explanation would the nurse provide to a client's spouse after emergency coronary artery bypass surgery who asks why there is a dressing on the clients left leg?

Diastolic blood pressure that remains higher than 90 mm Hg

Which finding indicated to the nurse that a client is hypertensive?

Transient ischemic attacks

Which health problem does the nurse identify from an older clients history that increases the clients risk factors for a cerebrovascular accident?

Relief of anginal pain

Which indicator would the nurse use to determine effectiveness after administration of sublingual nitroglycerin?

Vitamin K

Which medication would the nurse expect the health care provider to prescribe in a client with a warfarin overdose?

Notify the health care provider because some herbs can cause hemorrhage

Which nursing intervention is the PRIORITY when obtaining an admission history for a preoperative client who is taking several herbal supplements?

20 minutes

Which response would the nurse give to a client who asks, "How long before ischemia produces irreversible damage to my heart?"

Aching, cramping, and tiredness of the legs that occur with walking

Which response would the nurse give to a client with peripheral arterial disease (PAD) who asks, "What is intermittent claudication?"

"There is no known cause."

Which response would the nurse provide to a client with primary hypertension who asks, "What is the cause of my hypertension?"

Antihypertensive

Which specific drug classification would the nurse explain includes captopril?

"Labels on prepackaged food products should be evaluated before purchase."

Which statement by a client with hypertension prescribed 2g sodium diet provides evidence that the nurses dietary instructions are understood?

Factor VIII

Which substance would the nurse expect to be deficient in a client with hemophilia A?

Enzyme-linked immunosorbent assay (ELISA)

Which test would the nurse explain will be used for the initial screening for AIDS?