Cardiac System
A nurse is caring for a client who has hypertension and is afraid of taking his blood pressure medication. Which statement is an example of therapeutic communication response of reflection?
"you seem upset about taking your blood pressure medication"
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 reviewing discharge instructions with a client who has Raynaud's Disease. Which of the following statements indicate an understanding of the teaching?
"I am going to take a stress management class"
A nurse is reviewing the laboratory results for a client who has a history of atherosclerosis and notes elevated cholesterol levels. Which of the following statements by he client indicates the nurse should plan follow up teaching on a low cholesterol diet?
"I eat two eggs for breakfast each morning."
A nurse is providing discharge instructions for a client who has congestive heart failure. Which of the following statements by the client indicates to the nurse to the nurse teaching was effective?
"I plan to slow down if I am tired the day after exercising."
A nurse is caring for a client and identifies an infiltration at the IV catheter site. Identify the order the nurse should perform the following actions.
1. Stop the infusion 2. Remove the IV catheter 3. Apply a sterile dressing 4.Elevate the extremity 5.Apply a warm or cold compress
A nurse is caring for a client who returns to the nursing unit from the recovery room after a sigmoid colon resection for adenocarcinoma. The client had an episode of intraoperative bleeding. Which of the following indicates to the nurse that the client may be developing hypovolemic shock?
Increase in the heart rate from 88 to 110/min
A nurse is providing teaching to a client who has peripheral arterial disease (PAD). Which of the following instructions should the nurse include in the teaching?
Adjust the thermostat so that the environment is warm.
A client has a history of myocardial infarction (MI) is prescribed aspirin is given due to which of the following actions of the medication?
Antiplatelet aggregate Aspirin is used to decrease the likelihood of blood clotting. It is also used to reduce the risk of heart attack or stroke by inhibiting platelet aggregation and reducing thrombus formation in a n artery, vein, or heart.
A nurse is teaching a client who has hypertension and a new prescription for atenolol. Which of the following findings should the nurse include as an adverse effect of this medication?
Bradycardia a resting heart rate of fewer than 60 beats per minute (BPM) qualifies as bradycardia
A nurse is caring for a client who has valvular heart disease and is at risk for developing left sided heart failure. Which of the following manifestations should alert the nurse the client is developing this condition?
Breathlessness
A nurse in a provider's office is reviewing the laboratory results of a client who takes FUROSEMIDE for hypertension. The nurse notes that the clients potassium level is 3.3 mEq/L. The nurse should monitor the client for which of the following complications?
Cardiac dysrhythmias
A nurse is caring for a client who has congestive heart failure and is taking DIGOXIN daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?
Check the client's vital signs
A nurse is caring for a client who is unconscious and has a breathing pattern characterized by alternation periods of hyperventilation and apnea. The nurse should document that the client has which of the following respiratory alternations?
Cheyne-Strokes respiration
A nurse is preparing to administer HEPARIN subcutaneously to a client who has deep vein thrombosis. Which of the following techniques should the nurse use?
Cleanse the skin with an alcohol swab, insert the needle, inject the HEPARIN, and observe for bleeding.
A nurse is preparing to administer a transfusion of red blood cells to a client that has heart failure. For which of the following manifestations should the nurse monitor to prevent fluid volume overload?
Dyspnea jugular vein distention confusion
A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking FUROSEMIDE. Which of the following should be included in the teaching?
Eat foods that contain plenty of Potassium
A nurse is assessing an IV infusion site on an infants left hand. Which of the following findings should the nurse identify as an indication of an infiltration?
Edema in the palm of the hand.
A nurse is providing teaching to a client who has a new diagnosis of heart failure. Which of the following instruction should the nurse include in the teaching?
Exercise at least three times per week.
A nurse is caring for a client who has heart failure and a potassium level of 2.4 mEq/L. The nurse should identify which of the following medications as the cause of the client's low potassium level?
FUROSEMIDE
A nurse is providing discharge instructions to a client who developed DVT postoperatively and is prescribed anticoagulant therapy. Which of the following instructions should the nurse include?
Flexing her knees and feet frequently. Leg, ankle, and foot exercises can help imporve circulation and prevent venous stasis while the client is resting.
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 caring for a a client who has thrombophlebitis and is receiving HEPARIN by IV infusion. The client asks how long it will take for the heparin medication to dissolve the clot. Which of the following should the nurse response?
HEPARIN does not dissolve the clot. It stops new clots from forming.
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 is giving a presentation to a community group about preventing atherosclerosis. Which of the following should the nurse include in the teaching as a modifiable risk factor for this disorder? select all that apply.
Hypercholesterolemia hypertension obesity smoking
A nurse is caring for a client who has heart failure and a new prescription for FUROSEMIDE. For which of the following adverse effects should the nurse monitor?
Hypokalemia is an adverse effect of FUROSEMIDE
While performing an admission assessment for a client the nurse notes that the client has varicose veins with ulcerations and lower extremities edema with a report of feeling heaviness. Which of the following nursing diagnosis should the nurse identify as being the priority in the client's care?
Impaired tissue perfusion.
A nurse is caring for a patient who has PAD which of the following symptoms should the nurse expect to find in early stages?
Intermittent claudication pain (leg discomfort, pain, cramping) that develops with activity. Goes away with rest.
A nurse is reviewing the laboratory result of a male adult client who is at risk for peripheral arterial disease from atherosclerosis. The nurse should identify that which of the following results places the client at risk?
LDL 172mg/dL normal rang is less than 130mg/dL
A nurse is providing teaching to a client who has a new diagnosis of PARKINSON'S DISEASE. On which of the following medications should the nurse prepare to instruct the client?
LEVODOPA/CARBIDOPA
A nurse is assessing a client who had left femoral cardiac angiography. Identify where the nurse will palpate to assess the most distal pulse on the affected side.
Left pedal pulse
A nurse is assessing a male client who who has advanced peripheral artery disease (PAD) Which of the following findings should the nurse expect?
Leg pain at rest
A nurse is preparing to administer DIGOXIN to a client who has heart failure. Before administering this medication, which of the following actions should the nurse take?
Measure the client's apical pulse.
A nurse is caring for a client who is experiencing severe nausea and vomiting after a course of chemo. The nurse should monitor the client for which of the following clinical manifestations?
Metabolic alkalosis
A nurse is teaching a client who has a new prescription for CAPTOPRIL. Which of the following instructions should the nurse include in the teaching?
Monitor for a cough. Do not use salt substitutes while taking this medication.
A nurse in a clinic is caring for a client who has a prescription for DIGOXIN, for which of the following statements indicates the client is experiencing digoxin toxicity?
My vision seems yellow. (Yellow halo)
A nurse is teaching a client who has angina about NITOGLYCERIN SUBLINGUAL tablets. Which of the following statements should the nurse include in the teaching?
NITROGLYCERIN dilates cardiac blood vessels to deliver more oxygen to the heart.
A nurse is reviewing blood pressure classifications with a group of nurses at an in service meeting. Which of the following should the nurse include as a risk for the development of hypertension?
Obstructive sleep apnea
A nurse is caring for a client who has hypertension and has a potassium level of 6.8 mEq/L Which of the following actions should the nurse take?
Obtain a 12 lead ECG
A nurse is caring for a client who has peripheral vascular disease and reports difficulty sleeping because of cold feet. Which of the following nursing
Obtain a pair of slipper socks for the client.
A nurse is caring for a client who reports an area of redness, warmth, tenderness, and pain in the right calf. The nurse anticipates which of the following orders when notifying the provider of this finding?
Obtain a venous duplex ultrasound
A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect?
Orthopnea
A nurse is caring a for a client who has heart failure and a new prescription for FUROSEMIDE. Which of the following laboratory values should the nurse review before administering furosemide?
Potassium
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 level
A nurse is monitoring a client who received epinephrine for angioedema after a first dose of LOSARTAN. Which of the following data indicates a therapeutic response to the epinephrine?
Respirations are unlabored
A client is admitted to the er with a respiratory rate of 7/min. Arterial blood gases reveal the following values. Which of the following is an appropriate analysis of the ABGs? pH 7.22 PaCO2 68mm Hg PaO2 78 mm Hg saturation 80 % Bicarbonate ( HC03) 26m Eq/L
Respiratory Acidosis
A nurse is providing instructions to a new nurse about caring for a client who is receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts the client at risk for both hyperkalemia and hyponatremia?
Spironolactone
A nurse is performing tracheostomy care for a client and suctioning to remove copious secretions. Which of the following actions should the nurse take?
Suction intermittently, only while withdrawing tube.
A nurse is assessing a client who has hypoxia. Which of the following findings should he nurse expect?
Tachycardia more than 100 beats per minute (BPM)
A nurse is providing teaching to a client who has hypertension and a new prescription for HYDROCHLOROTHIAZIDE. Which of the following instructions should the nurse provide?
Take the medication early in the day. Monitor for leg cramps
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 should walk for 30 minutes 5 days a week.
A nurse in a provider's clinic is assessing a client who takes sublingual NITOGYLCERIN 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 reviewing the laboratory results of a client who has fluid volume deficit. The nurse would expect which of the following findings?
Urine specific gravity
A nurse is caring for a client who has a diagnosis of essential hypertension. The nurse should monitor for which of the following findings that is consistent with the diagnosis?
Vertigo the nurse should monitor the client for findings such as vertigo, headache, facial flushing, and fainting.
A nurse is planning care for a client who has pernicious anemia. Which of the following interventions should the nurse plan to implement?
Vitamin b12 injections. VITAMIN B12 INJECTIONS TREAT PERNICIOUS ANEMIA WHEN DIET FAILS TO IMPROVE THE ANEMIA DUE TO POOR ABSORPTION
A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. the provider prescribes warfarin PO without discontinuing the heparin. The clients asks why both anticoagulants are necessary. How should the nurse respond?
WARFARIN takes several days to work, so the IV HEPARIN will be used until the WARFARIN reaches a therapeutic level.
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 affect?
muscle weakness myopathy is an adverse effect of this medication which include muscle aches, tenderness, and muscle weakness.
