EAQ cardiovascular

the nurse provides education to a patient who receives a prescription for sublingual nitroglycerin for treatment of angina. which statement made by the patient indicates the need for further teaching?

"after the bottle is open the tablets should be replaced every 12 months"

A patient with stable angina receives a prescription for isosorbide dinitrate. Which medication information would the nurse provide to the patient? Select all that apply.

"change positions slowly after taking this medication" "you may be scheduled for a 10-14 hour nitrate free period every day"

the nurse reviews the medical records of several patients. which patients are at high risk of developing hypertension? select all that apply

a 65 year old black woman an older adult man who smokes a 35 year old man who is obese a 50 year old man whose parent had hypertension

which category of medication helps reduce afterload in patients with heart failure?

angiotensin-converting enzyme (ACE) inhibitors

which finding in the medical record of a patient with heart failure (HF) is not consistent with the patients diagnosis?

bradycardia

which intervention by the nurse would provide stabilization for a patient with cor pulmonale who has an enlarged liver, distended neck veins, and clear fluid accumulated in the pleural space?

restricting sodium diet

which condition causes the symptoms of right-sided heart failure?

systemic venous congestion

the nurse is providing discharge education for a patient with moderate heart failure. which activity instruction would the nurse recommend to be included in the plan of care?

taking frequent rest breaks during activities

a patient who takes digitalis receives a prescription for another new medication. which medication would cause the nurse to monitor electrolytes more frequently?

diuretic

a patient admitted to the emergency department with pain, dyspnea, and lower extremity edema is diagnosed with diastolic heart failure. which finding supports the diagnosis of diastolic heart failure?

ejection fraction (EF) of 55%

a nurse provides discharge education to a patient about the care and management of hypertension. which information would the teaching plan include? select all that apply

explain the meaning of the BP values explain the potential dangers of uncontrolled hypertension do not alter medication dosage without consulting the health care provider

which primary causes of heart failure are linked to specific genes and gene mutations? select all that apply

hypertension cardiomyopathy coronary artery disease (CAD)

which items in a patients medical history are risk factors for heart failure (HF)? select all that apply

hypertension metabolic syndrome

which condition increases the patients risk for digoxin toxicity?

hypokalemia

a patient diagnosed with heart failure experiences fatigue. which factor causes the fatigue?

impaired perfusion to vital organs

which conditions are primary causes of heart failure? select all that apply.

myocarditis coronary artery disease

a patient diagnosed with left sided heart failure. which assessment would the nurse expect?

orthopnea

which symptom is present in right-sided heart failure but not in left-sided heart failure?

pedal edema

which physical assessment findings will the nurse expect when caring for a patient with cor pulmonale? select all that apply.

pedal edema hepatomegaly jugular vein distention

which assessment findings would the nurse expect when assessing a patient with right sided heart failure? select all that apply.

peripheral cyanosis jugular vein distention pitting edema of the lower extremities

the nurse reviews the laboratory results of a patient with heart failure (HF) who has a prescription for digoxin. the nurse would decide to withhold the medication based on abnormal findings of which blood study?

potassium

which finding would the nurse monitor in the patient who has left sided heart failure?

pulmonary congestion

a patient diagnosed with primary hypertension. which factors in the patients history likely contributed to the development of the hypertension? select all that apply

tobacco use diabetes mellitus increased sodium intake greater than ideal body weight

a nurse provides discharge instructions to a patient which chronic heart failure related to dietary restrictions. which statement made by the patient indicates an understanding of the teaching?

"i should not add salt at the table"

an older adult presents to the emergency department with recent weight gain, pitting edema to the bilateral lower extremities, and distended neck veins. which other assessment findings would the nurse expect? select all that apply.

lower extremity cyanosis third heart sound (S3) upon auscultation displaced point of maximal impulse (PMI)

the nurse is caring for a patient with manifestations of acute decompensated heart failure (ADHF). which assessment is the nursing priority?

lung sounds

the nurse provides medication education to a patient with heart failure. the nurse explains that the drug's mechanism of action is to reserve ventricular remodeling and to decrease cardiac workload by inhibiting catecholamines. the nurse is referring to which drug?

carvedilol

a nurse is caring for a patient with pleural effusion who has S3 and S4 heart sounds, crackles, and an increased heart rate. which condition is likely affecting the patient?

left sided heart failure

which instructions should the nurse provide to a patient who takes short acting nitroglycerin? select all that apply

"place the nitroglycerin tablet under the tongue" "change your position slowly after taking the medicine" "discard nitroglycerin tablets if they do not cause a tingling sensation"

which goal is a primary goal for a patient who has chronic heart failure?

maximizing cardiac output

which assessment data is a non modifiable risk factor for coronary artery disease?

white males