Elsevier/Canvas Adaptive Quizing - Heart

A client requiring surgery because of mitral valve incompetence is admitted to the hospital and states, "I need a new valve. My neighbor told me that the surgery is usually successful!" What is the nurse's most therapeutic response?

"I'm sure you have a lot of questions to ask about your surgery.

A client with intermittent claudication has been instructed to stop smoking and doesn't understand why this is necessary. Which is the nurse's best response?

"Nicotine is a vasoconstrictor and should be avoided in clients with arterial problems"

A nurse is performing cardiac compression on an adult client. How far must the nurse depress the lower sternum to maintain circulation until a defibrillator is available?

2 to 2.5 inches (5 to 6.4 cm)

A client's serum potassium level is below the normal range. Which clinical indicators should the nurse determine are consistent with hypokalemia? Select all that apply.

Abdominal cramping, Irregular heart rate, Muscular weakness, Decreased bowel sounds

A client is admitted to the hospital with a large leg ulcer, and a femoral angiogram is performed. What should the nurse do after this procedure?

Apply pressure to the catheter insertion site

A client with hypertension is starting a 2-gram sodium diet. The nurse should teach the client to avoid which foods? Select all that apply.

Canned chili, Luncheon meat

When caring for a client who has hyponatremia, the nurse would monitor for which symptom?

Change in level of consciousness

A nurse discovers lower extremity pitting edema in a client with right ventricular heart failure. Which information should the nurse consider when planning care?

Client has increased plasma hydrostatic pressure

A client with heart disease asks about cholesterol intake. When teaching the client, the nurse will explain what about cholesterol?

Contributes to high levels of low-density lipoprotein (LDL)

A client has a right upper lobectomy to remove a cancerous lesion. After the surgery, the nurse monitors the client for the most life-threatening complication, which is what?

Decreased cardiac output because of mediastinal shift

An older adult client is diagnosed with left-sided congestive heart failure. Which assessments should the nurse expect to find? Select all that apply.

Dyspnea, Crackles, Hacking cough

The nurse is caring for a client who is experiencing cardiogenic shock. Which assessment findings support this diagnosis? Select all that apply.

Dyspnea, Diaphoresis, Tachycardia

A nurse is caring for a client who just had coronary artery bypass graft surgery. For which complication should the nurse monitor the client in the immediate postoperative period?

Dysrhythmias, especially atrial fibrillation

A nurse is performing an assessment on a client with probable acute lymphocytic leukemia (ALL). Which clinical manifestation will the nurse expect to be present?

Ecchymosis

A client has a low hemoglobin level that is attributed to nutritional deficiency and the nurse provides dietary teaching. Which food choices highest in iron chosen by the client indicate that the nurse's instructions are effective? Select all that apply.

Eggs, Spinach

The medical-surgical nurse called the code team for a client who is unresponsive and not breathing. Cardiopulmonary resuscitation and an ambu bag have been initiated. What is the next most appropriate action for the nurse to take?

Get the client's record and have it available in the room

A client with a history of heart failure admits to the nurse that a salt-restricted diet has not been followed. The client reports increased ankle swelling and shortness of breath that is relieved by sitting up. For which other clinical indicators of fluid retention should the nurse monitor the client? Select all that apply.

Headache, Crackles on lung auscultation

The nurse is caring for a client who is admitted to the hospital with early heart failure. Which client statement indicates a clinical manifestation that is related to heart failure?

I have trouble breathing when I climb a flight of stairs

A primary healthcare provider prescribes verapamil to be administered intravenously to an older adult client with hypertension. Which nursing intervention is specific to the intravenous administration of verapamil?

Keep the client in the recumbent position for 1 hour after administration

What should the nurse do to help alleviate the distress of a client with heart failure and pulmonary edema?

Place the client in the orthopneic position

A nurse is caring for a client after cardiac surgery. Which signs will cause the nurse to suspect cardiac tamponade? Select all that apply.

Pulsus paradoxus, Muffled heart sounds, Jugular vein distention

When monitoring a client for hyponatremia, which assessment findings should the nurse consider significant? Select all that apply.

Seizures, Confusion

Which clinical indicator should the nurse expect to identify when assessing a client with varicose veins?

Sensation of heaviness in calf muscles

The nurse is interpreting the client's rhythm strip and finds that the P and QRS waves are consistent, with a P wave preceding every QRS complex. The PR interval is 0.26 seconds long. The rate is 64 beats per minute. How should the nurse interpret this rhythm?

Sinus rhythm with first degree AV block

A client presents to the emergency department with severe epistaxis. Which client position is most beneficial?

Sitting with head tilted slightly forward

A client comes to the emergency department with pressure in the chest and shortness of breath. The client is admitted for observation after receiving a tentative diagnosis of a myocardial infarction. Which assessment finding should the nurse monitor for in this client that supports this diagnosis?

Vomiting

A client is prone to hyponatremia. Which factors should the nurse identify that can precipitate hyponatremia? Select all that apply.

Wound drainage, Diuretic therapy, Gastrointestinal (GI) suction, Inappropriate anti-diuretic hormone (ADH) secretion

The nurse is collecting data from a client with varicose veins who is to have sclerotherapy. Which assessment finding does the nurse expect the client to report?

feeling of heaviness in both legs