Med Surg.

To use an external cardiac defibrillator on a client, which action should be performed to check the cardiac rhythm?

Applying the adhesive patch electrodes to the skin and moving away from the client

A post cardiac surgery client with a blood urea nitrogen (BUN) level of 45 mg/dL (16.2 mole/l) and a serum creatinine level of 2.2 mg/dL ( 13.6mcmol/l) has a total 2- hour urine output of 25 ml. The nurse understands that the client is at risk for which condition?

Acute kidney injury

The nurse in a medical unit is caring for a client with heart failure. The client suddenly develops extreme dyspnea, tachycardia, and lung crackles, and the nurse suspects pulmonary edema. The nurse immediately notifies the registered nurse (RN) and expect which interventions to be prescribed? ( select all that apply)

Administer oxygen Inserting a Foley catheter Administering furosemide Administering morphine intravenously

The nurse is caring for a client on a cardiac monitor who is alone in a room at the end of the hall. The client has short burst of ventricular tachycardia ( VT) followed by ventricular fibrillation (VF) the client suddenly loses consciousness. Which intervention should the nurse do first?

Call for help and initiate cardiopulmonary resuscitation (cpr)

A client is wearing a continuous cardiac monitor, which begins to alarm at the nurses station. The nurse sees no electrocardiographic complexes on the screen. The nurse should do which action first?

Check the client status and lead placement

A client with myocardial infarction suddenly becomes tachycardic, show signs of air hunger, and begins coughing frothy pink tinged sputum. The nurse listens to breath sounds expecting to hear which sounds bilaterally?

Crackles

The nurse is collecting data on a client with a diagnosis of right sided heart failure. The nurse should expect to note which specific characteristics of this condition?

Dependent edema

In evaluation risk factors of cardiovascular disease, which of the following does the nurse identify as a modifiable risk factor?

Hyperlipidemia

The nurse is assisting with caring for the client immediately after insertion of a permanent demand pacemaker via the right subclavian vein. The nurse prevents dislodgement of the pacing catheter by implementing which intervention?

Limiting movement and abduction of the right arm

The nurse is preparing to ambulated a post-operative client after cardiac surgery. The nurse plans to do which to enable the client to best tolerate the ambulation?

Premedicate the client with an analgesic before ambulating

The nurse is monitoring a client following cardioversion. Which observation should be of the HIGHEST PRIORITY to the nurse?

Status of the airway

Which of the following is the correct impulse patterns of the cardiac conduction system?

SA node - AV node- Bundle of His- Right and left bundle branches-Purkinje fibers

A patient was admitted yesterday for a myocardial infarction. Which of the following statements is true regarding treatment for a patient with myocardial infarction?

The patient with an acute myocardial infarction will be on bed rest with commode privileges for 24 to 48 hours

Which of the following cardiac markers is specific to the heart, not influenced by skeletal muscle trauma or renal failure, and rises 3 hours following a myocardial infarction?

Troponin I

Of the following, which is the most serious type of arrhythmia?

Ventricular fibrillation

Which of the following is/are true statements regarding angina pectoris? (Select all that apply)

Angina indicates a lack of oxygen and the blood supply to the heart. Angina May resemble heartburn or indigestion Angina is usually relieved by nitroglycerine Angina May appear as jaw pain