more cardiac study questions

9. A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations and shortness of breath. Which of the following assessments should indicate to the nurse hat the client may have developed atrial fibrillation?

Different apical and radial pulses.

A nurse is caring for a client who is in the compensatory stage of shock. Which of the following findings should the nurse expect?

BP of 115/68

A nurse is caring for a client who is experiencing hypovolemic shock. Which of the following blood products should the nurse anticipate administering to this client?

packed rbcs

A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). The nurse recognizes that which of the following prescriptions by the provider required clarification?

0.9 NS IV at 50mL/hr. continuous

16. A nurse is reviewing the serum laboratory findings for a client who has hypertension and is prescribed hydrochlorothiazide Which of the following findings should the nurse report to the provider?

2.3 mEq/L

A client who has a history of myocardial infarction (MI) is prescribed 325 mg. The nurse recognizes that the aspirin is given due to the following action of the medication?

Antiplatelet aggregate

15. A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, dizziness. The nurse finds a rapid and irregular heart rate with significant pulse deficit. Which of the following dysrhythmias should the nurse expect to find on the ECG?

Atrial Fibrillation

A nurse in interpreting the ECG strip of a client who is bradycardia. Which of the following cardiac component should the nurse identify as the role of the p wave?

Atrial depolarization

A nurse is assessing a client determines that he is in the compensatory stage of shock. Which of the following findings support this conclusion?

Confusion

. A home health nurse is making a home visit to a client who takes daily diuretic for heart failure. Which of the following manifestations should the nurse identify as indicating the client is hypokalemic?

Fatigue

A nurse in the emergency department is assessing a client who has internal injuries from a car crash. The client is disoriented to time and place, diaphoretic and his lips are cyanotic. The nurse should anticipate which of the following findings as an indication of hypovolemic shock?

Increased heart rate

A nurse in the ICU is caring for a client who has heart failure and is receiving a dobutamine drip. The nurse should identify the following findings indicate that the medication is effective?

Increased urine output.

5. A nurse in the emergency room is caring for a client who presents with a manifestation that indicate a myocardial infarction. Which of the following prescriptions should the nurse take first?

Initiate oxygen therapy

10. A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics should the nurse expect?

Irregular with atrial fibrillation

7. A nurse is caring for a client who recently has surgery for insertion of a permanent pacemaker. Which of the following prescriptions should the nurse clarify?

MRI of the chest.

A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for lactic acidosis as a result of contrast-induced acute kidney injury?

Metformin

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 of 12 lead ECG

. A nurse is caring for a client who has hypovolemic shock. Which of the following should the nurse recognize as an expected finding?

Oliguria

A nurse is caring for a client who has a serum potassium level of 5.5 mEq/L. The providerprescribes polystyrene sulfonate (kayexalate). If this medication is effective, the nurse should expect which of the following corrections on the client's ECG?

Reduction of T-Wave amplitude.

A nurse is interpreting a client's ECG strip. Which of the following components of the ECG should the nurse examine to determine the time it takes for ventricular depolarization and repolarization?

ST segment

A nurse is monitoring a client who is on telemetry. Which of the following findings on the ECG strip should the nurse recognize as a normal sinus rhythm? .

The P wave falls before the QRS complex

A nurse is providing discharge teaching to a client who has an implantable cardioverter/defibrillator (ICD). Which of the following info should the nurse include?

The client should hold their cellphone on the opposite side of the ICD

6. A nurse is teaching the partner of a client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzymes studies?

The test helps determine the degree of the damage to the heart tissues.

A nurse in a clinic is caring for a client who has recently begun taking warfarin. The nurseis reviewing potential drug and food interaction risks and should instruct the client to avoid which of the following.

cabbage

8. A nurse is teaching an older adult client who is postoperative following insertion of a permanent pacemaker. The nurse should instruct the client to notify the provider about which of the following manifestations?

fatigue

The nurse is evaluating a client who has a cardiac catherization with left antecubital insertion site. Which of the following pulses should the nurse palpate?

radial pulse in left arm

A nurse in the emergency department is caring for a client who reports chest pressure and shortness of breath. Which of the following laboratory test should the nurse anticipate the provider to prescribe?

troponin 1