NCLEX Cardiovascular

A client is scheduled for a dipyridamole thallium scan. The nurse should check to make sure that the client has not consumed which substance before the procedure? 1.Caffeine 2.Fatty meal 3.Excess sugar 4.Milk products

1. Caffeine

The nurse is told during shift report that a client is having occasional ventricular dysrhythmias. The nurse reviews the client's laboratory results, recalling that which electrolyte imbalance could be responsible for this development? 1.Hypokalemia 2.Hypernatremia 3.Hypochloremia 4.Hypercalcemia

1. Hypokalemia

The health care provider is discharging a client with a diagnosis of chronic heart failure. Which health maintenance instructions should the nurse reinforce in the discharge teaching plan? Select all that apply. 1.Obtain annual influenza vaccination. 2.Restrict fluid intake to 1000 mL per day. 3.Avoid adding salt to foods or in cooking. 4.Report a weight gain of 3 or more pounds in a week. 5.Take an extra dose of prescribed diuretic for swollen ankles.

1.Obtain annual influenza vaccination. 2.Restrict fluid intake to 1000 mL per day. 3.Avoid adding salt to foods or in cooking. 4.Report a weight gain of 3 or more pounds in a week.

A client who experienced a myocardial infarction (MI) tells the nurse that he is fearful about not being able to return to a normal life. Which action by the nurse is therapeutic at this time? 1.Tell the client that his fears are not rational. 2.Tell the client that his life has not changed. 3.Explore specific concerns with the client. 4.Tell the client to talk it out with the significant other.

1.Tell the client that his fears are not rational.

A client with myocardial infarction (MI) has been transferred from the coronary care unit (CCU) to the general medical unit with cardiac monitoring via telemetry. The nurse assisting in caring for the client expects to note which type of activity prescribed? 1.Strict bed rest for 24 hours 2.Bathroom privileges and self-care activities 3.Unrestricted activities because the client is monitored 4.Unsupervised hallway ambulation with distances less than 200 feet

2.Bathroom privileges and self-care activities

The nurse is planning to reinforce instructions to a client with peripheral arterial disease about measures to limit disease progression. The nurse should include which items on a list of suggestions to be given to the client? Select all that apply. 1.Wear elastic stockings. 2.Be careful not to injure the legs or feet. 3.Use a heating pad on the legs to aid vasodilation. 4.Walk each day to increase circulation to the legs. 5.Cut down on the amount of fats consumed in the diet.

2.Be careful not to injure the legs or feet. 4.Walk each day to increase circulation to the legs. 5.Cut down on the amount of fats consumed in the diet.

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? 1. Limiting movement and abduction of the left arm 2.Limiting movement and abduction of the right arm 3.Assisting the client to get out of bed and ambulate with a walker 4.Having the physical therapist do active range of motion to the right arm

2.Limiting movement and abduction of the right arm

The nurse is preparing to provide a therapeutic environment for a client who recently had a myocardial infarction (MI). Which are characteristics of a therapeutic environment? 1. No stimulus, no stress 2.Low stimulus, low stress 3.High stimulus, low stress 4.Moderate stimulus, low stress

2.Low stimulus, low stress

The nurse is caring for a client diagnosed with Buerger's disease. Which finding should the nurse determine is a potential complication associated with this disease? 1.Pain with diaphoresis 2.Discomfort in one digit 3.Numbness and tingling in the legs 4.Cramping in the foot while resting

3.Numbness and tingling in the legs

A client diagnosed with thrombophlebitis 1 day ago suddenly complains of chest pain and shortness of breath, and the client is visibly anxious. Which is a life-threatening complication that could be occurring? 1.Pneumonia 2.Pulmonary edema 3.Pulmonary embolism 4.Myocardial infarction

3. Pulmonary Embolism

The nurse is teaching the client with angina pectoris about disease management and lifestyle changes that are necessary in order to control disease progression. Which statements by the client indicate a need for further teaching? Select all that apply. 1."I will avoid using table salt with meals." 2."I am going to switch to electronic cigarettes." 3."It is best to exercise once a week for an hour." 4."I will take nitroglycerin whenever chest discomfort begins." 5."I will use muscle relaxation to cope with stressful situations."

3."It is best to exercise once a week for an hour

A client has experienced an episode of pulmonary edema. The nurse determines that the client's respiratory status is improving if which breath sounds are noted? 1.Rhonchi 2.Wheezes 3.Crackles in the lung bases 4.Crackles throughout the lung fields

3.Crackles in the lung bases

A client is admitted to the hospital with a venous stasis leg ulcer. The nurse is reviewing the physical examination in the medical record. Which symptom is least likely to be noted by the primary health care provider? 1.Itchy scaly skin 2.Lower leg edema 3.Sharp pain in the leg 4.Brownish skin discoloration

3.Sharp pain in the leg

The nurse is working with a client who has been diagnosed with Prinzmetal's (variant) angina. The nurse plans to reinforce which information about this type of angina when teaching the client? 1.Prinzmetal's angina is effectively managed by beta-blocking agents. 2.Prinzmetal's angina improves with a low-sodium, high-potassium diet. 3.Prinzmetal's angina has the same risk factors as stable and unstable angina. 4.Prinzmetal's angina is generally treated with calcium channel blocking agents.

4.Prinzmetal's angina is generally treated with calcium channel blocking agents.

a nurse is assisting a hospitalized client who is newly diagnosed with coronary artery disease to make appropriate selections from the dietary menu. The nurse encourages the client to select which of the following meals?

fresh strawberries, steamed vegetables, baked fish