NCLEX Style Questions for Test #3

Lisinopril (Prinivil) is part of the treatment regimen for a client with HF. The nurse monitors the client for the development of which of teh following adverse effects of this drug? SELECT ALL THAT APPLY 1. Hyperkalemia 2.Hypocalcemia 3. Cough 4. Dizziness 5. Heartburn

1,2,3,4

The nurse is planning a community health promotion program for cardiovascular disease. Which risk factors of coronary artery disease (CAD) does the nurse include in the education? (Select all that apply.) a. Cigarette smoking b. Use of alcohol c. Insomnia d. Hypertension e. Obesity f. Depression

A,D,E

A patient is diagnosed with primary hypertension. When taking the patient's history, the healthcare provider anticipates the patient will report which of the following? A."I have not noticed any significant changes in my health." B.Sometimes I get pain in my lower legs when I take my daily walk." C."Every once in awhile I wake up at night covered in sweat." D."I'm starting to get out of breath when I go up a flight of stairs."

A. I have not noticed any significant changes in my health

The nurse is providing disease management education to a client with Raynaud's disease. What intervention does the nurse suggest to prevent complications of this disease? a. "Take vasoconstrictive agents when you have symptoms." b. "Wear warm clothing when exposed to cool temperatures." c. "Avoid placing alcohol-based lotion on affected extremities." d. "Check the strength of pulses in your arms and legs daily."

B

Lisinopril (Prinivil) is part of the treatment regimen for a client with HF. The nurse monitors the client for which electrolyte imbalance of this drug? A.Hyponatremia B.Hyperkalemia C.Hypokalemia D.Hypernatremia

B.Hyperkalemia Rationale: ACE inhibitors block aldosterone secretion, which results in sodium loss and potassium retention. Hyperkalemia may occur, especially when the drug is taken concurrently with potassium-sparing diuretics.

The client is prescribed captopril (Capoten) for treatment of HF. The nurse teaches that the primary action of the drug is to A.Prevent influx of calcium. B.Lower peripheral resistance and reduce blood volume. C.Increase strength of ventricular contractions. D.Increase heart rate.

B.Lower peripheral resistance and reduce blood volume. Rationale: ACE inhibitors decrease peripheral resistance and reduce blood volume by enhancing the excretion of sodium and water. This results in decreased afterload and increased cardiac output.

Varicose veins can cause changes in what component of Virchow's triad? A.Blood coagulability B.Vessel walls C.Blood flow D.Blood viscosity

C

How long after oral administration should a nurse expect to see digoxin's (Lanoxins) peak effect? A. 2 to 5 minutes B. 10 to 20 minutes C. 30 minutes to 2 hours D. 2 to 6 hours

D. 2 to 6 hours

In a client with chronic bronchitis, which sign would lead the nurse to suspect right sided heart failure? A. Cyanosis of the lips B. Bilateral crackles C. Productive cough D.Leg Edema

D. Leg edema

The nurse is monitoring a client who has returned to the unit after arterial revascularization. The client reports pain in the affected limb that is similar to the pain experienced before the procedure. What is the nurse's best action? a. Assess the peripheral pulses in the limb. b. Elevate the affected extremity on pillows. c. Administer pain medication as prescribed. d. Place a warm blanket on the operative limb.

A

The nurse is teaching a client prescribed sublingual nitroglycerin for chest pain. Which statement indicates that the client needs further teaching? a. "I carry my medicine around in a clear plastic bag so that I can get to it easily if I have chest pain." b. "Even if I have not used any of the nitroglycerin from one refill, I get another refill every 3 months." c. "If I still have chest pain after I have taken 3 nitroglycerin tablets, I will go to the hospital." d. "When my nitroglycerin tablet tingles under my tongue, I know that it is strong enough to work."

A

The healthcare provider is administering an angiotensin converting enzyme (ACE) inhibitor to a patient diagnosed with heart failure. Which of the following describe the ways in which the ACE inhibitor is therapeutic for the patient who has heart failure? (Select all that apply?) A.Decreases cardiac preload B.Decreases myocardial remodeling C.Decreases cardiac workload D.Increases peripheral vascular resistance E.Decreases cardiac output F.Increases myocardial contractility

A,B,C

The healthcare provider is teaching a group of senior citizens about risk factors for heart failure. Which of these factors will the healthcare provider include in the teaching? A.High sodium intake B.Obesity C.History of preeclampsia D.Sleep apnea E.Hypertension F.Increased high density lipoproteins (HDL)

A,B,C,D,E

The nurse is assessing a client with left-sided heart failure. What conditions does the nurse assess for? (Select all that apply.) a. Pulmonary crackles b. Confusion, restlessness c. Pulmonary hypertension d. Dependent edema e. S3/S4 summation gallop f. Cough worsens at night

A,B,E,F

A patient is diagnosed with heart failure and is prescribed digoxin (Lanoxin) and furosemide (Lasix). Before administering the furosemide to the patient, which laboratory result should the healthcare provider to review? A.Serum potassium B.Serum troponin C.Serum sodium D.Blood urea nitrogen (BUN

A. serum potassium

A 24-year old man seeks medical attention for complaints of claudication in the arch of the foot. A nurse also notes superficial thrombophlebitis of the lower leg. The nurse would next assess the client for: A.Familial tendency toward peripheral vascular disease B.Smoking history C.Recent exposures to allergens D.History of insect bites

B

A client comes to the outpatient clinic and tells the nurse that he has had legs pains that began when he walks but cease when he stops walking. Which of the following conditions would the nurse assess for? A.An acute obstruction in the vessels of the legs B.Peripheral vascular problems in both legs C.Diabetes D.Calcium deficiency

B

Buerger's disease is characterized by all of the following except: A.Arterial thrombosis formation and occlusion B.Lipid deposits in the arteries C.Redness or cyanosis in the limb when it is dependent D.Venous inflammation and occlusio

B

In preparation for discharge of a client with arterial insufficiency and Raynaud's disease, client teaching instructions should include: A.Walking several times each day as an exercise program. B.Keeping the heat up so that the environment is warm C.Wearing TED hose during the day D.Using hydrotherapy for increasing oxygenation

B

The nurse is assessing a client admitted to the cardiac unit. What statement made by the client alerts the nurse to the possibility of right-sided heart failure? a. "I sleep with four pillows at night." b. "My shoes fit really tight lately." c. "I wake up coughing every night." d. "I have trouble catching my breath."

B

The nurse is assessing a client who reports claudication after walking a distance of one block. The nurse notes a painful ulcer on the fourth toe of the client's right foot. What condition do these findings correlate with? a. Diabetic foot ulceration b. Peripheral arterial disease c. Peripheral venous disease d. Deep vein thrombosis

B

The nurse is assessing a client with a history of heart failure. What priority question assists the nurse to assess the client's activity level? a. "Do you have trouble breathing or chest pain?" b. "Are you able to walk upstairs without fatigue?" c. "Do you awake with breathlessness during the night?" d. "Do you have new-onset heaviness in your legs?"

B

The nurse notes that the client's apical pulse is displaced to the left. What conclusion can be drawn from this assessment? a. This is a normal finding. b. The heart is hypertrophied. c. The left ventricle is contracted. d. The client has pulsus alternans.

B

Which technique is considered the gold standard for diagnosing DVT? A.Ultrasound imaging B.Venography C.MRI D.Doppler flow study

B

The nurse administers intravenous dobutamine (Dobutrex) to a client who has heart failure. Which clinical manifestations indicate that the client's status is improving? (Select all that apply.) a. Decreased heart rate b. Increased heart rate c. Increased contractility d. Decreased contractility e. Increased respiratory rate B,C

B,C

When starting a client on oral or I.V. diltiazem (Cardizem), for which potential complication should the nurse monitor? A. Flushing B. Atrioventricular block C. Renal Failure D. Hypertension

B. Atrioventricular Block

A patient presents to the emergency department with a blood pressure of 180/130 mmHg, headache, and confusion. Which additional finding is consistent with a diagnosis of hypertensive emergency? A.Bradycardia B.Retinopathy C.Urinary retention D.Jaundice

B. Retinopathy

A nurse is caring for an older adult client who has a new prescription for digoxin and takes multiple other medications. concurrent use of which of the following medications places the client at risk for dig toxicity? A. Phenytoin (Dilantin) B. Verapamil (Calan) C. Warfarin (Coumadin) D. Aluminum hydroxide (Amphojel)

B. Verapamil (Calan) -- CCB, can increase digoxin levels. if used together dig dosage may need to be lowered.

A nurse reviews a clients medication history before administering a cholinergic blocking agent. Adverse effects of a cholinergic blocking agent may delay absorption of? A. amantadine (Symmetrel) B. nitroglycerine (Nitrostat) C. digoxin (Lanoxin) d. diphenhydramine (Benadryl)

B. nitroglycerine (Nitrostat) Rationale:A cholinergic blocking agent may cause dry mouth and delay the sublingual absorption of nitorglycerin

A client with HF has an order for lisnopril (Prinivil, Zestril) Which of the following conditions in the client's history would lead a nurse to confirm the order with the provider? A. A history of HT previously treated with diuretics. B. A history of seasonal allergies currently treated with antihistamines. C. A history of angioedema after taking enalapril (Vasotec) D. A history of alcoholism, currently abstaining.

C

A client with chronic peripheral arterial disease and claudication tells the nurse that burning pain often awakens him from sleep. What is the nurse's interpretation of this change? a. The client has inflow disease. b. The client has outflow disease. c. The client's disease is worsening. d. The client's disease is stable.

C

A nurse in a provider's office is monitoring serum electrolytes for 4 older adult clients who take digoxin(Lanoxin) & furosemide(Lasix). Which of the following electrolyte values puts a client at risk for dig toxicity? A. Calcium 9.2 mg/dL B. Calcium 10.3 mg/dL C. Potassium 3.4 mEq/L D. Potassium 4.8 mEq/L

C

A nurse is about to administer the first dose of captopril (Capoten) to a client with hypertension. Which is the priority nursing intervention? a. Take the client's apical pulse for 1 full minute before drug administration. b. Place the client in Trendelenburg position to facilitate blood flow to the heart. c. Educate the client to sit on the side of the bed for a few minutes before rising. d. Instruct the client to drink 3 L of fluid daily when taking this medication.

C

The nurse is a assessing a client with hypertension. Which client outcome is indicative of effective hypertension management? a. Pedal edema is not present in the lower legs. b. No complaints of sexual dysfunction occur. c. No indication of renal impairment is present. d. The blood pressure reading is 148/94 mm Hg.

C

he nurse notes a venous ulcer on the client's left ankle. What additional assessment finding does the nurse expect in this client? a. Absence of hair on the left lower extremity b. Skin surrounding the ulcer mottled but blanchable c. Brownish discoloration of the lower extremity d. Cold and gray-blue lower extremity

C

When considering physiological changes common in geriatric patients, the healthcare provider understands that which of these factors may increase the risk of heart failure in older patients? A.Increased myocardial contractility B.Decreased sympathetic activity C.Impaired diastolic filling D.Increased stroke volume

C. Impaired diastolic filling

A nurse is caring for a client with acute pulmonary edema. To immediately promote oxygenation and relieve dyspnea, the nurse should: A. Administer oxygen B. have the client take deep breaths and cough C. place the client in high Fowler's position D. perform chest physiotherapy

C. Place the client in high Fowlers position

A patient has been admitted to the cardiac unit with a diagnosis of right ventricular failure. Which of the following assessment findings would the healthcare provider expect to observe? A.Fatigue and hemoptysis B.Bradycardia and circumoral cyanosis C.Peripheral edema and jugular vein distension D.Dyspnea and pulmonary crackles

C. peripheral edema and jugular vein distention

The nurse is starting a client on digoxin (Lanoxin) therapy. What intervention is essential to teach this client? a. "Avoid taking aspirin or aspirin-containing products." b. "Increase your intake of foods high in potassium." c. "Hold this medication if your pulse rate is below 80 beats/min." d. "Do not take this medication within 1 hour of taking an antacid."

D

A client is admitted with a venous stasis leg ulcer. A nurse assesses the ulcer, expecting to note that the ulcer: A.Has a pale colored base B.Is deep, with even edges C.Has little granulation tissue D.Has brown pigmentation around it

D----->Venous leg ulcers, also called stasis ulcers, tend to be more superficial than arterial ulcers, and the ulcer bed is pink. The edges of the ulcer are uneven, and granulation tissue is evident. The skin has a brown pigmentation from accumulation of metabolic waste products resulting from venous stasis. The client also exhibits peripheral edema. (options 1, 2, and 3 are due to tissue malnutrition; and thus us an arterial problem)

A patient is prescribed a thiazide diuretic for the treatment of hypertension. When teaching the patient about the medication, which of the following will the healthcare provider include A."Take this medication each day with a large glass of water after your evening meal." B."I'll teach you how to take your radial pulse before taking the medication." C."Stop taking this medication if you notice changes in how much you urinate." D."Be sure to include a number of foods that are rich in potassium in your diet

D. Be sure to include a number of foods that are rich in potassium in your diet."

A patient is prescribed a calcium channel blocker to treat primary hypertension. When teaching the patient about the medication, which of these foods will the healthcare provider advise the patient to avoid? A. Eggs B. Bananas C. Oranges D. Grapefruit

D. Grapefruit

When discussing hypertension with a student, which of the following will the healthcare provider identify as a factor related to hypertension? A,Hypovolemia B.Decreased cardiac output C.Hypovolemia D.Increased afterload

D. Increased afterload

A patient is being assessed for possible heart failure. Which of these laboratory results will provide support this diagnosis? A.Decreased C-reactive protein B.Increased creatine kinase C.Decreased serum sodium D.Increased brain natriuretic peptide (BNP)

D. Increased brain natriuretic peptide (BNP)

The results of an adult patient's blood pressure screening on three occasions are: 120/80 mmHg, 130/76 mmHg, and 118/86 mmHg. How will the healthcare provider interpret this information? A.Normal blood pressure B.Hypertension Stage 2 C.Hypertension Stage 1 D.Prehypertension

D. Prehypertension

When obtaining a health history of a patient admitted with a diagnosis of heart failure, which statement made by the patient supports the diagnosis of heart failure? A."I often feel pain in my lower legs when I take my walk." B."I sometimes feel pain in the middle of my chest during exercise." C."I get hot and break out in a sweat during the night." D."I get out of breath when I go up a flight of stairs."

D."I get out of breath when I go up a flight of stairs."

A patient diagnosed with mild heart failure is prescribed hydrochlorothiazide (Microzide). The healthcare provider should determine the teaching about the medication has been successful if the patient makes which of these statements? A."I should not worry if I experience a dry cough when taking this medication." B."I might experience swelling in my legs when taking this medication." C. "This medication might cause me to have a decrease in my appetite." D."It is important for me to change positions slowly because I might become dizzy."

D."It is important for me to change positions slowly because I might become dizzy."

A patient tells the healthcare provider, "I stopped taking my medication because it kept me up at night with a dry cough." When reviewing the patient's medical record, which of these antihypertensive medications will the healthcare provider identify as the likely cause of this patient's report? A. Beta blocker B. Calcium channel blocker D. Loop diuretic E. Angiotensin-converting enzyme (ACE) inhibitor

E. ACE Inhibitor

The nurse is caring for a client who had a myocardial infarction. The client develops increased pulmonary congestion; an increase in heart rate from 80 to 102 beats/min; and cold, clammy skin. Which action does the nurse implement before notifying the health care provider? a. Administer oxygen. b. Increase the IV flow rate. c. Place the client in supine position. d. Prepare the client for surgery.

A

A client has been admitted to the acute care unit for an exacerbation of heart failure. Which is the nurse's priority intervention? a. Assess respiratory status. b. Monitor electrolyte levels. c. Administer intravenous fluids. d. Insert a Foley catheter

A

A client in severe heart failure has a heparin drip infusing. The health care provider prescribes nesiritide (Natrecor) to be given intravenously. Which intervention is essential before administration of this medication? a. Insert a separate IV access. b. Prepare a test bolus dose. c. Prepare the piggyback line. d. Administer furosemide (Lasix) first.

A

A client with a history of myocardial infarction calls the clinic to report the onset of a cough that is troublesome only at night. What direction does the nurse give to the client? a. "Please come into the clinic for an evaluation." b. "Increase your fluid intake during waking hours." c. "Use an over-the-counter cough suppressant." d. "Sleep on two pillows to facilitate postnasal drainage."

A

A client with heart failure is due to receive enalapril (Vasotec) and has a blood pressure of 98/50 mm Hg. What is the nurse's best action? a. Administer the Vasotec. b. Recheck the blood pressure. c. Hold the Vasotec. d. Notify the health care provider.

A

A client with heart failure is experiencing acute shortness of breath. What is the nurse's priority action? a. Place the client in a high Fowler's position. b. Perform nasotracheal suctioning of the client. c. Auscultate the client's heart and lung sounds. d. Place the client on a 1000 mL fluid restriction.

A

A client with heart failure is prescribed enalapril (Vasotec). What is the nurse's priority teaching for this client? a. "Avoid using salt substitutes." b. "Take your medication with food." c. "Avoid using aspirin-containing products." d. "Check your pulse daily."

A

An older adult client is admitted with fluid volume excess. Which diagnostic study does the nurse facilitate as a priority? a. Echocardiography b. Chest x-ray c. T4 and thyroid-stimulating hormone (TSH) d. Arterial blood gas

A

An older adult client with heart failure states, "I don't know what to do. I don't want to be a burden to my daughter, but I can't do it alone. Maybe I should die." What is the nurse's best response? a. "Would you like to talk about this more?" b. "You're lucky to have such a devoted daughter." c. "You must feel as though you are a burden." d. "Would you like an antidepressant medication?"

A

The nurse assesses a client and notes the presence of an S3 gallop. What is the nurse's best intervention? a. Assess for symptoms of left-sided heart failure. b. Document this as a normal finding. c. Call the health care provider immediately. d. Transfer the client to the intensive care unit.

A

The nurse is assessing clients on a cardiac unit. Which client does the nurse assess most carefully for developing left-sided heart failure? a. Middle-aged woman with aortic stenosis b. Middle-aged man with pulmonary hypertension c. Older woman who smokes cigarettes daily d. Older man who has had a myocardial infarction

A

The nurse is assessing the extremities of a client with Buerger's disease. What clinical manifestation does the nurse correlate with this disease? a. Reddened, with diminished distal pulses b. Cold and pale, with proximal bounding pulses c. Cyanotic, with decreased deep tendon reflexes d. Brownish discoloration, with pitting edema

A

The nurse is caring for a client with newly diagnosed hypertension. What statement by the client indicates adequate understanding of his or her diet restrictions? a. "I will give my canned soups to the food pantry." b. "I'm going to miss my evening glass of wine." c. "I will mostly use salt substitutes for flavoring." d. "I can have regular coffee only in the morning."

A

The nurse is caring for a client with severe heart failure. What is the best position in which to place this client? a. High Fowler's, pillows under arms b. Semi-Fowler's, with legs elevated c. High Fowler's, with legs elevated d. Semi-Fowler's, on the left side

A

The nurse is concerned that an older adult client with heart failure is developing pulmonary edema. What manifestation alerts the nurse to further assess the client for this complication? a. Confusion b. Dysphagia c. Sacral edema d. Irregular heart rate

A

The nurse is evaluating the laboratory results for a client with heart failure. What results does the nurse expect? (Select all that apply.) a. Hematocrit (Hct), 32.8% b. Serum sodium, 130 mEq/L c. Serum potassium, 4.0 mEq/L d. Serum creatinine, 1.0 mg/dL e. Proteinuria f. Microalbuminuria

A,B,E,F

When assessing a patient with chronic heart failure, the healthcare provider would expect to identify which of these clinical manifestations? A.Inspiratory crackles B.Asymmetrical chest expansion C.Expiratory wheezing D.Subcutaneous crepitu

A. Inspiratory Crackles

A patient diagnosed with heart failure has a pulmonary artery catheter (PAC) in place. What information about the patient's hemodynamic functioning will the healthcare provider obtain from this monitoring device? Please choose from one of the following options. A.Left ventricular functioning B.Pulmonary valve function C.Coronary artery patency D.Stroke volume

A. Left ventricular functioning

The nurse is administering captopril (Capoten) to a client with heart failure. What is the priority intervention for this client? a. Administer this medication before meals to aid absorption. b. Instruct the client to ask for assistance when arising from bed. c. Give the medication with milk to prevent stomach upset. d. Monitor the potassium level and check for symptoms of hypokalemia.

B

With peripheral arterial insufficiency, leg pain during rest can be reduced by: A.Elevating the limb above heart level B.Lowering the limb so it is dependent C.Massaging the limb after application of cold compresses D.Placing the limb in a plane horizontal to the body

B

A client is ordered hydralazine (Apresoline) for blood pressure management. The nurse is teaching the client about hydralazine therapy. The nurse should instruct the client to take hydralazine: A. upon arising in the morning B. just before bedtime C. on an empty stomach D. with food

D

The client is prescribed digoxin (Lanoxin) for treatment of HR. Which of the following statements by the client indicates the need for further teaching by the nurse? A."I should not get short of breath anymore." B."This drug will help my heart muscle pump less." C."I may notice my heart rate decrease." D."I may feel tired during early treatment."

B."This drug will help my heart muscle pump less." Rationale: The ability to increase the strength of contractions is a characteristic of cardiac glycosides. It may result in a decrease in pulse. Initially the client may experience some fatigue. Symptoms of CHF, such as dyspnea, should improve.

A client is taking triamterene-hydrochlorothiazide (Dyazide) and furosemide (Lasix). What assessment finding requires action by the nurse? a. Cough b. Headache c. Pulse of 62 beats/min d. Potassium of 2.9 mEq/L

D

A client with high blood pressure is receiving an antihypertensive drug. The nurse knows that antihypertensive drugs commonly cause fatigue and dizziness, especially on rising. When developing a client teaching plan to minimize orthostatic hypotension, which instruction should the nurse include: A. Avoid drinking alcohol and straining at stool, and eat a low-protein snack at night B. Wear elastic stockings, change positions quickly, and hold onto stationary objects when rising C. Flex your calf muscles, avoid alcohol, and change positions slowly D. Rest between demanding activities, eat plenty of fruits and vegetables, and drink 6 to 8 cups of fluid daily

C

The nurse is assessing a client who has left ventricular failure secondary to a myocardial infarction. Which clinical manifestation of poor organ perfusion does the nurse monitor for in this client? a. Headache b. Hypertension c. Urine output of less than 30 mL/hr d. Heart rate of 55 to 60 beats/min

C

The nurse is assessing a client's understanding of his hypertension therapy. What client statement indicates a need for further teaching? a. "If I lose weight, I might be able to reduce my blood pressure medication." b. "If my blood pressure stays under control, I will reduce my risk for a heart attack." c. "When my blood pressure is normal, I will no longer need to take medication." d. "When getting out of bed in the morning, I will sit for a few moments then stand."

C

The rehabilitation nurse is assisting a client with heart failure to increase activity tolerance. During ambulation of the client, identification of what symptom causes the nurse to stop the client's activity? a. Decrease in oxygen saturation from 98% to 95% b. Respiratory rate change from 22 to 28 breaths/min c. Systolic blood pressure change from 136 to 96 mm Hg d. Increase in heart rate from 86 to 100 beats/min

C

The client is prescribed a beta-blocker as adjunct therapy to treatment of heart failure. The nurse recognizes that beta blockers act by A.Increasing contractility and cardiac output. B.Decreasing preload. C.Slowing the heart and decreasing afterload. D.Decreasing peripheral resistance

C. Rationale: Beta-blockers improve symptoms of HF by slowing heart rate and decreasing blood pressure. The decreased afterload causes decreased workload on the heart.

When teaching a client with newly diagnosed hypertension about the pathophysiology of this disease, the nurse states that arterial baroreceptors, which monitor arterial pressure are located in the carotid sinus. Which other area should the nurse mention as a site of arterial baroreceptors? A. Brachial artery B. radial artery C. aorta D. right ventricular wall

C. Aorta

Creatine kinase-MB isoenzyme (CK-MB) can increase as a result of: A. cerebral bleeding B. I.M injection C. myocardial necrosis D. skeletal muscle damage due to a recent fall

C. myocardial necorsis

A nurse is caring for a client who has hypertension and diabetes mellitus. The clients blood pressure this morning was 150/92 mm Hg. He asks the nurse what his blood pressure should be. The nurses best response is: A. "Your blood pressure is fine. Just keep doing what you're doing" B. "The current recommendation is for everyone to have blood pressure of 140/90 or lower" C. "The lower the better. Blood pressure of 120/80 is best for everyone" D. "Clients with diabetes should have a lower blood pressure goal. You should strive for 130/80 mm Hg"

D

The nurse developing a teaching plan for a client receiving thiazide diuretics should include the following. A.Teaching the client to take apical pulse. B.Decreasing potassium-rich foods in the diet. C.Including citrus fruits, melons, and vegetables in the diet. D.Teaching the client to check blood pressure t.i.d.

C.Including citrus fruits, melons, and vegetables in the diet. Rationale: Thiazide diuretics are potassium wasting, and levels should be closely monitored. Encouraging foods rich in potassium could help maintain potassium levels. Taking an apical pulse is indicated before administering cardiac glycosides and beta blockers. It would not be necessary to check blood pressure TID unless the client was experiencing hypotension.

The nurse is assessing a client who has been prescribed a nonselective beta-blocking agent. Which adverse effect does the nurse monitor for in this client? a. Headache b. Postural hypotension c. Nonproductive cough d. Wheezing

D

The nurse is caring for a client with Buerger's disease. What client education does the nurse provide to minimize disease progression? a. "Keep environmental temperatures warm." b. "Avoid highly stressful activities." c. "Use a heating pad on your extremities." d. "Abstain from all forms of tobacco."

D

The nurse is caring for a client with peripheral arterial disease. What priority nursing intervention does the nurse perform to promote vasodilation? a. Increase the client's exercise regimen daily. b. Apply a heating pad to the affected limb. c. Administer an aspirin on a daily basis. d. Educate the client to abstain from smoking.

D

The nurse is providing care for a client admitted to the hospital with reports of chest pain. After receiving a total of three nitroglycerin sublingual tablets, the client states, "The pain has not gotten any better." What does the nurse do next? a. Place the client in a semi-Fowler's position. b. Administer intravenous nitroglycerin. c. Begin supplemental oxygen at 2 L/min. d. Notify the health care provider

D

A patient who has a history of pulmonary valve stenosis tells the healthcare provider, "I don't have a lot of energy anymore, and both of my feet get swollen in the late afternoon." Which of these problems does the healthcare provider conclude is the likely cause of these clinical findings? A.Acute pericarditis B.Deep vein thrombosis (DVT) C.Peripheral artery disease D.Right ventricular failure

D. Right ventricular failure

A patient who is newly diagnosed with stage 1 hypertension is being evaluated by a healthcare provider. Which of the following laboratory tests would indicate organ damage that may result from hypertension? A. Complete blood count B. Serum aldosterone C. Coagulation panel D. Urinalysis

D. Urinalysis

A client has been admitted to the intensive care unit with worsening pulmonary manifestations of heart failure. What is the nurse's best action? a. Place the client in a high Fowler's position. b. Begin cardiopulmonary resuscitation (CPR). c. Promote rest and minimize activities. d. Administer loop diuretics as prescribed.

D