PERFUSION

When assessing a client with heart failure, the nurse asks what aggravates the problem. Which activity should the nurse expect will cause the client the greatest distress?

Climbing a flight of stairs to the bedroom

A client is diagnosed with heart failure and is admitted for medical management. Which statement made by the client may indicate worsening heart failure?

"I wake up at night short of breath."

A client with a history of hypertension has a blood pressure of 180/102 mm Hg. When the nurse asks whether the client has been taking any medications, the client replies, "I took the blood pressure pills the health care provider prescribed for a few weeks, but I didn't feel any different, so I decided I'd only take them when I feel sick." What is the best initial response by the nurse?

"It is important to take your medications daily to achieve optimal results."

A client who was in an automobile collision is now in hypovolemic shock. Why is it important for the nurse to take the client's vital signs frequently during the compensatory stage of shock?

Arteriolar constriction occurs.

A client is admitted to the emergency department with crushing chest pain. A diagnosis of acute coronary syndrome is suspected. The nurse expects that the client's initial treatment will include which medication?

Aspirin (ASA)

What can cause metabolic alkalosis?

Cushing disease

A client with hypertension has received a prescription for metoprolol (Lopressor). Which information should the nurse include when teaching this client about metoprolol?

Do not abruptly discontinue the medication

A client with a cardiovascular disorder reports exhaustion and activity intolerance. What does the nurse document in the assessment report?

Fatigue

A client with a history of coronary artery disease is admitted with pneumonia. The health care provider prescribes atenolol (Tenormin). What should the nurse monitor to determine the therapeutic effect of atenolol?

Heart rate

The nurse is caring for a client who has just received epidural anesthesia. Which finding would be of most concern?

Hypotension

What effect of anxiety makes it particularly important for the nurse to reduce the anxiety of a client with heart failure?

Increases the cardiac workload

A nurse is caring for a client who is admitted to the hospital with a diagnosis of unstable angina. Sublingual nitroglycerin has been prescribed. What client response indicates that nitroglycerin is effective?

Pain subsides as a result of arteriole and venous dilation

The health care provider prescribes a progressive exercise program that includes walking for a client with a history of diminished arterial perfusion to the lower extremities. The nurse explains to the client that if leg cramps occur while walking, the client should do what?

Stop to rest until the pain resolves

Which cardiovascular adverse effect is associated with the use of clomiphene?

Tachycardia

Which risk is associated with estrogen therapy in a client who smokes?

Thromboembolic disorders