Adult Health-Cardio
The nurse is evaluating a client's ability to cope with the experience of having a myocardial infarction (MI). Which statement by the client is the best indicator of positive adaptation?
"Because I can't smoke in the hospital, I might as well try to quit altogether."
The nurse is caring for a hospitalized client diagnosed with coronary artery disease (CAD). Which statement by the client should indicate the need for further teaching?
"I can have someone from the office bring over work for me to complete as long as I do not get out of bed."
The nurse is caring for a client with Raynaud's disease. Which statement by the client would indicate a need to provide the client with an opportunity to verbalize feelings?
"I can't stand the way my body looks anymore."
The nurse has provided post-discharge activity instructions to a client after insertion of an internal cardioverter-defibrillator (ICD). Which statement by the client indicates the need for further instructions?
"I need to limit my use of everyday electronic equipment, such as computers and televisions."
A client who had an implantation of an automatic internal cardioverter-defibrillator (AICD) has received directions about managing the circumstances surrounding device activation. The nurse determines that the client needs further teaching if the client makes which statement?
"I should take an extra dose of antidysrhythmic medication the day after the AICD is activated."
The nurse has completed nutritional counseling with an overweight client about weight reduction to modify the risk for coronary artery disease (CAD). The nurse should determine the teaching as successful if the client states that what is a safe weight loss goal?
2 pounds per week
The nurse has given instructions to the family of an older client who seems anxious about being discharged after cardiac surgery. The nurse determines the need for further teaching if a family member made which statement?
A daily, half-mile-long brisk walk generally helps people bounce back more quickly and provides more of a sense of control.
A client with a diagnosis of angina pectoris who has been pain free for 2 days now complains of recurrent chest pain. The nurse notes a sinus tachycardia on the cardiac monitor. Based on this information, the nurse reviews the standing health care provider prescriptions and institutes which action initially?
Administers oxygen by nasal cannula
A client is scheduled for a cardiac catheterization. Which data, if noted in the client's health record, should the nurse report to the health care provider before the catheterization?
Allergy to shellfish
The client undergoing computed tomography (CT) scan develops chest pain, wheezing, and stridor after injection of contrast media. Which type of shock is this client most likely exhibiting?
Anaphylactic
The nurse is planning a dietary menu for a client with heart failure being treated with digoxin (Lanoxin) and furosemide (Lasix). Which selection would be the best dinner choice from the daily menu?
Baked pollock, mashed potatoes, and carrot-raisin salad
A client has an excess fluid volume problem. Which assessment finding supports this client problem?
Bibasilar crackles
The nurse has taught the hypertensive client about nonfood items that contain sodium. The nurse determines that the client understands the information presented if the client states that which product is acceptable to use?
Bottled spring water
A client who has experienced a myocardial infarction is at risk for bradycardia. The nurse teaches the client that which activities are allowed?
Breathing in and out during activities
A client is admitted to the hospital with a venous stasis leg ulcer. The nurse should assess the ulcerated area for which appearance?
Brown, edematous surrounding skin
A client was hospitalized seven days ago following a head injury and has been on bedrest since admission. The nurse monitors for a peripheral vascular complication and assesses the client especially for which finding?
Calf tenderness
A client with heart failure is taking furosemide (Lasix) and digoxin (Lanoxin). The client complains of anorexia and nausea as the nurse brings the breakfast tray into the room. What is the best action for the nurse to take?
Check the result of the potassium level drawn at 5:00 a.m.
A client with infective endocarditis is at risk for heart failure. What should the nurse monitor the client for on an ongoing basis?
Crackles, peripheral edema, and weight gain
The nurse is delivering care to a client who has an infected ischemic arterial leg ulcer. Which type of dressing should the nurse doing a dressing change plan to apply as prescribed as part of the client's care plan?
Damp-to-dry normal saline dressing
A client who has undergone femoral-popliteal bypass grafting says to the nurse, "I hope I don't have any more problems that could make me lose my leg. I'm so afraid that I'll have gone through this for nothing." The nurse formulates a care plan including which client problem?
Fear of future complications and amputation
A client is admitted to the hospital with possible rheumatic endocarditis. What should the nurse assess the client for?
Fever and sore throat
The nurse is obtaining a history from a client diagnosed with coronary artery disease (CAD). The nurse determines that which item pertinent to the client's history is a modifiable risk factor for CAD?
Hypertension and cigarette smoking
A client has been newly diagnosed with hypertension. What should the nurse plan to do as the first step in teaching the client about the disorder?
Identify the client's knowledge and needs.
A client with hypertension asks the nurse what it means to be prehypertensive. The nurse uses which guideline to accurately respond to the client?
Individuals with a systolic blood pressure of 120 to 139 mm Hg or a diastolic blood pressure of 80 to 89 mm Hg should be considered prehypertensive and require health-promoting lifestyle modifications to prevent coronary artery disease.
The nurse is teaching a client with thromboangiitis obliterans (Buerger's disease) about interventions to control the disease process. What should the nurse tell the client to avoid?
Keeping the extremities cool
The nurse working in the emergency department is conducting a focused assessment on a client with chronic lung disease. The client reports paroxysmal nocturnal dyspnea and orthopnea. Which additional condition, based on these data, should the nurse suspect in this client?
Left-sided heart failure
The nurse is caring for a client immediately after insertion of a permanent demand pacemaker via the right subclavian vein. What intervention should the nurse to include in this client's plan?
Limit movement and abduction of the right arm.
The nurse is caring for a client admitted to the hospital with a diagnosis of angina. While the nurse is caring for the client, the client begins to experience chest pain. Which data should the nurse obtain immediately?
Location and intensity of pain
A client with coronary artery disease is admitted to the medical nursing unit after experiencing an episode of dizziness and shortness of breath. The nurse suspects that the client is experiencing decreased cardiac output, dyspnea, and syncopal episodes related to possible dysrhythmias. Which action should the nurse take in the care of the client?
Place the client on a cardiac monitor.
A client is diagnosed with deep vein thrombosis. The nurse should include which actions in the care of this client?
Promote bedrest as prescribed and encourage coughing and deep-breathing exercises.
The nurse has completed dietary educational instructions for a client who has been placed on a low-cholesterol diet. The client understands the instructions if which dietary selection is made by the client?
Sherbet
A client comes to the health care clinic with complaints of leg pain and cramping after walking three blocks. The nurse should ask the client whether the pain is relieved by which action?
Stopping activity and resting
A young woman has just been diagnosed with rheumatic heart disease. The client's husband asks the nurse why the client must tell the dentist about this condition before dental cleaning or other work. The nurse tells the client's husband that this should be done for which reason?
To allow for prophylactic antibiotic therapy
The nurse has given medication information to a client who will be taking warfarin (Coumadin) indefinitely. The nurse determines that the client needs further teaching of the information presented if the client states they will take which action?
Use only mildly acting over-the-counter medications for discomfort.
