cardiac evolve practice questions

What should the nurse suggest for a client with right ventricular failure? "Take a hot bath before bedtime." "Avoid emotionally stressful situations." "Avoid sleeping in an air-conditioned room." " Exercise daily until the pulse rate exceeds 100 beats per minute.

"Avoid emotionally stressful situations."

A client with chronic heart failure is taking a diuretic twice a day. The healthcare provider prescribes a diet that includes the intake of foods high in dietary potassium. Which foods should the nurse instruct the client to consume? Select all that apply. Corn Bananas Strawberries Cucumber salad baked potato with skins

Bananas baked potato with skins

A nurse discovers lower extremity pitting edema in a client with right ventricular heart failure. Which information should the nurse consider when planning care? Client has decreased plasma colloid osmotic pressure. Client has increased tissue colloid osmotic pressure. Client has increased plasma hydrostatic pressure. Client has decreased tissue hydrostatic pressure.

Client has increased plasma hydrostatic pressure.

A client with a history of heart failure is admitted to the hospital with the diagnosis of pulmonary edema. For which signs and symptoms specific to pulmonary edema should the nurse assess the client? Select all that apply. Crackles Coughing Orthopnea Yellow sputum Dependent edema

Crackles Coughing Orthopnea

The nurse is assessing a client with the diagnosis of left ventricular failure. Which assessment finding does the nurse expect to identify? Crushing chest pain Dyspnea on exertion Jugular vein distention Extensive peripheral edema

Dyspnea on exertion

A client has a femoropopliteal bypass graft. The nurse assesses vital signs, and the client's blood pressure is 200/110 mm Hg. The nurse notifies the surgeon. What is the rationale for the nurse's action? Graft is leaking or ruptured. Venous return is compromised. Leg may be developing compartment syndrome. Femoropopliteal arteries are becoming occluded.

Graft is leaking or ruptured.

A client is returned to the surgical unit immediately after placement of a coronary artery stent that was accomplished via access through the femoral artery. What should the nurse consider the priority when assessing this client? Acute pain Impaired mobility Impaired swallowing Hematoma formation

Hematoma formation

On the morning of surgery a client is admitted for resection of an abdominal aortic aneurysm. While awaiting surgery, the client suddenly develops symptoms of shock. Which nursing action is priority?

Notify the surgeon immediately.

The nurse is interpreting an electrocardiogram rhythm. What part of the electrical pattern represents ventricular contraction?

QRS interval

Which clinical indicator is the nurse most likely to identify when completing a history and physical assessment of a client with complete heart block? Syncope Headache Tchycardia Hemiparesis

Syncope

A client has left ventricular heart failure. For which clinical indicators should the nurse assess the client? Select all that apply. Ascites Crackles Peripheral edema Dyspnea on exertion Jugular vein distention

crackles dyspnea on exertion

A client's laboratory report indicates hyperkalemia. Which responses should the nurse expect the client to exhibit? Select all that apply. Anorexia Vomiting Constipation Muscle weakness Irregular heart rate

vomiting muscle weakness irregular heart rate

A client who has been experiencing chest pain and vomiting for several hours is admitted to the hospital with a diagnosis of myocardial infarction. The client is transferred immediately to the cardiac intensive care unit. The client's potassium level is below the expected range. Considering this laboratory result, what should the nurse monitor the client's electrocardiogram (ECG) for? - Tall, peaked P waves - Increased P-R intervals - Elevated U and flattened T waves

Elevated U and flattened T waves

The nurse is assessing the pulse of a client who has a demand pacemaker. If the client's demand pacemaker is functioning effectively, the nurse would identify which assessment finding? Pulse regular rhythm Pulse palpable at all sites Pulse rate at least at the preset rate Pulse equal to the pacemaker setting

Pulse rate at least at the preset rate

A nurse is preparing medications. Which client's health problem motivates the nurse to question a prescription for a beta blocker? Coronary artery disease Essential hypertension Acute heart failure Sinus tachycardia

Acute heart failure

How can the nurse best describe heart failure to a client? A cardiac condition caused by inadequate circulating blood volume An acute state in which the pulmonary circulation pressure decreases An inability of the heart to pump blood in proportion to metabolic needs A chronic state in which the systolic blood pressure drops below 90 mm Hg

An inability of the heart to pump blood in proportion to metabolic needs

Which condition may cause the gradual occlusion of the internal or common carotid arteries, manifested by transient ischemic attacks? Acquired valvular heart disease Atherosclerosis of the vascular system Emboli associated with atrial fibrillation Developmental defects of the arterial wall

Atherosclerosis of the vascular system

A client is experiencing tachycardia. Which adverse hemodynamic effects will the nurse consider when planning care for this client? Select all that apply. Decreased ventricular filling time Increased coronary artery filling Decreased cardiac output Increased atrial kick Increased cardiac output

Decreased ventricular filling time Decreased cardiac output

A client is diagnosed with hypertension that is related to atherosclerosis. Which information should the nurse consider when planning care for this client? Renin causes a gradual decrease in arterial pressure. Lipid plaque formation occurs within the arterial vessels. Development of atheromas within the myocardium is characteristic. Mobilization of free fatty acid from adipose tissue contributes to plaque formation.

Lipid plaque formation occurs within the arterial vessels.

A client is admitted with thrombocytopenia. Which specific nursing actions are appropriate to include in the plan of care for this client? Select all that apply. Avoid intramuscular injections Institute neutropenic precautions Monitor the white blood cell count administer prescribed anticoagulants Examine the skin for ecchymotic areas

Avoid intramuscular injections Examine the skin for ecchymotic areas

A client is on a cardiac monitor. The monitor begins to alarm showing ventricular tachycardia. What should the nurse do first? Check for a pulse Start cardiac compressions Prepare to defibrillate the client Administer oxygen via an ambu bag

Check for a pulse

A client is at high risk for heart disease. Which instructions should the nurse include in the client's teaching plan? Avoid eating between meals. Limit unsaturated fats in the diet. Decrease the amount of fat-binding fiber. Increase the quantity of complex carbohydrates.

Increase the quantity of complex carbohydrates.

The family of a client with right ventricular heart failure expresses concern about the client's increasing abdominal girth. What physiologic change should the nurse consider when explaining the client's condition? Loss of cellular constituents in blood Rapid osmosis from tissue spaces to cells Increased pressure within the circulatory system Rapid diffusion of solutes and solvents into plasma

Increased pressure within the circulatory system

nurse discusses resumption of sexual activity with a client who is recovering from a myocardial infarction. Which information should the nurse share with the client? Choose only familiar sexual positions. Select familiar settings for sexual activity. Return to regular sexual activity in four to six weeks. Depending upon your preference, take a hot or cold shower after intercourse.

Select familiar settings for sexual activity.

Which nursing action should be included in the plan of care for a client who has a permanent fixed (asynchronous) pacemaker inserted? Instruct the client that it is better to sleep on two pillows Encourage the client to reduce activity from former levels Teach the client to keep daily accurate records of the pulse Inform the client that the pacemaker functions when the heart rate drops below a preset rate

Teach the client to keep daily accurate records of the pulse

A primary healthcare provider prescribes verapamil to be administered intravenously to an older adult client with hypertension. Which nursing intervention is specific to the intravenous administration of verapamil? mnitor the electrocardiogram for a prolonged PR interval on initial administration. eep the client in the recumbent position for 1 hour after administration. Instill the dose in 50 mL of normal saline and administer it over 15 minutes. Assess the client's respiratory rate and rhythm before administering the drug.

kep the client in the recumbent position for 1 hour after administration.