Cardio

Which instructions should the nurse include in the teaching plan for a client with hyperlipidemia who is being discharged with a prescription for cholestyramine (Questran)? 1."Increase your intake of fiber and fluid." 2."Take the medication before you go to bed." 3."Check your pulse before taking the medication." 4."Contact your health care provider if your skin or sclera turn yellow."

1."Increase your intake of fiber and fluid."

The nurse is assessing a client with the diagnosis of chronic heart failure. Which clinical finding should the nurse expect the client to experience? 1.Dependent edema in the evening 2.Chest pain that decreases with rest 3.Palpitations in the chest when resting 4.Frequent coughing with yellow sputum

1.Dependent edema in the evening

A client has untreated stage 1 hypertension. What is the minimum systolic pressure the nurse expects when obtaining this client's blood pressure? 1.110 to 119 mm Hg 2.120 to 129 mm Hg 3.130 to 139 mm Hg 4.140 to 159 mm Hg

4.140 to 159 mm Hg

The cardiac monitor reveals a series of premature ventricular complexes (PVCs). The nurse anticipates that the client will be receiving a prescription for: 1.Atropine (Atropine Sulfate) 2.Epinephrine (Adrenaline) 3.Sodium bicarbonate (Sodium bicarbonate 5% injection) 4.Amiodarone (Cordarone)

4.Amiodarone (Cordarone)

Amlodipine (Norvasc) is prescribed for a client with hypertension. Which response to the medication should the nurse instruct the client to report to the health care provider? 1.Blurred vision 2.Dizziness on rising 3.Excessive urination 4.Difficulty breathing

4.Difficulty breathing

A client comes to the ambulatory surgery unit on the morning of an elective surgical procedure. The client reports shortness of breath, dizziness, and palpitations. The nurse observes profuse diaphoresis and is concerned that the client may be having either a panic attack or a myocardial infarction. Which assessments support the conclusion that the client may be experiencing a myocardial infarction? (Select all that apply.) 1.Anxiety 2.Chest pain 3.Irregular pulse 4.Fear of losing control 5.Feelings of depersonalization

1.Anxiety 2.Chest pain 3.Irregular pulse

What clinical indicators are the nurse most likely to identify when taking the admission history of a client with right ventricular failure? (Select all that apply.) 1.Edema 2.Vertigo 3.Polyuria 4.Dyspnea 5.Palpitations

1.Edema 4.Dyspnea

Which factors should the nurse identify that can precipitate hyponatremia? (Select all that apply.) 1.Gastrointestinal (GI) suction 2.Diuretic therapy 3.Inadequate antidiuretic hormone (ADH) secretion 4.Continuous bladder irrigation 5.Parenteral infusion of 0.9% sodium chloride

1.Gastrointestinal (GI) suction 2.Diuretic therapy 4.Continuous bladder irrigation

A client's diet is modified to eliminate foods that act as cardiac stimulants. The nurse should teach the client to avoid what foods? (Select all that apply.) 1.Iced tea 2.Red meat 3.Club soda 4.Hot cocoa 5.Chocolate pudding

1.Iced tea 4.Hot cocoa 5.Chocolate pudding

A client comes to the emergency department reporting symptoms of the flu. When the health history reveals intravenous drug use and multiple sexual partners, acute retroviral syndrome is suspected, and a test for the human immunodeficiency virus (HIV) is performed. Which clinical responses are associated most commonly with this syndrome? (Select all that apply.) 1.Malaise 2.Confusion 3.Constipation 4.Swollen lymph glands 5.Oropharyngeal candidiasis

1.Malaise 4.Swollen lymph glands

A client is brought to the emergency department with moderate substernal chest pain radiating to the inner aspect of the left arm, unrelieved by rest and nitroglycerin. The pain is associated with slight nausea and anxiety. What is the priority nursing intervention for this client? 1.Provide pain medication 2.Obtain an electrocardiogram (ECG) 3.Transfer to the coronary care unit 4.Have a blood specimen drawn for enzyme studies

1.Provide pain medication

What is the priority nursing action when caring for a client with disseminated intravascular coagulation? 1.Monitor for Homan sign. 2.Avoid giving intramuscular injections. 3.Take temperatures via the rectal route. 4.Apply sequential compression stockings

2.Avoid giving intramuscular injections.

A nurse provides dietary instruction to a client who has iron deficiency anemia. Which food choices by the client does the nurse consider most desirable? (Select all that apply.) 1.Raw carrots 2.Boiled spinach 3.Sweet potatoes 4.Brussels sprouts 5.Asparagus spears

2.Boiled spinach 3.Sweet potatoes

When monitoring a client for hyponatremia, what clinical findings should the nurse consider significant? (Select all that apply.) 1.Thirst 2.Confusion 3.Tachycardia 4.Pale coloring 5.Poor tissue turgor

2.Confusion 5.Poor tissue turgor

A client's serum potassium level is below the expected range. Which clinical indicators should the nurse determine are consistent with hypokalemia? (Select all that apply.) 1.Abdominal cramps 2.Decreased heart rate 3.Peripheral paresthesia 4.Decreased bowel sounds 5.Hyperactive deep tendon reflexes

2.Decreased heart rate 4.Decreased bowel sounds

A client is diagnosed with acute lymphoid leukemia and is receiving chemotherapy. The nurse should monitor what thrombocytopenic side effects of chemotherapy? (Select all that apply.) 1.Nausea 2.Melena 3.Purpura 4.Diarrhea 5.Hematuria

2.Melena 3.Purpura 5.Hematuria

While obtaining a health history, a nurse expects a client admitted to the hospital with chronic heart failure to report: 1.Tingling in the upper extremities 2.Feeling bloated after eating 3.A need to use three pillows at night to sleep 4.Swelling of the ankles that is more apparent in the morning

3.A need to use three pillows at night to sleep

A nurse is assessing a middle-aged female client for the presence of risk factors associated with coronary heart disease. Which risk factor carries a greater risk for women than for men? 1.Obesity 2.Hypertension 3.Diabetes mellitus 4.Cigarette smoking

3.Diabetes mellitus

The nurse is providing teaching to a client who is scheduled for a cardiac catheterization via the femoral approach. The teaching includes that the client will be: 1.Ambulated shortly after being transferred to the inpatient room after the procedure. 2.Given a general anesthesia and therefore will be asleep during the procedure. 3.In the supine position with the affected leg extended for several hours postprocedure. 4.Given only clear liquids for the remainder of the procedure day

3.In the supine position with the affected leg extended for several hours postprocedure.

Valsartan (Diovan), an angiotensin II receptor antagonist, is prescribed for a client. For which possible side effects should the nurse monitor the client? (Select all that apply.) 1.Constipation 2.Hypokalemia 3.Irregular pulse rate 4.Change in visual acuity 5.Orthostatic hypotension

3.Irregular pulse rate 5.Orthostatic hypotension

A nurse begins to develop a plan of care with a client who has left ventricular heart failure that resulted from a myocardial infarction (MI). What should be the primary focus of the plan during the acute phase of recovery? 1.Increasing activity tolerance 2.Preventing cardiac dysrhythmias 3.Promoting physical and emotional rest 4.Maintaining potassium and sodium intake

3.Promoting physical and emotional rest

A health care provider in the emergency department identifies that a client is in mild hypovolemic shock. Which type of drug should the nurse anticipate will be prescribed? 1.Loop diuretic 2.Cardiac glycoside 3.Sympathomimetic 4.Alpha-adrenergic blocker

3.Sympathomimetic

A client with impaired peripheral pulses and signs of chronic hypoxia in a lower extremity is scheduled for a femoral angiogram. What would be appropriate for the nurse to include in the postprocedure plan of care? 1.Elevate the foot of the bed 2.Perform urinary catheter care every 12 hours 3.Place in the high-Fowler position 4.Perform a neurovascular assessment every two hour

4.Perform a neurovascular assessment every two hour

When a client has a myocardial infarction, one of the major manifestations is a decrease in conductive energy provided to the heart. What is most important for the nurse to assess that has a direct relationship to the action potential of the heart? 1.Heart rate 2.Refractory period 3.Pulmonary pressure 4.Strength of contractions

4.Strength of contractions

Laboratory results of a client's blood after chemotherapy indicate bone marrow depression. What should the nurse encourage the client to do? (Select all that apply.) 1.Use a soft toothbrush. 2.Sleep with the head of the bed elevated. 3.Increase activity levels and take frequent walks. 4.Drink more citrus juices and eat more citrus fruits. 5.Read the ingredients in over-the-counter drugs before taking them.

1.Use a soft toothbrush. 5.Read the ingredients in over-the-counter drugs before taking them

The nurse provides discharge medication education to a client who has been switched from a prescription for heparin to a prescription for warfarin sodium (Coumadin). The nurse concludes that the teaching was effective when the client states, "I will: 1.Take acetaminophen (Tylenol) for my occasional headaches." 2.Spend most of the day working at my desk." 3.Ask my health care provider for antibiotics before going to the dentist." 4.Make an appointment to have a complete blood count drawn."

1.Take acetaminophen (Tylenol) for my occasional headaches."

A client with chronic heart failure is taking a diuretic twice a day. The health care provider prescribes a diet that includes the intake of dietary potassium. What foods that have a higher amount of potassium should the nurse instruct the client to consume? (Select all that apply.) 1.Corn 2.Bananas 3.Strawberries 4.Cucumber salad 5.Mashed sweet potatoes 6.Baked potatoes with skins

2.Bananas 6.Baked potatoes with skins

A client with varicose veins asks a nurse what is involved when ligation and stripping are performed rather than sclerotherapy. What should the nurse consider when planning a response in language the client will understand? 1.Plaque from within the veins is abraded. 2.The dilated saphenous veins are removed. 3.Superficial veins are anastomosed to deep veins. 4.An umbrella filter is placed in the large affected veins.

2.The dilated saphenous veins are removed.

A nurse caring for a client with a myocardial infarction is concerned that the client may develop left ventricular failure. For which clinical manifestation should the nurse assess the client? 1.Weight loss 2.Distended neck veins 3.Paroxysmal nocturnal dyspnea 4.Right upper quadrant tenderness

3.Paroxysmal nocturnal dyspnea

A client is brought to the emergency department after an automobile collision. The client's blood pressure is 100/60 mm Hg, and the physical assessment suggests a ruptured spleen. For which early clinical indicator of decreased arterial pressure should the nurse assess the client? 1.Warm, flushed skin 2.Increased pulse pressure 3.Lethargy with confusion 4.Reduced peripheral pulses

4.Reduced peripheral pulses