Cardiovascular B

The nurse understands that the pain of angina is caused by which mechanism?

Insufficient oxygen to the heart muscles.

The nurse manager reviews with the staff the differences between defibrillation and cardioversion. Which does the manager identify as characteristics that these two procedures have in common?

Intended action and paddle placement.

A continuous intravenous infusion of heparin is administered to a client. It is most important for the nurse to have which medication available?

Protamine Sulfate

Which reason does the nurse understand to be the purpose of a coronary artery bypass graft (CABG)?

Insert the graft.

The nurse understands that intermittent claudication is which description?

Pain caused by walking

An older adult make client is admitted to the hospital with a diagnosis of heart failure. The nurse does an admission assessment. Which findings are most characteristic of heart failure?

Pulse 130, respirations 28, blood pressure 140/90, chest congestion, and shortness of breath.

A client comes to the cardiac clinic for a medication check, and reporting symptoms of anorexia, nausea, headache, mild confusion, and blurred vision. The nurse understands these symptoms indicate the client may be experiencing which condition?

Digitalis Toxicity

The nurse provides care for a client admitted to the unit with a diagnosis of acute myocardial infarction. The nurse understands a cardiac monitor is attached to this client for which reason?

To detect any life-threatening dysrhythmias.

The nurse educator reviews echocardiography (ECGs) with a group of new nurses. The QRS complex reflects which activity?

Ventricular depolarization.

The nurse understands the antagonist of Warfarin is which medication?

Vitamin K

A client undergoes a cardiac catherization. Following the procedure, the nurse assesses the client and discovers the client is bleeding from the sheath insertion site. Which action does the nurse take first?

Applies pressure to the site.

The nurse provides care for a client with acute chest pain. The client's skin is cool and clammy, and blood pressure and heart rate are elevated. The client appears short of breath as well as restless and anxious. Which action does the nurse take first?

Assesses pain and administer analgesia.

A client is diagnosed with angina and receives nitroglycerin. The nurse informs the client that which of the following are common adverse effects of nitroglycerin?

Dizziness, headache, and hypotension.

The nurse assesses a client newly admitted to the cardiac unit with a diagnosis of acute decompensated heart failure. The nurse anticipates frequent assessing the client for which of the following symptoms?

Dyspnea, tachypnea, and wheezing.

The nurse observes an adult suddenly collapse on the street. The nurse finds the person unresponsive. Which action does the nurse take first?

Call the emergency response number.

The nurse provides care for a client immediately after a femoral-to-popliteal bypass graft. The nurse is most concerned if which symptom is observed?

Clammy skin

The home care nurse visits a client with a new permanent pacemaker implanted in the area below the left clavicle. It is most important for the nurse to respond to which client statement?

I know my wound is healing because I see drainage from the incision site.

One week after discharge from the hospital, a client diagnosed with heart failure comes to the cardiac clinic for a follow up visit. Which statement by the client indicates improvement in the client's condition?

I only sleep on one pillow now.

The nurse provides instruction to a client about hypertension. Which statement best indicates teaching is successful?

I will make appointments to see my health care provider on a regular basis.

An older adult client has a medical history of hypertension. The nurse anticipates the client needs further teaching when the client makes which statement?

I will try to quit smoking, but I smoke when I drink every day.

The nurse teaches a client diagnosed with a myocardial infarction about the appropriate diet. The nurse determines teaching is effective if the client selects which menu?

Sliced baked turkey, baked potato, fresh green beans, and a pear.

The nurse provides care for a client following a myocardial infarction. Which information obtained during the health history, is most significant when planning for the client's discharge?

The client has a high stress job.

A client diagnosed with iron deficiency anemia receives heparin after a venous thromboembolism (VTE) is diagnosed in the left leg. Which observation most concerns the nurse?

The client has a nosebleed.

The nurse is planning discharge teaching for a client diagnosed with peripheral vascular disease. The nurse reviews the client's health history. It is most important for the nurse to address which issue?

The client smokes daily.

When formulating a nursing care plan for a client following a myocardial infarction, the nurse includes which goal?

The client will be free from pain and dysrhythmias.

The nurse provides care for a client after a coronary artery bypass graft (CABG). Which observation during the postoperative period is most concerning to the nurse?

The heavy chest tube drainage suddenly stops.

The nurse provides care for a client who had a femoropopliteal bypass graft in the right leg 4 hours ago. Which intervention is appropriate for the nurse to perform?

The nurse accurately records intake and output. The nurse encourages the client to cough and deep breathe. The nurse elevates the client's left leg.

A client is taking verapramil in the sustained release form that was prescribed one month ago. The client reports having a mild headache since starting the medication. Which information does the nurse provide to the client?

This medication often causes headache which may improve over time.

The nurse discovers an unconscious person in the street. The nurse notes the person is not breathing but has a pulse. The nurse should take which action first?

While maintaining the cervical spine, roll the person to ensure the person is in position for cardiopulmonary resuscitation (CPR) if needed.

A client diagnosed with congestive heart failure is prescribed hydrochlorothiazide 50 mg po once a day. What is the best time for the nurse to administer this medication?

With breakfast.