Exam 2 (Chapter 35)

What are signs and symptoms of cardiac tamponade?

- presence of jugular vein distention - muffled heart sounds - decreased cardiac output - Paradoxal pulse - circulatory collapse

A nurse identifies signs of electrolyte depletion in a client with HF who is receiving bumetanide (Bumex) and digoxin (Lanoxin). What does the nurse determine is the cause of the depletion? 1. Diuretic therapy 2. Sodium restriction 3. Continuous dyspnea 4. Inadequate oral intake

1. Diuretic therapy

After receiving change-of-shift report about these four clients, which client should the nurse assess first? A. A 46-year-old with aortic stenosis who takes digoxin (Lanoxin) and has new-onset frequent premature ventricular contractions B. A 55-year-old admitted with pulmonary edema who received furosemide (Lasix) and whose current O2 saturation is 94% C. A 68-year-old with pericarditis who is reporting sharp, stabbing chest pain when taking deep breaths D. A 79-year-old admitted for possible rejection of a heart transplant who has sinus tachycardia, heart rate 104 beats/min

A 46-year-old with aortic stenosis who takes digoxin (Lanoxin) and has new-onset frequent premature ventricular contractions The 46-year-old's premature ventricular contractions may be indicative of digoxin toxicity; further assessment for clinical manifestations of digoxin toxicity should be done and the health care provider notified about the dysrhythmia.

What three classes of meds reduce after load?

Human - BNP ACE inhibitor ARBs

What is the most common complication after a myocardial infarction? 1. dysrhythmias 2.

If anyone remembers the answer to this question please lmk :)

A patient presents to the ER with complaints of chest pain for a few weeks and has nausea and vomiting. What lab value indicates myocardial injury? 1. Troponin 2. Creatinine Kinase 3. Creatinine Kinase - MB (myocardial bands) 4. Myoglobin

Troponin

A nurse is teaching a client with heart failure who has been prescribed enalapril (Vasotec). Which statement should the nurse include in this client's teaching? a. "Avoid using salt substitutes." b. "Take your medication with food." c. "Avoid using aspirin-containing products." d. "Check your pulse daily."

a. "Avoid using salt substitutes."

A nurse is assessing a client with left-sided heart failure. For which clinical manifestations should the nurse assess? (Select all that apply.) a. Pulmonary crackles b. Confusion, restlessness c. Pulmonary hypertension d. Dependent edema e. Cough that worsens at night

a. Pulmonary crackles b. Confusion, restlessness e. Cough that worsens at night

A nurse assesses a client with pericarditis. Which assessment finding should the nurse expect to find? a. Heart rate that speeds up and slows down b. Friction rub at the left lower sternal border c. Presence of a regular gallop rhythm d. Coarse crackles in bilateral lung bases

b. Friction rub at the left lower sternal border

What is pericarditis?

inflammation of the pericardium