NUR325 Cardio Adaptive Quiz

4

The nurse provides discharge teaching for a client with a history of hypertension who had a femoropopliteal bypass graft. Which client statement indicates teaching is effective? 1 "I should massage my calves and feet every day." 2 "I should keep my foot elevated when I am in bed." 3 "I should sit in a hot bath for half an hour twice a day." 4 "I should observe the color and pulses of my legs every day.

3

A client being treated for uncontrolled hypertension and chest pain calls out to the nurse and reports a nosebleed. Upon entry to the client's room, the nurse immediately applies pressure. Which action should the nurse take next? 1 Add humidity to the client's oxygen prescribed at 2 L/minute via nasal cannula. 2 Assess the client for further injuries indicative of a possible fall. 3 Assess the client's blood pressure. 4 Assess the client's pulse rate.

4

A client whose total cholesterol level is found to be 210 mg/dL (5.5 mmol/L) at a screening session at a health fair asks the nurse what to do in light of this result. How should the nurse respond? 1 "Your cholesterol is high, and you may need medication." 2 "This is within the acceptable range, and no action is required." 3 "Your level is low; you should eat more foods that contain cholesterol." 4 "Your cholesterol is elevated slightly. A diet low in saturated fats should be followed."

2

An African-American woman is diagnosed with primary hypertension. She asks, "Is hypertension a disease of African-American people?" What is the nurse's best response? 1 "The prevalence of hypertension is about equal for women of all races." 2 "The higher-risk population is composed of African-American men and women." 3 "The highest-risk population consists of older Caucasian-American men and women." 4 "The prevalence of hypertension is greater for African-American men than for African-American women."

2 3 5

The nurse is planning to teach a client with heart failure about the signs and symptoms of cardiac decompensation. What clinical manifestations should the nurse include? Select all that apply. 1 Weight loss 2 Extreme fatigue 3 Coughing at night 4 Excessive urination 5 Difficulty breathing

*4

A 75-year-old client with a history of hypertension has arrived for a routine annual health screening. The nurse obtains a sitting blood pressure in the client's left arm of 160/100 mm Hg. What action should the nurse take next? 1 Advise the client to restrict fluid and sodium intake, then begin to develop a teaching plan for the client. 2 Inform the primary healthcare provider immediately of the client's blood pressure reading. 3 Record the findings, recognizing that the result is expected for an older adult with a history of hypertension. 4 Evaluate the client for symptoms related to extreme hypertension.

2*

A client who develops heart failure has a serum potassium level of 2.3 mEq/L (2.3 mmol/L). Digoxin and potassium chloride are prescribed. What action should the nurse take? 1 Double the dose of potassium chloride and administer it with the prescribed digoxin. 2 Hold the dose of digoxin, administer the potassium chloride, and call the primary healthcare provider immediately. 3 Give the digoxin and potassium chloride as prescribed and report the laboratory results to the primary healthcare provider. 4 Administer the prescribed digoxin and potassium chloride with a glass of orange juice and continue to monitor the client.

2

An older adult with peripheral vascular disease has stopped smoking, and the client's children want to make the home environment safe. What should the home healthcare nurse emphasize when providing instructions? 1 Observe for evidence of blurred vision 2 Use measures that can prevent thermal injuries 3 Reduce fluid intake to prevent peripheral edema 4 Limit activities to reduce the workload on the heart

*2 4

An older client with hypertension is admitted to the hospital. Which data from the client's history and diagnostic workup represent risk factors for hypertension? Select all that apply. 1 Taking an aspirin a day 2 Occasional cocaine use 3 Reduced hemoglobin level 4 African-American heritage 5 Increased high-density lipoprotein (HDL

*1

A client with a history of heart failure and atrial fibrillation reports a nine-pound (four kilogram) weight gain in the last two weeks. Which factor does the nurse consider as the most likely cause of this sudden weight gain? 1 Fluid retention 2 Urinary retention 3 Renal insufficiency 4 Abdominal distention

2

A client with a history of hypertension develops pedal edema and hepatomegaly. Which condition does the nurse determine the client is experiencing? 1 Left ventricular failure 2 Right ventricular failure 3 Restrictive pulmonary disease 4 Obstructive pulmonary disease

3

A client with a long history of cardiovascular problems, including angina and hypertension, is scheduled to have a cardiac catheterization. During preprocedure teaching, what does the nurse explains to the client is the major purpose for catheterization? 1 To obtain the pressures in the heart chambers 2 To determine the existence of congenital heart disease 3 To visualize the disease process in the coronary arteries 4 To measure the oxygen content of various heart chambers

2

A client with hypertension is scheduled for a scan and electrolyte studies. During an interview with the nurse, the client exclaims, "I don't know why I just can't get a prescription for high blood pressure pills; that probably is all it is. I'm missing work by being here." Which is the best response by the nurse? 1 "It might not be high blood pressure. We have to be sure." 2 "It's frustrating to miss work and not know for sure what's wrong." 3 "I know it's frustrating, but you need to have a diagnostic workup." 4 "Maybe you could ask your primary healthcare provider if the tests could be done on separate days."

4

A nurse expects that a client with right-sided heart failure will exhibit which of these signs or symptoms? 1 Oliguria 2 Pallor 3 Cool extremities 4 Distended neck veins

4

A nurse is assessing a client with a diagnosis of early left ventricular heart failure. Specific to this type of heart failure, what statement by the client would the nurse expect? 1 "My ankles are swollen." 2 "I am tired at the end of the day." 3 "When I eat a large meal, I feel bloated." 4 "I have trouble breathing when I walk rapidly."

3

A nurse is assessing a client with the diagnosis of primary hypertension. Which clinical finding does the nurse identify as an indicator of primary hypertension? 1 Mild but persistent depression 2 Transient temporary memory loss 3 Occipital headache in the morning 4 Cardiac palpitation during periods of stress

3 4

A nurse is conducting cholesterol screening for a manufacturing corporation during a health fair. A 50-year-old man who is 6 feet (183 cm) tall and weighs 293 pounds (133 kg) puts out his cigarette and asks the nurse how to modify his risk factors for coronary artery disease. On which risk factors should the nurse help the client focus? Select all that apply. 1 Age 2 Height 3 Weight 4 Smoking 5 Family history

*2

A nurse is teaching a group of clients with peripheral vascular disease about a smoking cessation program. Which physiologic effect of nicotine should the nurse explain to the group? 1 Constriction of the superficial vessels dilates the deep vessels. 2 Constriction of the peripheral vessels increases the force of flow. 3 Dilation of the superficial vessels causes constriction of collateral circulation. 4 Dilation of the peripheral vessels causes reflex constriction of visceral vessels.