Quiz 7

A nurse is reviewing the laboratory results for a client who has a history of atherosclerosis and notes elevated cholesterol levels. Which of the following statements by the client indicates the nurse should plan follow-up teaching on a low-cholesterol diet? "I flavor my fish with lemon juice." "I eat two eggs for breakfast each morning." "I cook my food with canola oil." "I take an omega-3 supplement daily."

"I eat two eggs for breakfast each morning."

Which patient statement supports a history of intermittent claudication? "My fingers hurt when I go outside in cold weather." "My legs cramp when I walk more than one block." "I get short of breath when I climb a lot of stairs." "When I stand too long, my feet start to swell."

"My legs cramp when I walk more than one block."

A nurse is teaching a client who has chronic stable angina about starting therapy with SL nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication? "Take this medication after each meal and at bedtime." "Take one tablet every 15 min during an acute attack." "Take one tablet at the first indication of chest pain." "Take this medication with 8 ounces of water."

"Take one tablet at the first indication of chest pain."

A nurse is teaching the partner of a client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzymes (biomarkers) studies? "Cardiac enzymes will identify the location of the MI." "These tests help determine the degree of damage to the heart tissues." "Cardiac enzymes assist in diagnosing the presence of pulmonary congestion." "These tests will enable the provider to determine the heart structure and mobility of the heart valves."

"These tests help determine the degree of damage to the heart tissues."

Which laboratory test result will the nurse review to determine the effects of therapy for a patient being treated for heart failure? Low-density lipoprotein (LDL) B-type natriuretic peptide (BNP) Homocysteine (Hcy) Troponin

B-type natriuretic peptide (BNP)

The patient is admitted with pain, edema, and warm skin on her lower left leg. What test should the nurse expect to be ordered first? Computed venography (phlebogram) Duplex ultrasound Complete blood count (CBC) Magnetic resonance imaging (MRI)

Duplex ultrasound

A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The nurse should instruct the client to avoid which of the following unsafe actions? Elevating her feet Massaging her legs Flexing her ankles Ambulating too soon after surgery

Massaging her legs

When teaching the patient with PAD about modifying risk factors associated with the condition, what should the nurse emphasize? Risk-reducing behaviors initiated after angioplasty can stop the progression of the disease. Amputation is the ultimate outcome if the patient does not alter lifestyle behaviors. Modifications will reduce the risk of other atherosclerotic conditions such as stroke. Maintenance of normal body weight is the most important factor in controlling arterial disease.

Modifications will reduce the risk of other atherosclerotic conditions such as stroke.

A nurse is caring for a client who receives furosemide (Lasix) to treat heart failure. Which of the following laboratory values should the nurse monitor for this client due to this medication? Bicarbonate Potassium Albumin Cortisol

Potassium

The nurse is discharging a client after a cardiac catheterization. What would the nurse include in the discharge teaching? Eat only soft foods for the next 12 hours. Move around whenever the client feels like getting up Restrict your intake of water until the dye is out of the body Report any numbness, tingling, or sharp pain in the extremity

Report any numbness, tingling, or sharp pain in the extremity

A nurse is caring for a client with left-sided heart failure. Which of the following findings should the nurse expect? (Select all that apply) Hepatomegaly S3 and S4 heart sounds Crackles heard on auscultation of lungs Cough (dry or with pin-tinged sputum) Jugular venous distention Restlessness and confusion

S3 and S4 heart sounds Crackles heard on auscultation of lungs Cough (dry or with pin-tinged sputum) Restlessness and confusion