TEST CV

112. A nurse is teaching a middle-age client about hypertension. Which of the following information should the nurse include in the teaching?

"Diuretics are the first type of medication to control hypertension."

A nurse is caring for a client who is scheduled for an exercise stress test. Which of the following comments made by the client should indicate to the nurse that the client requires further teaching

"I WILL TAKE MY HEART MEDS THE MORNING OF MY TEST

A nurse is planning care for a client who is to receive packed RBCs. The nurse should plan for the total infusion time to not exceed which of the following?

4 HRS

A nurse is reinforcing teaching with a client regarding reduction of risk factors for coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply

A. "I must stop smoking." C. "I will stop consuming alcohol." D. "I need to monitor my weight." E. "I am limiting my intake of fast foods."

A nurse is planning to perform a blood transfusion for a client. Which of the following actions should the nurse plan to take? (Select all that apply.

A. Check vital signs before transfusion. C. Prime the blood tubing with dextrose 5% in water. E. Check the expiration date of the blood product with a second nurse.

0. A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?

A. Exercise at least three times per week.

A nurse is planning to administer digoxin to a client who has heart failure. Which of the following laboratory results is the priority for the nurse to review prior to administering the medication?

A. Potassium

114.A nurse is preparing to administer blood to a client. Which of the following actions should the nurse take to identify the client? (Select all that apply.)

A. Verify the provider's prescription with another RN. C. Scan the barcode on the client's identification band. E. Compare client identification number to the blood component tag number.

A nurse is teaching a client who has a vitamin K deficiency about the effects of vitamin K. Which of the following information should the nurse include in the teaching

A. Vitamin K reverses warfarin toxicity.

A nurse in the emergency room is caring for a client who presents with manifestations that indicate a myocardial infarction. Which of the following prescriptions should the nurse take first

Attach the leads for a 12 lead ECG

A nurse is teaching a client scheduled for an activated partial thromboplastin time (aPTT). Which of the following statements by the client indicates an understanding of the teaching

B. "It measures deficiencies in clotting factors."

121. A nurse is assessing a client who is receiving a platelet transfusion. Which of the following findings is an adverse effect of the transfusion?

B. Chills

A nurse is reviewing the laboratory results of a male adult client who is at risk for peripheral arterial disease from atherosclerosis. The nurse should identify which of the following results place the client at risk

C. LDL 172 mg/dL

A nurse is reviewing the laboratory values of a client who had a myocardial infarction 3 hr ago. The nurse should expect which of the following laboratory values to be elevated?

C. Troponin I

A nurse is teaching a client who has a new diagnosis of venous insufficiency. Which of the following instructions should the nurse include?

D. "Place your legs in a dependent position while in bed."

A nurse is planning care for a client who has deep-vein thrombosis (DVT) and is receiving anticoagulation therapy. Which of the following interventions should the nurse include in the plan of care

D. Encourage the client to walk.

A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect

DEPENDENT EDEMA

A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?

DIC IS CAUSED BY ABNORMAL COAGULATION INVOLVING FIBRINOGEN

A nurse is assessing a client who has right ventricular failure. Which of the following findings should the nurse expect?

DIZZINESS

A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurse's priority

Defibrillation

A nurse is teaching a client who takes aspirin daily for coronary artery disease about herbal supplements. The nurse should instruct the client that which of the following herbal supplements may interact adversely with aspirin

Feverfew

Which of the following surgical procedures places the client at risk for deep-vein thrombosis

HIP ARTHROPLASTY

62. A nurse is preparing a client for magnetic resonance imaging (MRI) of the heart and great vessels. Which of the following instructions should the nurse include about this test?

IT REQUIRES REMOVING METAL OBJECTS LIKE JEWLERY

. A nurse is planning care for a client who has deep vein thrombosis of the lower leg. Which of the following interventions should the nurse include in the plan of care

KEEP THE CLIENTS AFFECTED LEG ELEVATED WHILE IN BED

A nurse in a clinic is caring for a client who has a prescription for digoxin. Which of the following statements indicates the client is experiencing digoxin toxicity?

MY VISION SEEMS YELLOW

A nurse is teaching about risk factors of developing a stroke with a group of older adult clients. Which of the following nonmodifiable risk factors should the nurse include in the teaching?

RACE

nurse should give the client which of the following information about anginal pain?

THE PAIN OFTEN RADIATES TO THE JAW OR THE BACK

A nurse is preparing to administer 2 units of packed RBCs to an older adult client. Which of the following actions should the nurse take?

USE AN 18 GAUGE TO OBTAIN VENOUS ACCESS

83. A nurse is providing discharge teaching to a client who has peripheral arterial disease (PAD). Which of the following instructions should the nurse include in the teaching?

WEAR ANTI EMBOLIC STOCKING DURING THE DAY

A nurse in an emergency department is assessing a client who is having a suspected acute myocardial infarction (MI). Which of the following manifestations should the nurse expect to find for a client experiencing an acute MI? (Select all that apply.

orthopnea nausea diaphoresis

A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

0.5 TABLET S

A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?

ABNORMALLY PROMINENT U WAVE

A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The the nurse recognizes that the aspirin is given due to which of the following actions of the medication

ANTIPLATLET AGGREATE

A nurse is interpreting the ECG strip of a client who has bradycardia. Which of the following cardiac components should the nurse identify as the role of the P wave

ATRIAL DEPOLARIZATION

A nurse is caring for a client who has a cardiopulmonary arrest. The nurse anticipates the emergency response team will administer which of the following medications if the client's restored rhythm is symptomatic bradycardia?

ATROPINE

A nurse is providing teaching to a client who has a permanent pacemaker and has just had the initial pacemaker check. Which of the following client statements should the nurse recognize as an understanding of the teaching

B. "The pacemaker can be checked from home by using the telephone."

A nurse is assisting with obtaining an electrocardiogram (ECG) for a client who has atrial fibrillation. Which of the following actions should the nurse take? (Select all that apply.

B. Inspect the electrode pads. D. Instruct the client not talk during the test.

A nurse at a provider's office receives a phone call from a client who reports nausea and unrelieved chest pain after taking a nitroglycerin tablet 5 min ago. Which of the following is an appropriate response by the nurse?

B. Instruct the client to call 911.

64. A nurse is giving a presentation about preventing deep-vein thrombosis (DVT). Which of the following should the nurse include as a risk factor for this disorder? (Select all that apply.)

B. Oral contraceptive use C. Hypertension E. Immobility

125. A nurse is caring for a client who has atrial fibrillation and is receiving heparin. Which of the following findings is the nurse's priority?

B. The client has an aPTT of 80 seconds.

.A nurse is monitoring a client who is receiving packed RBCs. The nurse identifies which of the following as an expected finding

B. The packed RBCs are connected by Y tubing to normal saline.

.A nurse is monitoring a client who is receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?

BILATERAL FLANK PAIN

A nurse is caring for a client who has a new diagnosis of essential hypertension. The nurse should monitor the client for which of the following findings that is consistent with this diagnosis

BLURRED VISION

A nurse is caring for a client who has valvular heart disease and is at risk for developing left- sided heart failure. Which of the following manifestations should alert the nurse the client is developing this condition?

BREATHLESSNESS

nurse is creating a teaching plan for a client who has thrombocytopenia. Which of the following instructions should the nurse include? (Select all that apply

BRUSH TEETH WITH A SOFT TOOTHBRUSH BLOW NOSE GENTLY LIMIT FRUIT CONSUMPTION

A nurse is providing instructions to a client who has a new prescription for sublingual nitroglycerin (Nitrostat) to treat angina pectoris. Which of the following instructions should the nurse include?

C. "Avoid taking the medication prior to exercising."

A nurse in a clinic is caring for a client who has recently begun taking warfarin. The nurse is reviewing potential drug and food interaction risks and should instruct the client to avoid which of the following?

CABBAGE

nurse is reviewing a client's laboratory results and finds the hemoglobin is 10 g/dL and the hematocrit is 30%. The nurse recognizes that the client is at risk for which of the following?

CELLULAR HYPOXIA

A nurse is caring for a client who just had a cardiac catheterization. Which of the following nursing interventions should the nurse include in the client's plan of care? (Select all that apply.

CHECK PERIPHERAL PULSES IN THE AFFECTED EXTREMITY MEASURE THE CLIENT VITAL SIGNS EVERY 4 HR KEEP THE CLIENT'S HIP AND LEG EXTENDED

nurse is teaching a client who is postoperative following the insertion of a permanent pacemaker. Which of the following instructions should the nurse include? (Select all that apply.)

COUNT YOUR PULSE FOR 1 MIN EACH MORNING DO NOT WEAR TIGHT CLOTHING OVER THE INSERTION AREA REQUEST TO BE SCANNED WITH HANDHELD METAL DETECTOR WHEN IN THE AIRPORT

A nurse is preparing to perform a 12-lead electrocardiogram. Which of the following instructions should the nurse provide to the client?

D. "I will lower the head of your bed so you can lie flat."

99. A nurse is assessing a client who is postoperative following a vaginal hysterectomy. Which of the following findings is a manifestation of deep-vein thrombosis (DVT)?

DECREASED PEDAL PULSES

A nurse is caring for an older adult client who has left-sided heart failure. Which of the following assessment findings should the nurse expect?

DEPENDENT EDEMA

A nurse in a cardiac care unit is caring for a client with acute right-sided heart failure. Which of the following findings should the nurse expect?

ELEVATED CENTRAL VENOUS PRESSURE

A home health nurse is making a home visit to a client who takes a daily diuretic for heart failure. Which of the following manifestations should the nurse identify as indicating the client is hypokalemic?

FATIGUE

A nurse is assessing a client who is postoperative and has anemia due to excess blood loss following surgery. Which of the following findings should the nurse expect?

FATIGUE

A nurse is caring for a client who is receiving a unit of packed red blood cells. Fifteen minutes following the start of the transfusion, the nurse notes that the client is febrile, with chills and red-tinged urine. Which of the following transfusion reactions should the nurse suspect?

FEBRILE

A nurse is assessing a client who has infective endocarditis. Which of the following findings should be the priority for the nurse to report to the provider

FEVER

A nurse is caring for a client who has infective endocarditis. Which of the following manifestations is the priority for the nurse to monitor for?

FEVER

A nurse is reviewing the laboratory values of a client who is at risk for disseminated intravascular coagulopathy. Which of the following values should the nurse report to the provider?

FIBRINOGEN 85 MG/DL

.A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate with a significant pulse deficit. Which of the following dysrhythmias should the nurse expect to find on the ECG?

FIRST DEGREE AV BLOCK

nurse is providing discharge instructions to a client who developed deep-vein thrombosis (DVT) postoperatively and is prescribed anticoagulant therapy. Which of the following instructions should the nurse include

FLEXING HER KNEES AND FEET FREQUENTLY

A nurse is caring for a client 4 hr following a cardiac catheterization. Which of the following actions should the nurse take?

HAVE THE CLIENT LIE FLAT IN BED

A nurse in a provider's office is assessing a client who reports dyspnea and fatigue. Physical assessment reveals tachycardia and weak peripheral pulses. The nurse should recognize these findings as manifestations of which of the following conditions

HEART FAILURE

A nurse is assessing a client before administering a unit of packed RBCs. The nurse should identify which of the following data as most important to obtain prior to the infusion?

HEMOGLOBIN LEVEL

While performing an admission assessment for a client, the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which of the following nursing diagnoses should the nurse identify as being the priority in the client's care?

IMPAIRED SKIN INTEGRITY

A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.

INCREASED BLOOD PRESSURE INCREASED RESPIRATORY RATE

A nurse is assessing a client who has disseminated intravascular coagulation (DIC). Which of the following findings should the nurse expect?

INCREASED CLOTTING FACTORS

A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics should the nurse expect

IRREGULAR

A client tells the nurse that he is concerned because his provider told him he has a heart murmur. The nurse should explain to the client that a murmur

IS AN EXTRA SOUND DUE TO THE BLOOD ENTERING AN INFLEXIBLE CHAMBER

A nurse is preparing a client who is scheduled for an echocardiogram the following day. Which of the following instructions should the nurse include about the test?

IT REQUIRES LYING QUIETLY ON ONE SIDE

84. A nurse is assessing a male client who has advanced peripheral artery disease (PAD). Which of the following findings should the nurse expect?

LEG PAIN AT REST

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

MESSAGING HER LEGS

A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury

METFORMIN

A nurse in a provider's office is assessing a client who reports occasional atypical chest pain, palpitations, and exercise intolerance. On auscultation, the nurse notes a systolic click. The nurse should recognize this finding as a manifestation of which of the following conditions

MITRAL VALVE PROLAPSE

A nurse is caring for a client who recently had surgery for insertion of a permanent pacemaker. Which of the following prescriptions should the nurse clarify?

MRI OF THE CHEST

A nurse in an emergency department is planning care for a client who is having an acute myocardial infarction (MI). The nurse should plan to administer which of the following medications after the initial acute phase to manage the client's pain and anxiety

Nitroglycerin

A nurse is caring for a client who has hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take?

OBTAIN A 12-LEAD ECG

. A nurse is caring for a client who reports an area of redness, warmth, tenderness and pain in the right calf. The nurse anticipates which of the following orders when notifying the provider of this finding?

OBTAIN A VENOUS DUPLEX ULTRASOUND

.A nurse on a medical-surgical unit is caring for a client who reports pain in the jaw, back, and shoulder, and shortness of breath and nausea. Which of the following actions should the nurse take?

OBTAIN AN ECG

nurse is caring for a client with a ventricular pacemaker who is on ECG monitoring. The nurse understands that the pacemaker is functioning properly when which of the following appears on the monitor strip?

PACEMAKER SPIKES AFTER EACH QRS COMPLEX

A nurse is caring for a client who reports a new onset of severe chest pain. Which of the following actions should the nurse take to determine if the client is experiencing a myocardial infarction?

PERFORM A 12 LEAD ECG

A nurse is reviewing the laboratory findings for a client who has idiopathic thrombocytopenic purpura (ITP). Which of the following findings should the nurse expect to be decreased?

PLATELETS

A nurse is caring for a client who is postoperative following vascular surgery. Which of the following signs should indicate to the nurse that the client has developed a thrombus?

POSITIVE HOMANS SIGN

The nurse is evaluating a client who had a cardiac catheterization with a left antecubital insertion site. Which of thefollowing pulses should the nurse palpate

RADIAL PULSE IN THE LEFT ARM

A nurse is caring for a male client who has peripheral vascular disease (PVD), is taking dietary supplements, and has a new prescription for warfarin. The nurse should instruct the client to stop which of the following supplements prior to starting the warfarin? (Select all that apply.

SAW PALMETTO GLUCOSAMINE GINGKO BILOBA

nurse is caring for a client who the provider suspects might have pernicious anemia. The nurse should expect the provider to prescribe which of the following diagnostic tests?

SCHILLING TEST

A nurse is reviewing a client's CBC findings and discovers that the client's platelet count is 9,000/mm3. The nurse should monitor the client for which of the following conditions

SPONTANEOUS BLEEDING

A nurse is interpreting a client's ECG strip. Which of the following components of the ECG should the nurse examine to determine the time it takes for ventricular depolarization and repolarization?

ST SEGMENT

A nurse is assessing a client who is receiving one unit of packed RBCs to treat intraoperative blood loss. The client reports chills and back pain, and the client's blood pressure is 80/64 mm Hg. Which of the following actions should the nurse take first?

STOP THE INFUSION OF BLOOD

A nurse is monitoring a client who reports having chills and back pain during a blood transfusion. Which of the following actions is nurse's priority?

STOP THE TRANSFUSION

72.A nurse is administering platelets to a client who reports having lower back pain and feeling chilled and itchy. Which of the following actions should the nurse take first?

Stop the infusion.

nurse is providing discharge teaching to a client who has an implantable cardioverter/defibrillator (ICD). Which of the following information should the nurse include?

THE CLIENT SHOULD HOLD HIS CELL PHONE ON THE SIDE OPPOSITE OF THE ICD

A nurse is caring for a client who has a prescription for one unit of packed RBCs. The nurse should plan to remain in the room with the client at which of the following times during the infusion to observe for a transfusion reaction?

THE FIRST 15 MIN

A nurse is auscultating a client's heart sounds and hears an extra heart sound before what should be considered the first heart sound S1. The nurse should document this finding as which of the following heart sounds?

THE FOURTH HEART SOUND S4

A nurse is reviewing the PT, aPTT, and INR laboratory values for a client who is experiencing an acute episode of disseminated intravascular coagulation (DIC). Which of the following laboratory results should the nurse expect?

THE LABORATORY VALUES ARE PROLONGED

A nurse is monitoring a client who is on telemetry. Which of the following findings on the ECG strip should the nurse recognize as normal sinus rhythm?

THE P WAVE FALLS BEFORE THE QRS COMPLEX

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 studies?

THESE TEST HELP DETERMINE THE DEGREE OF DAMAGE TO THE HEART TISSUES

A nurse is caring for a client who came to the emergency department reporting chest pain. The provider suspects a myocardial infarction. While waiting for the troponin levels report, the client asks what this blood test will show. Which of the following explanations should the nurse provide the client?

TROPONIN IS A HEART MUSCLE PROTEIN THAT APPEARS IN THE BLOODSTREAM WHEN THERE IS DAMAGE TO THE HEART