Wk 7 Cardivascular
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?
Abnormal Prominent U Wave
When checking a client's capillary refill, the nurse finds that the color returns in 10 seconds. The nurse should understand that this finding indicates which of the following?
Arterial Insufficiency
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 that the client is developing this condition?
Breathlessness
A nurse is caring for a client who develops a ventricular defibrillation rhythm. The client is unresponsive, pulseness, and apneic. Which of the following actions is the nurse's priority?
Defibrillation
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?
QT Interval
A nurse is caring for a client who has a serum potassium of 5.5 mEq/L. The provider prescribes polystyrene sulfonate. Which of the following ECG results should indicate to the nurse that the medication has been effective?
Reduction of T wave amplitude
A nurse in the emergency department is caring for a client who reports chest pressure and shortness of breath. Which of the following laboratory tests should the nurse anticipate the provider to prescribed.
Troponin I
A client whose potassium level is above the reference range of 3.5 to 5.0 mEq/L is at risk for ________________________?
dysrhythmias
A nurse is assessing a client who has right ventricular failure. Which of the following findings should the nurse expect?
Hepatomegaly
The __________________ reflects atrial depolarization, typically initiated in the sinoatrial node
P wave
A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). The nurse recognizes that which of the following prescriptions by the provider required clarification?
0.9% Normal saline IV at 50ml/hr continuous 0.9% sodium chloride is isotonic and will cause the fluid shift needed in this client to reduce circulatory overload. This prescription requires clarification
What is the priority action for a nurse in a patient who is at risk of myocardial ischemia and cellular death?
Administer O2
A nurse is reviewing the health history for a client who has angina pectoris and a prescription for propranolol hydrochloride PO 40 mg twice daily. What in the clients history should cause the nurse to double check with the provider?
Client has a history of bronchial asthma
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?
Massaging her legs
You should stop ________________ before a heart catheterization because it can interact with the contrast dye and cause acute kidney damage.
Metformin
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 EKG
_________________________ are proteins that exist in cardiac muscle and enter the bloodstream following a myocardial injury.
Troponin
A nurse is providing discharge instructions for a client who has congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective?
"I plan to slow down if I am tired the day after exercising"
The nurse should _________________who has recently inserted a PICC line if the patient's arm becomes swollen to rule out DVT
Notify the HCP
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 ekg
___________________, a beta-blocker, is contraindicated in patients who have asthma because it can cause bronchospasms
Propranolol
A client has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin given due to whcih of the following actions of the medication?
Antiplatelet Aggregate
A nurse is giving a presentation about preventing DVT. Which of the following should the nurse include as a risk factor for this disorder?
Immobility
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 tests help determine the degree of damage to the heart tissues."
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
_________________________ is a neurohormone that aids in the regulation of fluid balance by detecting CHF
BNP "Brain Natriuretic Peptide"
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?
Encourage the client to walk
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?
Exercise at least three times per week.
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?
Flexing Her Knees and Feet Frequently
A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics should the nurse expect?
Irregular
A nurse is planning care for a client who has DVT of the lower leg. Which of the following interventions should the nurse include in the plan of care?
Keep the client's affected leg elevated while in bed.
A nurse is reviewing the laboratory result of a male adult client who is at risk for peripheral arterial disease from atherosclerosis. The nurse should identify that which of the following results places the client at risk?
LDL 172 mg/dL
The CDC recommendation for treatment of hypertension is _________________________________________.
Moderate exercise. Such as walking for 150 minutes each week
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.
What are manifestations of hypokalemia?
Weak and irregular pulse, muscle weakness, fatigue, and ventricular dysrhythmias
Cardiac enzyme studies and degree of enzyme elevation reflects ___________________________ to the myocardium.
degree of damage