Nursing 3 Test #3
Nursing 3 Test #3
Nursing 3 Test #3
Nursing 3 Test #3
A patient is prescribed a new medication for the treatment of hypertension. While supine, the patient’s blood pressure is 112/70 mmHg and the heart rate is 80/minute. The healthcare provider assesses the patient when the patient changes to a sitting position. Which of the following indicates the patient is experiencing orthostatic hypotension?
The treatment of choice for a patient with ventricular fibrillation is
When do coronary arteries primarily receive blood flow?
For a patient with symptomatic bradycardia, appropriate nursing interventions include establishing I.V. access to administer
Vegetation on the heart valve results from
While caring for a client who has sustained an MI, the nurse notes eight PVCs in one minute on the cardiac monitor. The client is receiving an IV infusion of D5W and oxygen at 2 L/minute. The nurse’s first course of action should be to
A nurse Is performing a pysical assessment of a cleint who has Chronic peripheral artery disease (PAD). Which of the following is an expected finding?
The most important long-term goal for a client with hypertension would be to
During systole, the ventricles contract. This causes
Stimulation of the sympathetic nervous system produces which of the following responses?
A client has driven himself to the ER. He is 50 years old, has a history of hypertension, and informs the nurse that his father died of a heart attack at 60 years of age. The client is presently complaining of indigestion. The nurse connects him to an ECG monitor and begins administering oxygen at 2 L/minute per NC. The nurse’s next action would be to
Anurse is caring for a client who experinced defibrillation. which of the following should be incuded in the documentation of this procedure
A nurse is watching the cardiac monitor, and a client’s rhythm suddenly changes. There are no P waves; instead there are wavy lines. The QRS complexes measure 0.08 second, but they are irregular, with a rate of 120 beats a minute. The nurse interprets this rhythm as:
With peripheral arterial insufficiency, leg pain during rest can be reduced by
Furosemide is administered intravenously to a client with HF. How soon after administration should the nurse begin to see evidence of the drugs desired effect?
The layer of the heart responsible for contraction is the
A nurse is providing discharge teaching for a client who has prescription for fursomide (lasix) 40 mg PO daily. what time should the nurse instruct the client to take the medication?
The nurse is teaching a clients who has a new prescription for clopidogrel (plavix). Which of the following should be included in the teaching?
A nurse is orienting a newly licensed nurse on the care of a client who is reciving hemodynamic monitoring. which of the following statements by the new nurse indicates the teaching was effective?
A patient tells the healthcare provider, “I stopped taking my medication because it kept me up at night with a dry cough.” When reviewing the patient’s medical record, which of these antihypertensive medications will the healthcare provider identify as the likely cause of this patient’s report?
A nurse is caring for a client who has server peripheral artery disease (PAD). the nurse should expect that the client will sleep most comfortably in which positions?
A nurse is caring for a client following an angioplasty that was inserted through he femoral artery. While the turning the client the nurse discovers blood underneath the clients lower back. The nurse should suspect
Which of the following positions would best aid breathing for a client with acute pulmonary edema?
Baroreceptors in the carotid artery walls and aorta respond to which of the following conditions?
One hour after administering IV furosemide (Lasix) to a client with heart failure, a short burst of ventricular tachycardia appears on the cardiac monitor. Which of the following electrolyte imbalances should the nurse suspect?
What is the primary reason for administering morphine to a client with an MI?
A 45-year-old male client with leg ulcers and arterial insufficiency is admitted to the hospital. The nurse understands that leg ulcers of this nature are usually caused by:
Aspirin is administered to the client experiencing an MI because of its:
When assessing a patient for jugular vein distension, you should position him
In atrial flutter, the key consideration in determining treatment is the
A 24-year old man seeks medical attention for complaints of claudication in the arch of the foot. A nurse also notes superficial thrombophlebitis of the lower leg. The nurse would next assess the client for:
A patient is diagnosed with primary hypertension. When taking the patient’s history, the healthcare provider anticipates the patient will report which of the following?
A patient presents to the emergency department with a blood pressure of 180/130 mmHg, headache, and confusion. Which additional finding is consistent with a diagnosis of hypertensive emergency?
Following a treadmill test and cardiac catheterization, the client is found to have coronary artery disease, which is inoperative. He is referred to the cardiac rehabilitation unit. During his first visit to the unit he says that he doesn’t understand why he needs to be there because there is nothing that can be done to make him better. The best nursing response is:
Which of the following complications is indicated by a third heart sound (S3)?
The results of an adult patient’s blood pressure screening on three occasions are: 120/80 mmHg, 130/76 mmHg, and 118/86 mmHg. How will the healthcare provider interpret this information?
Hypertension is known as the silent killer. This phrase is associated with the fact that hypertension often goes undetected until symptoms of other system failures occur. This may occur in the form of
A client is receiving spironolactone to treat hypertension. Which of the following instructions should the nurse provide?
A Nurse is teaching a client the importance of remaning still following angiography. Which of the following is an appropriate statement by the nurse?
A nurse is an urgent care clinic is obtaining a history from a client who has type 2 diabetes mellitus and a recent diagnosis of hypertension. this is hte second time in two weeks that the client experienced hypoglycemia. Which of the following data should the nurse report to the provider
A client’s electrocardiogram strip shows atrial and ventricular rates of 80 complexes per minute. The PR interval is 0.14 second, and the QRS complex measures 0.08 second. The nurse interprets this rhythm is:
Chest pain is described as pleuritic when it
A client has frequent bursts of ventricular tachycardia on the cardiac monitor. A nurse is most concerned with this dysrhythmia because:
A nurse is viewing the cardiac monitor in a client’s room and notes that the client has just gone into ventricular tachycardia. The client is awake and alert and has good skin color. The nurse would prepare to do which of the following?
A nurse educator is reviewing ex[ected findings in a cleints who has right sided heart valvular disease with a group of nurses. Which of the following should included in the discussion
A client comes into the E.R. with acute shortness of breath and a cough that produces pink, frothy sputum. Admission assessment reveals crackles and wheezes, a BP of 85/46, a HR of 122 BPM, and a respiratory rate of 38 breaths/minute. The client’s medical history included DM, HTN, and heart failure. Which of the following disorders should the nurse suspect?
The normal pacemaker of the heart is the
A nurse notes that a client with sinus rhythm has a premature ventricular contraction that falls on the T wave of the preceding beat. The client’s rhythm suddenly changes to one with no P waves or definable QRS complexes. Instead there are coarse wavy lines of varying amplitude. The nurse assesses this rhythm to be:
A nurse is assessing the blood pressure of a client diagnosed with primary hypertension. The nurse ensures accurate measurement by avoiding which of the following?
Which of the following conditions is associated with a predictable level of pain that occurs as a result of physical or emotional stress?
A client is admitted with a venous stasis leg ulcer. A nurse assesses the ulcer, expecting to note that the ulcer
A 2-gram sodium diet is prescribed for a client with severe hypertension. The client does not like the diet, and the nurse hears the client request that the spouse “Bring in some good home-cooked food.” It would be most effective for the nurse to plan to:
The pressure the ventricle must generate to overcome the higher pressure in the aorta refers to
Which of the following terms describes the force against which the ventricle must expel blood?
A client with rapid rate atrial fibrillation asks a nurse why the physician is going to perform carotid massage. The nurse responds that this procedure may stimulate the:
Which of the following classes of drugs is most widely used in the treatment of cardiomyopathy?
A client taking spironolactone (Aldactone) [potassium-sparing diuretic] has been taught about the therapy. Which menu selection indicates that the client understands teaching related to this medication?
A client is having frequent premature ventricular contractions. A nurse would place priority on assessment of which of the following items?
When listening to heart sounds, you can best hear S1 at the
A nurse on the cardiac unit is caring for a group of clients. the nurse should reconize which of the following clients as being at risk for the development of a dysrythmia?
Myocardial oxygen consumption increases as which of the following parameters increase?
When teaching a patient why spironolactone (Aldactone) and furosemide (Lasix) are prescribed together, the nurse bases teaching on the knowledge that
A woman in her second trimester of pregnancy is diagnosed with preeclampsia. Which of the following statements about preeclampsia will guide the care provided to this patient?
What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor? Check all that apply.
The nurse receives emergency laboratory results for a client with chest pain and immediately informs the physician. An increased myoglobin level suggests which of the following?
When teaching a client about propranolol hydrochloride, the nurse should base the information on the knowledge that propranolol hydrochloride
a nurse on a cardiac unit is caring for a client who is on telemetry. the nurse reconizes the client heart rate is 46/min and notify the provider. the nurse should anticipate that which of the following management strategies will be used for this client
A nurse is assessing the neurovascular status of a client who returned to the surgical nursing unit 4 hours ago after undergoing aortoiliac bypass graft. The affected leg is warm, and the nurse notes redness and edema. The pedal pulse is palpable and unchanged from admission. The nurse interprets that the neurovascular status is
What is the first intervention for a client experiencing MI?
When ventricular fibrillation occurs in a CCU, the first person reaching the client should:
A patient who is newly diagnosed with stage 1 hypertension is being evaluated by a healthcare provider. Which of the following laboratory tests would indicate organ damage that may result from hypertension?
Which of the following actions is the first priority of care for a client exhibiting signs and symptoms of coronary artery disease?
A nurse in caring for a cleint who has a new hypertensive medication spironolactone (Aldactone) 25mg/day. Which of the following statements made by the client indicates further teaching is needed?
Which of the following factors can cause blood pressure to drop to normal levels?
When auscultating the apical pulse of a client who has atrial fibrillation, the nurse would expect to hear a rhythm that is characterized by:
a nurse is caring for a client following a coronary artery bypass graft (CABG). Hemodynamic monitoring has been iniated . Which of th following actions by the nurse facilitate correct monitoring reading?
Which laboratory test results may be associated with peaked or tall, tented T waves on a client's electrocardiogram (ECG)?
A patient is prescribed a thiazide diuretic for the treatment of hypertension. When teaching the patient about the medication, which of the following will the healthcare provider include?
The nurse finds the apical pulse below the 5th intercostal space. The nurse suspects:
When assessing an ECG, the nurse knows that the P-R interval represents the time it takes for the:
Which of the following recurring conditions most commonly occurs in clients with cardiomyopathy?
To evaluate a client’s condition following cardiac catheterization, the nurse will palpate the pulse:
the student nurse is observing a cardioversion procedure and hears the team leader call out, " stand clear" the student should reconize the purpose of this action is to alert personal that...
A nurse notices frequent artifact on the ECG monitor for a client whose leads are connected by cable to a console at the bedside. The nurse examines the client to determine the cause. Which of the following items is unlikely to be responsible for the artifact?
A client comes to the outpatient clinic and tells the nurse that he has had legs pains that began when he walks but cease when he stops walking. Which of the following conditions would the nurse assess for?
When a patient has long-term atrial fibrillation, the nurse would expect to include which drug in the plan of care to minimize the greatest risk that is commonly associated with atrial fibrillation?
A 60-year-old male client comes into the emergency department with complaints of crushing chest pain that radiates to his shoulder and left arm. The admitting diagnosis is acute myocardial infarction. Immediate admission orders include oxygen by NC at 4L/minute, blood work, chest x-ray, an ECG, and 2 mg of morphine given intravenously. The nurse should first:
Which of the following classes of medications maximizes cardiac performance in clients with heart failure by increasing ventricular contractility?
A nurse is caring for a client who has pericarditis. Which of the following expected findings should the nurse anticipate?
Mike, a 43-year old construction worker, has a history of hypertension. He smokes two packs of cigarettes a day, is nervous about the possibility of being unemployed, and has difficulty coping with stress. His current concern is calf pain during minimal exercise that decreased with rest. The nurse assesses Mike’s symptoms as being associated with peripheral arterial occlusive disease. The nursing diagnosis is probably
A nurse is caring for a client with unstable ventricular tachycardia. The nurse instructs the client to do which of the following, if prescribed, during an episode of ventricular tachycardia?
The most important factor in regulating the caliber of blood vessels, which determines resistance to flow, is
The nurse expects that a client with mitral stenosis would demonstrate symptoms associated with congestion in the:
Which of the following blood gas abnormalities is initially most suggestive of pulmonary edema?
Which of the following symptoms is most commonly associated with left-sided heart failure?
Captopril may be administered to a client with HF because it acts as a:
The nurse is caring for a client with unstable angina whose cardiac monitor shows ventricular tachycardia. Which action is appropriate to implement first?
Transesophageal echocardiography (TEE) combines ultrasonography with which other procedure?
A 55-year-old client is admitted with an acute inferior-wall myocardial infarction. During the admission interview, he says he stopped taking his metoprolol (Lopressor) 5 days ago because he was feeling better. Which of the following nursing diagnoses takes priority for this client?
A nurse is caring for a client who has chronic venous insufficiency. The provider prescribed thigh-high compression socks. The nurse should instruct the client to
A nurse is caring for a client following a peripheral bypass graft of the lower extremity. Which of the following client findings pose an immediate concern
A nurse is caring for a client wo is admitted to the ED with a BP of 266/147. The client reports a headache and states that she is seeing double. The client states that she ran out of her diltazem (cardizem) 3 days ago and hasnt been able to purchase more. Which of the following nursing interventions should the nurse preform first?
Which of the following signs and symptoms would most likely be found in a client with mitral regurgitation?
An older, sedentary adult may not respond to emotional or physical stress as well as a younger individual because of:
Which of the following interventions should be the first priority when treating a client experiencing chest pain while walking?
A murmur is heard at the second left intercostal space along the left sternal border. Which valve is this?
A 57-year-old client with a history of asthma is prescribed propranolol (Inderal) to control hypertension. Before administered propranolol, which of the following actions should the nurse take first?
Cholesterol, frequently discussed in relation to atherosclerosis, is a substance that:
Which of the following parameters is the major determinant of diastolic blood pressure?
Which of the following arteries primarily feeds the anterior wall of the heart?
A client is experiencing tachycardia. The nurse’s understanding of the physiological basis for this symptom is explained by which of the following statements?
When discussing hypertension with a student, which of the following will the healthcare provider identify as a factor related to hypertension?
Which of the following cardiac conditions does a fourth heart sound (S4) indicate?
Direct-acting vasodilators have which of the following effects on the heart rate?
A client is wearing a continuous cardiac monitor, which begins to sound its alarm. A nurse sees no electrocardiogram complexes on the screen. The first action of the nurse is to
A nurse is completing the admission physical assessment of a client who has a history of mitral valve insufficiency. Which of the following is an expected finding?
Which of the following classes of medications protects the ischemic myocardium by blocking catecholamines and sympathetic nerve stimulation?
Which of the following is a compensatory response to decreased cardiac output?
Which of the following symptoms is the most likely origin of pain the client described as knifelike chest pain that increases in intensity with inspiration?
A nurse is admitting a client to the coronary care unit following placement of a temporary pacemaker. Which of the following nursing actions should the nurse use to promote client safety
Which client assessment would assist the nurse in evaluating therapeutic effects of a calcium channel blocker?
A nurse is caring for a client who has deep-vien thrombosis (DVT) and has been taking unfractionated heparin for 1 week. Two days ago the provider also prescribed warfarin ( coumadin). The cleint questions the nurse abot receiving both medications at the same time. Which of the following is an appropriate response by the nurse?
A client has developed uncontrolled atrial fibrillation with a ventricular rate of 150 beats/min. What manifestation should the nurse observe for when performing the client's focused assessment?
A client admitted with angina complains of severe chest pain and suddenly becomes unresponsive. After establishing unresponsiveness, which of the following actions should the nurse take first?
A nurse is watching the cardiac monitor and notices that the rhythm suddenly changes. There are no P waves, the QRS complexes are wide, and the ventricular rate is regular but over 100. The nurse determines that the client is experiencing:
When interpreting an ECG, the nurse would keep in mind which of the following about the P wave? Select all that apply.
A patient is prescribed a calcium channel blocker to treat primary hypertension. When teaching the patient about the medication, which of these foods will the healthcare provider advise the patient to avoid?
When planning care for a client receiving treatment for cardiac dysrhythmias, an appropriate client outcome would be:
A nurse in a clinic is caring for a client who has been on long term NSAID therapy to treat myocarditis. Which of the following lab findings should be reported?
A nurse id completeing the admission assessment of a client who will undo peripheral bypass graft in the lower left leg. Which of the following is an expected finding?