Cardiovascular Nursing Overview

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Questions and Answers

When listening to a client’s lungs indicative of chronic heart failure, what is the expected sound?

Crackles (correct)

Stridor

Friction rubs

Wheezes

Why is Patrick taking morphine following a myocardial infarction?

Dilates coronary blood vessels

Helps prevent fibrillation of the heart

Decrease anxiety and restlessness

Prevents shock and relieves pain (correct)

What signs of digitalis toxicity should the nurse teach the client to recognize?

Skin rash over the chest and back

Elevated blood pressure

Visual disturbances such as seeing yellow spots (correct)

Increased appetite

Why should a client with heart failure take oral Furosemide in the morning?

Excrete excessive fluids accumulated at night Signup and view all the answers

What is the primary goal of therapy for a client with pulmonary edema and heart failure?

Improve respiratory status Signup and view all the answers

What is a characteristic of decerebrate posturing?

Extension of the extremities after a stimulus Signup and view all the answers

What side effects may be experienced by a client taking Cascara Sagrada?

Abdominal cramps Signup and view all the answers

What is the most essential nursing action during intravenous nitroglycerin infusion for a myocardial infarction?

Monitoring blood pressure every 4 hours Signup and view all the answers

What is an expected outcome for a client on the second day of hospitalization after a myocardial infarction?

Able to perform self-care activities without pain Signup and view all the answers

What is the appropriate nursing intervention for a 68-year-old client diagnosed with a right-sided brain attack?

Use hand roll and extend the left upper extremity on a pillow to prevent contractions Signup and view all the answers

What should be Nurse Liza's highest priority after a left nephrectomy?

Hourly urine output Signup and view all the answers

What is the primary purpose of cardiac catheterization for a client with cardiovascular problems?

To visualize the disease process in the coronary arteries Signup and view all the answers

What is the most essential action during the first several hours after a cardiac catheterization?

Frequently monitor client's apical pulse and blood pressure Signup and view all the answers

What pharmaceutical agent should Nurse Aiza prepare to administer to Kate, who is experiencing continuous bleeding after mitral valve replacement?

Protamine Sulfate Signup and view all the answers

What should be included in the teaching plan for good dental care in a client with mitral stenosis?

Electric toothbrush Signup and view all the answers

Which of the following signs and symptoms would most likely be present in a client with mitral regurgitation?

Exceptional dyspnea Signup and view all the answers

Study Notes

Chronic Heart Failure

Expected auscultation finding for chronic heart failure: Crackles

Myocardial Infarction

Morphine is administered to MI patients to relieve pain and prevent shock.
Continuous Intravenous Nitroglycerin Infusion: Essential Nursing Action - Monitoring Blood Pressure every 4 hours
Expected Outcome of MI Patient on Day 2 of Hospitalization: Able to perform self-care activities without pain

Digitalis Toxicity

Expected signs and symptoms of digitalis toxicity: Visual disturbances such as seeing yellow spots.

Furosemide

Teaching clients to take Furosemide in the morning: Excrete excessive fluids accumulated at night

Pulmonary Edema

Primary therapy goal: Improve respiratory status

Head Injury and Decerebrate Posturing

Decerebrate posturing: Extension of the extremities after a stimulus

Cascara Sagrada

Side effects: Abdominal cramps

Cardiac Catheterization

Primary purpose: To visualize the disease process in the coronary arteries
Post Procedure Essential Nursing Action: Frequently monitor client’s apical pulse and blood pressure

Mitral Valve Replacement and Continuous Bleeding

Pharmaceutical agent: Protamine Sulfate

Mitral Stenosis

Good dental care: Proper use of a toothbrush

Mitral Gurgitation

Expected sign and symptom: Exceptional Dyspnea

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Description

This quiz covers essential nursing interventions and expected outcomes related to chronic heart failure, myocardial infarction, digitalis toxicity, and other cardiovascular conditions. It highlights critical findings, patient care strategies, and medication effects that are vital for nursing practice.