47 Questions
Which of the following statements about Raynaud's phenomenon is true?
Raynaud's phenomenon can be secondary to systemic lupus erythematosus.
What should a nurse instruct a client with heart failure to do when going home?
Monitor weight daily.
How should a nurse proceed if a client expresses concern about having open heart surgery before a cardiac catheterization procedure?
Withhold the medication and notify the physician immediately.
Which assessment findings indicate possible bleeding or recurring dissection in a client recovering from surgical repair of a dissecting aortic aneurysm?
Blood pressure of 82/40 mm Hg and heart rate of 45 beats/minute
What is the highest nursing priority in the plan of care for a client with peripheral vascular problems?
Monitor skin integrity
Which clinical manifestation would be most indicative of complete arterial obstruction in the lower extremities?
Numbness and tingling
The client is to receive digoxin 0.25 mg. Available are 0.125-mg scored tablets. How many tablets should the nurse administer?
1 tablet
Which of the following would pose the greatest health hazard to a client with mitral stenosis who is a prospective valve recipient?
Medication therapy
What should the nurse do when a client receiving dobutamine for heart failure experiences an increased heart rate and premature ventricular contractions (PVCs)?
Administer PRN amiodarone to reduce PVCs
What should the nurse instruct a client with bleeding gums, increased bruising, and dark stools, who has been receiving warfarin for 2 months?
Notify the health care provider (HCP) about the bleeding
What is the principal effect of nitroglycerin tablets given sublingually for the treatment of angina?
Causing an increased myocardial oxygen demand
Which intervention should the nurse implement when a client has a troponin level of 0.9 ng/mL?
Administer aspirin
Which nursing diagnosis is the priority for a client with chest pain, dyspnea, and an irregular heartbeat who has ventricular tachycardia and becomes unresponsive?
Ineffective tissue perfusion (cardiopulmonary) related to arrhythmia
What should the nurse monitor to determine the effectiveness of fluid replacement therapy in a client with hypovolemic shock?
Temperature
Which menu selection would best meet the needs of a client with hypertension following a low-calorie, low-fat, low-sodium diet?
Baked chicken, an apple, and a slice of white bread
Which of the following statements about peripheral vascular disease is correct?
Peripheral vascular disease can lead to poor circulation and changes in nail bed color.
Which of the following actions should the nurse take when a client with peripheral vascular disease reports pain in the extremity?
Assess the client's nail bed color.
Which of the following statements about heart failure is correct?
Heart failure can cause confusion and weight gain.
Which of the following actions should the nurse take when a client with heart failure has a blood pressure of 108/62 mm Hg and a heart rate of 88 beats per minute?
Call the health care provider (HCP) and report the situation using SBAR format.
Which of the following statements about a client's understanding of a disorder is correct?
The client believes that the disorder is unrelated to their diagnosis of lupus.
Which of the following statements about a client with a newly diagnosed cardiac dysrhythmia is correct?
The nurse should prioritize monitoring the client's potassium levels.
Which abnormal heart sound should the nurse stay alert for during the first week of a client's recovery from an acute myocardial infarction (MI)?
Opening snap
What concern may a client have three days after surgery to insert a mechanical mitral valve?
Anxiety related to altered health status
For which potential complication should the nurse monitor when starting a client on oral or I.V. diltiazem hydrochloride?
Hypertension
What is the purpose of nitroglycerine cream prescribed for a client with a skin ulcer and dry skin surrounding the ulcer?
It treats pain
What change should the nurse assess for when monitoring a client receiving tissue plasminogen activator (t-PA)?
Seizure
Which client symptom during a cardiac stress test using a treadmill will require the nurse's immediate action?
Blood pressure of 156/88 mmHg
What action should the nurse take first when a client reports sudden onset of chest pain and shortness of breath after pacemaker insertion?
Notify the health care provider to obtain a chest X-ray
Why does the nurse respond that newer medications for migraine, such as sumatriptan, are not prescribed for a client with a history of angina?
These drugs are very expensive
What should the nurse document when hearing an extra heart sound immediately after the second heart sound (S2) in a client with heart failure?
First heart sound (S1)
What should the nurse determine when assessing a client with Buerger's disease?
Thickening of the intima and media of the artery
Why does a family member of a client in cardiogenic shock need an intra-aortic balloon pump?
This device increases how hard the heart has to work
Which abnormal heart sound should the nurse stay alert for during the first week of a client's recovery from an acute myocardial infarction (MI)?
Opening snap
What concern may a client have three days after surgery to insert a mechanical mitral valve?
Anxiety related to altered health status
Which potential complication should the nurse monitor for when starting a client on oral or I.V. diltiazem hydrochloride?
Hypertension
What is the purpose of nitroglycerine cream prescribed for a client with a skin ulcer and dry skin surrounding the ulcer?
It treats pain
What change should the nurse assess for in a client receiving tissue plasminogen activator (t-PA)?
Seizure
Which client symptom during a cardiac stress test using a treadmill requires the nurse's immediate action?
Blood pressure of 156/88 mmHg
What action should the nurse take first when a client reports sudden onset of chest pain and shortness of breath after pacemaker insertion?
Notify the health care provider to obtain a chest X-ray
Why does the nurse respond that sumatriptan is not prescribed for a client with migraine headaches and a history of angina?
These drugs are very expensive
What does the nurse document when hearing an extra heart sound immediately after the second heart sound (S2) in a client with heart failure?
First heart sound (S1)
What should the nurse determine when assessing a client with Buerger's disease?
Thickening of the intima and media of the artery
What does the use of an intra-aortic balloon pump indicate to a family member of a client in cardiogenic shock?
This device improves coronary artery perfusion
Which abnormal heart sound should the nurse stay alert for during the first week of a client's recovery from an acute myocardial infarction (MI)?
Opening snap
What should the nurse instruct the client about the purpose of nitroglycerine cream prescribed for a skin ulcer with dry surrounding skin?
It treats pain.
What is the principal effect of nitroglycerin tablets given sublingually for the treatment of angina?
Decreases the heart's need for oxygen.
Why does a family member of a client in cardiogenic shock need an intra-aortic balloon pump?
To increase how hard the heart has to work.
Test your knowledge on identifying the causes of lower leg pain and swelling. Select all the symptoms that may indicate a specific condition.
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