Podcast
Questions and Answers
Which of the following statements about Raynaud's phenomenon is true?
Which of the following statements about Raynaud's phenomenon is true?
- Raynaud's phenomenon is caused by a lack of circulation in the feet.
- Raynaud's phenomenon is a permanent condition.
- Raynaud's phenomenon is not related to any other medical condition.
- Raynaud's phenomenon can be secondary to systemic lupus erythematosus. (correct)
What should a nurse instruct a client with heart failure to do when going home?
What should a nurse instruct a client with heart failure to do when going home?
- Maintain bed rest for at least 1 week.
- Monitor weight daily. (correct)
- Monitor daily sodium intake.
- Monitor blood pressure daily.
How should a nurse proceed if a client expresses concern about having open heart surgery before a cardiac catheterization procedure?
How should a nurse proceed if a client expresses concern about having open heart surgery before a cardiac catheterization procedure?
- Withhold the medication and cancel the procedure.
- Explain that cardiac catheterization does not involve open heart surgery, and then medicate the client.
- Withhold the medication and notify the physician immediately. (correct)
- Medicate the client and document his comment.
Which assessment findings indicate possible bleeding or recurring dissection in a client recovering from surgical repair of a dissecting aortic aneurysm?
Which assessment findings indicate possible bleeding or recurring dissection in a client recovering from surgical repair of a dissecting aortic aneurysm?
What is the highest nursing priority in the plan of care for a client with peripheral vascular problems?
What is the highest nursing priority in the plan of care for a client with peripheral vascular problems?
Which clinical manifestation would be most indicative of complete arterial obstruction in the lower extremities?
Which clinical manifestation would be most indicative of complete arterial obstruction in the lower extremities?
The client is to receive digoxin 0.25 mg. Available are 0.125-mg scored tablets. How many tablets should the nurse administer?
The client is to receive digoxin 0.25 mg. Available are 0.125-mg scored tablets. How many tablets should the nurse administer?
Which of the following would pose the greatest health hazard to a client with mitral stenosis who is a prospective valve recipient?
Which of the following would pose the greatest health hazard to a client with mitral stenosis who is a prospective valve recipient?
What should the nurse do when a client receiving dobutamine for heart failure experiences an increased heart rate and premature ventricular contractions (PVCs)?
What should the nurse do when a client receiving dobutamine for heart failure experiences an increased heart rate and premature ventricular contractions (PVCs)?
What should the nurse instruct a client with bleeding gums, increased bruising, and dark stools, who has been receiving warfarin for 2 months?
What should the nurse instruct a client with bleeding gums, increased bruising, and dark stools, who has been receiving warfarin for 2 months?
What is the principal effect of nitroglycerin tablets given sublingually for the treatment of angina?
What is the principal effect of nitroglycerin tablets given sublingually for the treatment of angina?
Which intervention should the nurse implement when a client has a troponin level of 0.9 ng/mL?
Which intervention should the nurse implement when a client has a troponin level of 0.9 ng/mL?
Which nursing diagnosis is the priority for a client with chest pain, dyspnea, and an irregular heartbeat who has ventricular tachycardia and becomes unresponsive?
Which nursing diagnosis is the priority for a client with chest pain, dyspnea, and an irregular heartbeat who has ventricular tachycardia and becomes unresponsive?
What should the nurse monitor to determine the effectiveness of fluid replacement therapy in a client with hypovolemic shock?
What should the nurse monitor to determine the effectiveness of fluid replacement therapy in a client with hypovolemic shock?
Which menu selection would best meet the needs of a client with hypertension following a low-calorie, low-fat, low-sodium diet?
Which menu selection would best meet the needs of a client with hypertension following a low-calorie, low-fat, low-sodium diet?
Which of the following statements about peripheral vascular disease is correct?
Which of the following statements about peripheral vascular disease is correct?
Which of the following actions should the nurse take when a client with peripheral vascular disease reports pain in the extremity?
Which of the following actions should the nurse take when a client with peripheral vascular disease reports pain in the extremity?
Which of the following statements about heart failure is correct?
Which of the following statements about heart failure is correct?
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?
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?
Which of the following statements about a client's understanding of a disorder is correct?
Which of the following statements about a client's understanding of a disorder is correct?
Which of the following statements about a client with a newly diagnosed cardiac dysrhythmia is correct?
Which of the following statements about a client with a newly diagnosed cardiac dysrhythmia is correct?
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)?
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)?
What concern may a client have three days after surgery to insert a mechanical mitral valve?
What concern may a client have three days after surgery to insert a mechanical mitral valve?
For which potential complication should the nurse monitor when starting a client on oral or I.V. diltiazem hydrochloride?
For which potential complication should the nurse monitor when starting a client on oral or I.V. diltiazem hydrochloride?
What is the purpose of nitroglycerine cream prescribed for a client with a skin ulcer and dry skin surrounding the ulcer?
What is the purpose of nitroglycerine cream prescribed for a client with a skin ulcer and dry skin surrounding the ulcer?
What change should the nurse assess for when monitoring a client receiving tissue plasminogen activator (t-PA)?
What change should the nurse assess for when monitoring a client receiving tissue plasminogen activator (t-PA)?
Which client symptom during a cardiac stress test using a treadmill will require the nurse's immediate action?
Which client symptom during a cardiac stress test using a treadmill will require the nurse's immediate action?
What action should the nurse take first when a client reports sudden onset of chest pain and shortness of breath after pacemaker insertion?
What action should the nurse take first when a client reports sudden onset of chest pain and shortness of breath after pacemaker insertion?
Why does the nurse respond that newer medications for migraine, such as sumatriptan, are not prescribed for a client with a history of angina?
Why does the nurse respond that newer medications for migraine, such as sumatriptan, are not prescribed for a client with a history of angina?
What should the nurse document when hearing an extra heart sound immediately after the second heart sound (S2) in a client with heart failure?
What should the nurse document when hearing an extra heart sound immediately after the second heart sound (S2) in a client with heart failure?
What should the nurse determine when assessing a client with Buerger's disease?
What should the nurse determine when assessing a client with Buerger's disease?
Why does a family member of a client in cardiogenic shock need an intra-aortic balloon pump?
Why does a family member of a client in cardiogenic shock need an intra-aortic balloon pump?
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)?
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)?
What concern may a client have three days after surgery to insert a mechanical mitral valve?
What concern may a client have three days after surgery to insert a mechanical mitral valve?
Which potential complication should the nurse monitor for when starting a client on oral or I.V. diltiazem hydrochloride?
Which potential complication should the nurse monitor for when starting a client on oral or I.V. diltiazem hydrochloride?
What is the purpose of nitroglycerine cream prescribed for a client with a skin ulcer and dry skin surrounding the ulcer?
What is the purpose of nitroglycerine cream prescribed for a client with a skin ulcer and dry skin surrounding the ulcer?
What change should the nurse assess for in a client receiving tissue plasminogen activator (t-PA)?
What change should the nurse assess for in a client receiving tissue plasminogen activator (t-PA)?
Which client symptom during a cardiac stress test using a treadmill requires the nurse's immediate action?
Which client symptom during a cardiac stress test using a treadmill requires the nurse's immediate action?
What action should the nurse take first when a client reports sudden onset of chest pain and shortness of breath after pacemaker insertion?
What action should the nurse take first when a client reports sudden onset of chest pain and shortness of breath after pacemaker insertion?
Why does the nurse respond that sumatriptan is not prescribed for a client with migraine headaches and a history of angina?
Why does the nurse respond that sumatriptan is not prescribed for a client with migraine headaches and a history of angina?
What does the nurse document when hearing an extra heart sound immediately after the second heart sound (S2) in a client with heart failure?
What does the nurse document when hearing an extra heart sound immediately after the second heart sound (S2) in a client with heart failure?
What should the nurse determine when assessing a client with Buerger's disease?
What should the nurse determine when assessing a client with Buerger's disease?
What does the use of an intra-aortic balloon pump indicate to a family member of a client in cardiogenic shock?
What does the use of an intra-aortic balloon pump indicate to a family member of a client in cardiogenic shock?
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)?
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)?
What should the nurse instruct the client about the purpose of nitroglycerine cream prescribed for a skin ulcer with dry surrounding skin?
What should the nurse instruct the client about the purpose of nitroglycerine cream prescribed for a skin ulcer with dry surrounding skin?
What is the principal effect of nitroglycerin tablets given sublingually for the treatment of angina?
What is the principal effect of nitroglycerin tablets given sublingually for the treatment of angina?
Why does a family member of a client in cardiogenic shock need an intra-aortic balloon pump?
Why does a family member of a client in cardiogenic shock need an intra-aortic balloon pump?