Prepare for your exams
Get points
Guidelines and tips
Sell on Docsity
Docsity AI

Prepare for your exams

Study with the several resources on Docsity

Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips

Sell on Docsity

Docsity AI

Log in Sign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search for your university

Find the specific documents for your university's exams

Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents

20 Points

For each uploaded document

Answer questions

5 Points

For each given answer (max 1 per day)

All the ways to get free points

Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

Cardiovascular Disorders, Exams of Nursing

Aberystwyth University Nursing

Cardiovascular Disorders Cardiovascular Disorders Cardiovascular Disorders

Typology: Exams

2024/2025

Available from 03/05/2025

NurseTakshif 🇬🇧

4.2

(6)

2.2K documents

1 / 28

This page cannot be seen from the preview

Don't miss anything!

1 / 28

Cardiovascular Disorders

1. A visiting nurse is teaching a client with heart failure about taking their

medications. The client requires six different medications that are taken at four

different times per day. The client is confused about when to take each

medication. How should the nurse intervene Correct Answer Teach a family

member to fill a medication compliance aid once per week so the client can

independently take their medications.

2. The nurse is assessing a client who has a long history of uncontrolled

hypertension.The nurse should assess the client for damage in which area of

the eye Correct Answer retina

3. A client is recovering from coronary artery bypass graft (CABG) surgery and

begins to experience chest pain, shortness of breath, and tachycardia. Further

assessment reveals a widened QRS complex and an elevated ST seg- ment. Which

nursing diagnosis takes highest priority at this time Correct Answer Decreased

cardiac output related to depressed myocardial function

4. A nurse in the emergency department is caring for a client with acute heart

failure. Which laboratory value is most important for the nurse to check before

administering medications to treat heart failure Correct Answer potassium

5. A client is taking spironolactone to control hypertension.The client's serum

potassium level is [6 mEq/L (56mmol/L)]. For this client, the nurse's priority

should be to assess their: electrocardiogram (ECG) results.

6. The nurse is caring for a client post myocardial infarction (MI). Orders

include strict bed rest and a clear, liquid diet.What is the nurse's best response to

the client who is inquiring about the purpose of the new diet Correct Answer to

Discover Exams of Nursing Aberystwyth University

Partial preview of the text

Download Cardiovascular Disorders and more Exams Nursing in PDF only on Docsity!

Cardiovascular Disorders

A visiting nurse is teaching a client with heart failure about taking their medications.The client requires six different medications that are taken at four different times per day.The client is confused about when to take each medication. How should the nurse intervene Correct Answer Teach a family member to fill a medication compliance aid once per week so the client can independently take their medications.
The nurse is assessing a client who has a long history of uncontrolled hypertension.The nurse should assess the client for damage in which area of the eye Correct Answer retina
A client is recovering from coronary artery bypass graft (CABG) surgery and begins to experience chest pain, shortness of breath, and tachycardia. Further assessment reveals a widened QRS complex and an elevated ST seg- ment.Which nursing diagnosis takes highest priority at this time Correct Answer Decreased cardiac output related to depressed myocardial function
A nurse in the emergency department is caring for a client with acute heart failure. Which laboratory value is most important for the nurse to check before administering medications to treat heart failure Correct Answer potassium
A client is taking spironolactone to control hypertension.The client's serum potassium level is [6 mEq/L (56mmol/L)]. For this client, the nurse's priority should be to assess their: electrocardiogram (ECG) results.
The nurse is caring for a client post myocardial infarction (MI). Orders include strict bed rest and a clear,liquid diet.What is the nurse's best response to the client who is inquiring about the purpose of the new diet Correct Answer to

reduce the metabolic workload of digestion

A nurse is teaching a client how to take nitroglycerin to treat angina pectoris. What should the nurse include in the instructions Correct Answer Call emergency medical services immediately if chest pain does not subside within 15 minutes.
A client arrives in the emergency department reporting intense pain in the abdomen and tells the nurse that it feels like a heartbeat in the abdomen. Which nursing assessment would indicate potential rupture of an aortic aneurysm Correct Answer The client reports increasing severe back pain.
A client has been diagnosed with right-sided heart failure.The nurse should assess the client further for:: Dependent edema.
The client asks the nurse, "Why won't the health care provider tell me exactly how much of my leg he is going to take off? Don't you think I should know that?" On which information should the nurse base the response Correct Answer the adequacy of the blood supply to the tissues

The nurse is caring for an older adult man who walks 2 miles every morning. The nurse notes that during his morning walk, he called his child and stated that he thought that he was having a heart attack.Which symptom, identified by the client, is the most common and consistent with that of a heart attack (myocardial infarction) Correct Answer sternal pain
A client with heart failure is taking furosemide, digoxin, and potassium chloride.The client has nausea, blurred vision, headache, and weakness.The nurse notes that the client is confused.The telemetry strip shows first-degree atrioventricular block.What other sign should the nurse assess next Correct Answer digoxin toxicity.
A client has been diagnosed with peripheral arterial occlusive disease. In order to promote circulation to the extremities, the nurse should instruct the client to:: participate in a regular walking program.
A client with second-degree atrioventricular heart block is admitted to the coronary care unit.The nurse closely monitors the client's heart rate

and rhythm. When interpreting the client's electrocardiogram (ECG) strip, the nurse knows that the QRS complex represents: ventricular depolarization.

A client arrives in the emergency department with an ischemic stroke.What should the nurse do before the client receives tissue plasminogen activator (t- PA) Correct Answer Identify the time of onset of the stroke.
A client with peripheral vascular disease has poor circulation.The nurse should assess the client for changes in: (Select all that apply.): nail bed color. skin temperature. pain in extremity.
A client is admitted with a myocardial infarction and atrial fibrillation.While auscultating the heart, the nurse notes an irregular heart rate and hears an extra heart sound at the apex after the S2 that remains constant throughout the respiratory cycle. How should the nurse document these findings Correct Answer heart rate irregular with S
A nurse is evaluating a client who had a myocardial infarction (MI) 7 days earlier. Which outcome indicates that the client is responding favorably to therapy Correct Answer The client demonstrates ability to tolerate more activity without chest pain.
A registered nurse is mentoring a new graduate nurse. Which action by the new graduate demonstrates a need for further teaching Correct Answer turns the defibrillator to synchronize before defibrillating a client with ventricular fibrillation
A client presents with a heart rate of 30 beats/min.The nurse notes a pacemaker in the client's right upper chest wall.What is the nurse's priority action Correct Answer Assess the blood pressure.

should instruct the client to do Correct Answer Return to laboratory for analysis of prothrombin times.

A client with left-sided heart failure complains of increasing shortness of breath and is agitated and coughing up pink-tinged, foamy sputum.The nurse should recognize these findings as signs and symptoms of: acute pulmonary edema.
The plan of care for a client with hypertension taking propranolol hy- drochloride should include:: instructing the client to notify the health care provider of irregular or slowed pulse rate.
A client is discharged to a heart rehabilitation program. What lifestyle changes would be appropriate for the nurse to review Correct Answer reducing cholesterol levels, increasing activity levels progressively, and coping strategies
The nurse is assessing a client with heart failure whose blood pressure and weight are being monitored remotely.The nurse reviews data obtained within the last 3 days.The nurse calls the client to follow up. What should the nurse ask the client first Correct Answer "Are you having shortness of breath?"
The nurse is monitoring a client admitted with a myocardial infarction (MI) who is at risk for cardiogenic shock.The nurse should report which change on the client's chart to the health care provider Correct Answer urine output
A client returns from a left heart catheterization. The right groin was used for catheter access. In which location should the nurse palpate the distal pulse on this client Correct Answer dorsal surface of the right foot
The nurse is conducting a health assessment of an older adult.The client tells the nurse about cramping leg pain that occurs when walking for 15

minutes; the pain is relieved with rest.The lower extremities are slightly cool to touch, and pedal pulses are palpable +1.What should the nurse instruct the client to do Correct Answer Seek consultation from the health care provider.

A client is scheduled to undergo percutaneous transluminal coronary an- gioplasty (PTCA). Which statement by the nurse best explains the procedure to the client Correct Answer "PTCA involves opening a blocked artery with an inflatable balloon located on the end of a catheter."
The nurse is teaching a client how to apply nitroglycerin topical ointment. Which statement indicates that the client needs additional clarification of the instructions Correct Answer "I'll carefully massage the ointment into the skin."
A client with chest pain doesn't respond to nitroglycerin.When the client is admitted to the emergency department, the healthcare team obtains an elec- trocardiogram and administers I.V. morphine. The physician also considers administering alteplase. This thrombolytic agent must be administered how soon after onset of myocardial infarction (MI) symptoms Correct Answer wthin 6 hours

At the onset of chest pain, what should the client do Correct Answer Call 911 when three nitroglycerin tablets taken every 5 minutes are not effective.

To prevent pulmonary emboli in a client who has had abdominal surgery, what should the nurse do Correct Answer Have the client perform leg exercises every hour while awake.
The nurse is planning care for a client who is diagnosed with peripheral vascular disease (PVD) and has a history of heart failure. The nurse should develop a plan of care that is based on the fact that the client may have a low tolerance for exercise related to:: decreased blood flow.
A client is scheduled for an arteriogram.The nurse should explain to the client that the arteriogram will confirm the diagnosis of occlusive arterial disease by:: showing the location of the obstruction and the collateral circulation.
The client has had hypertension for 20 years.The nurse should assess the client for Correct Answer Renal insufficiency and failure.

A client is given amiodarone in the emergency department for a dysrhyth- mia. Which finding indicates the drug is having the desired effect Correct Answer The number of premature ventricular contractions is decreasing.
A client with heart failure will take oral furosemide at home.To help the client evaluate the effectiveness of furosemide therapy,the nurse should teach the client to:: weigh daily.
A client admitted with a massive myocardial infarction rapidly develops cardiogenic shock. Ideally, the physician would use the intra-aortic balloon pump (IABP) to support the injured myocardium. However, this client has a history of unstable angina pectoris, aortic insufficiency, hypertension, and diabetes mellitus.Which condition is a contraindication for IABP use Correct Answer aortic insufficiency
A client is receiving digoxin, and the pulse range is normally 70 to 76 bpm. After assessing the apical pulse for 1 minute and finding it to be 60 bpm, the nurse should do what first Correct Answer Withhold the digoxin.
Which client is at greatest risk for coronary artery disease Correct Answer a 65-year-old female who is obese with an LDL of 188 (10.4 mmol/L)
The nurse is admitting an older adult to the hospital.The echocardiogram report revealed left ventricular enlargement.The nurse notes 2+ pitting edema in the ankles when getting the client into bed. Based on this finding, what should the nurse do first Correct Answer Assess respiratory status.
An older adult with a history of heart failure is admitted to the emergency department with pulmonary edema. During admission, what should the nurse assess first Correct Answer blood pressure
A client weighs 300 lb (136 kg) and has a history of deep vein thrombosis

The nurse is teaching a client about actions to control manifestations of left-sided heart failure. Which statement by the client indicates appropriate understanding Correct Answer "If I have trouble breathing, I will sit in my recliner with my head up."
A client with a recent diagnosis of deep vein thrombosis (DVT) has sudden onset of shortness of breath and chest pain that increases with a deep breath. What should the nurse do first Correct Answer Assess the oxygen saturation.
The nurse observes a sudden dampening of the arterial waveform. What is the priority action by the nurse Correct Answer Assess the client's blood pressure.
The nurse instructs a client on the use of transdermal nitroglycerin 0. mg/hour patch for angina pectoris. Which client statement indicates that teaching was effective Correct Answer "I should report any skin irritation to the healthcare provider."
A nurse is caring for a client with end-stage heart failure who is awaiting a heart transplant. The client tells the nurse that they think they are going to die before a donor heart is found. The client also tells the nurse that they have not been attending a church but wants to talk with a priest. What action should the nurse take Correct Answer Contact the clergy member who is assigned to the transplant team.
A nurse is caring for a client with advanced heart failure. The client can't care for themself and hasn't been able to eat for the past week because of dyspnea.The client doesn't want a feeding tube inserted and expresses their desire for "nature to take its course." The client's family is pleading with the client to have a feeding tube inserted.What is the most appropriate action for the nurse to take Correct Answer Talk with the client's family about the client's

right to decide for themself.

A client takes isosorbide dinitrate as an antianginal medication.Which statement indicates that the client understands the adverse effects of the drug Correct Answer "I'll need to change positions slowly so I won't get dizzy."
The client with heart failure asks the nurse about the reason for taking enalapril maleate. The nurse should tell the client:: "This drug will dilate your blood vessels and lower your blood pressure."
A client who suffered blunt chest trauma in a motor vehicle accident complains of chest pain, which is exacerbated by deep inspiration. On aus- cultation, the nurse detects a pericardial friction rub — a classic sign of acute pericarditis.The physician confirms acute pericarditis and begins appropriate medical intervention.To relieve chest pain associated with pericarditis, which position should the nurse encourage the client to assume Correct Answer leaning forward while sitting

"If I change my diet and lessen my intake of saturated fats and trans fatty acids, this may decrease my cholesterol levels." Correct response: "Gradually increasing my exercise levels will help enhance circulation through the heart." "If I change my diet and lessen my intake of saturated fats and trans fatty acids, this may decrease my cholesterol levels." "As a borderline diabetic, if I lose weight and lessen my intake of simple carbohy- drates, this should benefit my heart." "Walking is excellent exercise to strengthen my heart."

A newly admitted client reports taking digoxin and warfarin.Which state- ment would the nurse include in the discharge instructions Correct Answer "Notify your healthcare provider if you experiences visual changes."
The nurse on the previous night shift documented that the lungs of a client with lung cancer were CTA (clear to auscultation) in all fields.While

doing the shift assessment, the day shift nurse noticed decreased breath sounds, especially in the right lower lobe.Which action is the nurse's best choice Correct Answer Notify the physician of the change in client status.

A client is admitted with chest pain, fever, and joint pain 4 weeks after experiencing an acute inferior wall myocardial infarction. Which laboratory value should the nurse address Correct Answer sedimentation rate (ESR) 49 mm/hr
A client comes to the emergency department with symptoms of chest pain radiating down the left arm, dyspnea, and diaphoresis. An electrocardiogram (EKG) shows ST segment elevation and the client is diagnosed with an ST segment-elevation myocardial infarction (STEMI). To determine if the client is a candidate for thrombolytic therapy, which question should the nurse ask Correct Answer "What time did your chest pain start?"
The nurse is assessing a client with an atrial septal defect (ASD). Which finding requires immediate nursing intervention Correct Answer client having an uneven smile and facial droop
The nurse is evaluating the therapeutic goal of a client with history of cardiac dysrhythmias and newly completed radiofrequency catheter ablation. Which client-centered goal is most appropriate Correct Answer The client will have a regular heart rhythm from destruction of errant tissue of the heart.
A nurse in the telemetry unit is caring for a client with diagnosis of postoperative coronary artery bypass graft (CABG) surgery from 2 days ago. On assessment, the nurse notes a paradoxical pulse of 88. Which surgical complication would the nurse suspect Correct Answer pericardial tamponade
The nurse is administering an IV potassium chloride supplement to a client

Following diagnosis of angina pectoris, a client reports being unable to walk up two flights of stairs without pain. What should the nurse instruct the client to do Correct Answer Take a nitroglycerin tablet before climbing the stairs.
A client has peripheral artery disease of both lower extremities.The client tells the nurse, "I've really tried to manage my condition well." Which example indicates the client is using appropriate care management strategies Correct Answer The client walks slowly but steadily for 30 minutes twice a day.
An older adult had a myocardial infarction (MI) 4 days ago. At 0930, the client's blood pressure is 102/64 mm Hg. After reviewing the client's progress notes (see chart), what should the nurse do first Correct Answer Notify the health care provider (HCP).
The nurse is reviewing the electrocardiogram of a client who has elevated ST segments visible in leads II, III, and aVf. Which choice is the nurse's best action Correct Answer Notify the healthcare provider.
A nurse is presenting health information at a community organization when one of the attendees passes out.The nurse assess the attendee as being unresponsive. Indicate how the nurse would respond by placing the following actions in chronological order. All options must be used.: Appoint a person to call

Perform chest compressions. Perform a head tilt-chin lift maneuver. Check for normal breathing. Deliver two rescue breaths. Check for a pulse.

A nurse is checking laboratory values on a client who has crackles in the

lower lobes, 2+ pitting edema, and dyspnea with minimal exertion.Which laboratory value does the nurse expect to be abnormal Correct Answer B-type natriuretic peptide (BNP)

In presenting a workshop on parameters of cardiac function, which con- ditions should a nurse list as those most likely to lead to a decrease in preload Correct Answer hemorrhage, sepsis, and anaphylaxis
The nurse has been instructing the client about how to prepare meals that are low in fat. Which of these comments would indicate the client needs additional teaching Correct Answer "I will eat more liver with onions."
A client is admitted to the hospital for evaluation of recurrent episodes of ventricular tachycardia as observed on Holter monitoring. The client is scheduled for electrophysiology studies (EPS) the following morning. Which statement should the nurse include in a teaching plan for this client Correct Answer "During

Cardiovascular Disorders, Exams of Nursing

Related documents

Partial preview of the text

Download Cardiovascular Disorders and more Exams Nursing in PDF only on Docsity!

Cardiovascular Disorders