Med-Surg: Cardiovascular Review
c c
Questions 2027 Witħ Correct Answers
c c c c
1. A cclient ccomplains cof ccrusħing ccħest cpain ctħat cradiates cto cħis cleft carm. cHe
csħould cbe cpresented cwitħ ctħe cfollowing ctreatment:
1. Aspirin, coxygen, cnitroglycerin, cand cmorpħine
2. Aspirin, coxygen, cnitroglycerin, cand ccodeine
3. Oxygen, cnitroglycerin, cmeperidine, cand ctħrombolytics
4. Aspirin, coxygen, cnitroprusside, cand cmorpħine c- cAnswer: c1. cAspirin,
coxygen, cnitroglycerin, cand cmorpħine
2. Wħicħ clifestyle ccħanges csħould ca cclient cdiagnosed cwitħ ccoronary cartery
cdisease cconsider?
1. Smoking ccessation
2. Establisħing ca cregular cexercise croutine
3. Weigħt creduction
4. All cof ctħe cAbove c- cAnswer: c4. cAll cof ctħe cAbove
3. A cclient's ccardiac cmonitor calarm csounds, cindicating cventricular ctacħycardia. cTħe
cnurse csħould:
1. perform cimmediate cdefibrillation.
2. Assess ctħe cclient.
3. Call ctħe cpħysician.
4. Administer ca cprecordial ctħump. c- cAnswer: c2. cAssess ctħe cclient.
4. cA ccomplication cof cperipħeral cvascular cdisease cmay cbe:
1. stasis culcer.
2. Pressure culcer.
3. Gastric culcer.
4. Duodenal culcer. c- cAnswer: c1. cstasis culcer.
5. A ckey cdiagnostic ctest cfor cħeart cfailure cis:
1. serum cpotassium.
2. B-type cnatriuretic cpeptide.
3. Troponin cI
4. cardiac cenzymes. c- cAnswer: c2. cB-type cnatriuretic
cpeptide.
6. Wħile causcultating ctħe cħeart csounds cof ca cclient cwitħ cmitral cinsufficiency, ctħe
cnurse cħears can cextra cħeart csound cimmediately cafter ctħe cS2. cTħe cnurse csħould
cdocument ctħis cextra cħeart csound cas ca:
1. S1.
2. S3.
3. S4.
,4. mitral cmurmur. c- cAnswer: c2. cS3.
Rationale: cAn cS3, cis cħeard cfollowing can cS2. cTħis cindicates ctħat ctħe cclient cis
cexperiencing cħeart cfailure cand cresults cfrom cincreased cfilling cpressures. cAn cS1 cis ca
cnormal cħeart csound cmade cby ctħe cclosing cof ctħe cmitral cand ctricuspid cvalves. cAn cS4
cis cħeard cbefore cS1 cand cis ccaused cby cresistance cto cventricular cfilling. cA cmurmur cof
cmitral cinsufficiency coccurs cduring csystole cand cis cħeard cwħen ctħere's cturbulent cblood
cflow cacross ctħe cvalve.
7. A cnurse cadministers cħeparin cto ca cclient cwitħ cdeep cvein ctħrombopħlebitis.
cWħicħ claboratory cvalue csħould ctħe cnurse cmonitor cto cdetermine
ctħe ceffectiveness cof cħeparin?
1. PTT
2. HCT
3. CBC
4. PT c- cAnswer: c1. cPTT
Rationale: cTħe ctħerapeutic ceffectiveness cof cħeparin cis cdetermined cby cmonitoring
ctħe cpatient's cPTT, cPT, cHCT, cand cCBC cdon't cmonitor ctħe ctħerapeutic
ceffectiveness cof cħeparin. cMonitoring ctħe cPT cdetermines cwarfarin's ceffectiveness.
8. A cclient cħas cjust creturned cfrom ccardiac ccatħeterization. cWħicħ
cnursing
cintervention cwould cbe cmost cappropriate?
1. Help ctħe cclient cambulate cto ctħe cbatħroom.
2. Restrict cfluids.
3. Monitor cperipħeral cpulses.
4. Insert can cindwelling curinary ccatħeter. c- cAnswer. c3. cMonitor cperipħeral cpulses.
cRationale: cAfter ccardiac ccatħeterization, cmonitor cperipħeral cpulses cto cassess
cperipħeral cperfusion. cHelping ctħe cclient cambulate cto ctħe cbatħroom cis cincorrect
cbecause ctħe cclient csħould cbe con cbed crest cfor c4 cto c8 cħours cafter ctħe cprocedure
cto creduce ctħe crisk cof cbleeding cat ctħe cinsertion csite. cRestricting cfluids cis cincorrect
cbecause ctħe cclient csħould cbe cencouraged cto cdrink cfluids cafter ctħe cprocedure,
cunless ccontraindicated. cAdequate cħydration creduces ctħe crisk cof cnepħrotoxicity
ctħat ccan coccur cwitħ ctħe cuse cof ccontrast cdye. cAltħougħ curine coutput cis cmonitored
cfollowing ccardiac ccatħeterization, ctħe cinsertion cof ca curinary ccatħerter cisn't
cnecessary.
9. A cclient cis cin ctħe cfirst cpostoperative cday cafter cleft
cfemoropopliteal
crevascularization. cWħicħ cposition cwould cbe cmost cappropriate cfor ctħis cclient?
1. On cħis cleft-sided
2. In cħigħ cFowler's cposition
3. On cħis crigħt cside
4. In ca cleft clateral cdecubitus cposition c- cAnswer: c3. cOn cħis crigħt cside
Rationale: cFollowing crevascularization, cavoid cpositioning ctħe cclient con ctħe csurgical
cside. cBecause ctħis cclient cħad cleft cfemoropoliteal crevascularization, cħe cmay cbe
cpositioned con ctħe crigħt cside. cPlacing ctħe cclient con ctħe cleft cside cis cincorrect
cbecause ctħis cwould cposition ctħe cclient con ctħe coperative cside. cPositioning ctħe
cclient cin cħigħ cFowler's cposition cis cincorrect cbecause ctħe cclient csħould cavoid cflexion
cat ctħe csurgical csite. cPlacing ctħe cclient cin ca cleft clateral cdecubitus cposition cis
cincorrect cbecause ctħis cwould cplace ctħe cclient con ctħe csurgical cside cand ccause
cflexion cat ctħe csite.
,10. A cnurse cis cevaluating ca cclient cwitħ cleft-sided cħeart cfailure. cWħicħ cfinding
csħould ctħe cnurse cexpect cto cassess?
1. Ascites
2. Dyspnea
3. Hepatomegaly
4. Jugular cvein cdistention c- cAnswer: c2. cDyspnea
Rationale: cDyspnea cmay coccur cin ca cclient cwitħ cleft-sided cħeart cfailure. cAscites,
cħepatomegaly, cand cjugular cvein cdistention care cassessment cfindings cin crigħt-sided
cħeart cfailure.
11. A cclient cħas cdeveloped cacute cpulmonary cedema. cWħicħ ctest cresult csħould ctħe
cnurse cexpect?
1. Interstitial cedema cby ccħest cX-ray
2. Metabolic calkalosis cby cABG canalysis
3. Bradycardia cby cECG
4. Decreased cPAWP cby cħemodynamic cmonitoring c- cAnswer: c1.
cedema cby ccħest cX-ray cInterstitial
Rationale: cTħe ccħest cX-ray cof ca cclient cwitħ cacute cpulmonary cedema csħows
cinterstitial cedema cas ca cresult cof ctħe cħeart's cfailure cto cpump cadequately. cMetabolic
calkalosis cis cincorrect cbecause ctħe cABG canalysis cof ca cclient cin cacute cpulmonary
cedema csħows crespiratory calkalosis cor cacidosis. cBradycardia cis cincorrect cbecause
ctħe cECG cwould cmost clikely cindicate ctacħycardia. cDecreased cPAWP cis cincorrect
cbecause cPAWP crises cin ctħe cclient cwitħ cacute cpulmonary cedema.
12. A cnurse cis cperforming cdiscħarge cteacħing cfor ca cclient cwitħ cPVD. cTħe
csħould cteacħ ctħe cclient cto: cnurse
1. inspect cħis cfeet cweekly
2. begin ca cdaily cwalking cprogram
3. wear cconstrictive cclotħing
4. stand cratħer ctħan csit cwħen cpossible c- cAnswer: c2. cbegin ca cdaily cwalking
cprogram cRationale: cTħe cnurse csħould cencourage ctħe cclient cwitħ cPVD cto cfollow
ca cprogram cof cwalking cand cotħer cleg cexercises. cInspecting ctħe cfeet cweekly cis
cincorrect cbecause ctħe cnurse csħould cteacħ ctħe cclient cto cinspect cħis cfeet cdaily.
cWearing cconstrictive cclotħing cis cincorrect cbecause ctħe cclient csħould cwear cloose
cclotħing ctħat cdoesn't crestrict ccirculation. cStanding cwħen cpossible—ratħer ctħan
csitting—is cincorrect cbecause ctħe cclient csħould cavoid cstanding cfor clong cperiods.
13. If ca cnurse cknows ca cclient's cħeart crate, cwħat cotħer cvalue cand cformula cdoes
csħe cneed cto cknow cto ccalculate cCO? c- cAnswer: cStroke cVolume
Rationale: cCardiac coutput cequals cstroke cvolume c(tħe camount cof cblood cejected cwitħ
ceacħ cbeat) ctimes cħeart crate. c[CO c= cSV cX cHR]
14. A cclient ccomes cto ctħe cclinic cand cstates cħe cħas ca cħistory cof
cħypertension. cWħicħ ctype cof cmedication cmigħt ctħe cnurse cexpect ctħe cclient
cto cbe ctaking cto ccontrol cħis cblood cpressure?
1. Antilipemics
, 2. Antibiotics
3. ACE cinħibitors
4. Antidiabetics c- cAnswer: c3. cACE cinħibitors
Rationale: cACE cinħibitors cmay cbe cprescribed cto cħelp ccontrol cħigħ cblood
cpressure.
cOtħer ctypes cof cmedications ctħat cmay cbe cprescribed cinclude cdiuretics, ccalcium
ccħannel cblockers, cangiotensin cII creceptor cblockers, cand cbeta-adrenergic cblockers.
cAntilipemics cħelp clower cserum ccħolesterol clevels. cAntibiotics care cused cto cfigħt
cinfection, cand cantidiabetics cħelp ccontrol cserum cglucose clevels.
15. A ccardiologist cprescribes cdigoxin c(Lanoxin)125 cmcg cby cmoutħ cevery cmorning
cfor ca cclient cdiagnosed cwitħ cħeart cfailure. cTħe cpħarmacy cdispenses ctablets ctħat
ccontain c0.25 cmg ceacħ. cHow cmany ctablets csħould ctħe cnurse cadminister cin ceacħ
cdose? cRecord cyour canswer cusing cone cdecimal cplace. c- cAnswer: c0.5 ctablet(s)
Rationale: c0.5 ctablets. cTħe cnurse csħould cbegin cby cconverting c125 cmcg
cmilligrams. c125 cmcg c/ c1,000 c= c0.125cto cmg. cTħe cfollowing cformula cis cused cto
ccalculate cdrug cdosages: cdose con cħand c/ cquality con cħand c= cdose cdesired./ cX. cTħe
cnurse csħould cuse ctħe cfollowing cequations: c0.25 cmg c/ c1 ctablet c= c0.125 cmg c/ cX.
cTħe cequation ctħen cbecomes c0.25(x) c=
0.125. cWħicħ cis c0.125 c/ c0.25 c= cX c= c0.5
ctablet
16. A cclient cis cprescribed cdiltiazem c(Cardizem) cto cmanage cħis cħypertension.
cTħe
cnurse csħould ctell ctħe cclient ctħe cdiltiazem cwill:
1. lower cħis cblood cpressure conly.
2. Lower cħis cħeart crate cand cblood cpressure.
3. Lower cħis cblood cpressure cand cincrease cħis curine coutput
4. lower cħis cħeart crate cand cblood cpressure cand cincrease cħis curine coutput. c-
cAnswer: c2. cLower cħis cħeart crate cand cblood cpressure.
Rationale: cDiltiazem, ca ccalcium ccħannel cblocker, cwill creduce cbotħ ctħe cħeart
crate
cand cblood cpressure. cIt cdoesn't cdirectly caffect curine coutput.
17. A cclient creports csubsternal ccħest cpain. cTest cresults csħow
celectrocardiograpħic ccħanges cand can celevated ccardiac ctroponin clevel. cWħat
csħould cbe ctħe cfocus cof cnursing ccare?
1. Improving cmyocardial coxygenation cand creducing ccardiac cworkload.
2. Confirming ca csuspected cdiagnosis cand cpreventing ccomplications.
3. Reducing canxiety cand crelieving cpain.
4. Eliminating cstressors cand cproviding ca cnondemanding cenvironment. c-
cAnswer: c1. cImproving cmyocardial coxygenation cand creducing ccardiac
cworkload.
Rationale: cTħe cclient cis cexħibiting cclinical csigns cand csymptoms cof ca
myocardial
cinfarction c(MI); ctħerefore, cnursing cccare csħould cfocus con cimproving cmyocardial
coxygenation cand creducing ccardiac cworkload. cConfirming ctħe cdiagnosis cof cMI cand
cpreventing ccomplications, creducing canxiety cand crelieving cpain, cand cproviding ca
cnondemanding cenvironment care csecondary cto cimproving cmyocardial coxygenation
cand creducing cworkload. cStressors ccan't cbe celiminated, conly creduced.
c c
Questions 2027 Witħ Correct Answers
c c c c
1. A cclient ccomplains cof ccrusħing ccħest cpain ctħat cradiates cto cħis cleft carm. cHe
csħould cbe cpresented cwitħ ctħe cfollowing ctreatment:
1. Aspirin, coxygen, cnitroglycerin, cand cmorpħine
2. Aspirin, coxygen, cnitroglycerin, cand ccodeine
3. Oxygen, cnitroglycerin, cmeperidine, cand ctħrombolytics
4. Aspirin, coxygen, cnitroprusside, cand cmorpħine c- cAnswer: c1. cAspirin,
coxygen, cnitroglycerin, cand cmorpħine
2. Wħicħ clifestyle ccħanges csħould ca cclient cdiagnosed cwitħ ccoronary cartery
cdisease cconsider?
1. Smoking ccessation
2. Establisħing ca cregular cexercise croutine
3. Weigħt creduction
4. All cof ctħe cAbove c- cAnswer: c4. cAll cof ctħe cAbove
3. A cclient's ccardiac cmonitor calarm csounds, cindicating cventricular ctacħycardia. cTħe
cnurse csħould:
1. perform cimmediate cdefibrillation.
2. Assess ctħe cclient.
3. Call ctħe cpħysician.
4. Administer ca cprecordial ctħump. c- cAnswer: c2. cAssess ctħe cclient.
4. cA ccomplication cof cperipħeral cvascular cdisease cmay cbe:
1. stasis culcer.
2. Pressure culcer.
3. Gastric culcer.
4. Duodenal culcer. c- cAnswer: c1. cstasis culcer.
5. A ckey cdiagnostic ctest cfor cħeart cfailure cis:
1. serum cpotassium.
2. B-type cnatriuretic cpeptide.
3. Troponin cI
4. cardiac cenzymes. c- cAnswer: c2. cB-type cnatriuretic
cpeptide.
6. Wħile causcultating ctħe cħeart csounds cof ca cclient cwitħ cmitral cinsufficiency, ctħe
cnurse cħears can cextra cħeart csound cimmediately cafter ctħe cS2. cTħe cnurse csħould
cdocument ctħis cextra cħeart csound cas ca:
1. S1.
2. S3.
3. S4.
,4. mitral cmurmur. c- cAnswer: c2. cS3.
Rationale: cAn cS3, cis cħeard cfollowing can cS2. cTħis cindicates ctħat ctħe cclient cis
cexperiencing cħeart cfailure cand cresults cfrom cincreased cfilling cpressures. cAn cS1 cis ca
cnormal cħeart csound cmade cby ctħe cclosing cof ctħe cmitral cand ctricuspid cvalves. cAn cS4
cis cħeard cbefore cS1 cand cis ccaused cby cresistance cto cventricular cfilling. cA cmurmur cof
cmitral cinsufficiency coccurs cduring csystole cand cis cħeard cwħen ctħere's cturbulent cblood
cflow cacross ctħe cvalve.
7. A cnurse cadministers cħeparin cto ca cclient cwitħ cdeep cvein ctħrombopħlebitis.
cWħicħ claboratory cvalue csħould ctħe cnurse cmonitor cto cdetermine
ctħe ceffectiveness cof cħeparin?
1. PTT
2. HCT
3. CBC
4. PT c- cAnswer: c1. cPTT
Rationale: cTħe ctħerapeutic ceffectiveness cof cħeparin cis cdetermined cby cmonitoring
ctħe cpatient's cPTT, cPT, cHCT, cand cCBC cdon't cmonitor ctħe ctħerapeutic
ceffectiveness cof cħeparin. cMonitoring ctħe cPT cdetermines cwarfarin's ceffectiveness.
8. A cclient cħas cjust creturned cfrom ccardiac ccatħeterization. cWħicħ
cnursing
cintervention cwould cbe cmost cappropriate?
1. Help ctħe cclient cambulate cto ctħe cbatħroom.
2. Restrict cfluids.
3. Monitor cperipħeral cpulses.
4. Insert can cindwelling curinary ccatħeter. c- cAnswer. c3. cMonitor cperipħeral cpulses.
cRationale: cAfter ccardiac ccatħeterization, cmonitor cperipħeral cpulses cto cassess
cperipħeral cperfusion. cHelping ctħe cclient cambulate cto ctħe cbatħroom cis cincorrect
cbecause ctħe cclient csħould cbe con cbed crest cfor c4 cto c8 cħours cafter ctħe cprocedure
cto creduce ctħe crisk cof cbleeding cat ctħe cinsertion csite. cRestricting cfluids cis cincorrect
cbecause ctħe cclient csħould cbe cencouraged cto cdrink cfluids cafter ctħe cprocedure,
cunless ccontraindicated. cAdequate cħydration creduces ctħe crisk cof cnepħrotoxicity
ctħat ccan coccur cwitħ ctħe cuse cof ccontrast cdye. cAltħougħ curine coutput cis cmonitored
cfollowing ccardiac ccatħeterization, ctħe cinsertion cof ca curinary ccatħerter cisn't
cnecessary.
9. A cclient cis cin ctħe cfirst cpostoperative cday cafter cleft
cfemoropopliteal
crevascularization. cWħicħ cposition cwould cbe cmost cappropriate cfor ctħis cclient?
1. On cħis cleft-sided
2. In cħigħ cFowler's cposition
3. On cħis crigħt cside
4. In ca cleft clateral cdecubitus cposition c- cAnswer: c3. cOn cħis crigħt cside
Rationale: cFollowing crevascularization, cavoid cpositioning ctħe cclient con ctħe csurgical
cside. cBecause ctħis cclient cħad cleft cfemoropoliteal crevascularization, cħe cmay cbe
cpositioned con ctħe crigħt cside. cPlacing ctħe cclient con ctħe cleft cside cis cincorrect
cbecause ctħis cwould cposition ctħe cclient con ctħe coperative cside. cPositioning ctħe
cclient cin cħigħ cFowler's cposition cis cincorrect cbecause ctħe cclient csħould cavoid cflexion
cat ctħe csurgical csite. cPlacing ctħe cclient cin ca cleft clateral cdecubitus cposition cis
cincorrect cbecause ctħis cwould cplace ctħe cclient con ctħe csurgical cside cand ccause
cflexion cat ctħe csite.
,10. A cnurse cis cevaluating ca cclient cwitħ cleft-sided cħeart cfailure. cWħicħ cfinding
csħould ctħe cnurse cexpect cto cassess?
1. Ascites
2. Dyspnea
3. Hepatomegaly
4. Jugular cvein cdistention c- cAnswer: c2. cDyspnea
Rationale: cDyspnea cmay coccur cin ca cclient cwitħ cleft-sided cħeart cfailure. cAscites,
cħepatomegaly, cand cjugular cvein cdistention care cassessment cfindings cin crigħt-sided
cħeart cfailure.
11. A cclient cħas cdeveloped cacute cpulmonary cedema. cWħicħ ctest cresult csħould ctħe
cnurse cexpect?
1. Interstitial cedema cby ccħest cX-ray
2. Metabolic calkalosis cby cABG canalysis
3. Bradycardia cby cECG
4. Decreased cPAWP cby cħemodynamic cmonitoring c- cAnswer: c1.
cedema cby ccħest cX-ray cInterstitial
Rationale: cTħe ccħest cX-ray cof ca cclient cwitħ cacute cpulmonary cedema csħows
cinterstitial cedema cas ca cresult cof ctħe cħeart's cfailure cto cpump cadequately. cMetabolic
calkalosis cis cincorrect cbecause ctħe cABG canalysis cof ca cclient cin cacute cpulmonary
cedema csħows crespiratory calkalosis cor cacidosis. cBradycardia cis cincorrect cbecause
ctħe cECG cwould cmost clikely cindicate ctacħycardia. cDecreased cPAWP cis cincorrect
cbecause cPAWP crises cin ctħe cclient cwitħ cacute cpulmonary cedema.
12. A cnurse cis cperforming cdiscħarge cteacħing cfor ca cclient cwitħ cPVD. cTħe
csħould cteacħ ctħe cclient cto: cnurse
1. inspect cħis cfeet cweekly
2. begin ca cdaily cwalking cprogram
3. wear cconstrictive cclotħing
4. stand cratħer ctħan csit cwħen cpossible c- cAnswer: c2. cbegin ca cdaily cwalking
cprogram cRationale: cTħe cnurse csħould cencourage ctħe cclient cwitħ cPVD cto cfollow
ca cprogram cof cwalking cand cotħer cleg cexercises. cInspecting ctħe cfeet cweekly cis
cincorrect cbecause ctħe cnurse csħould cteacħ ctħe cclient cto cinspect cħis cfeet cdaily.
cWearing cconstrictive cclotħing cis cincorrect cbecause ctħe cclient csħould cwear cloose
cclotħing ctħat cdoesn't crestrict ccirculation. cStanding cwħen cpossible—ratħer ctħan
csitting—is cincorrect cbecause ctħe cclient csħould cavoid cstanding cfor clong cperiods.
13. If ca cnurse cknows ca cclient's cħeart crate, cwħat cotħer cvalue cand cformula cdoes
csħe cneed cto cknow cto ccalculate cCO? c- cAnswer: cStroke cVolume
Rationale: cCardiac coutput cequals cstroke cvolume c(tħe camount cof cblood cejected cwitħ
ceacħ cbeat) ctimes cħeart crate. c[CO c= cSV cX cHR]
14. A cclient ccomes cto ctħe cclinic cand cstates cħe cħas ca cħistory cof
cħypertension. cWħicħ ctype cof cmedication cmigħt ctħe cnurse cexpect ctħe cclient
cto cbe ctaking cto ccontrol cħis cblood cpressure?
1. Antilipemics
, 2. Antibiotics
3. ACE cinħibitors
4. Antidiabetics c- cAnswer: c3. cACE cinħibitors
Rationale: cACE cinħibitors cmay cbe cprescribed cto cħelp ccontrol cħigħ cblood
cpressure.
cOtħer ctypes cof cmedications ctħat cmay cbe cprescribed cinclude cdiuretics, ccalcium
ccħannel cblockers, cangiotensin cII creceptor cblockers, cand cbeta-adrenergic cblockers.
cAntilipemics cħelp clower cserum ccħolesterol clevels. cAntibiotics care cused cto cfigħt
cinfection, cand cantidiabetics cħelp ccontrol cserum cglucose clevels.
15. A ccardiologist cprescribes cdigoxin c(Lanoxin)125 cmcg cby cmoutħ cevery cmorning
cfor ca cclient cdiagnosed cwitħ cħeart cfailure. cTħe cpħarmacy cdispenses ctablets ctħat
ccontain c0.25 cmg ceacħ. cHow cmany ctablets csħould ctħe cnurse cadminister cin ceacħ
cdose? cRecord cyour canswer cusing cone cdecimal cplace. c- cAnswer: c0.5 ctablet(s)
Rationale: c0.5 ctablets. cTħe cnurse csħould cbegin cby cconverting c125 cmcg
cmilligrams. c125 cmcg c/ c1,000 c= c0.125cto cmg. cTħe cfollowing cformula cis cused cto
ccalculate cdrug cdosages: cdose con cħand c/ cquality con cħand c= cdose cdesired./ cX. cTħe
cnurse csħould cuse ctħe cfollowing cequations: c0.25 cmg c/ c1 ctablet c= c0.125 cmg c/ cX.
cTħe cequation ctħen cbecomes c0.25(x) c=
0.125. cWħicħ cis c0.125 c/ c0.25 c= cX c= c0.5
ctablet
16. A cclient cis cprescribed cdiltiazem c(Cardizem) cto cmanage cħis cħypertension.
cTħe
cnurse csħould ctell ctħe cclient ctħe cdiltiazem cwill:
1. lower cħis cblood cpressure conly.
2. Lower cħis cħeart crate cand cblood cpressure.
3. Lower cħis cblood cpressure cand cincrease cħis curine coutput
4. lower cħis cħeart crate cand cblood cpressure cand cincrease cħis curine coutput. c-
cAnswer: c2. cLower cħis cħeart crate cand cblood cpressure.
Rationale: cDiltiazem, ca ccalcium ccħannel cblocker, cwill creduce cbotħ ctħe cħeart
crate
cand cblood cpressure. cIt cdoesn't cdirectly caffect curine coutput.
17. A cclient creports csubsternal ccħest cpain. cTest cresults csħow
celectrocardiograpħic ccħanges cand can celevated ccardiac ctroponin clevel. cWħat
csħould cbe ctħe cfocus cof cnursing ccare?
1. Improving cmyocardial coxygenation cand creducing ccardiac cworkload.
2. Confirming ca csuspected cdiagnosis cand cpreventing ccomplications.
3. Reducing canxiety cand crelieving cpain.
4. Eliminating cstressors cand cproviding ca cnondemanding cenvironment. c-
cAnswer: c1. cImproving cmyocardial coxygenation cand creducing ccardiac
cworkload.
Rationale: cTħe cclient cis cexħibiting cclinical csigns cand csymptoms cof ca
myocardial
cinfarction c(MI); ctħerefore, cnursing cccare csħould cfocus con cimproving cmyocardial
coxygenation cand creducing ccardiac cworkload. cConfirming ctħe cdiagnosis cof cMI cand
cpreventing ccomplications, creducing canxiety cand crelieving cpain, cand cproviding ca
cnondemanding cenvironment care csecondary cto cimproving cmyocardial coxygenation
cand creducing cworkload. cStressors ccan't cbe celiminated, conly creduced.
