A client with a confirmed DVT is being discharged from the ED. Which client
statement indicates that the client has received proper nursing instruction
and understands how to manage this condition?
"I should try not to drink too much during the daytime."
"I should lie on my side with my knees bent when sleeping."
"I need to ice my leg every 2 hours for about 20 minutes."
"I need to do my leg exercises five times or more every hour." - ANSWER
>>>>"I need to do my leg exercises five times or more every hour."
A nurse is caring for a client who had an aortic balloon valvuloplasty. The
nurse should inspect the surgical insertion site closely for which
complication(s)?
Bleeding and infection
Bleeding and wound dehiscence
Thrombosis and infection
Evisceration - ANSWER >>>>Bleeding and infection
A client who recently had a myocardial infarction develops pericarditis and
complains of chest pain rated 6 (on a scale of 0-10) with deep breathing.
Which ordered pro re nata medications is most appropriate for the nurse to
administer?
Morphine sulfate 6 mg IVP every 2-4 hours
,Fentanyl 2 mg intravenous pyelogram (IVP) every 2-4 hours
Acetaminophen 650 mg PO every 4 hours
Ibuprofen 800 mg PO every 8 hours - ANSWER >>>>Ibuprofen 800 mg PO
every 8 hours
The nurse instructs a client recovering from mechanical valve replacement
surgery. Which client statement indicates that teaching has been effective?
,"I can play soccer in a week or two."
"I will not drive until informed by my health care provider."
"I have a low risk of developing an infection in my heart."
"I will not need to take anticoagulant medication every day." - ANSWER
>>>>"I will not drive until informed by my health care provider."
A nurse is caring for a client receiving warfarin therapy following a
mechanical valve replacement. The client had a prothrombin time and
International Normalized Ratio (INR) drawn before breakfast. The laboratory
report shows the client's INR reading was 4. What is the nurse's first priority
?
Assess the client for bleeding and notify the health care provider of the
results.
Notify the next nurse on afternoon shift to hold the evening dose of
warfarin.
Notify the health care provider to request an increase in the warfarin dose.
Be prepared to administer an I.M. vitamin K injection and notify the
healthcare provider of the results. - ANSWER >>>>Assess the client for
bleeding and notify the health care provider of the results.
The nurse suspects a client has developed pericarditis after a week of cold-
like symptoms. Which of the client's signs and symptoms indicate
pericarditis?
low urine output secondary to left ventricular dysfunction
fever, chest discomfort, and elevated erythrocyte sedimentation rate (ESR)
pitting edema, chest discomfort, and nonspecific ST-segment elevation
lethargy, anorexia, and heart failure - ANSWER >>>>fever, chest discomfort,
and elevated erythrocyte sedimentation rate (ESR)
A client is admitted to the hospital with aortic stenosis. What assessment
findings would indicate the development of left ventricular failure?
Orthopnea, nausea, pedal edema
Distended jugular veins, pedal edema, nausea
Dyspnea, orthopnea, pulmonary edema
, Dyspnea, distended jugular veins, orthopnea - ANSWER >>>>Dyspnea,
n n n n n n n
orthopnea, pulmonary edema
n n n
Which would the nurse stress as a periodic lifelong necessity for a client
n n n n n n n n n n n n
managing infective endocarditis?
n n n
Exercise regimen n
Antihypertensive
n
medication Potassium
n n
replacement
n
Antibiotic therapy - ANSWER >>>>Antibiotic therapy
n n n n n
The nurse is caring for a client who has been diagnosed with aortic stenosis.
n n n n n n n n n n n n n
The client is prescribed digoxin. What is the rationale for the medication?
n n n n n n n n n n n n
left ventricular dysfunction
n n n
angina
dyspne
n
a
edema - ANSWER >>>>left ventricular dysfunction
n n n n n
A client is admitted to the hospital with possible acute pericarditis and
n n n n n n n n n n n
pericardial effusion. The nurse knows to prepare the client for which
n n n n n n n n n n n
diagnostic test to confirm the client's diagnosis?
n n n n n n n
Computed tomography n
Echocardiography
n
Chest x-ray
n n
Cardiac catheterization - ANSWER >>>>Echocardiography
n n n n
A client comes to the clinic reporting fever, chills, and sore throat and is
n n n n n n n n n n n n n
diagnosed with streptococcal pharyngitis. A nurse knows that early
n n n n n n n n n
diagnosis and effective treatment is essential to avoid which preventable
n n n n n n n n n n
disease?
n
Rheumatic fever n
Cardiomyopath
n
y Pericarditis
n
Mitral stenosis - ANSWER >>>>Rheumatic fever
n n n n n
statement indicates that the client has received proper nursing instruction
and understands how to manage this condition?
"I should try not to drink too much during the daytime."
"I should lie on my side with my knees bent when sleeping."
"I need to ice my leg every 2 hours for about 20 minutes."
"I need to do my leg exercises five times or more every hour." - ANSWER
>>>>"I need to do my leg exercises five times or more every hour."
A nurse is caring for a client who had an aortic balloon valvuloplasty. The
nurse should inspect the surgical insertion site closely for which
complication(s)?
Bleeding and infection
Bleeding and wound dehiscence
Thrombosis and infection
Evisceration - ANSWER >>>>Bleeding and infection
A client who recently had a myocardial infarction develops pericarditis and
complains of chest pain rated 6 (on a scale of 0-10) with deep breathing.
Which ordered pro re nata medications is most appropriate for the nurse to
administer?
Morphine sulfate 6 mg IVP every 2-4 hours
,Fentanyl 2 mg intravenous pyelogram (IVP) every 2-4 hours
Acetaminophen 650 mg PO every 4 hours
Ibuprofen 800 mg PO every 8 hours - ANSWER >>>>Ibuprofen 800 mg PO
every 8 hours
The nurse instructs a client recovering from mechanical valve replacement
surgery. Which client statement indicates that teaching has been effective?
,"I can play soccer in a week or two."
"I will not drive until informed by my health care provider."
"I have a low risk of developing an infection in my heart."
"I will not need to take anticoagulant medication every day." - ANSWER
>>>>"I will not drive until informed by my health care provider."
A nurse is caring for a client receiving warfarin therapy following a
mechanical valve replacement. The client had a prothrombin time and
International Normalized Ratio (INR) drawn before breakfast. The laboratory
report shows the client's INR reading was 4. What is the nurse's first priority
?
Assess the client for bleeding and notify the health care provider of the
results.
Notify the next nurse on afternoon shift to hold the evening dose of
warfarin.
Notify the health care provider to request an increase in the warfarin dose.
Be prepared to administer an I.M. vitamin K injection and notify the
healthcare provider of the results. - ANSWER >>>>Assess the client for
bleeding and notify the health care provider of the results.
The nurse suspects a client has developed pericarditis after a week of cold-
like symptoms. Which of the client's signs and symptoms indicate
pericarditis?
low urine output secondary to left ventricular dysfunction
fever, chest discomfort, and elevated erythrocyte sedimentation rate (ESR)
pitting edema, chest discomfort, and nonspecific ST-segment elevation
lethargy, anorexia, and heart failure - ANSWER >>>>fever, chest discomfort,
and elevated erythrocyte sedimentation rate (ESR)
A client is admitted to the hospital with aortic stenosis. What assessment
findings would indicate the development of left ventricular failure?
Orthopnea, nausea, pedal edema
Distended jugular veins, pedal edema, nausea
Dyspnea, orthopnea, pulmonary edema
, Dyspnea, distended jugular veins, orthopnea - ANSWER >>>>Dyspnea,
n n n n n n n
orthopnea, pulmonary edema
n n n
Which would the nurse stress as a periodic lifelong necessity for a client
n n n n n n n n n n n n
managing infective endocarditis?
n n n
Exercise regimen n
Antihypertensive
n
medication Potassium
n n
replacement
n
Antibiotic therapy - ANSWER >>>>Antibiotic therapy
n n n n n
The nurse is caring for a client who has been diagnosed with aortic stenosis.
n n n n n n n n n n n n n
The client is prescribed digoxin. What is the rationale for the medication?
n n n n n n n n n n n n
left ventricular dysfunction
n n n
angina
dyspne
n
a
edema - ANSWER >>>>left ventricular dysfunction
n n n n n
A client is admitted to the hospital with possible acute pericarditis and
n n n n n n n n n n n
pericardial effusion. The nurse knows to prepare the client for which
n n n n n n n n n n n
diagnostic test to confirm the client's diagnosis?
n n n n n n n
Computed tomography n
Echocardiography
n
Chest x-ray
n n
Cardiac catheterization - ANSWER >>>>Echocardiography
n n n n
A client comes to the clinic reporting fever, chills, and sore throat and is
n n n n n n n n n n n n n
diagnosed with streptococcal pharyngitis. A nurse knows that early
n n n n n n n n n
diagnosis and effective treatment is essential to avoid which preventable
n n n n n n n n n n
disease?
n
Rheumatic fever n
Cardiomyopath
n
y Pericarditis
n
Mitral stenosis - ANSWER >>>>Rheumatic fever
n n n n n
