Primary Care Art and Science of Advanced Practice Nursing - Test Bank, Chapter 35. Cardiac and Associated Risk Disorders - $9.98   Add to cart

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Primary Care Art and Science of Advanced Practice Nursing - Test Bank, Chapter 35. Cardiac and Associated Risk Disorders

Primary Care Art and Science of Advanced Practice Nursing - Test Bank, Chapter 35. Cardiac and Associated Risk Disorders Primary Care Art and Science of Advanced Practice Nursing - Test Bank, Chapter 35. Cardiac and Associated Risk Disorders MULTIPLE CHOICE 1.The nurse suspects a clients heart is failing when which of the following heart sounds is assessed? 1. S1 2. S2 3. S3 4. S4 2.A client is diagnosed with heart failure. Which of the following diagnostic tests is useful to determine the degree of the failure? 1.Brain natriuretic peptide level 2.Blood cultures 3.Sedimentation rate 4.Arterial blood gas 3.A nurse is instructing a client regarding medications and substances contraindicated for the client with heart failure. Which of the following would not be contraindicated? 1.Alcohol 2.Furosemide 3.Metformin 4.Pioglitazone 4.The nurse is determining nursing diagnoses appropriate for a client demonstrating productive cough with pink frothy sputum, shortness of breath, and crackles. Which of the following nursing diagnoses is of the most importance? 1.Activity intolerance 2.Anxiety 3. Impaired gas exchange 4. Risk for ineffective respiratory function 5. In planning the care for a client diagnosed with heart failure, which of the following would be an appropriate goal? 1.Reduce myocardial contractility. 2.Increase cardiac workload. 3.Decrease ejection fraction. 4.Increase activity levels. 6.The nurse is instructing a client diagnosed with mild heart failure on dietary modifications. Which of the following client statements indicates that the instruction has been effective? 1.I will avoid green beans. 2.I will avoid orange juice. 3.I will avoid soy sauce. 4.I will avoid apple sauce. 7.A client is undergoing diagnostic testing for infective endocarditis. Which of the following laboratory tests would be most useful in diagnosis? 1.Basic metabolic panel 2.Blood cultures 3.Reticulocyte count 4.Prothrombin time 8.Which of the following would the nurse most likely assess in a client diagnosed with right-sided heart failure? 1.Distended neck veins 2.Oliguria 3.Cough with frothy blood-tinged sputum 4.Syncope 9.Which of the following diagnostic tests is useful to diagnose mitral valve prolapse? 1.Electrocardiogram 2.Echocardiogram 3.Cardiac angiography 4.Transesophageal echocardiography 10.A client diagnosed with mitral valve prolapse is experiencing palpitations. Which of the following should the nurse instruct this client? 1. Avoid tobacco 2. Ingest alcohol in moderation 3. Avoid weight loss 4. Limit caffeine intake 11.A client tells the nurse that she had rheumatic heart disease as a child. For which of the following valvular disorders should this client be assessed? 1.Mitral valve prolapse 2.Mitral stenosis 3.Aortic regurgitation 4.Aortic stenosis 12.A client, recovering from surgery to replace a calcified aortic valve with a mechanical valve, should be instructed that which of the following medications will be needed long term? 1.ACE inhibitor 2.Beta-blocker 3.Antibiotic 4.Anticoagulant 13.A client is scheduled for annuloplasty surgery to the aortic valve. Which of the following will most likely occur during this clients procedure? 1.A catheter will be inserted through the femoral vein. 2.A heart bypass machine will be used. 3.Local anesthesia will be provided. 4.A balloon will inflate and stretch the valve open. MULTIPLE RESPONSE 1.The nurse suspects a client is experiencing left-sided heart failure when which of the following is assessed? (Select all that apply.) 1.Decreased basilar lung sounds 2.Distended neck veins 3.Extra heart sounds 4.Lung crackles 5.Tachycardia 6.Weight gain 2.A client diagnosed with heart failure is prescribed furosemide (Lasix). Which of the following should this client be monitored for because of this medication? (Select all that apply.) 1. Dehydration 2. Rebound fluid volume overload 3. Hyponatremia 4. Hypokalemia 5. Hypernatremia 6. Hyperkalemia 3.The nurse is reviewing the medications prescribed for a client diagnosed with dilated cardiomyopathy. Which of the following medications are commonly prescribed for this disease process? (Select all that apply.) 1.ACE Inhibitor 2.Beta-blocker 3.Diuretic 4.Anticoagulant 5.Antiarrhythmic 6.Antibiotic 4.Which of the following should the nurse instruct a client diagnosed with hypertrophic cardiomyopathy? (Select all that apply.) 1.Follow recommended activity level 2.Avoid all alcohol 3.Take hot tub baths routinely 4.Avoid overexertion 5.Avoid dehydration 6.Unexplained breathlessness is a common symptom 5.The nurse determines that a client diagnosed with pericarditis is demonstrating the classic signs of the Beck triad. What are the signs of the Beck triad? (Select all that apply.) 1.Fever 2.Dyspnea 3.Muffled heart sounds 4.Elevated jugular vein pressure 5.Hypotension 6.Abdominal pain

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