RN Targeted Medical Surgical Cardiovascular Online Practice Exam Review new update questions and answers

A nurse is caring for a client who has endocarditis. Which of the following findings should the nurse recognize as a potential complication? - Answer-valvular disease valvular disease or damage often occurs as a result of inflammation or infection of the endocardium A nurse is caring for a client following insertion of a permanent pacemaker. Which of the following client statements indicates a potential complication of the insertion procedure? - Answer-"I can't get rid of these hiccups" hiccups can indicate that the pacemaker is stimulating the chest wall or diaphragm, which can occur as a result of a lead wire perforation A nurse is assessing a client who has a history of DVT and is receiving warfarin. Which of the following findings should indicate to the nurse that the medication is effective? - Answer-INR 2.0 the nurse should identify that an INR of 2.0 is within the desired reference range of 2.0-3.0 for a client who has a DVT and is receiving warfarin to reduce the risk of a new clot formation and stroke A nurse is caring for a client who is being treated for heart failure and has a prescription for furosemide. The nurse should plan to monitor for which of the following adverse effects of the medication? - Answer-lightheadedness furosemide can cause a substantial drop in BP, resulting in lightheadedness or dizziness A nurse is caring for a client who is scheduled for a coronary artery bypass graft (CABG) in 2 hr. Which of the following client statements indicates a need for further clarification by the nurse? - Answer-"I took my warfarin last night according to my usual schedule" clients who are scheduled for a CABG should not take anticoagulants, such as warfarin, for several days prior to the surgery to prevent excessive bleedingA nurse is reviewing the ECG rhythm strip of a client who is receiving telemetry. Which of the following areas of the strip should the nurse examine to observe for atrial depolarization? - Answer-A A nurse is reviewing the laboratory results of several male clients who have peripheral arterial disease. The nurse should plan to provide dietary teaching for the client who has which of the following laboratory values? - Answer-cholesterol 190 mg/dL, HDL 25 mg/dL, LDL 160 mg/dL These laboratory values for HDL and LDL are outside of the expected reference range and indicate that the nurse should provide dietary teaching to the client. the expected reference range for cholesterol is less than 200 mg/dL; for HDL is above 45 mg/dL for males and above 55 mg/dL for females; and for LDL is less than 130 mg/dL A nurse is assessing a client who has pulmonary edema related to heart failure. Which of the following findings indicates effective treatment of the client's condition? - Answer-absence of adventitious breath sounds adventitious breath sounds occur when there is fluid in the lungs. the absence of adventitious breath sounds indicates that the pulmonary edema is resolving A nurse is monitoring a client's ECG monitor and notes the client's rhythm has changed from normal sinus rhythm to supraventricular tachycardia. The nurse should prepare to assist with which of the following interventions? - Answer-vagal stimulation