Cardiovascular B GRADE A Q&A
A client undergoes a cardiac catherization. Following the procedure, the nurse assesses
the client and discovers the client is bleeding from the sheath insertion site. Which
action does the nurse take first?
a)notifies the healthcare provider
b)applies pressure to the site
c)reinforces the dressing over the site
d)takes the clients vitals - (correct answer)b)
The immediate priority is to stop the bleeding, after this is done you can check vitals and
call the provider
A home care nurse visits a client with a new permanent pacemaker implanted in the
area below the left clavicle. It is most important for the nurse to respond to which client
statement?
a) my spouse signed up for a CPR class
b) I try to move my left arm around several times a day
c)i know my wound is healing because i see drainage from the incision site
d) it will be good to be back under my electric blanket again when i sleep - (correct
answer)C)
Drainage from the site can be indicative of an infection
An older adult client has medical history of hypertension. The nurse anticipates the
client needs further teaching when the client makes which statement?
a) i will watch my diet to be sure to restrict salt and sodium
b)i will try to quit smoking, but i smoke when i drink and i drink every day
c) i will take blood pressure every morning before i take my medications
d) i will start an exercise program per my doctors instructions to assist in losing weight -
(correct answer)B)
Excessive alcohol consumption is strongly associated with hypertension. nicotine
consumption causes vasoconstriction and increase blood pressure
, The nurse provides care for a client who had a femoropopliteal bypass graft in the right
leg 4 hours ago. which intervention is appropriate for the nurse to perform?
a)the nurse accurately records intake and output
b) the nurse encourages the client to cough and deep breathe
c)the nurse places the client in chair for 30 minutes
d) the nurse assesses for pulses in the right leg every 4 hours
e) the nurse elevates the clients left leg - (correct answer)A, B, E
It is important for the nurse to monitor kidney function
This measure is appropriate to prevent atelectasis. The client should deep breath every
1-2 hours while awake
The right leg must remain straight but the left leg can be elevated
A client is taking verapamil in the sustained-release form that was prescribed one month
ago. The client reports having a mild headache since starting the medication. Which
information does the nurse provide
a)the medication often causes headache which may improve with time
b)the client should go to the ER
c)this medication should be stopped until the headache disappears
d)this is an unrelated symptom and should be reported - (correct answer)A)
Because of vasodilation of blood vessels a common adverse effect of the medication is
headache
A client comes to the cardiac clinic for a medication check reporting symptoms of
anorexia, nausea, headache, mild confusion, and blurred vision. The nurse understand
these symptoms indicate the client may be experiencing which condition
A) digitalis toxicity
B) Cardiac temponade
C) hypokalemia
A client undergoes a cardiac catherization. Following the procedure, the nurse assesses
the client and discovers the client is bleeding from the sheath insertion site. Which
action does the nurse take first?
a)notifies the healthcare provider
b)applies pressure to the site
c)reinforces the dressing over the site
d)takes the clients vitals - (correct answer)b)
The immediate priority is to stop the bleeding, after this is done you can check vitals and
call the provider
A home care nurse visits a client with a new permanent pacemaker implanted in the
area below the left clavicle. It is most important for the nurse to respond to which client
statement?
a) my spouse signed up for a CPR class
b) I try to move my left arm around several times a day
c)i know my wound is healing because i see drainage from the incision site
d) it will be good to be back under my electric blanket again when i sleep - (correct
answer)C)
Drainage from the site can be indicative of an infection
An older adult client has medical history of hypertension. The nurse anticipates the
client needs further teaching when the client makes which statement?
a) i will watch my diet to be sure to restrict salt and sodium
b)i will try to quit smoking, but i smoke when i drink and i drink every day
c) i will take blood pressure every morning before i take my medications
d) i will start an exercise program per my doctors instructions to assist in losing weight -
(correct answer)B)
Excessive alcohol consumption is strongly associated with hypertension. nicotine
consumption causes vasoconstriction and increase blood pressure
, The nurse provides care for a client who had a femoropopliteal bypass graft in the right
leg 4 hours ago. which intervention is appropriate for the nurse to perform?
a)the nurse accurately records intake and output
b) the nurse encourages the client to cough and deep breathe
c)the nurse places the client in chair for 30 minutes
d) the nurse assesses for pulses in the right leg every 4 hours
e) the nurse elevates the clients left leg - (correct answer)A, B, E
It is important for the nurse to monitor kidney function
This measure is appropriate to prevent atelectasis. The client should deep breath every
1-2 hours while awake
The right leg must remain straight but the left leg can be elevated
A client is taking verapamil in the sustained-release form that was prescribed one month
ago. The client reports having a mild headache since starting the medication. Which
information does the nurse provide
a)the medication often causes headache which may improve with time
b)the client should go to the ER
c)this medication should be stopped until the headache disappears
d)this is an unrelated symptom and should be reported - (correct answer)A)
Because of vasodilation of blood vessels a common adverse effect of the medication is
headache
A client comes to the cardiac clinic for a medication check reporting symptoms of
anorexia, nausea, headache, mild confusion, and blurred vision. The nurse understand
these symptoms indicate the client may be experiencing which condition
A) digitalis toxicity
B) Cardiac temponade
C) hypokalemia