Med surg cardiovascular review
1. The nurse is reinforcing discharge instructions for a client who received a
mechanical heart valve. Whata statement made by the client indicates to the
nurse that instructions are understood?
A. I will have to take life long anti-coagulant therapy
B. My valve will Have be replaced in 10 years
C. I will not be able to exercise or participate in previous activities
D. I will have to be on immune suppressant therapy for the duration of my
life Correct Answer(s)"I will have to take lifelong anticoagulation therapy."
R:Although mechanical heart valves (MHV) are more durable than tissue valves,
they are more thrombogenic. Consequently, patients with MHV require long-term
anticoagulation with vitamin K antagonists, such as warfarin.
2. A client is preparing to have an angiocardiagram in the morning.What data
should the nurse obtain in preparation for this test?
Ask if the client has crutches or a cane to use after the test. Ask if
the client has a family member that had this test.
Ask if the client has received a yearly flu shot.
Ask if the client is allergic to shellfish or iodine. Correct Answer(s)d. Ask if the
client is allergic to shellfish or iodine.
3. The nurse is reinforcing education for a client with hypertension. What
statement made by the client indi- cates that further education is required? "I
will apply methods to reduce stress in my life."
"I don't have to take my antihypertensives if I am feeling well." "I
will reduce the cholesterol and salt intake in my diet."
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13
, blood pressure routinely at
"I will measure my blood pressure routinely at home." Correct Answer(s)"I don't
have to take my antihypertensives if I am feeling well."
4. A client having an implantable cardioverter- defibrillator asks the nurse,
"What should I do if I feel a shock and am alone?" What is the best response by
the nurse?
"Lie down and call 911."
"Continue previous activity."
"Chew an aspirin tablet."
"Take an extra dose of your antiarrhythmic medication." Correct Answer(s)Lie
down and call 911
5. A client is diagnosed with pulmonary edema and having pink, frothy spu-
tum, and crackles in both lungs.What nursing intervention should be provided at
this time? Select all that apply.
Administer morphine sulfate as ordered. Administer
furosemide as ordered
Place the legs in a dependent position
2/
13
1. The nurse is reinforcing discharge instructions for a client who received a
mechanical heart valve. Whata statement made by the client indicates to the
nurse that instructions are understood?
A. I will have to take life long anti-coagulant therapy
B. My valve will Have be replaced in 10 years
C. I will not be able to exercise or participate in previous activities
D. I will have to be on immune suppressant therapy for the duration of my
life Correct Answer(s)"I will have to take lifelong anticoagulation therapy."
R:Although mechanical heart valves (MHV) are more durable than tissue valves,
they are more thrombogenic. Consequently, patients with MHV require long-term
anticoagulation with vitamin K antagonists, such as warfarin.
2. A client is preparing to have an angiocardiagram in the morning.What data
should the nurse obtain in preparation for this test?
Ask if the client has crutches or a cane to use after the test. Ask if
the client has a family member that had this test.
Ask if the client has received a yearly flu shot.
Ask if the client is allergic to shellfish or iodine. Correct Answer(s)d. Ask if the
client is allergic to shellfish or iodine.
3. The nurse is reinforcing education for a client with hypertension. What
statement made by the client indi- cates that further education is required? "I
will apply methods to reduce stress in my life."
"I don't have to take my antihypertensives if I am feeling well." "I
will reduce the cholesterol and salt intake in my diet."
1/
13
, blood pressure routinely at
"I will measure my blood pressure routinely at home." Correct Answer(s)"I don't
have to take my antihypertensives if I am feeling well."
4. A client having an implantable cardioverter- defibrillator asks the nurse,
"What should I do if I feel a shock and am alone?" What is the best response by
the nurse?
"Lie down and call 911."
"Continue previous activity."
"Chew an aspirin tablet."
"Take an extra dose of your antiarrhythmic medication." Correct Answer(s)Lie
down and call 911
5. A client is diagnosed with pulmonary edema and having pink, frothy spu-
tum, and crackles in both lungs.What nursing intervention should be provided at
this time? Select all that apply.
Administer morphine sulfate as ordered. Administer
furosemide as ordered
Place the legs in a dependent position
2/
13
