NCLEX - PN Review -
CARDIOVASCULAR
a 24-year-old man seeks medical attention for complaints of claudication in the arch of the
foot.
the nurse also notes superficial thrombophlebitis of the lower leg.
the nurse should check the client for which next?
a) History of smoking b) recent exposure to allergens
c) recent insect bite history d) familial tendency toward peripheral vascular disease - ANS-a)
smoking history
rationale
The young male client's combination of arterial and venous symptoms—claudication and
phlebitis, respectively—raises the possibility of thromboangiitis obliterans (Buerger's
disease). This disorder, which causes inflammation and thrombosis in smaller arteries and
veins, is fairly uncommon. Smoking young men are typically affected by this disorder. the
cause is unknown but is suspected to have an autoimmune component.
a client admitted to the hospital with a diagnosis of myocardial infarction (MI) tells the nurse
that the pain likely resulted from the fried chicken sandwich that the client had for lunch.
Which fact informs the nurse's response? a) The majority of people enjoy high-fat diets b)
Denial is common in the early stages of MI c) the client probably wants to belittle the opinion
of the staff
d) The client does not have a strong desire to learn more about heart disease at this time.
ANS-b) Early denial is common after a heart attack. rationale
an early initial coping response following MI is denial.
the nurse uses this knowledge of this common response in planning care for the client.
the first option is an opinion and not based on information in the question.
The last two choices are not supported by the question's evidence. a client being seen in
the emergency department for complaints of chest pain confides in the nurse about regular
use of cocaine as a recreational drug.
Which crucial step does the nurse take to provide this patient with holistic nursing care? a)
reports the client to the police for illegal drug use
b) explains to the client the heart damage caused by cocaine. c) instructs the client to stop
immediately to prevent myocardial infarction d) explains the effects of cocaine on the heart
and suggests additional resources - ANS-d) explains the effects of cocaine on the heart and
suggests additional resources rationale
The nurse should satisfy the client's information needs regarding the effects of cocaine on
the heart and provide a referral for additional assistance with this potential addiction in order
to provide the most comprehensive care. the first option is partially correct but does not meet
the holistic needs of the client.
the second option is not indicated and breaches the client's right to confidentiality. the third
option is incorrect because it "preaches" to the client.
a client brings the following medications to the clinic for a yearly physical.
the nurse realizes which medication has been prescribed to treat heart failure?
CARDIOVASCULAR
a 24-year-old man seeks medical attention for complaints of claudication in the arch of the
foot.
the nurse also notes superficial thrombophlebitis of the lower leg.
the nurse should check the client for which next?
a) History of smoking b) recent exposure to allergens
c) recent insect bite history d) familial tendency toward peripheral vascular disease - ANS-a)
smoking history
rationale
The young male client's combination of arterial and venous symptoms—claudication and
phlebitis, respectively—raises the possibility of thromboangiitis obliterans (Buerger's
disease). This disorder, which causes inflammation and thrombosis in smaller arteries and
veins, is fairly uncommon. Smoking young men are typically affected by this disorder. the
cause is unknown but is suspected to have an autoimmune component.
a client admitted to the hospital with a diagnosis of myocardial infarction (MI) tells the nurse
that the pain likely resulted from the fried chicken sandwich that the client had for lunch.
Which fact informs the nurse's response? a) The majority of people enjoy high-fat diets b)
Denial is common in the early stages of MI c) the client probably wants to belittle the opinion
of the staff
d) The client does not have a strong desire to learn more about heart disease at this time.
ANS-b) Early denial is common after a heart attack. rationale
an early initial coping response following MI is denial.
the nurse uses this knowledge of this common response in planning care for the client.
the first option is an opinion and not based on information in the question.
The last two choices are not supported by the question's evidence. a client being seen in
the emergency department for complaints of chest pain confides in the nurse about regular
use of cocaine as a recreational drug.
Which crucial step does the nurse take to provide this patient with holistic nursing care? a)
reports the client to the police for illegal drug use
b) explains to the client the heart damage caused by cocaine. c) instructs the client to stop
immediately to prevent myocardial infarction d) explains the effects of cocaine on the heart
and suggests additional resources - ANS-d) explains the effects of cocaine on the heart and
suggests additional resources rationale
The nurse should satisfy the client's information needs regarding the effects of cocaine on
the heart and provide a referral for additional assistance with this potential addiction in order
to provide the most comprehensive care. the first option is partially correct but does not meet
the holistic needs of the client.
the second option is not indicated and breaches the client's right to confidentiality. the third
option is incorrect because it "preaches" to the client.
a client brings the following medications to the clinic for a yearly physical.
the nurse realizes which medication has been prescribed to treat heart failure?
