A nurse is caring for a client who has heart failure and is experiencing a trial fibrillation. Which
of the following findings should the nurse plan to monitor for and report to the provider
immediately?
-Slurred speech
-Irregular Pulse
-Dependent edema
-Persistent fatigue correct answers Slurred speech
A nurse is teaching a client who has a new prescription for a ACE inhibitor to treat hypertension.
The nurse should instruct the client to notify their provider f they experience which of the
following adverse effects of this medication?
-Tendon pain
-persistent cough
-frequent urination
-constipation correct answers Persistent cough
A nurse is caring for a client who was admitted for treatment of lift-sided heart failure and is
receiving intravenous diuretics and digitalis therapy. The client is experiencing weakness and an
irregular heart rate. Which of the following actions should the nurse take first?
-Obtain the clients current weight
-Review serum electrolyte values
-determine the time of the last digoxin dose
-check the clients using output correct answers Review serum electrolyte values
The nurse is preparing a client for coronary angiography. Which of the following findings should
the nurse report to the provider prior to the procedure?
-Hemoglobin 14.4 g/dL
, -History of peripheral arterial disease
-urine output 200 mL/4 hr
-Previous allergic reaction to shellfish correct answers previous allergic reaction to shellfish
A nurse in an emergency department is caring for a client who had an anterior myocardial
infarction. The clients history reveals they are 1 week postoperative following an open
cholecystectomy. The nurse should identify that which of the following interventions is
contraindicated
-administering IV morphine sulfate
-administering oxygen at 2 L/min via nasal cannula
-Helping the client to the bedside commode
-assisting with thrombolytic therapy correct answers assisting with thrombolytic therapy
A nurse is providing teaching to a client who is 2 days postoperative following a heart transplant.
Which of the following statements should the nurse include in the teaching?
-"you might no longer be able to feel chest pain"
-"Your level of activity intolerance will not change"
-"after 6 moths you will no longer need to restrict your sodium intake"
-"You will be able to stop taking immunosuppressants after 12 months" correct answers "you
might no longer be able to feel chest pain"
A nurse in an emergency department is caring for a client who has a blood pressure of 254/139
mm Hg. The nurse recognizes that the client is in a hypertensive crisis. Which of the following
actions should the nurse take first?
-initiate seizure precautions
-Tell the client to report vision changes
-Elevate the head of the clients bed
-Start a peripheral IV correct answers Elevate the head of the clients bed