NUR209 STUDY GUIDE 2026 MASTER
SOLUTION DIGEST
◉Prep U
Upon entering a client's room, the client tells the nurse, "I'm having
some really strong pain in my chest." The nurse intervenes
immediately, placing the client in which position?
Sitting
Standing upright
Flat with legs raised 20 to 30 degrees
Supine. Answer: Sitting
Explanation:The nurse should make the client comfortable in a
sitting position. A supine position inhibits full chest expansion and
limits gas exchange in the lung, so this position should be avoided.
Since the heart works harder in the supine position than in the
upright position, the supine position is not recommended. The
hypotensive client is positioned with legs elevated 20 to 30 degrees.
,◉Prep U
Which of the following is a noninvasive procedure assisting the
nurse in cardiovascular care?
Electrocardiography
Pulmonary artery monitoring
Swan-Ganz catheterization
Cardiac output determination. Answer: Electrocardiography
Explanation:Noninvasive heart monitoring involves
electrocardiography and cardiac monitoring. Invasive techniques,
such as pulmonary artery monitoring, Swan-Ganz catheterization,
cardiac output determination, and cardiac support via an intraaortic
balloon pump (IABP), typically are used by trained critical care
personnel to provide additional monitoring and support.
◉Prep U
A nurse is teaching a client with heart disease about exercising and
signs of overexertion. The nurse determines that additional
education is needed if the client states:
,"I should wait at least an hour after eating before exercising."
"I need to call the doctor if it feels like my heart is racing."
"I need to start my routine with my warm-up exercises."
"I should stop exercising if my pulse is below my target zone.".
Answer: "I should stop exercising if my pulse is below my target
zone."
Explanation:For the client, the goal of the exercise program is to
achieve the target heart rate. The client should stop exercising if his
pulse rate exceeds his target zone.
◉Prep U
A nursing instructor is developing a class presentation about
reasons people with cardiovascular problems seek medical care.
Which of the following would the instructor include as the most
common reason?
Lower extremity swelling
Persistent cough
, Chest pain
Hypertension. Answer: Chest pain
Explanation:Although a person with cardiovascular dysfunction may
have hypertension, lower extremity swelling, or cough, pain or
discomfort in the chest is the most common reason people with
cardiovascular dysfunction seek medical care.
◉Prep U
A nurse is preparing to administer a prescribed medication as
prophylactic therapy for deep vein thrombosis. What would the
nurse most likely give?
Amiodarone
Digoxin
Heparin
Nitroglycerin. Answer: Heparin
SOLUTION DIGEST
◉Prep U
Upon entering a client's room, the client tells the nurse, "I'm having
some really strong pain in my chest." The nurse intervenes
immediately, placing the client in which position?
Sitting
Standing upright
Flat with legs raised 20 to 30 degrees
Supine. Answer: Sitting
Explanation:The nurse should make the client comfortable in a
sitting position. A supine position inhibits full chest expansion and
limits gas exchange in the lung, so this position should be avoided.
Since the heart works harder in the supine position than in the
upright position, the supine position is not recommended. The
hypotensive client is positioned with legs elevated 20 to 30 degrees.
,◉Prep U
Which of the following is a noninvasive procedure assisting the
nurse in cardiovascular care?
Electrocardiography
Pulmonary artery monitoring
Swan-Ganz catheterization
Cardiac output determination. Answer: Electrocardiography
Explanation:Noninvasive heart monitoring involves
electrocardiography and cardiac monitoring. Invasive techniques,
such as pulmonary artery monitoring, Swan-Ganz catheterization,
cardiac output determination, and cardiac support via an intraaortic
balloon pump (IABP), typically are used by trained critical care
personnel to provide additional monitoring and support.
◉Prep U
A nurse is teaching a client with heart disease about exercising and
signs of overexertion. The nurse determines that additional
education is needed if the client states:
,"I should wait at least an hour after eating before exercising."
"I need to call the doctor if it feels like my heart is racing."
"I need to start my routine with my warm-up exercises."
"I should stop exercising if my pulse is below my target zone.".
Answer: "I should stop exercising if my pulse is below my target
zone."
Explanation:For the client, the goal of the exercise program is to
achieve the target heart rate. The client should stop exercising if his
pulse rate exceeds his target zone.
◉Prep U
A nursing instructor is developing a class presentation about
reasons people with cardiovascular problems seek medical care.
Which of the following would the instructor include as the most
common reason?
Lower extremity swelling
Persistent cough
, Chest pain
Hypertension. Answer: Chest pain
Explanation:Although a person with cardiovascular dysfunction may
have hypertension, lower extremity swelling, or cough, pain or
discomfort in the chest is the most common reason people with
cardiovascular dysfunction seek medical care.
◉Prep U
A nurse is preparing to administer a prescribed medication as
prophylactic therapy for deep vein thrombosis. What would the
nurse most likely give?
Amiodarone
Digoxin
Heparin
Nitroglycerin. Answer: Heparin
