NURS MISC Passpoint cardiovascular completed ; Answers provided

NURS MISC Passpoint cardiovascular completed ; Answers provided Queston 1 See full queston Which statement would lead the nurse to determine that a client lacks understanding of her acute cardiac illness and the ability to make changes in her lifestyle? You Selected:  "I talked with my husband yesterday about working on a new budget together." Correct response:  "I already have my airline tcket, so I will not miss my meetng tomorrow." Explanaton: Queston 2 See full queston What is the expected outcome of thrombolytc drug therapy for stroke? You Selected:  dissolved emboli Correct response:  dissolved emboli Explanaton: Remediaton: Queston 3 See full queston The client with peripheral vascular disease has been prescribed diltazem. The nurse should determine the effectveness of this medicaton by assessing the client for: You Selected:  vasodilaton. Correct response:  vasodilaton. Explanaton: Remediaton: Queston 4 See full queston Alteplase recombinant, or tssue plasminogen actvator (t-PA), a thrombolytc enzyme, is administered during the frst 6 hours afer onset of myocardial infarcton (MI) to: You Selected:  reduce coronary artery vasospasm.Correct response:  revascularize the blocked coronary artery. Explanaton: Remediaton: Queston 5 See full queston A nurse is caring for a client with frst-degree atrioventricular (AV) block. When instructng the spouse using a diagram, identfy the area in the conducton cycle where this block occurs. You Selected:  Your selecton and the correct area, market by the green box. Explanaton:Queston 6 See full queston A postoperatve client is receiving heparin afer developing thrombophlebits. The nurse monitors the client carefully for bleeding and other adverse effects of heparin. If the client starts to exhibit signs of excessive bleeding, the nurse should expect to administer an antdote that is specifc to heparin. Which agent fts this descripton? You Selected:  Protamine sulfate Correct response:  Protamine sulfate Explanaton: Remediaton: Queston 7 See full queston Following a percutaneous transluminal coronary angioplasty, a client is monitored in the postprocedure unit. The client's heparin infusion was stopped 2 hours earlier. There is no evidence of bleeding or hematoma at the inserton site, and the pressure device is removed. The nurse should plan to safely remove the femoral sheath when the partal thromboplastn tme (PTT) is: You Selected:  75 seconds or less. Correct response:  50 seconds or less. Explanaton: Queston 8 See full queston Prior to administering tssue plasminogen actvator (t-PA), the nurse should assess the client for which contradicton to administering the drug? You Selected:  history of heart failure Correct response:  history of cerebral hemorrhage Explanaton: Remediaton: Queston 9 See full questonThe nurse is concerned about the risks of hypoxemia and metabolic acidosis in a client who is in shock. What fnding should the analyze for evidence of hypoxemia and metabolic acidosis in a client with shock? You Selected:  Arterial blood gas (ABG) fndings Correct response:  Arterial blood gas (ABG) fndings Explanaton: Remediaton: Queston 10 See full queston Which assessment fndings would the nurse expect to fnd in the postoperatve client experiencing fat embolism syndrome? You Selected:  Column C Correct response:  Column B Queston 1 See full queston A nurse is preparing to administer cardiac medicatons to two clients with the same last name. She checks the medicaton three tmes before entering the room to administer medicatons to the frst client. While leaving the room, the nurse realizes she didn't check the client's identfcaton before administering the medicaton. Which acton should the nurse take frst? You Selected:  Document the medicaton error and completon of the variance report in the client's chart and notfy the physician. Correct response:  Return to the room, check the client's identfcaton against the medicaton administraton record, and complete a variance report if needed. Explanaton: Remediaton: Queston 2 See full questonThe nurse is assessing a client with irreversible shock. The nurse should document which fnding? You Selected:  hypertension Correct response:  circulatory collapse Explanaton: Remediaton: Queston 3 See full queston The nurse instructs a client with coronary artery disease in the proper use of nitroglycerin. The client has had 2 previous episodes of coronary artery disease. At the onset of chest pain, what should the client do? You Selected:  Call 911 when three nitroglycerin tablets taken every 5 minutes are not effectve. Correct response:  Call 911 when three nitroglycerin tablets taken every 5 minutes are not effectve. Explanaton: Remediaton: Queston 4 See full queston A client with chest pain doesn't respond to nitroglycerin. When he's admited to the emergency department, the health care team obtains an electrocardiogram and administers I.V. morphine. The physician also considers administering alteplase. This thrombolytc agent must be administered how soon afer onset of myocardial infarcton (MI) symptoms? You Selected:  Within 24 to 48 hours Correct response:  Within 6 hours Explanaton: Remediaton: Queston 5 See full questonA physician treatng a client in the cardiac care unit for atrial arrhythmia orders metoprolol, 25 mg P.O. two tmes per day. Metoprolol inhibits the acton of sympathomimetcs at beta1-receptor sites. Where are these sites mainly located? You Selected:  Heart Correct response:  Heart Explanaton: Remediaton: Queston 6 See full queston A client with lef-sided heart failure complains of increasing shortness of breath and is agitated and coughing up pink-tnged, foamy sputum. The nurse should recognize these fndings as signs and symptoms of: You Selected:  right-sided heart failure. Correct response:  acute pulmonary edema. Explanaton: Remediaton: Queston 7 See full queston An 80-year-old client is admited with nausea and vomitng. The client has a history of heart failure and is being treated with digoxin. The client has been nauseated for a week and began vomitng 2 days ago. Laboratory values indicate hypokalemia. Because of these clinical fndings, the nurse should assess the client carefully for: You Selected:  digoxin toxicity. Correct response:  digoxin toxicity. Explanaton: Remediaton: Queston 8 See full questonThe nurse is assistng a client with a stroke who has homonymous hemianopia. The nurse should understand that the client will: You Selected:  forget the names of foods. Correct response:  eat food on only half of the plate. Explanaton: Remediaton: Queston 9 See full queston A client prescribed propranolol calls the clinic to report a weight gain of 3 lbs (1.36 kg) within 2 days, shortness of breath, and swollen ankles. What is the nurse’s best acton? You Selected:  Have the client come to the clinic in order to assess the lungs. Correct response:  Have the client come to the clinic in order to assess the lungs. Explanaton: Remediaton: Queston 10 See full queston The nurse is preparing to administer oral digoxin to a child and notes that the child has nausea, has vomited, and has a pulse rate of 45 beats per minute. Which of the following is the appropriate nursing acton? You Selected:  Hold the digoxin and notfy the physician of possible toxicity Correct response:  Hold the digoxin and notfy the physician of possible toxicity Queston 1 See full queston What is a priority nursing assessment in the frst 24 hours afer admission of the client with a thrombotc stroke? You Selected:  echocardiogram Correct response: pupil size and pupillary response Explanaton: Remediaton: Queston 2 See full queston When monitoring a client who is receiving tssue plasminogen actvator (t-PA), the nurse should have resuscitaton equipment available because reperfusion of the cardiac tssue can result in: You Selected:  hypertension. Correct response:  cardiac arrhythmias. Explanaton: Remediaton: Queston 3 See full queston In a client with chronic bronchits, which sign would lead the nurse to suspect right-sided heart failure? You Selected:  Leg edema Correct response:  Leg edema Explanaton: Remediaton: Queston 4 See full queston Which indicates hypovolemic shock in a client who has had a 15% blood loss? You Selected:  systolic blood pressure less than 90 mm Hg Correct response:  systolic blood pressure less than 90 mm Hg Explanaton: Remediaton: Queston 5 See full questonWhich symptom should the nurse teach the client with unstable angina to report immediately to the health care provider (HCP)? You Selected:  a change in the patern of the chest pain Correct response:  a change in the patern of the chest pain Explanaton: Remediaton: Queston 6 See full queston The nurse is admitng an older adult to the hospital. The echocardiogram report revealed lef ventricular enlargement. The nurse notes 2+ pitng edema in the ankles when getng the client into bed. Based on this fnding, what should the nurse do frst? You Selected:  Assess respiratory status. Correct response:  Assess respiratory status. Explanaton: Remediaton: Queston 7 See full queston The nurse teaches a client who has recently been diagnosed with hypertension about following a lowcalorie, low-fat, low-sodium diet. Which menu selecton would best meet the client's needs? You Selected:  baked chicken, an apple, and a slice of white bread Correct response:  baked chicken, an apple, and a slice of white bread Explanaton: Remediaton: Queston 8 See full queston A client has been diagnosed with Raynaud’s phenomenon on the tp of the nose and fngertps. The healthcare provider (HCP) has prescribed reserpine to determine if the client will obtain relief. The clientofen works outside in cold weather and also smokes two packs of cigaretes per day. Which directons should be included in the discharge plan for this client? Select all that apply. You Selected:  Report signs of orthostatc hypotension.  Stop smoking.  Find employment that can be done in a warm environment. Correct response:  Stop smoking.  Wear a face covering and gloves in the winter.  Report signs of orthostatc hypotension. Explanaton: Remediaton: Queston 9 See full queston A client hospitalized with a myocardial infarcton (MI) has a blood glucose levels ranging from 12-28 mmol/L (216-504 mg/dL) asks the nurse why the readings are so high even though there are no added sweets on the diet tray. What is the best response by the nurse? You Selected:  “The stress level in your body has increased with the MI, and more glucose is released during stressful tmes.” Correct response:  “The stress level in your body has increased with the MI, and more glucose is released during stressful tmes.” Explanaton: Remediaton: Queston 10 See full queston A client with chest pain, dyspnea, and an irregular heartbeat comes to the emergency department. An electrocardiogram shows a heart rate of 110 beats/minute (sinus tachycardia) with frequent premature ventricular contractons. Shortly afer admission, the client has ventricular tachycardia and becomes unresponsive. Afer successful resuscitaton, the client is taken to the intensive care unit (ICU). Which nursing diagnosis is the priority at this tme? You Selected:  Ineffectve tssue perfusion (cardiopulmonary) related to arrhythmiaCorrect response:  Ineffectve tssue perfusion (cardiopulmonary) related to arrhythmia Queston 1 See full queston A client signed a consent form for partcipaton in a clinical trial for implantable cardioverterdefbrillators. Which statement by the client indicates the need for further teaching before true informed consent can be obtained? You Selected:  "I wonder if there is any other way to prevent these bad rhythms." Correct response:  "I wonder if there is any other way to prevent these bad rhythms." Explanaton: Remediaton: Queston 2 See full queston The client asks the nurse, “Why will the health care provider not tell me exactly how much of my leg he is going to take off? Do you not think I should know that?” On which informaton should the nurse base the response? You Selected:  the adequacy of the blood supply to the tssues Correct response:  the adequacy of the blood supply to the tssues Explanaton: Remediaton: Queston 3 See full queston When assessing a client with lef-sided heart failure, the nurse expects to note: You Selected:  pitng edema of the legs. Correct response:  air hunger. Explanaton: Remediaton:Queston 4 See full queston A nurse is providing discharge instructons to a client with peripheral vascular disease that include stressreducton techniques. The client asks the nurse, "Why is reducing stress so important?" What is the nurse's best response? You Selected:  "Stress reducton techniques are helpful because stress stmulates the release of vasoconstrictng catecholamines." Correct response:  "Stress reducton techniques are helpful because stress stmulates the release of vasoconstrictng catecholamines." Explanaton: Queston 5 See full queston A client who underwent total hip replacement exhibits a red, painful area on the calf of the affected leg. What test validates presence of thromboembolism? You Selected:  Homans' Correct response:  Homans' Explanaton: Remediaton: Queston 6 See full queston A client, hospitalized with heart failure, is receiving digoxin and furosemide intravenously and now has contnuous ringing in the ears. What is the appropriate acton for the nurse to take at this tme? You Selected:  Obtain a digoxin level to check for toxicity. Correct response:  Discontnue the furosemide and notfy the health care provider (HCP). Explanaton: Remediaton: Queston 7 See full questonAn older adult with a history of heart failure is admited to the emergency department with pulmonary edema. On admission, what should the nurse assess frst? You Selected:  serum potassium level Correct response:  blood pressure Explanaton: Remediaton: Queston 8 See full queston One goal in caring for a client with arterial occlusive disease is to promote vasodilaton in the affected extremity. To achieve this goal, the nurse should encourage the client to: You Selected:  stop smoking. Correct response:  stop smoking. Explanaton: Remediaton: Queston 9 See full queston When performing external chest compressions on an adult during cardiopulmonary resuscitaton (CPR), the rescuer should depress the sternum: You Selected:  1.5 inches (4 cm) Correct response:  2 inches (5 cm) Explanaton: Remediaton: Queston 10 See full queston A nurse places electrodes on a collapsed individual who was visitng a hospitalized family member, the monitor exhibits the following. Which interventons would the nurse do frst? You Selected: Assess the client’s airway, breathing, and circulaton. Correct response:  Assess the client’s airway, breathing, and circulaton. Queston 1 See full queston A client with peripheral vascular disease has undergone a right femoral-popliteal bypass graf. The blood pressure has decreased from 124/80 mm Hg to 88/62 mm Hg. What should the nurse assess frst? You Selected:  pedal pulses Correct response:  pedal pulses Explanaton: Remediaton: Queston 2 See full queston A client who has been experiencing angina has a new prescripton for nitroglycerin. The nurse should instruct the client to report having which potental side effect of nitroglycerin? You Selected:  hypertension Correct response:  headache Explanaton: Remediaton: Queston 3 See full queston A client is receiving nitroglycerin ointment to treat angina pectoris. The nurse evaluates the therapeutc effectveness of this drug by assessing the client's response and checking for adverse effects. Which vital sign is most likely to reflect an adverse effect of nitroglycerin? You Selected:  Pulse rate of 84 beats/minute Correct response:  Blood pressure 84/52 mm Hg Explanaton:Remediaton: Queston 4 See full queston A nurse is caring for a client with heart failure. The nurse knows that the client has lef-sided heart failure when he makes which statement? You Selected:  "My feet are bigger than normal." Correct response:  "I sleep on three pillows each night." Explanaton: Remediaton: Queston 5 See full queston Metoprolol is added to the pharmacologic therapy of a woman with diabetes diagnosed with stage 2 hypertension and initally treated with furosemide and ramipril. An expected therapeutc effect is: You Selected:  decrease in heart rate. Correct response:  decrease in heart rate. Explanaton: Remediaton: Queston 6 See full queston A nurse is caring for a client with frequent episodes of ventricular tachycardia. The lab calls with a critcally high magnesium level of 11 mg/dL on this client. What is the nurse's priority acton? You Selected:  Obtain an order for calcium gluconate 2 g IV push over 2-5 minutes. Correct response:  Obtain an order for calcium gluconate 2 g IV push over 2-5 minutes. Explanaton: Remediaton: Queston 7 See full questonA client requested a do-not-resuscitate (DNR) order upon admission to the hospital. He now tells the nurse that he wants the medical team to do everything possible to help him get beter and is concerned about the DNR order. Which response by the nurse is best? You Selected:  "It isn't a problem to rescind your DNR order; I'll let your physician know your wishes right away." Correct response:  "It isn't a problem to rescind your DNR order; I'll let your physician know your wishes right away." Explanaton: Remediaton: Queston 8 See full queston A nurse is caring for a client with type 2 diabetes who has had a myocardial infarcton (MI) and is reportng nausea, vomitng, dyspnea, and substernal chest pain. Which of the following is the priority interventon? You Selected:  Control the pain and support breathing and oxygenaton. Correct response:  Control the pain and support breathing and oxygenaton. Explanaton: Remediaton: Queston 9 See full queston The nurse is assessing a client who has had a myocardial infarcton (MI). The nurse notes the cardiac rhythm on the monitor (see the electrocardiogram strip). The nurse should: You Selected:  notfy the health care provider (HCP). Correct response:  assess the client for changes in the rhythm. Explanaton: Remediaton: Queston 10 See full questonThe nurse is caring for an elderly man who walks 2 miles every morning. The nurse notes that during his morning walk, he called his daughter and stated that he thought that he was having a heart atack. Which symptom, identfed by the client, is the most common and consistent with that of a heart atack (myocardial infarcton)? You Selected:  Palpitatons Correct response:  Sternal pain Question 1 See full question A client with end-stage heart failure is preparing for discharge. The client and his caregiver meet with the home care nurse and voice their concern that setting up a hospital bed in the bedroom will leave him feeling isolated. Which suggestion by the home care nurse best addresses this concern? You Selected:  Set up the hospital bed in the family room so the client can be part of household activities. Correct response:  Set up the hospital bed in the family room so the client can be part of household activities. Explanation: Question 2 See full question The nurse observes that an older female has small to moderate, distended and tortuous veins running along the inner aspect of her lower legs. The nurse should: You Selected:  encourage the client to avoid standing in one position for long periods of time. Correct response:  encourage the client to avoid standing in one position for long periods of time.Explanation: Remediation: Question 3 See full question Which measure should the nurse institute to help prevent complications associated with excessive calcium excretion following cardiac surgery to replace an aortic valve? You Selected:  Provide an alkaline-ash diet. Correct response:  Ensure a liberal fluid intake. Explanation: Remediation: Question 4 See full question A client has been diagnosed with peripheral arterial occlusive disease. In order to promote circulation to the extremities, the nurse should instruct the client to: You Selected:  participate in a regular walking program. Correct response:  participate in a regular walking program. Explanation: Remediation: Question 5 See full question A client with second-degree atrioventricular heart block is admitted to the coronary care unit. The nurse closely monitors the client's heart rate and rhythm. When interpreting the client's electrocardiogram (ECG) strip, the nurse knows that the QRS complex represents:You Selected:  ventricular depolarization. Correct response:  ventricular depolarization. Explanation: Remediation: Question 6 See full question A client who suffered blunt chest trauma in a motor vehicle accident complains of chest pain, which is exacerbated by deep inspiration. On auscultation, the nurse detects a pericardial friction rub — a classic sign of acute pericarditis. The physician confrms acute pericarditis and begins appropriate medical intervention. To relieve chest pain associated with pericarditis, which position should the nurse encourage the client to assume? You Selected:  Leaning forward while sitting Correct response:  Leaning forward while sitting Explanation: Remediation: Question 7 See full question A client with chest pain doesn't respond to nitroglycerin. When he's admitted to the emergency department, the health care team obtains an electrocardiogram and administers I.V. morphine. The physician also considers administering alteplase. This thrombolytic agent must be administered how soon after onset of myocardial infarction (MI) symptoms? You Selected:  Within 6 hoursCorrect response:  Within 6 hours Explanation: Remediation: Question 8 See full question A physician orders several drugs for a client with hemorrhagic stroke. Which drug order should the nurse question? You Selected:  Phenytoin Correct response:  Heparin sodium Explanation: Remediation: Question 9 See full question A client with left-sided heart failure complains of increasing shortness of breath and is agitated and coughing up pink-tinged, foamy sputum. The nurse should recognize these fndings as signs and symptoms of: You Selected:  acute pulmonary edema. Correct response:  acute pulmonary edema.Explanation: Remediation: Question 10 See full question A nurse is caring for a client with type 2 diabetes who has had a myocardial infarction (MI) and is reporting nausea, vomiting, dyspnea, and substernal chest pain. Which of the following is the priority intervention? You Selected:  Control the pain and support breathing and oxygenation. Correct response:  Control the pain and support breathing and oxygenation. Explanation: Remediation: Queston 1 See full queston A fourth heart sound (S4) indicates a: You Selected:  failure of the ventricle to eject all blood during systole. Correct response:  failure of the ventricle to eject all blood during systole. Explanaton: Remediaton: Queston 2 See full queston The nurse instructs a client with coronary artery disease in the proper use of nitroglycerin. The client has had 2 previous episodes of coronary artery disease. At the onset of chest pain, what should the client do? You Selected:  Call 911 when three nitroglycerin tablets taken every 5 minutes are not effectve. Correct response:  Call 911 when three nitroglycerin tablets taken every 5 minutes are not effectve.Explanaton: Remediaton: Queston 3 See full queston The client has had hypertension for 20 years. The nurse should assess the client for? You Selected:  Renal insufciency and failure. Correct response:  Renal insufciency and failure. Explanaton: Remediaton: Queston 4 See full queston A client admited with a massive myocardial infarcton rapidly develops cardiogenic shock. Ideally, the physician would use the intra-aortc balloon pump (IABP) to support the injured myocardium. However, this client has a history of unstable angina pectoris, aortc insufciency, hypertension, and diabetes mellitus. Which conditon is a contraindicaton for IABP use? You Selected:  Unstable angina pectoris Correct response:  Aortc insufciency Explanaton: Remediaton: Queston 5 See full queston While auscultatng the heart sounds of a client with heart failure, the nurse hears an extra heart sound immediately afer the second heart sound (S2). The nurse should document this as: You Selected:  a murmur. Correct response:  a third heart sound (S3). Explanaton: Remediaton:Queston 6 See full queston A nurse is performing discharge teaching with a client who has an implantable cardioverter defbrillator (ICD) placed. Which client statement indicates effectve teaching? You Selected:  "I can't wait to get back to my football league." Correct response:  "I'll keep a log of each tme my ICD discharges." Explanaton: Remediaton: Queston 7 See full queston The nurse's unit council in the telemetry unit is responsible for performance improvement studies. What informaton should they gather to study whether client educaton about resuming sexual actvity afer an acute myocardial infarcton (MI) is being taught? You Selected:  The clients’ percepton of the quality of the discharge instructons Correct response:  The percentage of clients on the unit diagnosed with an acute MI who were taught about resuming sexual actvity Explanaton: Remediaton: Queston 8 See full queston The nurse observes the cardiac rhythm (see above) for a client who is being admited with a myocardial infarcton. Which should the nurse do frst? You Selected:  Prepare for immediate defbrillaton. Correct response:  Check for a pulse. Explanaton: Remediaton: Queston 9 See full questonThe nurse is reviewing the electrocardiogram of a client who has elevated ST segments visible in leads II, III, and aVf. Which is the nurse’s best acton? You Selected:  Determine whether the rhythm is irregular, coinciding with inspiraton and expiraton Correct response:  Notfy the healthcare provider Explanaton: Remediaton: Queston 10 See full queston A client arrives at the emergency department with a heart rate of 210 beats/minute and the following patern on the cardiac monitor. The nurse is correct to alert the health care provider to the presence of which disorder? You Selected:  Ventricular fbrillaton Correct response:  Atrial fluter Queston 1 See full queston The correct landmark for obtaining an apical pulse is the: You Selected:  lef ffh intercostal space, midclavicular line. Correct response:  lef ffh intercostal space, midclavicular line. Explanaton: Remediaton: Queston 2 See full queston Before discharge from the hospital afer a myocardial infarcton, a client is taught to exercise by gradually increasing the distance walked. Which vital sign should the nurse teach the client to monitor to determine whether to increase or decrease the exercise level? You Selected:  pulse rate Correct response: pulse rate Explanaton: Remediaton: Queston 3 See full queston A client with peripheral artery l disease has femoral-popliteal bypass surgery. The primary goal of the plan of care afer surgery is to: You Selected:  maintain circulaton. Correct response:  maintain circulaton. Explanaton: Remediaton: Queston 4 See full queston The client who had a permanent pacemaker implanted 2 days earlier is being discharged from the hospital. The nurse knows that the client understands the discharge plan when the client: You Selected:  explains signs and symptoms of myocardial infarcton (MI). Correct response:  verbalizes safety precautons needed to prevent pacemaker malfuncton. Explanaton: Remediaton: Queston 5 See full queston Which informaton about sublingual nitroglycerin tablets should the nurse include when instructng the client with angina? You Selected:  Store the tablets in a tght, light-resistant container. Correct response:  Store the tablets in a tght, light-resistant container. Explanaton: Remediaton:Queston 6 See full queston On a routne visit to the physician, a client with chronic arterial occlusive disease reports that he's stopped smoking afer 34 years. To relieve symptoms of intermitent claudicaton, a conditon associated with chronic arterial occlusive disease, which additonal measure should the nurse recommend? You Selected:  Abstaining from foods that increase levels of high-density lipoproteins (HDLs) Correct response:  Taking daily walks Explanaton: Remediaton: Queston 7 See full queston A client is returning from the operatng room afer inguinal hernia repair. The nurse notes that he has fluid volume excess from the operaton and is at risk for lef-sided heart failure. Which sign or symptom indicates lef-sided heart failure? You Selected:  Dependent edema Correct response:  Bibasilar crackles Explanaton: Remediaton: Queston 8 See full queston The nurse is preparing to administer 0.1 mg of digoxin intravenously. Digoxin comes in a concentraton of 0.5 mg/2 ml. How many milliliters should the nurse administer? Record your answer using one decimal place. Your Response:  0.4 Correct response:  0.4 Explanaton: Remediaton: Queston 9 See full questonThe nurse is planning care for a group of elderly clients affected by orthostatc hypotension. What should the nurse should do? Select all that apply. You Selected:  Assist the clients to stand to help prevent falls.  Teach the clients how to gradually change their positon.  Conduct "fall risk" assessments. Correct response:  Assist the clients to stand to help prevent falls.  Teach the clients how to gradually change their positon.  Conduct "fall risk" assessments.  Consider the use of sequental compression devices (SCDs) for high-risk clients. Explanaton: Remediaton: Queston 10 See full queston Which client admited to the emergency department should the nurse see frst? A client: You Selected:  experiencing a “ripping” sensaton in the chest. Correct response:  experiencing a “ripping” sensaton in the chest. Queston 1 See full queston Which statement would lead the nurse to determine that a client lacks understanding of her acute cardiac illness and the ability to make changes in her lifestyle? You Selected:  "I already have my airline tcket, so I will not miss my meetng tomorrow." Correct response:  "I already have my airline tcket, so I will not miss my meetng tomorrow." Explanaton: Queston 2 See full questonThe client asks the nurse, “Why will the health care provider not tell me exactly how much of my leg he is going to take off? Do you not think I should know that?” On which informaton should the nurse base the response? You Selected:  the adequacy of the blood supply to the tssues Correct response:  the adequacy of the blood supply to the tssues Explanaton: Remediaton: Queston 3 See full queston A white male, age 43, with a tentatve diagnosis of infectve endocardits is admited to an acute care facility. His medical history reveals diabetes mellitus, hypertension, and pernicious anemia; he underwent an appendectomy 20 years earlier and an aortc valve replacement 2 years before this admission. Which history fnding is a major risk factor for infectve endocardits? You Selected:  History of aortc valve replacement Correct response:  History of aortc valve replacement Explanaton: Remediaton: Queston 4 See full queston A client with chronic arterial occlusive disease undergoes percutaneous transluminal coronary angioplasty (PTCA) for mechanical dilaton of the right femoral artery. Afer the procedure, the client will require long-term administraton of: You Selected:  aspirin or clopidogrel. Correct response:  aspirin or clopidogrel. Explanaton: Remediaton: Queston 5 See full questonThe most common site of aneurysm formaton is in the: You Selected:  aortc arch, around the ascending and descending aorta. Correct response:  abdominal aorta, just below the renal arteries. Explanaton: Remediaton: Queston 6 See full queston A child with heart disease starts on oral digoxin. When preparing to administer the medicaton, what should the nurse do frst? You Selected:  Check the last serum electrolyte results for the child. Correct response:  Check the last serum electrolyte results for the child. Explanaton: Queston 7 See full queston The nurse is admitng a client who takes digoxin daily, reported seeing green halos around the lights, and has not wanted to eat his breakfast. The laboratory report shows that serum sodium = 135 mEq/L, potassium = 3.2 mEq/L, magnesium = 2.5 mg/dL, and calcium = 10.2 mg/dL. Which of the following is the appropriate nursing acton? You Selected:  Administer a magnesium supplement Correct response:  Administer a potassium supplement Explanaton: Remediaton: Queston 8 See full queston A nurse is preparing a teaching plan for a male client newly prescribed atenolol. Which informaton is important for the nurse to teach this client? You Selected:  Causes and treatments for erectle dysfunctonCorrect response:  Causes and treatments for erectle dysfuncton Explanaton: Remediaton: Queston 9 See full queston The nurse is assessing a client with an atrial septal defect (ASD). Which requires immediate nursing interventon? You Selected:  Client not taking his angiotensin-convertng enzyme inhibitor this morning Correct response:  Client having an uneven smile and facial droop Explanaton: Remediaton: Queston 10 See full queston A client is talking with the nurse about unsightly varicose veins and their discomfort. What informaton should the nurse provide to the client? You Selected:  Keep the legs elevated when sitng or lying down. Correct response:  Keep the legs elevated when sitng or lying down. ueston 1 See full queston The client with peripheral vascular disease has been prescribed diltazem. The nurse should determine the effectveness of this medicaton by assessing the client for: You Selected:  vasodilaton. Correct response:  vasodilaton. Explanaton: Remediaton: Queston 2 See full questonA client with chest pain is prescribed intravenous nitroglycerin. Which assessment is of greatestconcern for the nurse initatng the nitroglycerin drip? You Selected:  Blood pressure is 88/46 mm Hg. Correct response:  Blood pressure is 88/46 mm Hg. Explanaton: Remediaton: Queston 3 See full queston A client with heart failure will take oral furosemide at home. To help the client evaluate the effectveness of furosemide therapy, the nurse should teach the client to: You Selected:  take blood pressure daily. Correct response:  weigh daily. Explanaton: Remediaton: Queston 4 See full queston The nurse is providing discharge teaching for a client with rheumatc endocardits but no valvular dysfuncton. On which nursing diagnosis should the nurse focus her teaching? You Selected:  Impaired gas exchange Correct response:  Risk for infecton Explanaton: Remediaton: Queston 5 See full queston A client is recovering from surgical repair of a dissectng aortc aneurysm. Which assessment fndings indicate possible bleeding or recurring dissecton? You Selected: Blood pressure of 82/40 mm Hg and heart rate of 125 beats/minute Correct response:  Blood pressure of 82/40 mm Hg and heart rate of 125 beats/minute Explanaton: Remediaton: Queston 6 See full queston A client is taking spironolactone. Which change in the diet should the nurse teach the client to make when taking this drug? You Selected:  Avoid eatng foods high in potassium. Correct response:  Avoid eatng foods high in potassium. Explanaton: Remediaton: Queston 7 See full queston Which indicates hypovolemic shock in a client who has had a 15% blood loss? You Selected:  pupils unequally dilated Correct response:  systolic blood pressure less than 90 mm Hg Explanaton: Remediaton: Queston 8 See full queston The nurse is caring for a client in the coronary care unit when the cardiac monitor reveals ventricular fbrillaton. The nurse should antcipate which of the following interventons? You Selected:  Immediate defbrillaton Correct response:  Immediate defbrillatonExplanaton: Remediaton: Queston 9 See full queston The nurse is obtaining the pulse of a client who has had a femoral-popliteal bypass surgery 6 hours ago. Which assessment provides the most accurate informaton about the client’s postoperatve status? You Selected:  Correct response:  Explanaton: Remediaton: Queston 10 See full queston The recipient of a donated organ asks the nurse, “What did the donor die from?” Which response by the nurse is most appropriate? You Selected: "The transplant coordinator can give you informaton about the donor’s medical history." Correct response:  "The transplant coordinator can give you informaton about the donor’s medical history." Queston 1 See full queston The nurse is caring for a client who has been diagnosed with deep vein thrombosis. When assessing the client's vital signs, the nurse notes an apical pulse of 150 bpm, a respiratory rate of 46 breaths/minute, and blood pressure of 100/60 mm Hg. The client appears anxious and restless. What should be the nurse's frst course of acton? You Selected:  Try to elicit a positve Homan's sign. Correct response:  Notfy the health care provider (HCP). Explanaton: Remediaton: Queston 2 See full queston What is a priority nursing assessment in the frst 24 hours afer admission of the client with a thrombotc stroke? You Selected:  pupil size and pupillary response Correct response:  pupil size and pupillary response Explanaton: Remediaton: Queston 3 See full queston A nurse is awaitng the arrival of a client from the emergency department with a diagnosis of anterior wall myocardial infarcton. In caring for this client, the nurse would be alert for which signs and symptoms of lef-sided heart failure? Select all that apply. You Selected:  Dyspnea  Right upper quadrant pain Tachycardia Correct response:  Dyspnea  Crackles  Tachycardia Explanaton: Remediaton: Queston 4 See full queston The client has had a myocardial infarcton, and the nurse has instructed the client to prevent Valsalva’s maneuver. The nurse determines the client is following the instructons when the client: You Selected:  avoids holding the breath during actvity. Correct response:  avoids holding the breath during actvity. Explanaton: Remediaton: Queston 5 See full queston A client is taking verapamil hydrochloride as an anthypertensive. Which statement made by the nurse instructs the client about an adverse effect of verapamil? You Selected:  “Restrict your fluid intake to decrease the chance of developing fluid retenton.” Correct response:  “Take your pulse and report any irregular heartbeats.” Explanaton: Remediaton: Queston 6 See full queston A client with second-degree atrioventricular heart block is admited to the coronary care unit. The nurse closely monitors the client's heart rate and rhythm. When interpretng the client's electrocardiogram (ECG) strip, the nurse knows that the QRS complex represents: You Selected: ventricular repolarizaton. Correct response:  ventricular depolarizaton. Explanaton: Remediaton: Queston 7 See full queston A client admited with a massive myocardial infarcton rapidly develops cardiogenic shock. Ideally, the physician would use the intra-aortc balloon pump (IABP) to support the injured myocardium. However, this client has a history of unstable angina pectoris, aortc insufciency, hypertension, and diabetes mellitus. Which conditon is a contraindicaton for IABP use? You Selected:  Aortc insufciency Correct response:  Aortc insufciency Explanaton: Remediaton: Queston 8 See full queston A nurse is caring for a client with heart failure. The nurse knows that the client has lef-sided heart failure when he makes which statement? You Selected:  "I sleep on three pillows each night." Correct response:  "I sleep on three pillows each night." Explanaton: Remediaton: Queston 9 See full queston In a client with chronic bronchits, which sign would lead the nurse to suspect right-sided heart failure? You Selected:  Leg edema Correct response: Leg edema Explanaton: Remediaton: Queston 10 See full queston A client arrives at the emergency department with a heart rate of 210 beats/minute and the following patern on the cardiac monitor. The nurse is correct to alert the health care provider to the presence of which disorder? You Selected:  Atrial fluter Correct response:  Atrial fluter Queston 1 See full queston A client has been diagnosed with right-sided heart failure. The nurse should assess the client further for: You Selected:  Dependent edema. Correct response:  Dependent edema. Explanaton: Remediaton: Queston 2 See full queston A client has a coxackie B (viral) or trypanosomal (parasite) infecton. The nurse should further assess the client for: You Selected:  myocardits. Correct response:  myocardits. Explanaton: Remediaton: Queston 3 See full questonA client is discharged afer an aortc aneurysm repair with a synthetc graf to replace part of the aorta. The nurse should instruct the client to notfy the health care provider (HCP) before having: You Selected:  major dental work. Correct response:  major dental work. Explanaton: Remediaton: Queston 4 See full queston A client who has diabetes is taking metoprolol for hypertension. What should the nurse instruct the client to do? Select all that apply. You Selected:  Do not crush or chew the tablets.  Report any faintng spells to the health care provider (HCP).  Have a blood glucose level drawn every 6 to 12 months during therapy. Correct response:  Take the tablets with food at same tme each day.  Do not crush or chew the tablets.  Have a blood glucose level drawn every 6 to 12 months during therapy.  Report any faintng spells to the health care provider (HCP). Explanaton: Remediaton: Queston 5 See full queston A nurse is evaluatng a client who had a myocardial infarcton (MI) 7 days earlier. Which outcome indicates that the client is responding favorably to therapy? You Selected:  The client exhibits a heart rate within normal limits. Correct response:  The client demonstrates ability to tolerate more actvity without chest pain. Explanaton:Remediaton: Queston 6 See full queston An 85-year-old client is admited to the emergency department (ED) at 2000 hours with syncope, shortness of breath, and reported palpitatons (see nurse’s notes below). At 2015, the nurse places the client on the ECG monitor and identfes the above rhythm. What should the nurse do? Select all that apply. You Selected:  Monitor vital signs.  Prepare to defbrillate the client.  Have the client sign consent for cardioversion as prescribed. Correct response:  Apply oxygen.  Monitor vital signs.  Have the client sign consent for cardioversion as prescribed. Explanaton: Remediaton: Queston 7 See full queston A nurse administers the frst dose of nadolol to a client with a blood pressure of 180/96. During an assessment, 4 hours later, which informaton indicates that the client needs immediate interventon? You Selected:  The client has cool fngers and toes bilaterally. Correct response:  The client has wheezing throughout their lung felds. Explanaton: Queston 8 See full queston Which of the following client statements should the nurse evaluate as indicatng the client's correct understanding of the causes of coronary artery disease (CAD)? You Selected:  “Cigarete smoking is the most common cause of CAD.” Correct response: “The leading cause of CAD is atherosclerosis.” Explanaton: Remediaton: Queston 9 See full queston The nurse is assessing a client who had an abdominal aortc aneurysm repair 2 hours ago. Which fnding warrants further evaluaton? You Selected:  an arterial blood pressure of 80/50 mm Hg Correct response:  an arterial blood pressure of 80/50 mm Hg Explanaton: Remediaton: Queston 10 See full queston The nurse is assessing a client with superfcial thrombophlebits in the greater saphenous vein of the lef leg. The client has “aching” in the leg. Which fnding indicates the nurse should contact the health care provider (HCP) to request a prescripton to improve the client’s comfort? You Selected:  red, warm, palpable linear cord along the vein that is painful on palpaton Correct response:  red, warm, palpable linear cord along the vein that is painful on palpaton Queston 1 See full queston Before discharge from the hospital afer a myocardial infarcton, a client is taught to exercise by gradually increasing the distance walked. Which vital sign should the nurse teach the client to monitor to determine whether to increase or decrease the exercise level? You Selected:  pulse rate Correct response:  pulse rate Explanaton: Remediaton: Queston 2 See full questonAutomated external defbrillators (AEDs) are used in cardiac arrest situatons for: You Selected:  early defbrillaton in cases of ventricular fbrillaton. Correct response:  early defbrillaton in cases of ventricular fbrillaton. Explanaton: Remediaton: Queston 3 See full queston A client who has a history of bacterial endocardits is scheduled to have oral surgery to remove a tooth. What should the nurse instruct the client to do? You Selected:  Be sure the dentst prescribes a prophylactc antbiotc prior to the oral surgery. Correct response:  Be sure the dentst prescribes a prophylactc antbiotc prior to the oral surgery. Explanaton: Remediaton: Queston 4 See full queston Which food should the nurse teach a client with heart failure to limit when following a 2-gram sodium diet? You Selected:  canned tomato juice Correct response:  canned tomato juice Explanaton: Remediaton: Queston 5 See full queston A client has been diagnosed with peripheral arterial occlusive disease. In order to promote circulaton to the extremites, the nurse should instruct the client to: You Selected:  partcipate in a regular walking program.Correct response:  partcipate in a regular walking program. Explanaton: Remediaton: Queston 6 See full queston A physician admits a client to the health care facility for treatment of an abdominal aortc aneurysm. When planning this client's care, which goal should the nurse keep in mind as she formulates interventons? You Selected:  Decreasing blood pressure and increasing mobility Correct response:  Stabilizing heart rate and blood pressure and easing anxiety Explanaton: Remediaton: Queston 7 See full queston Creatne kinase-MB isoenzyme (CK-MB) can increase as a result of: You Selected:  myocardial necrosis. Correct response:  myocardial necrosis. Explanaton: Remediaton: Queston 8 See full queston Which signs and symptoms accompany a diagnosis of pericardits? You Selected:  Fever, chest discomfort, and elevated erythrocyte sedimentaton rate (ESR) Correct response:  Fever, chest discomfort, and elevated erythrocyte sedimentaton rate (ESR) Explanaton:Remediaton: Queston 9 See full queston An older client with diabetes who has been maintained on metormin has been scheduled for a cardiac catheterizaton. The nurse should verify that the health care provider (HCP) has writen a prescripton to: You Selected:  give the metormin before breakfast. Correct response:  withhold the metormin prior to the cardiac catheterizaton. Explanaton: Remediaton: Queston 10 See full queston Which client is at risk for pulmonary embolism? A client with: You Selected:  deep vein thrombosis (DVT). Correct response:  deep vein thrombosis (DVT). Queston 1 See full queston A client with heart failure is receiving furosemide, 40 mg I.V. The physician orders [40 mEq (40 mmol/L)] of potassium chloride in 100 ml of dextrose 5% in water to infuse over 4 hours. The client's most recent serum potassium level is [3.0 mEq/L (3.0 mmol/L)]. At what infusion rate should the nurse set the I.V. pump? You Selected:  25 ml/hour Correct response:  25 ml/hour Explanaton: Queston 2 See full queston A client with an acute myocardial infarcton is receiving nitroglycerin by contnuous I.V. infusion. Which client statement indicates that this drug is producing its therapeutc effect? You Selected:  "My chest pain is decreasing."Correct response:  "My chest pain is decreasing." Explanaton: Remediaton: Queston 3 See full queston A nurse is caring for a client with acute pulmonary edema. To immediately promote oxygenaton and relieve dyspnea, the nurse should: You Selected:  administer oxygen. Correct response:  place the client in high Fowler's positon. Explanaton: Remediaton: Queston 4 See full queston A nurse is performing discharge teaching with a client who has an implantable cardioverter defbrillator (ICD) placed. Which client statement indicates effectve teaching? You Selected:  "I'll keep a log of each tme my ICD discharges." Correct response:  "I'll keep a log of each tme my ICD discharges." Explanaton: Remediaton: Queston 5 See full queston The nurse's unit council in the telemetry unit is responsible for performance improvement studies. What informaton should they gather to study whether client educaton about resuming sexual actvity afer an acute myocardial infarcton (MI) is being taught? You Selected:  The percentage of clients on the unit diagnosed with an acute MI who were taught about resuming sexual actvity Correct response: The percentage of clients on the unit diagnosed with an acute MI who were taught about resuming sexual actvity Explanaton: Remediaton: Queston 6 See full queston An older adult with a history of heart failure is admited to the emergency department with pulmonary edema. On admission, what should the nurse assess frst? You Selected:  blood pressure Correct response:  blood pressure Explanaton: Remediaton: Queston 7 See full queston A client has been diagnosed with Raynaud’s phenomenon on the tp of the nose and fngertps. The healthcare provider (HCP) has prescribed reserpine to determine if the client will obtain relief. The client ofen works outside in cold weather and also smokes two packs of cigaretes per day. Which directons should be included in the discharge plan for this client? Select all that apply. You Selected:  Wear a face covering and gloves in the winter.  Place fngertps in cool water to rewarm them.  Stop smoking. Correct response:  Stop smoking.  Wear a face covering and gloves in the winter.  Report signs of orthostatc hypotension. Explanaton: Remediaton: Queston 8 See full questonA nurse is educatng a client who is at risk for coronary artery disease (CAD). The nurse knows that the client needs more educaton when he states that the risk factors that can be controlled or modifed include: You Selected:  gender, family history, and older age. Correct response:  gender, family history, and older age. Explanaton: Remediaton: Queston 9 See full queston The nurse is teaching a client about actons to control manifestatons of lef-sided heart failure. Which statement by the client indicates appropriate understanding? You Selected:  “If I have trouble breathing, I will sit in my recliner with my head up.” Correct response:  “If I have trouble breathing, I will sit in my recliner with my head up.” Explanaton: Remediaton: Queston 10 See full queston A client with a recent diagnosis of deep vein thrombosis (DVT) has sudden onset of shortness of breath and chest pain that increases with a deep breath. The nurse should frst: You Selected:  assess the oxygen saturaton. Correct response:  assess the oxygen saturaton. Queston 1 See full queston A client with end-stage heart failure is preparing for discharge. The client and his caregiver meet with the home care nurse and voice their concern that setng up a hospital bed in the bedroom will leave him feeling isolated. Which suggeston by the home care nurse best addresses this concern? You Selected:  Set up the hospital bed in the bedroom so the client can rest in a quiet environment.Correct response:  Set up the hospital bed in the family room so the client can be part of household actvites. Explanaton: Remediaton: Queston 2 See full queston A nurse is caring for a client with advanced heart failure. He can't care for himself and hasn't been able to eat for the past week because of dyspnea. The client doesn't want a feeding tube inserted and expresses his desire for "nature to take its course." The client's family is pleading with him to have a feeding tube inserted. What is the most appropriate acton for the nurse to take? You Selected:  Schedule a conference to help the client and his family reach a consensus about the feeding tube. Correct response:  Talk with the client's family about the client's right to decide for himself. Explanaton: Remediaton: Queston 3 See full queston The nurse is caring for a client who has just had an ankle-brachial index (ABI) test. The lef arm blood pressure was 160/80 mm Hg, and a palpable systolic blood pressure of the lef lower extremity was 130/60 mm Hg. These fndings suggest that the client has: You Selected:  mild peripheral artery disease. Correct response:  mild peripheral artery disease. Explanaton: Remediaton: Queston 4 See full queston When assessing a client with lef-sided heart failure, the nurse expects to note: You Selected:  air hunger. Correct response: air hunger. Explanaton: Remediaton: Queston 5 See full queston For a client with cardiomyopathy, the most important nursing diagnosis is: You Selected:  Decreased cardiac output related to reduced myocardial contractlity. Correct response:  Decreased cardiac output related to reduced myocardial contractlity. Explanaton: Remediaton: Queston 6 See full queston The plan of care for a client with hypertension taking propranolol hydrochloride should include: You Selected:  instructng the client to notfy the health care provider of irregular or slowed pulse rate. Correct response:  instructng the client to notfy the health care provider of irregular or slowed pulse rate. Explanaton: Remediaton: Queston 7 See full queston A client is admited with a myocardial infarcton and atrial fbrillaton. While auscultatng the heart, the nurse notes an irregular heart rate and hears an extra heart sound at the apex afer the S2 that remains constant throughout the respiratory cycle. The nurse should document these fndings as: You Selected:  heart rate irregular with mitral stenosis. Correct response:  heart rate irregular with S3. Explanaton: Remediaton:Queston 8 See full queston The nurse is caring for a client admited for a quadruple coronary artery bypass graf. Which of the following statements by the client indicate that preoperatve teaching has not been effectve? Select all that apply. You Selected:  “I had stopped smoking a month before the surgery; however, I will be able to start again once I have recovered.”  “I will be on a heart monitor and a respirator to help me breathe.”  “I will be relieved to have this surgery over with; I have a very busy schedule at work right now.” Correct response:  “I will be relieved to have this surgery over with; I have a very busy schedule at work right now.”  “I had stopped smoking a month before the surgery; however, I will be able to start again once I have recovered.” Explanaton: Remediaton: Queston 9 See full queston A client is admited with a 6.5-cm thoracic aneurysm. The nurse records fndings from the inital assessment in the client’s chart, as shown. At 1030, the client has sharp midchest pain afer having a bowel movement. What should the nurse do frst? You Selected:  Assess the client’s vital signs. Correct response:  Assess the client’s vital signs. Explanaton: Remediaton: Queston 10 See full queston Which assessment fnding supports the administraton of protamine sulfate? You Selected:  aPTT 3.5-5 tmes normal Correct response:  aPTT 3.5-5 tmes normalQueston 1 See full queston A client is recovering from an acute myocardial infarcton (MI). During the frst week of the client's recovery, the nurse should stay alert for which abnormal heart sound? You Selected:  Pericardial fricton rub Correct response:  Pericardial fricton rub Explanaton: Remediaton: Queston 2 See full queston A staff nurse is caring for a client who is a potental heart donor. The client's family is concerned that the recipient will have access to personal donor informaton. Which response by the nurse demonstrates knowledge of the organ donaton process? You Selected:  "The recipient is allowed to ask questons about the donor and have them answered." Correct response:  "I will have the transplant coordinator speak with you to answer your questons." Explanaton: Remediaton: Queston 3 See full queston A client has severe arterial occlusive disease and gangrene of the lef great toe. Which fnding is expected? You Selected:  thin, sof toenails Correct response:  loss of hair on the lower leg Explanaton: Remediaton: Queston 4 See full queston A client is admited to the emergency department reportng severe abdominal pain. A radiograph reveals a large abdominal aortc aneurysm. The primary goal at this tme is to:You Selected:  prepare the client for emergency surgery. Correct response:  prepare the client for emergency surgery. Explanaton: Remediaton: Queston 5 See full queston The nurse is teaching a client how to apply nitroglycerin topical ointment. Which statement indicates that the client needs additonal clarifcaton of the instructons? You Selected:  ”I will use the applicator paper to measure the amount of ointment I should use.” Correct response:  ”I will carefully massage the ointment into the skin.” Explanaton: Remediaton: Queston 6 See full queston A nurse is obtaining a history from a new client in the cardiovascular clinic. When investgatng for childhood diseases and disorders associated with structural heart disease, which fnding should the nurse consider signifcant? You Selected:  Rheumatc fever Correct response:  Rheumatc fever Explanaton: Remediaton: Queston 7 See full queston A client with angina pectoris must learn how to reduce risk factors that exacerbate this conditon. When developing the client's care plan, which expected outcome should a nurse include? You Selected:  "Client will verbalize an understanding of the need to restrict dietary fat, fber, and cholesterol."Correct response:  "Client will verbalize the intenton to stop smoking." Explanaton: Remediaton: Queston 8 See full queston A nurse is assessing a client’s blood pressure 8 hours afer surgery. The client’s blood pressure before surgery was 120/80 mm Hg, and on admission to the postsurgical nursing unit it was 110/80 mm Hg. The client’s blood pressure is now 90/70 mm Hg. Afer determining that other vital signs are normal, what should the nurse do frst? You Selected:  Notfy the health care provider (HCP). Correct response:  Notfy the health care provider (HCP). Explanaton: Remediaton: Queston 9 See full queston Which of the following client statements should the nurse evaluate as indicatng the client's correct understanding of the causes of coronary artery disease (CAD)? You Selected:  “The leading cause of CAD is atherosclerosis.” Correct response:  “The leading cause of CAD is atherosclerosis.” Explanaton: Remediaton: Queston 10 See full queston The registered nurse (RN) is teamed with a licensed practcal/vocatonal nurse (LPN/VN) in caring for a group of cardiac clients on a pediatric unit. Which acton by the LPN/VN indicates the nurse should intervene immediately? You Selected:  The LPN/VN checks a child’s apical heart rate prior to administering digoxin. Correct response: The LPN/VN assists a child to the bathroom 2 hours afer a cardiac catheterizaton. Queston 1 See full queston During the frst 24 hours afer thrombolytc treatment for an ischemic stroke, the primary goal is to control the client's: You Selected:  blood pressure. Correct response:  blood pressure. Explanaton: Remediaton: Queston 2 See full queston A client with second-degree atrioventricular heart block is admited to the coronary care unit. The nurse closely monitors the client's heart rate and rhythm. When interpretng the client's electrocardiogram (ECG) strip, the nurse knows that the QRS complex represents: You Selected:  ventricular depolarizaton. Correct response:  ventricular depolarizaton. Explanaton: Remediaton: Queston 3 See full queston A nurse suspects that a client has digoxin toxicity. The nurse should assess for: You Selected:  hearing loss. Correct response:  vision changes. Explanaton: Remediaton: Queston 4 See full questonA home care nurse is visitng a lef-handed client who has an implantable cardioverter-defbrillator (ICD) implanted in his lef chest. The client tells the nurse how excited he is because he's planning to go rifle huntng with his grandson. How should the nurse respond? You Selected:  "You can't shoot a rifle lef-handed because the rifle's recoil will traumatze the ICD site." Correct response:  "You can't shoot a rifle lef-handed because the rifle's recoil will traumatze the ICD site." Explanaton: Remediaton: Queston 5 See full queston During physical assessment, the nurse should further assess the client for signs of atrial fbrillaton when palpaton of the radial pulse reveals: You Selected:  irregular rhythm with pulse rate greater than 100 bpm. Correct response:  irregular rhythm with pulse rate greater than 100 bpm. Explanaton: Remediaton: Queston 6 See full queston Which assessment fndings would the nurse expect to fnd in the postoperatve client experiencing fat embolism syndrome? You Selected:  Column B Correct response:  Column B Explanaton: Remediaton: Queston 7 See full questonAfer receiving the shif report, a registered nurse in the cardiac step-down unit must prioritze her client care assignment. The nurse has an ancillary staff member available to help her care for her clients. Which of these clients should the registered nurse assess frst? You Selected:  The client with heart failure who is having some difculty breathing. Correct response:  The client with heart failure who is having some difculty breathing. Explanaton: Remediaton: Queston 8 See full queston A client in the intensive care unit (ICU) is on a dobutamine drip. During an assessment the client states, “I was feeling beter but now my chest is tght and I feel like my heart is skipping.” Physical assessment reveals a heart rate of 110 beats per minute and blood pressure of 160/98 mm Hg. What is the nurse’s immediate concern for this client? You Selected:  The dobutamine may need to be decreased. Correct response:  The dobutamine may need to be decreased. Explanaton: Queston 9 See full queston When a client has a troponin level of 0.9 ng/mL, which of the following nursing interventons should be implemented? You Selected:  Document the fnding as the only acton Correct response:  Notfy the healthcare provider Explanaton: Remediaton: Queston 10 See full queston During a home visit, the nurse assesses a client who is