Cardiac-Vascular Certification Q&A

In an assessment for intermittent claudication, the cardiac-vascular nurse assesses the leg pain and cramping with exertion, then asks the patient: A. "Does the shortness of breath accompany the leg pain?" B. "Does this same type of pain occur without activity?" C. "Is the leg pain relieved by rest?" D. "Is the leg pain relieved with elevation?" - Answer- C. "Is the leg pain relieved by rest?" The cardiac-vascular nurse reviews risk factor reduction with a patient who is newly diagnosed with myocardial infarction. The patient states, "I don't know why you're making such a big deal about this stuff. I feel fine, and the doctor said that my heart attack was small." The nurse's most effective action is to: A. Assess the patient's perception of the event with open-ended questions B. Present research to support the need for risk factor reduction C. Reinforce patient education D. Review the laboratory values with the patient - Answer- A. Assess the patient's perception of the event with open-ended questions The cardiac-vascular nurse encourages a patient with hypertension to adopt a low-sodium diet. The American Heart Association recommends limiting this patient's sodium: A. 3,000 mg per day B. 1,500 mg per day C. 1,700 mg per day D. 2,400 mg per day - Answer- D. 2,400 mg per day A patient has been receiving heparin IV for the last three days. The patient's most current platelet count is 65,00 x 10^3/uL; the platelet count on admission was 350,000 x 1-^3/uL. The cardiac-vascular nurse contacts the physician to: A. Report that the medication level is subtherapeutic B. Report that the patient is exhibiting signs of an adverse reaction C. Request an increase in the medication infusion rate D. Request an order for platelet transfusion - Answer- B. Report that the patient is exhibiting signs of an adverse reaction A patient recently had a cardiac catheterization via right-radial approach. The patient has a co