Cardiovascular Disorders Exam Questions With Verified Answers

EXAM STUDY MATERIALS July 23, 2024 4:26 PM Cardiovascular Disorders Exam Questions With Verified Answers A visiting nurse is teaching a client with heart failure about taking their medications. The client requires six different medications that are taken at four different times per day. The client is confused about when to take each medication. How should the nurse intervene? - answer✔✔Teach a family member to fill a medication compliance aid once per week so the client can independently take their medication s. The nurse is assessing a client who has a long history of uncontrolled hypertension. The nurse should assess the client for damage in which area of the eye? - answer✔✔retina A client is recovering from coronary artery bypass graft (CABG) surgery and beg ins to experience chest pain, shortness of breath, and tachycardia. Further assessment reveals a widened QRS complex and an elevated ST segment. Which nursing diagnosis takes highest priority at this time? - answer✔✔Decreased cardiac output related to depr essed myocardial function A nurse in the emergency department is caring for a client with acute heart failure. Which laboratory value is most important for the nurse to check before administering medications to treat heart failure? - answer✔✔potassium A client is taking spironolactone to control hypertension. The client's serum potassium level is [6 mEq/L (56mmol/L)]. For this client, the nurse's priority should be to assess their - answer✔✔electrocardiogram (ECG) results. The nurse is caring for a client p ost myocardial infarction (MI). Orders include strict bed rest and a clear, liquid diet. What is the nurse's best response to the client who is inquiring about the purpose of the new diet? - answer✔✔to reduce the metabolic workload of digestion A nurse is teaching a client how to take nitroglycerin to treat angina pectoris. What should the nurse include in the instructions? - answer✔✔Call emergency medical services immediately if chest pain does not subside within 15 minutes. A client arrives in the emergen cy department reporting intense pain in the abdomen and tells the nurse that it feels like a heartbeat in the abdomen. Which nursing assessment would indicate potential rupture of an aortic aneurysm? - answer✔✔The client reports increasing severe back pain. A client has been diagnosed with right -sided heart failure. The nurse should assess the client further for: - answer✔✔Dependent edema. EXAM STUDY MATERIALS July 23, 2024 4:26 PM The client asks the nurse, "Why won't the health care provider tell me exactly how much of my leg he is going to take o ff? Don't you think I should know that?" On which information should the nurse base the response? - answer✔✔the adequacy of the blood supply to the tissues A client with peripheral artery disease has femoral -popliteal bypass surgery. What goal should the n urse establish with the client immediately after surgery? - answer✔✔Maintain circulation. A white male, age 43, with a tentative diagnosis of infective endocarditis is admitted to an acute care facility. His medical history reveals diabetes mellitus, hyper tension, and pernicious anemia; he underwent an appendectomy 20 years earlier and an aortic valve replacement 2 years before this admission. Which history finding is a major risk factor for infective endocarditis? - answer✔✔history of aortic valve replacem ent Which activity is least effective in preventing sensory deprivation during a client's stay in the cardiac care unit? - answer✔✔keeping the door closed to provide privacy The nurse is concerned about the risks of hypoxemia and metabolic acidosis in a cl ient who is in shock. What finding should the nurse analyze for evidence of hypoxemia and metabolic acidosis in a client with shock? - answer✔✔arterial blood gas (ABG) findings Following a myocardial infarction, a client develops an arrhythmia and requires a continuous infusion of lidocaine. To monitor the effectiveness of the intervention, the nurse should focus primarily on the client's: - answer✔✔electrocardiogram (ECG). A client comes to the emergency department reporting severe substernal chest pain ra diating down the left arm. The client is admitted to the coronary care unit with a diagnosis of myocardial infarction (MI). Which should the nurse do first when the client is admitted to the coronary care unit? - answer✔✔Begin telemetry monitoring. The nur se is caring for an older adult man who walks 2 miles every morning. The nurse notes that during his morning walk, he called his child and stated that he thought that he was having a heart attack. Which symptom, identified by the client, is the most common and consistent with that of a heart attack (myocardial infarction)? - answer✔✔sternal pain A client with heart failure is taking furosemide, digoxin, and potassium chloride. The client has nausea, blurred vision, headache, and weakness. The nurse notes th at the client is confused. The telemetry strip shows first -degree atrioventricular block. What other sign should the nurse assess next? - answer✔✔digoxin toxicity. 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: - answer✔✔participate in a regular walking program. A client with second -degree atrioventri cular 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