ATI TESTING: Alterations in Cardiovascular Function & Perfusion

A nurse is caring for a client who is experiencing heart palpitations. Which of the following interventions should the nurse include in the plan of care for this client? Select All that Apply - Answer: - Have the client bear down as if for a bowel movement - Ask the client to cough forcefully A nurse is assisting in caring for a client who has pericarditis. Based on the assessment findings, which of the following lab tests should the nurse anticipate will have abnormal results? Select All that Apply - Answer: - C reactive protein (CRP) - Erythrocyte sedimentation rate (ESR) - White blood cell count (WBC) A nurse is reinforcing discharge teaching to a client who has cardiomyopathy. Which of the following should the nurse include in the teaching? Select all that Apply - Answer: - Restrict fluids to approximately 2L each day - Limit dietary intake of sodium - Check weight every morning - Report ankle edema A nurse is collecting data from a client who had valvular dysfunction. Which of the following client statements should indicate to the nurse that this condition is affecting the client's ability to perform activities of daily living (ADLs)? - Answer: "I get short of breath when I make my bed." A nurse is assisting in caring for a client who has coronary artery disease that has progressed to an ST elevation myocardial infarction (STEMI). Which of the following procedures should the nurse anticipate for this client? - Answer: Heart catheterization and percutaneous intervention A nurse is collecting data from a client's ECG strip and identifies the following information: HR: 75 bpm Rhythm: Regular P wave: One before each QRS complex PR interval: 0.16 seconds QRS interval: 0.08 seconds Based upon this information, the nurses will interpret the client's rhythm as which if the following? - Answer: - Normal sinus rhythm (NSR) A nurse is collecting data from a client who has atrial fibrillation. Which of the following client statements should indicate to the nurse that this condition is affecting the client's activities of daily living (ADLs)? - Answer: " I feel pressure in my chest when I climb stairs." A nurse is presenting an in-service to nursing staff on heart failure. Which of the following risk factors for heart disease should the nurse identify as the result of structural changes to the heart? - Answer: - Hypertension A nurse is assisting in caring for a client who has chronic venous disease, and the client asks why their legs have been swelling and feel so heavy at times. Which of the following statements should the nurse include? - Answer: "Damaged or occluded veins cause blood to pok in the legs instead of returning to the heart." A nurse is reinforcing teaching to a client who has coronary artery disease (CAD) about prevention of progression of the disease. Which of the following lifestyle modifications should the nurse include in the teaching? - Answer: Controlling of hypertension A nurse is collecting data from a client's ECG strip and identifies the following information: HR: 145 bpm Rhythm: Regular P wave indiscernible QRS duration: 0.06 seconds Base upon this information, the nurse will interpret the client's rhythm as which of the following? - Answer: Supraventricular tachycardia (SVT) A nurse is reviewing laboratory results for a client who has cardiomyopathy. Which of the following blood tests should the nurse anticipate the provider prescribing to evaluate cardiomyopathy severity? - Answer: - Brain natriuretic peptide (BNP) A nurse is reinforcing teaching to a group of clients regarding modifiable risk factors for developing valvular dysfunction. Which of the following risk factors should the nurse include in the teaching? - Answer: - Hypertension A nurse is preparing to collect data from a client's ECG strip. Place the following steps the nurse should take in order from first to last. - Answer: 1- Calculate heart rate 2- Determine rhythm regularity 3- Assess for P wave 4- Measure PR interval 5- Measure duration if QRS complex 6- Observe for changes in T wave