Nur 130 Cardiac Exam 2 Practice Questions and Correct Answers

A nurse is teaching a client who has a vitamin K deficiency about the effects of vitamin K which of the following information should the nurse include in the teaching A) The nurse should understand vitamin K is an antidote to warfarin toxicity B) The nurse should understand vitamin K promotes prothrombin formation in the liver C) The nurse should understand vitamin K is produced by the intestinal flora that contain bile D) vitamin K is produced in the intestine what is necessary for the synthesis of clotting factors that are produced in the litter A) The nurse should understand vitamin K is an antidote to warfarin toxicity so vitamin K reverses warfarin toxicity A nurse is preparing to minister digoxin to a client who is in heart failure which of the following actions is appropriate Withholding the medication of the heart rate is above 100 per minute Instructing the client to eat foods that are low in potassium Measuring apical pulse rate for 30 seconds before a ministration Evaluating the client for nausea vomiting and anorexia Evaluating the client for nausea vomiting and anorexia Because Loss of appetite, nausea, vomiting, and blurred or yellow vision maybe signs of digoxin toxicity A nurse is caring for a client who is taking lisinopril. Which of the following Outcomes indicates a therapeutic effects of the medication? Decreased blood pressure Increase of HDL cholesterol Prevention of bipolar manic episodes Improved sexual function Decrease blood pressure Lisinopril is an ace inhibitor that maybe use alone or in a combination with other anti-hypertensive and the management of hypertension and congestive heart failure. A therapeutic effect of the medication is a decrease in blood pressure A nurse is assessing a client who has a right ventricular failure. What are the following findings should the nurse expect Dry hacking cough Hepatomegaly Dizziness Crackles in the lungs Hepatomegaly This is liver enlargement which is a manifestation of right sided heart failure A nurse is teaching a client who has a new prescription for a transdermal nitroglycerin to treat angina pectoris. Which of the following instruction should the nurse include in the teaching Apply a new transdermal patch once a week Apply the transdermal patch in the morning Apply the transdermal patch in the same location as the previous patch Apply a new transdermal patch when chest pain is experienced Apply the transdermal patch in the morning The client should apply the patch every morning and leave in a place for a 12 to 14 hours then remove it in the evening A home health nurse is making a home visit to a client who is takes a daily diuretic for heart failure, which of the following manifestation should the nurse identify as indicating the client is hypokalemic Pitting edema Fatigue Dyspnea Oliguria Fatigue The nurse should expect to find a client with the tea due to muscle weakness with hypokalemia A nurse is teaching a client who takes warfarin daily. Which of the following statements by the client indicates a need for further teaching I have started taking ginger root to treat my joints stiffness I take this medication at the same time each day I eat a green salad every night for dinner I had my INR checked three weeks ago " i have started taking ginger root to treat my joints stiffness" Ginger root can interfere with the blood clotting affect of warfarin and place decline at risk for bleeding. The statement indicates the client needs further teaching A nurse is reinforcing teaching with a client regarding reduction of risk factors for coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching. Select all that apply I must stop smoking I should limit my exercise I will stop consuming alcohol I need to monitor my weight I am limiting my intake a fast foods I must stop smoking, I need to monitor my weight, I am limiting my intake of fast foods Hey nurses in a clinic is caring for a client who has a prescription for digoxin which of the following statements indicates the client is experiencing digoxin toxicity I am gaining weight I am constipated My vision seems yellow My tongue is red and beefy My vision seems yellow Blurred and yellow vision is an indication of digoxin toxicity