ATI Cardiovascular Targeted Exam(13
A nurse is providing discharge teaching for a client who has a prescription for the transdermal
nitroglycerin patch. Which of the following instructions should the nurse include in the
teaching?
-Apply the new patch to the same site as the previous patch
-Place the patch on an area of skin away from skin folds and joints
-Keep the patch on 24 hr per day
-Replace the patch at the onset of angina - ANSWERSPlace the patch on an area of skin away
from skin folds and joints
A nurse in an emergency room is assessing a client who has a bradydysrhythmia. Which of the
following findings should the nurse monitor for?
-Confusion
-Friction rub
-Hypertension
-Dry skin - ANSWERSConfusion
Bradydysrhythmia can cause decreased systemic perfusion, which can lead to confusion.
A nurse is admitting a client who has a leg ulcer and a history of diabetes mellitus. The nurse
should use which of the following focused assessments to help differentiate between an arterial
ulcer and a venous stasis ulcer?
-Explore the client's family history of peripheral vascular disease
, -Note the presence or absence of pain at the ulcer site
-Inquire about the presence or absence of claudication
-Ask if the client has had a recent infection - ANSWERSInquire about the presence or absence of
claudication
Clients who have arterial ulcers experience claudication, but those who have venous ulcers do
not.
A nurse is providing teaching for a client who is 2 days postoperative following a heart
transplant. Which of the following statements should the nurse include in the teaching?
-"You might no longer be able to feel chest pain."
-"Your level of activity intolerance will not change."
-"After 6 months, you will no longer need to restrict your sodium intake."
-"You will be able to stop taking immunosuppressants after 12 months." - ANSWERS"You might
no longer be able to feel chest pain."
Heart transplant clients usually are no longer able to feel chest pain due to the denervation of
the heart.
A nurse is caring for a client who was admitted for treatment of left-sided heart failure with
intravenous loop diuretics and digitalis therapy. The client is experiencing weakness and an
irregular heart rate. Which of the following actions should the nurse take first?
-Obtain client's current weight
-Review serum electrolyte values
-Determine the time of the last digoxin dose
-Check the client's urine output - ANSWERSReview serum electrolyte values.
A nurse is providing discharge teaching for a client who has a prescription for the transdermal
nitroglycerin patch. Which of the following instructions should the nurse include in the
teaching?
-Apply the new patch to the same site as the previous patch
-Place the patch on an area of skin away from skin folds and joints
-Keep the patch on 24 hr per day
-Replace the patch at the onset of angina - ANSWERSPlace the patch on an area of skin away
from skin folds and joints
A nurse in an emergency room is assessing a client who has a bradydysrhythmia. Which of the
following findings should the nurse monitor for?
-Confusion
-Friction rub
-Hypertension
-Dry skin - ANSWERSConfusion
Bradydysrhythmia can cause decreased systemic perfusion, which can lead to confusion.
A nurse is admitting a client who has a leg ulcer and a history of diabetes mellitus. The nurse
should use which of the following focused assessments to help differentiate between an arterial
ulcer and a venous stasis ulcer?
-Explore the client's family history of peripheral vascular disease
, -Note the presence or absence of pain at the ulcer site
-Inquire about the presence or absence of claudication
-Ask if the client has had a recent infection - ANSWERSInquire about the presence or absence of
claudication
Clients who have arterial ulcers experience claudication, but those who have venous ulcers do
not.
A nurse is providing teaching for a client who is 2 days postoperative following a heart
transplant. Which of the following statements should the nurse include in the teaching?
-"You might no longer be able to feel chest pain."
-"Your level of activity intolerance will not change."
-"After 6 months, you will no longer need to restrict your sodium intake."
-"You will be able to stop taking immunosuppressants after 12 months." - ANSWERS"You might
no longer be able to feel chest pain."
Heart transplant clients usually are no longer able to feel chest pain due to the denervation of
the heart.
A nurse is caring for a client who was admitted for treatment of left-sided heart failure with
intravenous loop diuretics and digitalis therapy. The client is experiencing weakness and an
irregular heart rate. Which of the following actions should the nurse take first?
-Obtain client's current weight
-Review serum electrolyte values
-Determine the time of the last digoxin dose
-Check the client's urine output - ANSWERSReview serum electrolyte values.
