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 - correct answer-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 - correct answer-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 - correct answer-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)? -
correct answer-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? - correct
answer-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? - correct answer-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)? - correct answer-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? - correct answer-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? - correct
answer-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? - correct
answer-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
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 - correct answer-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 - correct answer-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 - correct answer-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)? -
correct answer-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? - correct
answer-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? - correct answer-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)? - correct answer-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? - correct answer-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? - correct
answer-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? - correct
answer-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
