Cardiac-NUR 211 (Cardiovascular.10 11/21)

The nurse expects which of these laboratory test results to be elevated in a client following an acute myocardial infarction? - answer-Creatine kinase (CK), troponin T and I, and myoglobin One week following a myocardial infarction, a patient complains to the nurse of fatigue. The nurse notes that the patient is slightly short of breath and the pulse rate is 110 bpm. Which of the following actions by the nurse is best? - answer-Check for any edema or weight gain The nurse cares for the client diagnosed with an acute anterior wall myocardial infarction (MI). Why does the nurse identify the administration of pain medication as a priority in this client's care? - answer-pain will increase myocardial oxygen demand An older man is admitted to the hospital with a diagnosis of heart failure (HF). Which of the following findings is most characteristic of heart failure? - answer-pulse 110, respirations 24, blood pressure 100/60 The nurse cares for a patient immediately after a femoral-to-popliteal bypass graft. The nurse is most concerned if which of the following is observed? - answer-clammy skin The nurse prepares discharge teaching for the client diagnosed with a myocardial infarction (MI). Which client statement indicates to the nurse that the client understands the instructions? - answer-"I will change my diet to reduce my fat intake to less than 30%." Surgical repair of a congenital heart defect is performed on the 5-month-old infant. Which measure is most important for the nurse to include in the postoperative care plan? - answer-Elevate the client's head to reduce respiratory effort. A client receiving verapamil in the sustained-release form reports a headache. Which information does the nurse provide to the client? - answer-This medication often causes headache The nurse teaches the client diagnosed with hypertension about a low sodium diet. Which comment is most indicative that the client requires further instruction? - answer-"I don't use any salt and I will season my foods with ketchup or mustard." The nurse instructor instructs a class about myocardial infarction (MI). The instructor tells the class that oxygen is given to the client experiencing an MI to keep the heart muscle well-oxygenated. This is done to prevent which problem that the ischemic heart muscle is likely to develop? - answer-fatal dysrhythmias The nurse cares for the client diagnosed with heart failure. The client has an intravenous (IV) infusion running at 60 drops per minute and receives 40 mg of furosemide intravenously daily. The clients complains, "I am more tired than usual." While the client sits in a chair, the nurse auscultates the lungs and notes crackles that were not present earlier. Which initial nursing action is most appropriate? - answer-slow the IV to a keep open rate The nurse cares for the client diagnosed with acute myocardial infarction. The client's skin is clammy, blood pressure is 85/50; client appears restless and anxious. Which action should the nurse take first? - answer-administer analgesia as ordered The nurse for the client diagnosed with myocardial infarction. Which would the nurse identify as the most important social support system when the client goes through treatment and rehabilitation? - answer-family members The nurse cares for the client diagnosed with a recent myocardial infarction (MI) involving the anterior wall of the left ventricle. Which assessment data might alert the nurse that the client is developing left ventricular failure? - answer-pulmonary crackles The nurse performs diet teaching for a client diagnosed with a myocardial infarction. The nurse determines that teaching is effective if the client selects which of the following? - answer-sliced turkey, green beans, pear The nurse instructs the client diagnosed with elevated total cholesterol levels. Which client statement indicates a need for further teaching? - answer-"Medication is the best way to lower cholesterol" The nurse instructs a client diagnosed with atrial fibrillation receiving lisinopril. Which statement, if made by the client to the nurse, indicates the need for further teaching? - answer-"I have switched to a salt substitute instead of iodized salt." The nurse cares for the client diagnosed with myocardial infarction (MI). Which client statement indicates to the nurse an understanding of lifestyle changes required due to the MI? - answer-"I guess I won't be playing volleyball with the guys for a while. I need to complete my cardiac rehabilitation program." The nurse cares for the client diagnosed with acute myocardial infarction. Which intervention is priority? - answer-administer oxygen The client experiencing chest pain takes a nitroglycerin tablet sublingually. Five minutes later, the client calls the nurse and asks what to do since there has been no relief. Which is the nurse's best response? - answer-"take two nitroglycerin tablets in 5-minute intervals as needed and seek medical attention is there is no relief." One week after discharge from the hospital , a client with heart failure (HF) comes to the cardiac clinic for a follow-up visit. Which of these statements, if made by the client to the nurse, indicates an improvement in the client's condition? - answer-"I only sleep on one pillow" The nurse understands that the primary purpose of prompting rest following a myocardial infarction includes which rationale? - answer-decrease the workload on the heart The nurse teaches the client diagnosed with myocardial infarction. The client's choice of which cooking oil indicates that the nurse needs to review instructions for managing a diet low in saturated fat. - answer-palm The nurse cares for the client diagnosed with heart failure (HF). The client has an ordered IV to run at 125 mL/hr. The nurse notes the client has increasing difficulty breathing, is coughing more, and has rhonchi in both lungs. Which nursing action is most appropriate for the nurse to take initially? - answer-slow the IV to a keep open rate The nurse cares for the client diagnosed with a myocardial infarction. The clients daughter asks the nurse, "What is a realistic goal for my cardiovascular health? Which is the best response by the nurse? - answer-a blood cholesterol level of less than 160 mg/dL The nurse recognizes that the type of edema related to cardiac failure is usually - answer-dependent The nurse teaches the client diagnosed with coronary artery disease after a myocardial infarction. The information includes foods on a 2 gram sodium diet. Which client statement indicates to the nurse that the client understands the dietary education? - answer-"sodium makes me hold fluid, and with my condition I can't hold too much fluid"