Solutions | Actual
a CORRECT ANSWERS a nurse is admitting a client who has a suspected MI and a
history of angina. which of the following findings will help the nurse distinguish stable
angina from an MI?
a. stable angina can be relieved with rest and nitroglycerin
b. the main of an MI resolves in less than 15 minutes
c. the type of activity that causes an MI can be identified
d. stable angina can occur for longer than 30 minutes
c CORRECT ANSWERS a nurse on a cardiac unit is reviewing the lab findings of a
client who has a dx of MI and reports that his dyspnea began 2 weeks ago. which of the
following cardiac enzymes which of the following cardiac enzymes would confirm the MI
occurred 14 days ago?
a. CK-MB
b. troponin 1
c. troponin T
d. myoglobin
a CORRECT ANSWERS a nurse is caring for a client who asks why the provider
prescribed daily aspirin. which of the following responses should the nurse make?
a. aspiring reduces the formation of blood clots that could cause a MI
b. aspirin relieved the pain due to myocardial ischemia
c. aspirin dissolves clots that are forming in your coronary arteries
d. aspirin relieves headaches that are caused by other medications
d CORRECT ANSWERS a nurse is teaching a client who has angina about a new
prescription for metoprolol. which of the following statements by the client indicates
understanding of the teaching?
a. i should place the tablet under my tongue
b. i should have my clotting time checked weekly
c. i will report any ringing in my ears
d. i will call my doctor if my pulse rate is less than 60
c CORRECT ANSWERS a nurse is presenting a community education program on
recommended lifestyle changes to prevent angina and MI. which of the following
changes should the nurse recommend first?
a. diet modification
b. relaxation exercises
c. smoking cessation
d. taking omega-3 capsules
, b CORRECT ANSWERS a nurse is caring for a client who has HF and reports
increased SOB. which of the following actions should the nurse make first?
a. obtain the clients weight
b. assist the client into high fowlers position
c. auscultate the lung sounds
d. check oxygen saturation with pulse oximeter
a, e CORRECT ANSWERS a nurse is teaching a client who has HF and a new
prescription for digoxin and furosemide. which of the following information should the
nurse include? select all that apply
a. daily weight first thing in the morning
b. decrease potassium intake
c. expect muscle weakness when taking digoxin
d. hold digoxin if HR is less than 70
e. decrease sodium intake
a, b, e CORRECT ANSWERS a nurse is completing the admission assessment of a
client who has suspected pulmonary edema. which of the following manifestations are
expected findings? select all that apply
a. tachypnea
b. persistent cough
c. increased urinary output
d. thick yellow sputum
e. orthopnea
c CORRECT ANSWERS a nurse is talking with a client who has class 1 heart failure
and asks about obtaining a ventricular assist device (VAD). which of the following
statement should the nurse make?
a. VADs are only implanted during heart transplant
b. a VAD helps to pace the heart
c. VADs are used when HF is nonresponsive to medications
d.a VAD is used for clients who also have chronic lung issue
a CORRECT ANSWERS a nurse is providing discharge teaching to a client who has HF
and is on a 2,000 ml/day fluid restriction.the client asks the nurse how to determine the
appropriate amount of fluids they are allowed. which of the following statements is
appropriate for the nurse to make?
a. pour the amount of fluid you drink into an empty 2 liter bottle to keep track of how
much you drink
b. each glass contains 8 ounces. there are 30 ml per ounce so you can have a total of 8
glasses per day
c. this is the same as 2 quarts or about the same as 2 pots of coffee
d. take sips of water or ice chips so you will not take in too much fluid