Cardio Flashcards
A nurse is assessing a client admitted with peripheral vascular disease. Which of the following findings indicates a venous vascular disorder?
a) An ulcer at the tip of a toe
b) Hair loss distal to the clients calves
c) Leg pain at rest
d) Edema of the ankle
d) Edema of the ankle
A community health nurse s reviewing home care instruction with an older adult cloent who has a new diagnosis of heart failure. Which of the following is the priority topic for the nurse to review with the client?
Daily sodium restriction
Daily exercise routine
Changes in weight
Fluid intake record
Changes in weight
A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) unit. Which of the following statements should the nurse include?
a) “Apply lotion to the site prior to attaching the electrodes”
b) “ this device requires access to a 220 volt outlet”
c) ‘ this device delivers heat via electrodes that are attached to the effected area”
d) “adjust the dial until you feel a ‘pins and needles’ sensation”
d) “adjust the dial until you feel a ‘pins and needles’ sensation”
A nurse is caring who is experiencing hypertensive crisis. Which of the following actions should the nurse take?
a) Initiate IV dopamine infusion
b) Perform neurological assessments
c) Place the client supine
d) Begin an IV bolus of lactated ringer’s
b) Perform neurological assessments
A nurse is reviewing the medical record of a client who is to undergo open heart surgery. Which of the following findings should the nurse report to the provider as a contradiction to receiving heparin?
a) Thalassemia
b) Rheumatoid arthritis
c) COPD
d) Thrombocytopenia
d) Thrombocytopenia
A nurse is reviewing a cardiac Rhythm strip of a client who has atrial flutter. Which of the following findings should the nurse expect?
a) Progressively longer PR durations
b) undetectable p waves
c) absent PR intervals with ventricular rate of 40 to 60 / minutes
d) Sawtooth pattern with atrial rate of 252 400 / minutes
d) Sawtooth pattern with atrial rate of 252 400 / minutes
A nurse is providing preoperative teaching for a client who is having left-sided cardiac catheterization. Which of the following information should the nurse include in the teaching?
a) You should plan to remain in bed for 18 hours after the procedure
b) you will have blood pressure measurement every 5 minutes for the first two hours after
the procedure
c) You will receive a general anesthetic during the procedure
d) you should expect warm sensation after the injection of the contrast dye during the procedure
d) you should expect warm sensation after the injection of the contrast dye during the procedure
A nurse is an emergency department is reviewing a client’s ECG reading. Which of the following findings should the nurse identify as an indication that the client has a first degree heart block?
a) more p waves than QRS complexes
b) prolonged PR intervals
c) non discernible P waves
d) no correlation between P and QRS waves
b) prolonged PR intervals
A nurse is caring for a client who had an arterial revascularization of the right lower extremity which of the following is the priority action the nurse should plan to take after contacting the provider? ( Click on the “ exhibit” button for additional information about the client)
a) Increase the Heparin infusion rate per protocol
b) increase the insulin infusion rate per protocol
c) start an IV fluid bolus of 0.9% sodium chloride 500 ml to infuse over 1 hour d) change the PCA timing of the patient control bolus every 15 minutes
c) start an IV fluid bolus of 0.9% sodium chloride 500 ml to infuse over 1 hour
A nurse is planning the discharge of a client who had an ischemic stroke. The nurse should ensure that the client is discharged with which of the following types of pharmacologic therapy?
a) Opioid analgesic
b) Anticonvulsant
c) anti thrombotic
d) diuretic
A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication? A. analgesic B. anti-inflammatory C. antiplatelet aggregate D. antipyretic
C. antiplatelet aggregate
