CARDIO PRACTICE Flashcards
A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia? A. Abnormally prominent U wave B. Elevated ST segment C. Wide QRS D. Inverted P wave
A. Abnormally prominent U wave
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
While performing an admission assessment for a client, the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which of the following nursing diagnoses should the nurse identify as being the priority in the client’s care?
A. Impaired tissue perfusion
B. Alteration in body image
C. Alteration in activity tolerance
D. Impaired skin integrity
D. Impaired skin integrity
A nurse is teaching the partner of a client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzymes studies?
A. “These tests help determine the degree of damage to the heart tissues.”
B. “Cardiac enzymes will identify the location of the MI.”
C. “These tests will enable the provider to determine the heart structure and mobility of the heart valves.”
D. “Cardiac enzymes assist in diagnosing the presence of pulmonary congestion.”
A. “These tests help determine the degree of damage to the heart tissues.”
A nurse is teaching about risk factors of developing a stroke with a group of older adult clients. Which of the following nonmodifiable risk factors should the nurse include in the teaching? A. History of smoking B. Obesity C. History of hypertension D. Race
D. Race
A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The nurse should instruct the client to avoid which of the following unsafe actions? A. Elevating her feet B. Massaging her legs C. Flexing her ankles D. Ambulating soon after surgery
B. Massaging her legs
A nurse is auscultating a client's heart sounds and hears an extra heart sound before what should be considered the first heart sound S1. The nurse should document this finding as which of the following heart sounds? A. The fourth heart sound (S4) B. A friction rub C. The third heart sound (S3) D. A split second heart sound S2
A. The fourth heart sound (S4)
A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations and shortness of breath. Which of the following assessments should indicate to the nurse that the client may have developed atrial fibrillation?
A. Different blood pressures in the upper limbs.
B. Different apical and radial pulses.
C. Differences between oral and axillary temperatures.
D. Differences in upper and lower lung sounds.
B. Different apical and radial pulses.
A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?
A. “DIC is controllable with lifelong heparin usage.”
B. “DIC is characterized by an elevated platelet count.”
C. “DIC is caused by abnormal coagulation involving fibrinogen.”
D. “DIC is a genetic disorder involving a vitamin K deficiency.”
C. “DIC is caused by abnormal coagulation involving fibrinogen.”
A nurse is monitoring a client who is on telemetry. Which of the following findings on the ECG strip should the nurse recognize as normal sinus rhythm?
A. The P wave falls before the QRS complex.
B. The T wave is in the inverted position.
C. The P-R interval measures 0.22 seconds.
D. The QRS duration is 0.20 seconds.
A. The P wave falls before the QRS complex.
A nurse is caring for a client who recently had surgery for insertion of a permanent pacemaker. Which of the following prescriptions should the nurse clarify? A. Serum cardiac enzyme levels B. MRI of the chest C. Physical therapy D. Low-sodium diet
B. MRI of the chest
A nurse is caring for a client who recently had surgery for insertion of a permanent pacemaker. Which of the following prescriptions should the nurse clarify? A. Serum cardiac enzyme levels B. MRI of the chest C. Physical therapy D. Low-sodium diet
B. MRI of the chest
A nurse is assessing a client who has disseminated intravascular coagulation (DIC). Which of the following findings should the nurse expect?
A. Excessive thrombosis and bleeding
B. Progressive increase in platelet production
C. Immediate sodium and fluid retention
D. Increased clotting factors
D. Increased clotting factors
A nurse is reviewing the PT, aPTT, and INR laboratory values for a client who is experiencing an acute episode of disseminated intravascular coagulation (DIC). Which of the following laboratory results should the nurse expect?
A. The laboratory values are within the expected reference range.
B. The laboratory values are prolonged.
C. The laboratory values are decreased.
D. The laboratory values are the same as the previous test values.
B. The laboratory values are prolonged.
