cardio quizzy practice Flashcards

1
Q

A nurse is providing discharge teaching for a client who has a prescription for the transdermal nitroglycerin patch. which of the following instructions should the nurse include in the teaching.
A- Place the patch on an area of skin away from skin folds and joints
B- Apply the new patch to the same site as the previous patch
C- Replace the patch at the onset of angina
D- Keep the patch on 24 hr per day

A

A- Place the patch on an area of skin away from skin folds and joints

The nurse should instruct the client to apply the patch to an area of intact skin with enough room for the patch to fit smoothly.

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1
Q

A nurse is providing discharge teaching for a client who has a prescription for the transdermal nitroglycerin patch. which of the following instructions should the nurse include in the teaching.
A- Place the patch on an area of skin away from skin folds and joints
B- Apply the new patch to the same site as the previous patch
C- Replace the patch at the onset of angina
D- Keep the patch on 24 hr per day

A

A- Place the patch on an area of skin away from skin folds and joints

The nurse should instruct the client to apply the patch to an area of intact skin with enough room for the patch to fit smoothly.

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2
Q
A nurse in an emergency room is assessing a client who has bradydysrhythmia. which of the following findings should the nurse monitor for?
A- Friction Rub
B- Confusion
C-Dry Skin
D-Hypertension
A

B- Confusion
Bradydysrhythmia can cause decreased systemic perfusion, which can lead to confusion. Therefore, the nurse should monitor the client’s mental status.

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3
Q

A nurse is admitting a client who has a leg ulcer and a history of diabetes mellitus. the nurse should use which of the following focused assessments to help differentiate between an arterial ulcer and a venous stasis ulcer.
A- ask if the client has had a recent infection
B- Explore the clients family history of peripheral vascular disease
C- Note the presence of absence of pain at the ulcer site
D- inquire about the presence or absence of claudication

A

D- inquire about the presence or absence of claudication
Knowing if the client is experiencing claudication helps differentiate venous from arterial ulcers. Clients who have arterial ulcers experience claudication, but those who have venous ulcers do not.

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4
Q

A nurse is providing teaching for a client who is 2 days postoperative following a heart transplant. which of the following statements should the nurse include in the teaching
A- “ your level of activity intolerance will not change”
B- “ you will be able to stop taking immunosuppressant’s after 12 months
C- “ after 6 months you will no longer need to restrict your sodium intake”
D- “You might no longer be able to feel chest pain”

A

D- “You might no longer be able to feel chest pain”

Heart transplant clients usually are no longer able to feel chest pain due to the denervation of the heart

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5
Q

A nurse is caring for a client who was admitted for a treatment of left-sided heart failure with intravenous loop diuretics and digitalis therapy. the client is experiencing weakness and an irregular hear rate. which of the following actions should the nurse take first?
A- obtain clients current weight
B-Determine the time of the last digoxin dose
C- Check the clients urine output
D- Review serum electrolyte Values

A

D- Review serum electrolyte Values
weakness and irregular heart rate indicate that the client is at the greatest risk for electrolyte imbalance, an adverse effect of loop diuretics. the first action the nurse should take is to review the client’s electrolyte values, particularly the potassium level, because the client is at risk for dysrhythmias for hypokalemia

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6
Q
A nurse is assessing a client who has Left-Sided heart failure. which of the following manifestations should the nurse expect to find
A- Increased Abdominal Girth
B-Weak Peripheral Pulses
C- Dependent Edema
D- Jugular Venous Neck Distention
A

B- Weak Peripheral Pulses

Weak peripheral pulses are related to decreased cardiac output resulting from left-sided heart failure

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