Perfusion Quizzes Flashcards
What is the priority assessment after a heart catheterization?
Puncture site status
Based on the nursing diagnosis of ineffective cardiac tissue perfusion, which assessment data indicates the goal of effective tissue perfusion has been met?
Chest pain gone after sublingual nitro given
What assessment data is needed prior to the administration of sublingual nitroglycerin?
Blood pressure
What is the purpose of a heart catheterization? (Quiz 1)
To Inspect the cardiac arteries and determine the need for intervention.
Which explanation describes atherosclerosis?
A buildup of plaque in the arteries that may cause an MI.
A client who weighs 198 lbs. experienced an acute myocardial infarction (MI) at 0900 this morning. It is now 1200 noon. Which current assessment finding(s) indicate to the nurse that a significant complication is occurring?
A. Urine output of 45 mL/hr
B. Systolic blood pressure of 102 mmHg
C. Oxygen saturation of 94% on RA
D. Week peripheral pulses x4 and cool skin
D. Week peripheral pulses x4 and cool skin
After administering the first dose of an angiotensin-converting enzyme (ACE) Inhibitor to a client with heart failure (HF), the nurse implements interventions to decrease complications. Which is the correct intervention for the nurse to implement?
A. Provide food to decrease nausea and aid in absorption.
B. Instruct the client to ask for assistance before rising from bed.
C. Collaborate with assistive personnel to bathe the client.
D. Monitor potassium (K+) levels and check for symptoms of hypokalemia.
B. Instruct the client to ask for assistance before rising from bed.
The nurse is caring for a client who has just returned from the cath lab, where cardiac catheterization was completed approximately 35 minutes ago. Which intervention should the nurse deem as the highest priority and complete first?
A. Assess the client’s level of pain.
B. Check the client’s catheterization site.
C. Assess the client’s blood pressure. (BP).
D. Check the patency of the client’s IV.
B. Check the client’s catheterization site.
The nurse completes discharge teaching about sublingual nitroglycerin (Nitrostat). Which client statement indicates that teaching has been effective?
A. “This medication may increase the frequency of my chest pain.”
B. “This medication may cause headaches and dizziness.”
C. “I will take three tablets at once every time I have chest pain.”
D. “I will take this medication with food or meals.”
B. “This medication may cause headaches and dizziness.”
A client has chest pain rated at 8 on a scale of 0-10. The 12-lead EKG reveals ST elevation in the inferior leads, and lab results show elevated troponin levels. Which takes precedence as the nurse’s highest priority?
1. Reducing angina and myocardial oxygen demand
2. Limiting visitation by family and friends
3. Monitoring the client’s daily weight and urine output
4. Providing client education on medications and diet
- Reducing angina and myocardial oxygen demand
The nurse is caring for a client with acute decompensated heart failure (ADHF) and orders to receive digoxin (Lanoxin) 0.125 mg PO q day and furosemide (Lasix) 40 mg PO bid. The client’s basic metabolic panel (BMP) drawn this morning reflects: sodium 136 mEq/L, potassium 3.2 mEq/L, magnesium 1.9 mEq/L, chloride 96 mEq/L, and CO2 30 mEq/L, Which is the correct nursing action?
A. Assess the client’s apical heart rate for one full minute before administering digoxin (Lanoxin).
B. Hold the client’s digoxin (Lanoxin) and notify the physician of the potassium level.
C. Implement MONA, giving the client oxygen at 2 liters per nasal cannula for the retained CO2.
D. Encourage the client to add table salt to their food to increase sodium intake.
B. Hold the client’s digoxin (Lanoxin) and notify the physician of the potassium level.
A nurse cares for a client with right-sided heart failure (HF). The client asks, “Why do I need to weigh myself every day?” Which is the correct nursing response?
“Weighing daily provides the best indication of fluid gains and losses.”
What is the purpose of a heart catheterization? (Quiz 2)
Assess the cardiac arteries and locate blocked vessels
What assessment data is needed prior to the administration of sublingual nitro (Nitro SL)?
Blood pressure
Based on the etiology and main cause of heart failure, the nurse knows that which client has the greatest need for health promotion measures to prevent heart failure?
A. A 53-year-old with Parkinson disease
B. An 86-year-old man with a history of asthma.
C. A 32-year-old man with colorectal cancer.
D. A 65-year-old woman with hypertension
A 65-year-old woman with hypertension
