Quiz 3 Flashcards
A nurse is providing teaching about a heart healthy diet to a group of clients with hypertension. What statement by the client indicates a need for further teaching?
“I may eat 10 ounces of lean protein each day.”
A nurse is teaching a client who has a new prescription for hydrochlorothiazide for management of hypertension. What should the nurse instruct the patient to do?
monitor for leg cramps
A nurse is creating a community wellness program for a group of community members who have been identified as having an increased risk of developing hypertension. What action by the nurse is considered secondary prevention?
obtain blood cholesterol levels
A nurse is caring for a client who has heart failure and a prescription for digoxin. What statement by the patient indicates an adverse effect of the medication?
“I feel nauseated and have no appetite”
A nurse is caring for a client who is taking digoxin for heart failure and develops indications of severe digoxin toxicity. What medication should the nurse prepare to administer?
fab antibody fragments
A nurse is assessing a client who has left-sided heart failure. What should the nurse expect?
hacking cough
A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. What should the nurse include in the teaching?
exercise at least three times per week
A nurse is assessing a client who has right-sided heart failure. What should the nurse expect?
peripheral edema
A nurse is assessing a client to identify risk factors for disease. What is a risk factor for metabolic syndrome?
large waist size
What should the nurse include in her teaching about angina pectoris?
Exertion and anxiety can trigger pain
A nurse is providing teaching to a client who has angina pectoris and a new prescription for nitroglycerin sublingual tablets. What statement by the client indicates an understanding of the teaching?
“I’ll dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2 more tablets 5 minutes apart while waiting”
A nurse is teaching a client about following a low-cholesterol diet after coronary artery bypass grafting. What food choice reflects the client’s understanding of these dietary instructions?
beans
A nurse is assessing a client who has hypercholesterolemia and is receiving simvastatin. What should the nurse recognize as a potential adverse effect?
muscle weakness
A nurse is completing a medical interview with a client who has elevated cholesterol levels and takes warfarin. The nurse should recognize what action by the client can potentiate the effects of warfarin?
The client uses garlic to lower cholesterol levels
A nurse is reviewing the laboratory results for a client who has a history of atherosclerosis and noted elevated cholesterol levels. What statement by the client indicates the nurse should plan follow-up teaching on a low-cholesterol diet?
“I eat two eggs for breakfast each morning.”
Which patient statement would help the nurse confirm the previous diagnosis of chronic stable angina?
“The pain goes away with a nitroglycerin tablet.”
The nurse is caring for a patient who has just arrived on the telemetry unit after having cardiac catheterization. What task could the nurse delegate to a licensed practical/vocational nurse (LPN/VN)?
Give the scheduled aspirin and lipid-lowering medication.
What patient at the cardiovascular clinic requires the most immediate action by the nurse?
Patient with stable angina whose chest pain has recently increased in frequency.
During change-of-shift report, the nurse obtains this information about a hypertensive patient who received the first dose of propranolol (Inderal) during the previous shift. What information indicates that the patient needs immediate intervention?
The patient has developed wheezes throughout the lung fields.
The nurse is reviewing the laboratory test results for a patient who has recently been diagnosed with hypertension. What result is important to communicate to the health care provider?
Serum creatinine of 2.8 mg/dL
A patient with hypertension who has just started taking atenolol (Tenormin) returns to the health clinic after 2 weeks for a follow-up visit. The blood pressure (BP) is unchanged from the previous visit. What action should the nurse take first?
Ask the patient if the medication is being taken as prescribed.
The nurse is monitoring a patient who is undergoing exercise (stress) testing on a treadmill. What assessment finding requires the most rapid action by the nurse?
Inversion of T waves on the electrocardiogram
A nurse is planning care for a client following a cardiac catheterization accessed through his femoral artery. What action should the nurse plan to take?
Perform neurovascular checks with vital signs.
A nurse is reinforcing teaching with a client regarding reduction of risk factors for coronary artery disease. What statement by the client indicates an understanding of the teaching?
“I must stop smoking”
“I should limit my intake of fast foods”
“I need to monitor my weight”
A nurse is teaching a middle-aged client about hypertension. What information should the nurse include in the teaching?
“Diuretics are the first type of medication to control hypertension.”
A nurse is caring for a client who has hypertension and develops epistaxis. What actions should the nurse take?
Move the client into high-Fowler’s position
Apply pressure to the nares
Place ice to the bridge of the client’s nose
A nurse is reviewing the medical record of a client who has hypertension and a new prescription for metoprolol. What should the nurse investigate further?
A history of left-sided heart failure.
A nurse is caring for a client who has hypertension and is afraid to take his blood pressure medication. What statement is an example of therapeutic communication response of reflection?
“You seem upset about taking your blood pressure medication.”
A home health nurse is assessing a patient who has heart failure and notes the patient has had a weight gain of 1.8 kg (4lb), as well as generalized edema, since the last visit 3 days ago. What action should the nurse take next?
Ensure the client has been taking their prescribed diuretic
A home health nurse is caring for an elderly client who has heart failure. What intervention on the tertiary level of prevention could be included in care?
Reinforce past teachings on how to read food labels
A nurse is reinforcing teaching with a group of nurses about the administration of nitroglycerin. What route of administration provides the most rapid onset for the client?
sublingual
A nurse is reviewing the serum laboratory findings for a client who has hypertension and is prescribed hydrochlorothiazide. What finding should the nurse report to the provider?
Potassium 2.3 mEq/L
