Quiz 5 Flashcards
A nurse is caring for a client who is post-operative following vascular surgery. Which of the following signs should indicate to the nurse that the client developed a thrombus?
Dull, aching calf pain
A nurse is caring for a client who has hypertension and develops epistaxis. which of the following actions should the nurse take?
-Apply pressure to the nares
-Place ice to the bridge of the nose.
-Move the client into high fowler’s position
Which instructions should the nurse
emphasize when teaching a patient about atenolol (Tenormin)?
Change positions slowly
A client’s blood pressure was found elevated on 2 occasions 1 month apart. The client is about 25lb overweight and has smoked a pack of cigarettes daily for more than 20 years . The client’s Physician prescribes atenolol (Tenormin) for the hypertension. The nurse should instruct the client to:
Avoid sudden discontinuation of the drug
A nurse is caring for a client 4hr
following a cardiac catheterization which of the following actions should the nurse take?
Have the client lie flat in bed
The nurse is reviewing the lab results for newly admitted patients on the cardiovascular unit. Which lab result is most important to communicate rapidly to the health care provider?
High Troponin1 level
A nurse is caring for a patient who has hypertension and has a potassium level of 6.8mEg|L. Which of the following actions should the nurse take?
Obtain 12-lead ECG
A nurse is caring for a patient who has peripheral vascular disease and is taking dietary supplements. He has a new prescription for warfarin. The nurse should instruct the client to stop which of the following supplements prior to starting warfarin:
- Saw palmetto
- Glucosamine
- Ginko biloba
Deep vein thrombosis can potentially release emboli. Which of the following could result from an embolism
Originating from a deep venous thrombosis?
Pulmonary embolism
The nurse and unlicensed assistive personnel (UAP) on the telemetry unit are caring for 4 patients. Which nursing action can be delegated to the UAP?
Attaching ECG monitor electrodes after a patient bathes
A nurse in an ER is caring for a client who reports substernal chest pain and dyspnea. The client is vomiting and is diaphoretic. Which lab tests are used to diagnose an MI?
- Troponin I
- Troponin T
- CPK
- Myoglobin
wich of the following is a common sign of acute artenal obstruction?
Pain distal to the obstruction
Which nursing intervention is likely to be most effective when assisting the patient with coronary artery disease to make appropriate dietary changes?
Help the patient modify favorite high-fat recipes by using monounsaturated oils
A patient with primary hypotension has been prescribed with telmisartan hydrochlorothiazide (Micardis HCT). What should the nurse emphasize in teaching the patient about this medication?
“Inform your health care if you are taking a diuretic”
A nurse is reviewing the health history for a client who has angina pectoris and a prescription for propranolol hydrochloride PO 40m twice daily. Which of the following findings in the history should the nurse report to the provider?
The client has a history of bronchial asthma
