Cardiovascular NCLEX-PN 6th Edition

Study online at https://quizlet.com/_37wem6

The nurse is providing discharge teaching for a post-myocardial
infarction (MI) client who will be taking 1 baby aspirin a day.
"I will take this medication every day."
The nurse determines that the client understands the use of this
medication if the client makes which statement?
A client with heart failure is scheduled to be discharged to home
with digoxin (Lanoxin) and furosemide (Lasix) as ongoing pre-
scribed medications. The nurse teaches the client to report which Weight gain 2 to 3 pounds in a few days
sign/symptom that indicates the medications are not producing
the intended effect?
The nurse is reinforcing instructions to a client with angina pectoris
about measures to reduce recurrence of chest pain. The nurse
Avoiding exposure to either very hot or very cold
should stress to the client the importance of taking which mea-
sure?
Administering oxygen
The nurse in a medical unit is caring for a client with heart failure.
The client suddenly develops extreme dyspnea, tachycardia, and Inserting a Foley catheter
lung crackles, and the nurse suspects pulmonary edema. The
nurse immediately notifies the registered nurse and expects which Administering furomeside (Lasix)
interventions to be prescribed? Select all that apply.
Administering morphine sulfate intravenously
The nurse has reinforced instructions to the family of an older
client who seems anxious about being discharged after cardiac "A daily half-mile-long brisk walk generally helps people bounce
surgery. The nurse understands further teaching is needed if a back more quickly and provides more of a sense of control."
family member makes which statement?
The nurse has reinforced dietary instructions to a client with
coronary artery disease. Which statement by the client indicates "I should routinely use polyunsaturated oils in my diet."
an understanding of the dietary instructions?
The nurse is planning a dietary menu for a client with heart fail-
ure being treated with digoxin (Lanoxin) and furosemide (Lasix). Baked pollock, mashed potatoes, and carrot-raisin salad
Which would be the best dinner choice from the daily menu?
A hospitalized client with a history of angina pectoris is ambulating
in the corridor. The client suddenly complains of severe substernal Assist the client to sit or lie down
chest pain. The nurse should take which action first?
The nurse is monitoring a client with an abdominal aortic
Hyperactive bowel sounds in the area
aneurysm (AAA). Which finding is probably unrelated to the AAA?
The nurse has completed counseling about smoking cessation
with a client with coronary artery disease (CAD). The nurse de- "A smoker has twice the risk of having a heart attack as a non-
termines that the client has understood the material best if the smoker."
client makes which statement?
A client is scheduled for a cardiac catheterization using a ra-
diopaque dye. The nurse checks which most critical item before Prior reaction to contrast media
the procedure?
Nicotine decreases oxygen to the heart
The nurse is preparing for a health fair about tobacco use and the
development of coronary heart disease. Which information should Hypnosis may be helpful to stop smoking
the nurse include? Select all that apply.
Avoid exposure to environmental tobacco smoke
The nurse reinforces instructions to a client at risk for throm-
bophlebitis regarding measures to minimize its occurrence. Which
"I should avoid sitting in one position for long periods of time."
statement by the client indicates an understanding of this infor-
mation?

The licensed practical nurse (LPN) is assisting in caring for a

client with a diagnosis of myocardial infarction (MI). The client is
experiencing chest pain that is unrelieved by the administration of Respirations and blood pressure
nitroglycerin. The registered nurse administers morphine sulfate
to the client as prescribed by the health care provider. Following

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administration of the morphine sulfate, the LPN plans to monitor
which indicator(s)?
The nurse is collecting data on a client with a diagnosis of
right-sided heart failure. The nurse should expect to note which Dependent edema
specific characteristic of this condition?
A client has experienced an episode of pulmonary edema. The
nurse determines that the client's respiratory status is improving Crackles in the lung bases
if which breath sounds are noted?
The nurse is setting up the bedside unit for a client being ad-
mitted to the nursing unit from the emergency department with
a diagnosis of coronary artery disease (CAD). The nurse should Oxygen tubing and flowmeter
place highest priority on making sure that which is available at the
bedside?
The nurse is assisting in the care of a client with myocardial infarc-
tion who should reduce intake of saturated fat and cholesterol. The Baked haddock, steamed broccoli, herbed rice, sliced strawber-
nurse should help the client comply with diet therapy by selecting ries
which food items from the dietary menu?
The nurse determines that a client with coronary artery disease
(CAD) understands disease management if the client makes "I will walk for one-half hour daily."
which statement?
Monitor the blood pressure at home
The health care provider is discharging a client with a diagnosis
Restrict sodium intake as prescribed
of primary hypertension. Which health maintenance instructions
should the nurse reinforce in the discharge teaching plan? Select
Eye examinations with an ophthalmoscope should be routine
all that apply.
Follow-up appointments for blood pressure checks are important
The nurse is assisting in developing a plan of care for a client who
will be returning to the nursing unit following a cardiac catheteriza-
Encourage the client to increase fluid intake
tion via the femoral approach. Which nursing intervention should
be included in the postprocedure plan of care?
While the nurse is involved in preparing a client for a cardiac
catheterization, the client says, "I don't want to talk with you. You're "So you're saying that you want to talk to your health care
only the nurse. I want my doctor." Which response by the nurse provider?"
should be therapeutic?
A client is admitted with an arterial ischemic leg ulcer. The nurse
Deep and painful
expects to note that this ulcer has which typical characteristic?
The nurse finds a client tensing while lying in bed staring at the
cardiac monitor. Which is the nurse's best response when the "Yes, this equipment is a little scary. Can we talk about how cardiac
client states, "There sure are a lot of wires around there. I sure monitor works?"
hope we don't get hit by lightning!"?
Pink-tinged frothy sputum
The nurse is caring for a client with left-sided heart failure. Which
clinical signs are most important for the nurse to communicate to Increase in respiratory rate
the health care provider? Select all that apply.
Auscultation of crackles throughout the lungs
The nurse is preparing to care for a client who will be arriving from
the recovery room after an above-the-knee amputation. The nurse Surgical tourniquet
ensures that which priority item is available for emergency use?
The nurse is discussing smoking cessation with a client diagnosed
with coronary artery disease (CAD). Which statement should the "If you quit now, your risk of cardiovascular disease will decrease
nurse make to the client to try to motivate the client to quit smok- to that of a nonsmoker in 3 to 4 years."
ing?
A client who experienced a myocardial infarction (MI) tells the
nurse that he is fearful about not being able to return to a normal Explore the specific concerns with the client.
life. Which action by the nurse is therapeutic at this time?

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A client complaining of chest pain has an as-needed (PRN) pre-
scription for sublingual nitroglycerin (Nitrostat). Before adminis-
Blood pressure
tering the medication to the client, the nurse should first check
which?
The nurse is caring for a client who is developing pulmonary ede-
ma. The client exhibits respiratory distress, but the blood pressure
Place the client in high-Fowler's position
is unchanged from the client's baseline. As an immediate action
before help arrives, the nurse should perform which action?
A 24-year-old man seeks medical attention for complaints of clau-
dication in the arch of the foot. The nurse also notes superficial
Smoking history
thrombophlebitis of the lower leg. The nurse should check the
client for which next?
A client in a long-term care facility who has a history of angina
pectoris wants to go for a short walk outside with a family member. Instruct the family member to dress the client warmly before going
It is a sunny but chilly December day. The nurse should perform outside.
which intervention to care for this client in a holistic manner?
A client who has undergone femoropopliteal bypass grafting says
to the nurse, "I hope I don't have any more problems that could
"You are concerned about losing your leg?"
make me lose my leg. I'm so afraid that I'll have gone through this
for nothing." Which is an appropriate nursing response?
The nurse is collecting data on a client with a diagnosis of angina
pectoris who takes nitroglycerin for chest pain. During the admis-
"Where is the pain located?"
sion, the client reports chest pain. The nurse immediately asks the
client which question?
A client has just returned from the cardiac catheterization labo-
ratory. The left femoral vessel was used as the access site. After
returning the client to bed, the nurse places a sign above the bed With the head of the bed elevated no more than 15 degrees
stating that the client should remain on bed rest and in which
position?
A client is admitted to the hospital with possible rheumatic en-
docarditis. The nurse should check for a history of which type of Streptococcal infection
infection?
The nurse is working with a client who has been diagnosed with
Prinzmetal's angina is generally treated with calcium channel
Prinzmetal's (variant) angina. The nurse plans to reinforce which
blocking agents.
information about this type of angina when teaching the client?
The client scheduled for a right femoropopliteal bypass graft is at
risk for compromised tissue perfusion to the extremity. The nurse Marking the location of the pedal pulses on the right leg
takes which action before surgery to address this risk?
A client with a diagnosis of heart failure (HF) is preparing for
The client can verbally describe the daily medications, doses, and
discharge to home from the hospital. Which condition indicates
times to be administered
the client is ready for discharge to home?
An adult client just admitted to the hospital with heart failure also
has a history of diabetes mellitus. The nurse calls the health care
Chlorpropamide
provider to verify a prescription for which medication that the client
was taking before admission?
An ambulatory clinic nurse is interviewing a client who is com-
plaining of flulike symptoms. The client suddenly develops chest
"Does the pain get worse when you breathe in?"
pain. Which question best assists the nurse to discriminate pain
caused by a noncardiac problem?
The nurse has completed nutritional counseling with an over-
weight client about weight reduction to modify the risk for coronary
Two pounds per week
artery disease (CAD). The nurse should determine the teaching is
successful if the client states that which weight loss goal is safe?
A client being seen in the emergency department for complaints
of chest pain confides in the nurse about regular use of cocaine Teaches about the effects of cocaine on the heart and offers
as a recreational drug. The nurse takes which important action in referral for further help
delivering holistic nursing care to this client?
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The nurse is caring for a client who has a malignant lung neoplasm
and has developed cardiopulmonary complications. On auscul-
tation, the nurse hears these breath sounds over the left lower
sternal border (over the apical area) and interprets the sounds as
Pericardial friction rub
which? (Refer to audio.)

Play Sound
Obtain annual influenza vaccination
The health care provider is discharging a client with a diagnosis
of chronic heart failure. Which health maintenance instructions
Avoid adding salt to foods or in cooking
should the nurse reinforce in the discharge teaching plan? Select
all that apply.
Report a weight gain of 3 or more pounds in a week
The nurse is auscultating a client's heart sounds and hears these
sounds. (Refer to audio.) The nurse identifies these as being
produced during which phase of the cardiac cycle?
Passive filling phase of ventricles

Play Sound
A client with coronary artery disease has selected guided imagery
to help cope with psychological stress. Which statement by the "The best thing about this is that I can use it anywhere, anytime."
client indicates understanding of this stress reduction measure?
The nurse is told during shift report that a client is having oc-
casional ventricular dysrhythmias. The nurse reviews the client's
Hypokalemia
laboratory results, recalling that which electrolyte imbalance could
be responsible for this development?
The nurse is monitoring a client following cardioversion. Which
Status of airway
observations should be of highest priority to the nurse?
A client with a diagnosis of rapid rate atrial fibrillation asks the
nurse why the health care provider is going to perform carotid
Vagus nerve to slow the heart rate
massage. The nurse responds that this procedure may stimulate
which?
A client seeks medical attention for intermittent episodes in which
the fingers of both hands become cold, pale, and numb. The
client states that they then become reddened and swollen with a Ingestion of coffee or chocolate
throbbing, achy pain and Raynaud's disease is diagnosed. Which
factor would precipitate these episodes?
The nurse is caring for a client diagnosed with Buerger's disease.
Which finding should the nurse determine is a potential compli- Numbness and tingling in the legs
cation associated with this disease?
A client with myocardial infarction (MI) has been transferred from
the coronary care unit (CCU) to the general medical unit with
Bathroom privileges and self-care activities
cardiac monitoring via telemetry. The nurse assisting in caring for
the client expects to note which type of activity prescribed?
The nurse working in a long-term care facility is collecting data
from a client experiencing chest pain. The nurse should interpret
The pain has not been unrelieved by rest and nitroglycerin tablets
that the pain is likely a result of myocardial infarction (MI) if which
observation is made by the nurse?
The nurse is assisting in the care of a client diagnosed with
rheumatic heart disease. The nurse should reinforce instructions
The client requires prophylactic antibiotics before treatment
to the client to notify the dentist before dental procedures for which
reason?
A client with myocardial infarction suddenly becomes tachycardic,
shows signs of air hunger, and begins coughing frothy, pink-tinged
Crackles
sputum. The nurse listens to breath sounds, expecting to hear
which breath sounds bilaterally?

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An older client with ischemic heart disease has experienced an
episode of dizziness and shortness of breath. The nurse reviews
the plan of care and notices documentation of decreased cardiac Place the client on a cardiac monitor
output, dyspnea, and syncopal episodes. The nurse plans to take
which important action?
The nurse is assisting in caring for a client in the telemetry unit
who is receiving an intravenous infusion of 1000 mL 5% dextrose
Tall, peaked T waves
with 40 mEq of potassium chloride. Which occurrence observed
on the cardiac monitor indicates the presence of hyperkalemia?
A client is admitted to the hospital with a venous stasis leg ulcer.
The ulcer has a brownish or "brawny" appearance
The nurse inspects the ulcer expecting to note which observation?
A female client complains of an "odd, left-sided, twinge-like pain"
along the anterior axillary line and states she has had this feeling Determine if the pain is cardiac in origin
for the past 3 days. Which is the initial action?
A client admitted to the hospital with coronary artery (CAD) dis-
ease complains of dyspnea at rest. The nurse determines that Elevating the head of the bed to at least 45 degrees
which would be of most help to the client?
In order to assess the dorsalis pedis pulse of a client diagnosed
with arterial vascular disease, the nurse palpates which anatom-
4
ical location? Refer to figure.
View figure
The nurse is assisting a client who will wear a Holter monitor for
continuous cardiac monitoring over the next 24 hours. The nurse Gives the client a device holder to wear around the waist
takes which action to assist the client?
A client returns to the nursing unit after an above knee amputation
With the foot of the bed elevated
of the right leg. In which position should the nurse place the client?
A client diagnosed with angina pectoris returns to the nursing unit
after experiencing an angioplasty. The nurse reinforces instruc-
tions to the client regarding the procedure and home care mea- "I need to adhere to my dietary restrictions."
sures. Which statement by the client indicates an understanding
of the instructions?
A client has just completed an information session about mea-
sures to minimize the progression of coronary artery disease
I should eat a diet that is low in fat and cholesterol
(CAD). Which statement indicates an initial understanding of
lifestyle alterations?
A client with known coronary artery disease (CAD) begins to
experience chest pain while getting out of bed. The nurse should Have the client stop and lie back down in bed
take which action?
Digoxin (Lanoxin)
The nurse is caring for a client with a new onset of atrial fibrillation.
Which prescribed treatments should the nurse expect? Select all Warfarin (Coumadin)
that apply.
Electrical cardioversion
A postcardiac surgery client with a blood urea nitrogen (BUN)
level of 45 mg/dL and a serum creatinine level of 2.2 mg/dL has
Acute kidney injury
a total 2-hour urine output of 25 mL. The nurse understands that
the client is at risk for which?
The nurse determines that a client with coronary artery disease
(CAD) needs further teaching about disease management if the "I will avoid walking for exercise."
client makes which statement?
A client diagnosed with thrombophlebitis 1 day ago suddenly
complains of chest pain and shortness of breath, and the client
Pulmonary embolism
is visibly anxious. The nurse understands that a life-threatening
complication of this condition is which?

The nurse is collecting data on a client who was just admitted to

Explore with the client the sources of stress in life
the hospital with a diagnosis of coronary artery disease (CAD).
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The client reveals having been under a great deal of stress re-
cently. Which should the nurse do next?
The nurse is assisting a hospitalized client who is newly diagnosed
with coronary artery disease (CAD) to make appropriate selec-
Fresh strawberries, steamed vegetables, and baked fish
tions from the dietary menu. The nurse encourages the client to
select which meal?
The clinic nurse is obtaining cardiovascular data on a client. The
nurse prepares to check the client's apical pulse and places the At the mid-clavicular line at the fifth left intercoastal space
stethoscope in which position?
The nurse is checking the neurovascular status of a client who
returned to the surgical nursing unit 4 hours ago after undergoing
an aortoiliac bypass graft. The affected leg is warm, and the
Normal, caused by increased blood flow through the leg
nurse notes redness and edema. The pedal pulse is palpable
and unchanged from admission. The nurse interprets that the
neurovascular status is which?
Use liquid vegetable oil

A client with hyperlipidemia is seen in the clinic for a follow-up visit. Increase intake of fruits
Which dietary modifications should the nurse include to lower the
risk of coronary heart disease? Select all that apply. Choose whole grain foods

Remove skin from poultry

A client is seen in the health care provider's office for a physical
examination after experiencing unusual fatigue over the last sev-
eral weeks. Height is 5 feet, 8 inches, with a weight of 220 pounds.
Vital signs are temperature 98.6° F oral, pulse 86 beats per
"When was the last time you had your blood pressure checked?"
minute, respirations 18 breaths per minute, and blood pressure
184/96 mm Hg. Random blood glucose is 110 mg/dL. In order to
best collect relevant data, which question should the nurse ask
the client first?
The nurse has given simple instructions on preventing some of the
complications of bed rest to a client who experienced a myocardial
Isometric exercises of the arms and legs
infarction. The nurse should intervene if the client was performing
which of these contraindicated activities?
A client is at risk for developing disseminated intravascular coag-
ulopathy (DIC). The nurse should become concerned with which 90 mg/dL
fibrinogen level?
The nurse is assigned to assist with caring for a client after cardiac
catheterization. The nurse should plan to maintain bed rest for this Head elevation of no more than 30 degrees
client in which position?
The nurse is evaluating the effects of care for the client with deep
vein thrombosis. Which limb observations should the nurse note
Pedal edema that is 3+
as indicating the least success in meeting the outcome criteria for
this problem?
The nurse is caring for a client who has been admitted to the
hospital with a diagnosis of angina pectoris. The client is receiving
oxygen via nasal cannula at 2 L. The client asks the nurse why Deficient oxygenation to heart cells result in angina pectoris pain
the oxygen is necessary. The nurse bases the response on which
information?
A student nurse is assigned to assist in caring for a client with
acute pulmonary edema who is receiving digoxin (Lanoxin) and
heparin therapy. The nursing instructor reviews the plan of care Restricting the client's potassium intake
formulated by the student and tells the student that which inter-
vention is unsafe?
The nurse is beginning to ambulate a client with activity intoler-
ance caused by bacterial endocarditis. The nurse determines that Blood pressure that increases from 114/82 to 118/86 mmHg
the client is best tolerating ambulation if which parameter is noted?

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A client in pulmonary edema has a prescription to receive mor-
phine sulfate intravenously. The licensed practical nurse assisting
Relief of apprehension
in caring for the client determines that the client experienced an
intended effect of the medication if which is noted?
A client is admitted to the hospital with a diagnosis of pericarditis.
The nurse reviews the client's record for which sign or symptom
Pericardial friction rub
that differentiates pericarditis from other cardiopulmonary prob-
lems?
A client with infective endocarditis is at risk for heart failure. The
nurse monitors the client for which signs and symptoms of heart Lung crackles, peripheral edema, and weight gain
failure?
A client is diagnosed with thrombophlebitis. The nurse should tell
Bed rest, with elevation of the affected extremity
the client that which prescription is indicated?
The nurse is planning adaptations needed for activities of daily liv-
Take in adequate daily fiber to prevent straining during a bowel
ing for a client with cardiac disease. The nurse should incorporate
movement
which instruction in discussion with the client?
The nurse is teaching a hospitalized client who has had aortoiliac
bypass grafting about measures to improve circulation. The nurse Keep the ankles uncrossed
should tell the client to do which?
The nurse is caring for a client with a diagnosis of myocardial
infarction (MI) and is assisting the client in completing the diet
Lemonade
menu. Which beverage does the nurse instruct the client to select
from the menu?
The nurse is collecting data from a client about medications being
taken, and the client tells the nurse that he is taking herbal supple-
Bilberry
ments for the treatment of varicose veins. The nurse understands
that the client is most likely taking which?
The nurse is assisting in caring for a client in the telemetry
unit and is monitoring the client for cardiac changes indicative
ST-segment depression
of hypokalemia. Which occurrence noted on the cardiac monitor
indicates the presence of hypokalemia?
The client's B-type natriuretic peptide (BNP) level is 691 pg/mL.
Which intervention should the nurse institute when providing care Take daily weights and monitor trends
for the client?
A client is wearing a continuous cardiac monitor, which begins
to alarm at the nurse's station. The nurse sees no electrocardio- Check the client status and lead placement
graphic complexes on the screen. The nurse should do which first?
The nurse has reinforced instructions to the client with Ray-
naud's disease about self-management of the disease process.
"Moving to a warmer climate should help."
The nurse determines that the client needs further teaching if the
client states which?
The nurse carries out a standard prescription for a stat electrocar-
Give sublingual nitroglycerin (Nitrostat) per the health care pre-
diogram (ECG) on a client who has an episode of chest pain. The
scriptions
nurse should take which action next?
For a client diagnosed with pulmonary edema, the nurse es-
tablishes a goal to have the client participate in activities that
Using a bedside commode for stools
reduce cardiac workload. Which client activities will contribute to
achieving this goal?
The nurse is planning measures to decrease the incidence of
chest pain for a client with angina pectoris. The nurse should do Provide a quiet and low-stimulus environment
which intervention to effectively accomplish this goal?

Blood flows to the right atrium from the superior and inferior vena
cavae

Blood flows from the right atrium to the right ventricle via the
tricuspid valve
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Blood flows from the right ventricle to the lungs for oxygenation

The nurse is caring for a client in the cardiac care unit with heart Blood flows from the lungs to the left atrium
disease. The nurse knows that the direction of blood flows through
the heart and lungs in which order? Please arrange the blood flow Blood flows from the left atrium via the mitral valve to the left
in the direction of flow. All options must be used. ventricle

Blood flows from the left ventricle to the aorta and then to the
systemic circulation
A client is at risk for complications of heart failure. Which is the
nurse's priority for early detection of the most likely cause of Evaluating total body fluid
complications with this client?
A client has received instructions about an upcoming cardiac
catheterization. The nurse determines that the client has the best
Chest pain
understanding of the procedure if the client knows to report which
symptoms?
The nurse notes this rhythm on the client's cardiac monitor. The
nurse next reports that the client is experiencing which heart
rhythm? Refer to figure. Atrial Fibrillation

View Figure
The nurse is asked to assist another health care member in pro-
viding care to a client who is placed in a modified Trendelenburg's
Shock
position. The nurse interprets that the client is likely being treated
for which condition?
The nurse is assisting a client admitted to the hospital with
pulmonary edema to prepare for discharge. The nurse should
Weigh self every morning before breakfast
reinforce with the client the importance of complying with which
measure to prevent a recurrence?
A client's blood pressure is 100/78 mm Hg; the client has tachy-
cardia and is cool and pale. The nurse assists the client to which Semi-Fowler's
position to promote tissue oxygenation and alleviate hypoxia?
A client with a history of angina pectoris complains of substernal
chest pain. The nurse checks the client's blood pressure and
administers nitroglycerin 0.4 mg sublingually. Five minutes later, Administer another nitroglycerin tablet
the client is still experiencing chest pain. If the blood pressure is
still stable, the nurse should take which action next?
A client brings the following medications to the clinic for a yearly
physical. The nurse realizes which medication has been pre- Digoxin (Lanoxin)
scribed to treat heart failure?
The nurse is preparing to ambulate a postoperative client after
cardiac surgery. The nurse plans to do which to enable the client Premedicate the client with an analgesic before ambulating
to best tolerate the ambulation?
A client has an Unna boot applied for treatment of a venous
stasis leg ulcer. The nurse notes that the client's toes are mottled,
and cool and the client verbalizes some numbness and tingling The boot has been applied too tightly
of the foot. Which interpretation should the nurse make of these
findings?
The nurse is using a stethoscope to listen to the client's heart
and hears this sound. (Refer to audio.) To assist in identifying the
sound, the nurse should take which initial and best action? Palpate the carotid pulse for a pulsation

Play Sound
The nurse is caring for a client with coronary artery disease, and
a topical nitrate is prescribed for the client. Why is acetaminophen
Headache is a common side effect of nitrates
(Tylenol) usually prescribed to be taken before the administration
of the topical nitrate?
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Be careful not to injure the legs or feet
The nurse is planning to reinforce instructions to a client with pe-
ripheral arterial disease about measures to limit disease progres-
Walk each day to increase circulation to the legs
sion. The nurse should include which items on a list of suggestions
to be given to the client? Select all that apply.
Cut down on the amount of fats consumed in the diet
The nurse notes bilateral 2+ edema in the lower extremities of a
client with known coronary artery disease who was admitted to
Reviews the intake and output records for the last 2 days
the hospital 2 days ago. Based on this finding, the nurse should
implement which action?
A client is scheduled for a dipyridamole thallium scan. The nurse
should check to make sure that the client has not consumed which Caffeine
substance before the procedure?
A client is admitted to the hospital with possible rheumatic heart
disease. The nurse collects data from the client and checks the Fever and sore throat
client for which signs/symptoms?
A hypertensive client who has been taking metoprolol (Lopressor)
has been prescribed to decrease the dose of the medication. The
client asks the nurse why this must be done over a period of 1
Precipitate rebound hypertension
to 2 weeks. In formulating a response, the nurse incorporates
the understanding that abrupt withdrawal could affect the client in
which way?
The nurse is assisting in caring for the client immediately after
insertion of a permanent demand pacemaker via the right subcla-
Limiting movement and abduction of the right arm
vian vein. The nurse prevents dislodgement of the pacing catheter
by implementing which intervention?
A client with a history of angina pectoris tells the nurse that
chest pain usually occurs after going up two flights of stairs or
Stable
after walking four blocks. The nurse interprets that the client is
experiencing which type of angina?
The nurse monitors the laboratory data on a client at risk for
coronary artery disease. A fasting blood glucose reading of 200 Elevated, signaling the presence of diabetes mellitus, a risk factor
mg/dL is recorded on the chart. The nurse analyzes this result as of coronary artery disease
indicative of which finding?
The nurse is admitting a client with acute pericarditis who reports
Sitting up and leaning forward
chest pain. When planning the client's care, which position should
the nurse encourage the client to assume to alleviate the chest
Head of bed elevated to 45 degrees
pain? Select all that apply.
A client with a diagnosis of myocardial infarction has a new activity
prescription allowing the client to have bathroom privileges. As the
Assist the client to get back into bed
client stands and begins to walk, the client begins to complain of
chest pain. The nurse should take which action?
The nurse is collecting data from a client with varicose veins.
The client complains of leg edema, and skin breakdown has
Which finding would the nurse identify as an indication of a po-
started
tential complication associated with this disorder?
An emergency department client who complains of slightly im-
proved but unrelieved chest pain for 2 days is reluctant to take
a nitroglycerin sublingual tablet offered by the nurse. The client
Denial
states, "I don't need that—my dad takes that for his heart. There's
nothing wrong with my heart." Which description best describes
the client's response?
A licensed practical nurse (LPN) is assisting in the care of a client
who is having central venous pressure (CVP) measurements
Flat
taken by the registered nurse (RN). The LPN should assist the RN
by placing the bed in which position for the reading?
The nurse is reinforcing dietary instructions to a client with heart
failure (HF). The nurse determines that the client understands the Catsup
instructions if the client states that which food item will be avoided?
9 / 10
 Cardiovascular NCLEX-PN 6th Edition
Study online at https://quizlet.com/_37wem6
When preparing a client for a pericardiocentesis, which position
Supine with the head of bed elevated at a 45- to 60- degrees
does the nurse place the client in?

10 / 10