cardiology

A nurse is planning care for a client who has atrial fibrillation and reports heart palpitations, lightheadedness, and shortness of breath. Which of the following procedures should the nurse anticipate for this client?

Synchronized electrical cardioversion

A nurse is caring for a patient who has a new prescription for warfarin. Should the nurse use the result of the following diagnostic test to monitor the therapy’s effect?

Prothrombin time (PT)

A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris. Which of the following instructions should the nurse include in the teaching?

Transdermal patch

A nurse is collecting data from a client’s electrocardiogram (ECG) strip and identifies the following information: heart rate: 92/min, rhythm: irregular, P wave: unable to identify, PR interval: unable to measure, QRS duration: 0.10 seconds

Atrial fibrillation

A nurse is providing teaching to a client who has coronary artery disease. Which of the following statements should the nurse include in the teaching to explain the correlation between changes in the coronary arteries and manifestations that occur?

Coronary arteries decrease in diameter leading to insufficient blood, oxygen, and nutrients reaching the heart muscle.

A nurse is providing teaching to a client who has atrial fibrillation and reports dizziness and palpitations. Which of the following should the nurse understand is the cause of these manifestations?

The heart’s electrical signals are rapid, chaotic, and irregular.

A nurse is providing care to a client who has spent several weeks in the intensive care unit because of complications related to shock. What adverse psychological outcomes should the nurse educate the client about prior to transfer to the medical unit?

Disorientation and depression

A nurse is planning care for a client who has suspected cardiac tamponade. Which of the following diagnostic tests should the nurse anticipate the provider to order first?

Echocardiogram

A nurse is providing postoperative care to a client who lost 800 mL of blood during surgery. The client’s blood pressure has been steadily decreasing over the past 2 hr. Which of the following categories of shock should the nurse recognize is occurring?

Hypovolemic shock

A nurse is reinforcing teaching to a newly licensed nurse regarding the epidemiology of sudden cardiac arrest. Which of the following should the nurse include?

Sudden cardiac arrest is considered a public health burden worldwide

A nurse is providing care to a client who has hypovolemic shock due to blood loss. The client has manifestations of tachycardia, tachypnea, oliguria, and orthostatic hypotension. Which of the following levels of blood loss do these manifestations indicate?

24%

A nurse is providing care for a client who experienced a myocardial infarction prior to a cardiac arrest. Which of the following laboratory tests will identify early injury to the cardiac muscle?

Troponin T test

A client with a terminal illness asks the nurse, “If I have a DNR prescription, does that mean I will no longer receive any treatment for my condition?” Which of the following statements should the nurse provide to explain a DNR prescription?

“A DNR prescription will allow you to continue with your current treatment regimen”

A nurse is performing a health history on a client who reports having had an anaphylactic reaction to peanuts. Which of the following risk factors increases the client’s risk of death from a future anaphylactic reaction?

Taking beta blockers

A nurse is teaching a group of clients about risk factors for developing atrial fibrillation. Which of the following should be included in the teaching?

History of thyroid disease

A nurse is collecting data from an older patient who has been taking digoxin for the past several months. Which of the following manifestations of digoxin toxicity should the nurse monitor for?

Anorexia

A nurse is collecting data from a client who has a prosthetic aortic valve and takes warfarin daily at bedtime. Which of the following data is priority finding for the nurse to report to the provider?

The patient takes garlic as a daily dietary supplement

A nurse is reinforcing teaching with a client who has hypertension and asks if there is a herbal supplement he can use to help lower blood pressure. The nurse should identify that the client can use which of the following herbal supplements to help lower blood pressure?

Garlic

A nurse is reinforcing teaching with a client who is about to start taking captopril to treat hypertension. Which of the following instructions should the nurse include to help the client manage this medication’s adverse effects?

Take the medication on an empty stomach.

A nurse is talking with a client who says she knows someone who takes metoprolol for blood pressure and asks if the medication would be appropriate for her as well. Which of the following data from the client’s medical record should the nurse identify as a contraindication of metoprolol?

A history of sinus bradycardia

AA nurse is administering the disease-modifying anti-rheumatic medication hydroxychloroquine to a client who has rheumatoid arthritis. Which of the following potential health conditions should the nurse inform the client may occur

Eye problems

A nurse is preparing to administer digoxin 250 mcg PO daily. Available is digoxin 0.125 mg tablets. How many tablets should the nurse administer?

2 tablets

Which nursing intervention is appropriate with the patient who has mitral valve stenosis?

Administer diuretic to decrease fluid overload

What is the potential nursing intervention to prevent complications of a cardiac catheterization?

Maintain bed rest and immobilizing the affected leg

A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide. Which of the following instructions should the nurse include?

Eat foods that contain plenty of potassium

A nurse is collecting data on a client who has pericardial effusion and has developed hypotension and muffled heart sounds. Which of the following procedures should the nurse anticipate for this patient?

Pericardiocentesis

A nurse is reinforcing teaching to a group of patients about risk factors for pericarditis. Which of the following should the nurse include in the teaching?

Recent Flu-Like illness ( because it can cause fluid to build, infection, bacteria)

A nurse is reinforcing discharge teaching to a patient who has heart failure. Which of the following lifestyle modifications should the nurse include in this discharge?

Dietary fluid restrictions

A nurse is caring for an older adult patient who has left sided heart failure. Which of the following findings should the nurse expect?

Frothy Sputum

A nurse is caring for a patient who has chronic heart failure. The immobility of this patient can lead to which of the following life threatening issues?

Stasis pneumonia