Modifiable risk for CAD? - ✔✔High Cholesterol, Obesity
2. Acute MI showing dysrhythmias. Which IV med should be pushed? - ✔✔Lidocaine
3. For a Pt with Chronic arterial insufficiency, what would show he needs further in
...
Modifiable risk for CAD? - ✔✔High Cholesterol, Obesity
2. Acute MI showing dysrhythmias. Which IV med should be pushed? - ✔✔Lidocaine
3. For a Pt with Chronic arterial insufficiency, what would show he needs further instruction? -
✔✔"I will drink hot coffee several times a day to increase the circulation and warmth in my feet"
4. Patient has right side heart failure. What position will they be comfortable in? - ✔✔Dorsal
Recumbent
5. Pt has Dx of heart failure with a New York Heart Association classification IV. This indicates the
patient's condition as: - ✔✔Severe Heart Failure
6. Patient with NYHA classification IV and is requesting to ambulate to the bathroom. Which is
most appropriate? - ✔✔Offer a urinal or bedpan
7. Patient with NYHA classification IV with edema in lower extremities +4. What should the nurse
do to aid with decreasing the edema? - ✔✔Elevate lower extremities
8. A patient with Buerger's disease. Most important aspect of patient compliance in order to
decrease signs and symptoms of this is: - ✔✔Not smoking
9. Patient has heart failure. His physician's order include complete bed rest. Nurse knows that this
means he: - ✔✔Must remain as quiet as possible, with any task requiring physical effort done
for him10. An old term defined as the condition in which the patient suffers peripheral or pulmonary
congestion is called: - ✔✔Congestive Heart Failure
11. Patient with infective endocarditis. Nurse identifies the nursing diagnosis of activity intolerance
related to generalized weakness for him. Which intervention does the nurse plan while he is
febrile? - ✔✔Decreased activity
12. Patient with a history of dysrhythmias is to wear a Holter monitor. Nurse should explain that
Holter monitoring: - ✔✔Is a portable EKG device
13. After flu-like illness, patient complains of chills and small petechiae in his mouth and legs. A
heart murmur is detectable. These are characteristic signs of: - ✔✔Infective Endocarditis
14. The patient achieves comfort in breathing only when he assumes a sitting position. During the
charting of this position, the nurse can describe this as: - ✔✔Orthopnea
15. What is defined as a distended dilated segment of an artery? - ✔✔Aneurysm
16. A patient is admitted with a diagnosis of possible aortic aneurysm. In assessing her, it is most
important to monitor her: - ✔✔Blood pressure
17. A patient, age 65, has chronic angina pectoris. Her daughter had questions about the proper use
of nitro for pain management. She was unsure about how many times she should take nitro for
an episode of angina. The best reply of the nurse is: - ✔✔"If the pain isn't relieved after 3 doses
of nitro at 5-min intervals, call the doctor and come back to the hospital"
18. Patient has been hospitalized for CHF three times in the last 4 months. While preparing the
discharge teaching plan, the nurse assesses that he doesn't comply with his medication regimen.
The nurses immediate action is: - ✔✔Collect more info to identify his reasons for
noncompliance
19. Dependent edema of the extremities, enlargement of the liver, oliguria, jugular vein distension,
and abdominal distension are s/s of: - ✔✔Right-Sided Heart Failure20. A patient with newly diagnosed HTN tells nurse he uses alot of salt on his foods and has not
been able to lose 30 lbs that he has gained in last 10 years. He doesn't understand why he as
HTN since he's not an anxious person. Which nursing diagnosis does the nurse identify for this
patient? - ✔✔Ineffective health maintenance related to lack of knowledge of disease process
and management
21. A patient, 72, was admitted to the medical unit with a diagnosis of angina pectoris.
Characteristic s/s of angina pactoris include: - ✔✔Substernal pain that radiates down the left
arm
22. 56 y/o patient was admitted to the emergency room with an MI. Cardiac enzymes were drawn.
In a patient with an MI, which lab values would be abnormal? - ✔✔Elevated levels of serum
glutamic oxaloacetic transaminase (SGOT) (AST), Creatine phosphokinase (CPK-MB), and Lactic
dehydrogenase (LDH), Troponin 1
23. Patient, Age 26,is hospitalized with cardiomyopathy. While obtaining a nursing Hx from her, the
nurse sees that increased incidence of cardiomyopathy in young adults who have minimal ris
factors for heart disease is related to: - ✔✔Cocaine use
24. Restlessness, diaphorisis, severe dyspnea, tachypnea, hemotysis, audible wheezing, and crackles
are s/s of: - ✔✔Pumonary Edema
25. Nurse identifies problem of potential complication--pulmonary edema--for a patient in acute
CHF. For which early symptom of this problem does the nurse asses? - ✔✔Pink, frothy sputum
26. A patient has a diagnosis of heart failure. When the nurse walks into his room he is leaning over
his bedside table and is short of breath. The medical term to describe his respiratory status is: -
✔✔Orthopnea
27. During the nursing history and physical assessment of a patient with left-sided heart failure,
which finding might the nurse expect related to the patient's diagnosis? - ✔✔Orthopnea with
bubbling crackles throughout the lungs28. When providing discharge teaching to a patient with endocarditis regarding prevention of
infections, what would the nurse stress? - ✔✔Take antibiotics as prescribed
29. A patient has been admitted after the insertion of a pacemaker because of bradycardia. She asks
what third-degree heart block is, and the nurse replies - ✔✔"A defect in AV junctions slows and
impairs conduction of impulses from the SA node to the ventricles."
30. In evaluating pain for the management of myocardial infarction, the most important aspect
using objective data is - ✔✔patient's vital signs during painful periods
31. A patient with angina pectoris is being discharged with nitroglycerin tablets. Which of the
instructions does the nurse include in the teaching? - ✔✔"When your chest pain begins, lie
down and place one tablet under your tongue. If the pain continues, take another tablet in 5
minutes."
32. A type of medication useful for preventing venous thrombus is - ✔✔low-molecular-weight
heparin
33. A thrombectomy is done to - ✔✔prevent the flow of emboli to the lungs
34. A patient has a diagnosis of heart failure. When the nurse walks into his room, he is orthopneic.
The patient is - ✔✔sitting or standing in order to breathe deeply and comfortably
35. Which nursing intervention reduces myocardial oxygen demand? - ✔✔Elevating the head of the
bed 30 to 45 degrees
36. There is a strong relationship between Buerger's disease (thromboangiitis obliterans) and -
✔✔Smoking
37. In older adults, rapid infusion of fluids can lead to - ✔✔Heart failure38. Edema and pulmonary congestion are treated with - ✔✔Diuretics, restriction of sodium diet and
fluid intake
39. Modifiable risk factors for coronary artery disease include - ✔✔weight, diet, exercise
40. Which would be included in teaching for patients with Raynaud's disease? - ✔✔Use mittens in
cold weather, Practice stress-reducing techniques, Complete smoking cessation, Use caution
when cleaning the refrigerator or freezer
41. Which information should be taught to patients starting on anticoagulant therapy? - ✔✔Take
medication at the same time each day, Report to physician cuts that don't stop bleeding with
direct pressure
42. Which statements are true? - ✔✔Anticoagulant therapy is used for DVT prevention,
Anticoagulant therapy prevents development of new clots, embolization, and clot extension,
Pulmonary embolus is a life-threatening complication requiring treatment with anticoagulant
therapy
43. Which patient teaching would help to prevent venous stasis? - ✔✔Avoid crossing legs at the
knee, Elevate legs when lying in bed or sitting, Wear elastic stockings when ambulating
44. The functions of the cardiovascular system are to: - ✔✔Deliver O2 and nutrients to cells;
Removed CO2 and waste products from the cells
45. Three kinds of blood vessels are organized for carrying blood to and from the heart - ✔✔Veins,
Arteries, Capillaries
46. When assessing a patient with a myocardial infarction (MI), which is objective data? - ✔✔HTN,
Vomiting, Diaphoresis, Cardiac rhythm changes
47. Which are signs of digoxin (Lanoxin) toxicity? - ✔✔Nausea, Bradycardia, Headache, VISUAL
DISTURBANCE
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