Passpoint Cardiovascular | Which statement would lead the nurse to determine that a client lacks understand ng of her acute cardiac illness and the ab l ty to make changes in her lifestyle?

Passpoint-cardiovascular Passpoint-cardiovascular

QuestionI1 I SeeIfullIquestion

WhichIstatementIwouldIleadItheInurseItoIdetermineIthatIaIclientIlacksIunderstandingIofIherIacuteIcardiac IillnessIandItheIabilityItoImakeIchangesIinIherIlifestyle?

YouISelected:

• "IItalkedIwithImyIhusbandIyesterdayIaboutIworkingIonIaInewIbudgetItogether."

CorrectIresponse:

• "IIalreadyIhaveImyIairlineIticket,IsoIIIwillInotImissImyImeetingItomorrow."

Explanation:

QuestionI2 I SeeIfullIquestion

WhatIisItheIexpectedIoutcomeIofIthrombolyticIdrugItherapyIforIstroke?

YouISelected:

• dissolvedIemboli

CorrectIresponse:

• dissolvedIemboli

Explanation:

Remediation:

QuestionI3 I SeeIfullIquestion

TheIclientIwithIperipheralIvascularIdiseaseIhasIbeenIprescribedIdiltiazem.ITheInurseIshouldIdetermineIthe IeffectivenessIofIthisImedicationIbyIassessingItheIclientIfor:

YouISelected:

• vasodilation.

CorrectIresponse:

• vasodilation.

Explanation:

Remediation:

QuestionI4 I SeeIfullIquestion

AlteplaseIrecombinant,IorItissueIplasminogenIactivatorI(t-PA),IaIthrombolyticIenzyme,IisIadministered IduringItheIfirstI6IhoursIafterIonsetIofImyocardialIinfarctionI(MI)Ito:

YouISelected:

• reduceIcoronaryIarteryIvasospasm.

CorrectIresponse:

• revascularizeItheIblockedIcoronaryIartery.

Explanation:

Remediation:

QuestionI5 I SeeIfullIquestion

AInurseIisIcaringIforIaIclientIwithIfirst-degreeIatrioventricularI(AV)Iblock.IWhenIinstructingItheIspouse IusingIaIdiagram,IidentifyItheIareaIinItheIconductionIcycleIwhereIthisIblockIoccurs.

YouISelected:

•

YourIselectionIandItheIcorrectIarea,ImarketIbyItheIgreenIbox.

Explanation:

QuestionI6 I SeeIfullIquestion

AIpostoperativeIclientIisIreceivingIheparinIafterIdevelopingIthrombophlebitis.ITheInurseImonitorsIthe IclientIcarefullyIforIbleedingIandIotherIadverseIeffectsIofIheparin.IIfItheIclientIstartsItoIexhibitIsignsIof IexcessiveIbleeding,ItheInurseIshouldIexpectItoIadministerIanIantidoteIthatIisIspecificItoIheparin.IWhich IagentIfitsIthisIdescription?

YouISelected:

• ProtamineIsulfate

CorrectIresponse:

• ProtamineIsulfate

Explanation:

Remediation:

QuestionI7 I SeeIfullIquestion

FollowingIaIpercutaneousItransluminalIcoronaryIangioplasty,IaIclientIisImonitoredIinItheIpostprocedureIunit. ITheIclient'sIheparinIinfusionIwasIstoppedI2IhoursIearlier.IThereIisInoIevidenceIofIbleedingIorIhematoma IatItheIinsertionIsite,IandIthe IpressureIdeviceIisIremoved.ITheInurseIshouldIplanItoIsafely IremoveIthe IfemoralIsheathIwhenItheIpartialIthromboplastinItimeI(PTT)Iis:

YouISelected:

• 75IsecondsIorIless.

CorrectIresponse:

• 50IsecondsIorIless.

Explanation:

QuestionI8 I SeeIfullIquestion

PriorItoIadministeringItissueIplasminogenIactivatorI(t-PA),ItheInurseIshouldIassessItheIclientIforIwhich IcontradictionItoIadministeringItheIdrug?

YouISelected:

• historyIofIheartIfailure

CorrectIresponse:

• historyIofIcerebralIhemorrhage

Explanation: IRemediation :

QuestionI9 I SeeIfullIquestion

TheInurseIisIconcernedIaboutItheIrisksIofIhypoxemiaIandImetabolicIacidosisIinIaIclientIwhoIisIinIshock. IWhatIfindingIshouldItheIanalyzeIforIevidenceIofIhypoxemiaIandImetabolicIacidosisIinIaIclientIwith Ishock?

YouISelected:

• ArterialIbloodIgasI(ABG)Ifindings

CorrectIresponse:

• ArterialIbloodIgasI(ABG)Ifindings

Explanation:

Remediation:

QuestionI10 I SeeIfullIquestion

WhichIassessmentIfindingsIwouldItheInurseIexpectItoIfindIinItheIpostoperativeIclientIexperiencingIfat IembolismIsyndrome?

YouISelected:

• ColumnIC

CorrectIresponse:

• ColumnIB

QuestionI1 I SeeIfullIquestion

AInurseIisIpreparingItoIadministerIcardiacImedicationsItoItwoIclientsIwithItheIsameIlastIname.IShe IchecksItheImedicationIthreeItimesIbeforeIenteringItheIroomItoIadministerImedicationsItoItheIfirstIclient. IWhileIleavingItheIroom,ItheInurseIrealizesIsheIdidn'tIcheckItheIclient'sIidentificationIbefore IadministeringItheImedication.IWhichIactionIshouldItheInurseItakeIfirst?

YouISelected:

• DocumentItheImedicationIerrorIandIcompletionIofItheIvarianceIreportIinItheIclient'sIchartIand

InotifyItheIphysician.

CorrectIresponse:

• ReturnItoItheIroom,IcheckItheIclient'sIidentificationIagainstItheImedicationIadministration

Irecord,IandIcompleteIaIvarianceIreportIifIneeded.

Explanation: IRemediation :

QuestionI2 I SeeIfullIquestion

TheInurseIisIassessingIaIclientIwithIirreversibleIshock.ITheInurseIshouldIdocumentIwhichIfinding?

YouISelected:

• hypertension

CorrectIresponse:

• circulatoryIcollapse

Explanation:

Remediation:

QuestionI3 I SeeIfullIquestion

TheInurseIinstructsIaIclientIwithIcoronaryIarteryIdiseaseIinItheIproperIuseIofInitroglycerin.ITheIclientIhas IhadI2IpreviousIepisodesIofIcoronaryIarteryIdisease.IAtItheIonsetIofIchestIpain,IwhatIshouldItheIclient Ido?

YouISelected:

• CallI911IwhenIthreeInitroglycerinItabletsItakenIeveryI5IminutesIareInotIeffective.

CorrectIresponse:

• CallI911IwhenIthreeInitroglycerinItabletsItakenIeveryI5IminutesIareInotIeffective.

Explanation:

Remediation:

QuestionI4 I SeeIfullIquestion

AIclientIwithIchestIpainIdoesn'tIrespondItoInitroglycerin.IWhenIhe'sIadmittedItoItheIemergency Idepartment,ItheIhealthIcareIteamIobtainsIanIelectrocardiogramIandIadministersII.V.Imorphine.IThe IphysicianIalsoIconsidersIadministeringIalteplase.IThisIthrombolyticIagentImustIbeIadministeredIhow IsoonIafterIonsetIofImyocardialIinfarctionI(MI)Isymptoms?

YouISelected:

• WithinI24ItoI48Ihours

CorrectIresponse:

• WithinI6Ihours

IExplanation:

IRemediation:

QuestionI5 I SeeIfullIquestion