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RN Nursing School · Med-Surg · 774 questions

Cardiovascular Disorders practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Cardiovascular Disorders, practise in the app.

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  1. 1A patient with a history of myocardial infarction calls the clinic to report the onset of a cough and shortness of breath at night when lying down. Which instruction should the nurse give to the patient?Answer →
  2. 2The nurse is providing discharge education to a patient prescribed furosemide for heart failure. Which statement indicates the patient understands the teaching?Answer →
  3. 3A nurse in a clinic is caring for a client who has a prescription for digoxin. Which of the following statements indicates the client is experiencing digoxin toxicity?Answer →
  4. 4The nurse is assessing a client's ability to provide informed consent for an ablation procedure for intractable AFib. Which factor is most critical in determining the client's competence?Answer →
  5. 5A nurse is admitting a client who reports tightness in their chest that radiates to left arm. The nurse is reviewing the client's chart. Click to highlight the findings that require immediate follow-up.Answer →
  6. 6A patient with peripheral arterial disease (PAD) presents with cold, pale lower extremities, diminished peripheral pulses, and reports pain when walking that resolves with rest. The nurse notes the patient has a history of type 2 diabetes mellitus and hypertension. Which nursing priority intervention should the nurse implement first to prevent further complications?Answer →
  7. 7A nurse is collecting data from a client who has peripheral arterial disease (PAD). Which of the following findings should the nurse expect?Answer →
  8. 8A client diagnosed with coronary artery disease asks the nurse, "Why do I get chest pain?" Which statement would be the most appropriate response by the nurse?Answer →
  9. 9The nurse is caring for a client 6 hours after a Femoral-Popliteal Bypass Graft Surgery for peripheral arterial disease. Which assessment finding requires immediate nursing intervention?Answer →
  10. 10The nurse is teaching the Dietary Approaches to Stop Hypertension (DASH) diet to a client diagnosed with essential hypertension. Which statement indicates the client understands the DASH diet?Answer →
  11. 11The nurse observes a student nurse at the clinic taking the blood pressure (BP) on a patient with heart failure. The student nurse explains the BP procedure to the patient. Which of these actions by the student nurse requires intervention by the nurse?Answer →
  12. 12A patient with Congestive Heart Failure was admitted seven days, today patient has been discharged, but while educating the patient you note some problems that need fixing. What would it be?Answer →
  13. 13While assessing heart sounds, the nurse hears an extra heart sound immediately after S. (S. gallop). Which client's finding would the nurse interpret as most likely a normal variation rather than a sign of heart failure?Answer →
  14. 14A client presents with a feeling of numbness and tingling and occasionally burning pain. Raynaud's phenomenon has been identified as the cause. Client education will include which two of the following interventions?Answer →
  15. 15Which assessment finding is commonly associated with aortic regurgitation?Answer →
  16. 16A nurse is admitting a client who was admitted in the emergency room complaining of weakness, easy fatigue, palpitations, shortness of breath. Based on the EKG strip, which of the following heart rhythm should the nurse anticipate?Answer →
  17. 17Which medication decreases preload in acute pulmonary edema?Answer →
  18. 18Which medication decreases preload in acute pulmonary edema?Answer →
  19. 19Which assessment finding is commonly associated with mitral stenosis?Answer →
  20. 20The nurse is caring for a client with the following rhythm. Which of the following would be a priority intervention?Answer →
  21. 21Which are risk factors for peripheral arterial disease? Select all that apply.Answer →
  22. 22The nurse is assessing an ECG strip of a 42-year-old patient and finds a regular rate greater than 100 bpm, a normal QRS complex, a normal P wave in front of each QRS, a PR interval between 0.12 and 0.20 seconds, and a P:QRS ratio of 1:1. What should be the nurse's interpretation?Answer →
  23. 23A critically ill patient with low blood pressure is being monitored in the intensive care unit. The nurse notices discrepancies between the non-invasive blood pressure readings and the patient's clinical presentation. Why is using an arterial line essential for accurate hemodynamic monitoring in this situation?Answer →
  24. 24A nurse is caring for a patient with hypertension and stable angina who has been prescribed a calcium channel blocker. The patient reports new onset swelling in the lower extremities and occasional dizziness when standing. Which nursing action is the highest priority?Answer →
  25. 25A nurse is caring for a patient diagnosed with ventricular dysrhythmia who suddenly becomes diaphoretic, pale, unresponsive. The patient's heart monitor shows a rapid, irregular rhythm with absent palpable pulse. What is the nurse's priority action?Answer →
  26. 26A 46-year-old African-American man is in an outpatient clinic for a physical examination. His BP is 126/78 mm Hg, his BMI is 24, and he reports no previous medical problems. Which of the following actions should the nurse take?Answer →
  27. 27The nurse reviews the client's history and test results. Which findings suggest the client may have coronary artery disease? Select all that apply.Answer →
  28. 28Which drug is generally avoided in Congestive Heart Failure due to negative inotropy effect?Answer →
  29. 29A nurse taking care of a client recently admitted to the ICU observes the client coughing up large amounts of pink, frothy sputum. Auscultation of the lungs reveals course crackles to lower lobes bilaterally. Based on this assessment, the nurse recognizes this client is developing which of the following problem(s)?Answer →
  30. 30A nurse is collecting data from a client who reports a sudden onset of shortness of breath, fatigue, and dizziness. Electrocardiography indicates the client is experiencing atrial fibrillation. Which of the following medications should the nurse expect to administer?Answer →
  31. 31A patient receiving loop diuretics develops muscle weakness and ECG abnormalities. Serum potassium is 2.8 mEq/L. Which ECG change is most concerning?Answer →
  32. 32The nurse is assessing a patient 36 hours after coronary artery bypass graft (CABG) surgery. Which finding most strongly suggests a cardiac complication and requires immediate intervention?Answer →
  33. 33In which type of heart failure is the presence of an S3 heart sound heard?Answer →
  34. 34A nurse is caring for a client who has right-sided heart failure. The nurse should assess the client for which of the following manifestations?Answer →
  35. 35Which client cue is the most predictive of coronary artery disease (CAD)?Answer →
  36. 36A nurse is providing dietary education to a client who has been prescribed lisinopril, an ACE inhibitor, following a myocardial infarction. Which food choice should the nurse instruct the client to avoid to prevent potential complications?Answer →
  37. 37A client is admitted to the ICU with a blood pressure of 220/120 mm Hg, severe headache, blurry vision, and confusion. The nurse anticipates IV vasodilator therapy. What is the primary treatment goal during the first hour?Answer →
  38. 38A nurse is providing care for a client experiencing obstructive shock. Which of the following diagnoses should the nurse expect?Answer →
  39. 39A nurse is interviewing a newly admitted client with a potassium level of 6.5 mEq/L. What question should the nurse ask first?Answer →
  40. 40A nurse is reinforcing teaching with a client who is scheduled for a magnetic resonance imaging (MRI) of the heart and great vessels. Which of the following instructions should the nurse include about this test?Answer →
  41. 41A nurse is caring for a client who is receiving warfarin therapy to prevent a deep vein thrombosis. Which of the following medications should the nurse have available in the event of an overdose?Answer →
  42. 42A patient with coronary artery disease starts atorvastatin (Lipitor). The nurse notes fatigue, mild jaundice, and dark urine. Which lab should the nurse monitor to detect medication toxicity?Answer →
  43. 43A client presents with lower extremity edema, fatigue, and weight gain over the last week. Upon assessment, the nurse auscultates clear lungs bilaterally and positive jugular vein distention is noted. The nurse recognizes the client is most likely experiencing:Answer →
  44. 44A patient on a telemetry unit suddenly becomes unresponsive. The cardiac monitor shows a sinus rhythm at 78 bpm. The nurse palpates the carotid pulse and finds none. What is the nurse's priority action?Answer →
  45. 45A nurse is monitoring a patient taking lisinopril (an ACE inhibitor) for heart failure. Which findings should the nurse report to the provider?Answer →
  46. 46A nurse in the critical care unit is caring for a client with heart failure who has developed an intracardiac ombus. The nurse should assess for signs and symptoms of which sequela?Answer →
  47. 47A nurse is caring for a patient presenting with sustained ventricular tachycardia (V-tach) and a blood pressure of 80/50 mm Hg, diaphoresis, and confusion. Which nursing intervention should the nurse prioritize to manage this unstable V-tach?Answer →
  48. 48The nurse is assessing a patient admitted to the intensive care unit (ICU) with a hypertensive emergency. The patient weighs 198 lb. Which finding is most urgent to report to the health care provider?Answer →
  49. 49In managing a patient with pulmonary edema exhibiting disorientation and frothy pink sputum, what nursing intervention best promotes oxygenation and decreases pulmonary congestion?Answer →
  50. 50A nurse is providing discharge teaching to a client with a history of stable angina. Which of the following actions should the nurse instruct the client to take first when experiencing chest pain?Answer →
  51. 51A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect?Answer →
  52. 52What is the most common factor that contributes to increased afterload in the cardiovascular system?Answer →
  53. 53A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil?Answer →
  54. 54A client with suspected peripheral artery disease (PAD) presents with pallor in the right lower extremity when elevated and rubor when dependent, diminished pedal pulses, and cool skin temperature. The nurse notes that the client's ankle-brachial index (ABI) is 0.7 on the affected side. Which of the following nursing actions is the priority?Answer →
  55. 55Which assessment finding in a client admitted with acute decompensated heart failure requires immediate action from the nurse?Answer →
  56. 56A nurse on a cardiac unit is caring for a client who is on telemetry. The nurse recognizes the client's heart rate is 46 beats per minute and the patient is symptomatic. After notifying the healthcare provider, which medical intervention might the nurse anticipate?Answer →
  57. 57A nurse is teaching the partner of a client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzymes studies?Answer →
  58. 58A nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily at home. Which of the following instructions should the nurse give the client?Answer →
  59. 59The nurse is reviewing the cardiac strip for a client and notes the following rhythm seen in the image (cardiac rhythm strip #1). The nurse should interpret this as which arrhythmia?Answer →
  60. 60A nurse is teaching a client who has angina about sublingual nitroglycerin. Which of the following instructions should the nurse include?Answer →
  61. 61A nurse is caring for a client with infective endocarditis receiving a prolonged course of intravenous antibiotics. Which nursing interventions and patient education points should the nurse prioritize to ensure effective management and prevent complications? (Select all that apply)Answer →
  62. 62A client is scheduled to receive metoprolol 50 mg at 0800. The client's morning vital signs are as follows: Temperature 99.0, Blood Pressure 155/80, Heart Rate 54, O2 99% Which of the following is the best action for the nurse to take?Answer →
  63. 63A nurse is reviewing the medical record of a client who gave birth via cesarean section due to placenta accreta. Which of the following findings should the nurse identify as a risk factor for placenta accreta?Answer →
  64. 64A nurse is admitting an older adult client who reports a weight gain of 2.3 kg (5 lb) in 48 hours. Which of the following manifestations of fluid volume excess should the nurse expect? Drag and drop the correct answers to the column on the right side.Answer →
  65. 65The nurse realizes during the shift report that six hours ago they administered 0.6 mg of this patient's antiarrhythmic medication instead of 6.0 mg. Which action does the nurse perform first?Answer →
  66. 66The telemetry nurse receives discharge requests from providers. Which patient would require the nurse to question the discharge order?Answer →
  67. 67A nurse finds a client pulseless. When placed on the cardiac monitor, it shows the following rhythm. What would be the treatment?Answer →
  68. 68A nurse is assessing a client with a newly diagnosed abdominal aortic aneurysm (AAA). Which of the following factors should the nurse consider when evaluating the client's risk profile and planning education on prevention and monitoring? (Select all that apply.)Answer →
  69. 69A nurse is preparing to administer medications to a client who has pericarditis. Which of the following medications should the nurse anticipate administering to this client? (Select All that Apply)Answer →
  70. 70A client arrives at the emergency department reporting severe chest pressure radiating to the left arm, nausea, and diaphoresis. The nurse suspects a myocardial infarction (MI). The nurse understands that myocardial infarction occurs when a [blank1] causes decreased blood flow to the heart muscle, leading to [blank2] of myocardial tissue. Select the correct option for each blank.Answer →
  71. 71A nurse is providing discharge instructions to a client who developed a deep-vein thrombosis (DVT) postoperatively and is prescribed anticoagulant therapy. Which of the following instructions should the nurse include?Answer →
  72. 72A nurse assesses a client who has experienced significant blood loss from a ruptured aneurysm. Which of the following findings would most likely indicate the client is experiencing hypovolemic shock?Answer →
  73. 73A nurse in the emergency department is assessing a client who has a history of angina and reports chest pain. Which of the following findings is the priority?Answer →
  74. 74A nurse is reviewing the laboratory results for a male adult client who is at risk for peripheral arterial disease from atherosclerosis. The nurse should identify which of the following results places the client at risk?Answer →
  75. 75Which task is appropriate for delegation to an experienced UAP (Unlicensed Assistive Personnel)?Answer →
  76. 76A patient is to receive enalapril (Vasotec) 5 mg IV every 6 hours. Each dose is given over 5 minutes. The medication is available in an injectable form, 1.25 mg/mL. Identify how many milliliters of medication will the nurse draw up for each dose.Answer →
  77. 77The nurse interviews a client with erectile dysfunction (ED) who is requesting medication to treat it. What question should the nurse ask the client to identify contraindications to starting erectile dysfunction medications?Answer →
  78. 78A nurse is reviewing the laboratory results of a client who takes furosemide for hypertension. The nurse notes that the client's potassium level is 3.3 mEq/L (nl. 3.5-5.0 mEq/L). The nurse should prioritize monitoring the client for which of the following complications?Answer →
  79. 79A nurse in a provider's office is reviewing the laboratory results of a client who takes furosemide for hypertension. The nurse notes that the client's potassium level is 3.3 mEq/L. The nurse should monitor the client for which of the following complications?Answer →
  80. 80Indomethacin closes PDA by which mechanism?Answer →
  81. 81A patient reports a persistent dry cough that began several weeks ago. The nurse reviews the medication list and notes the patient is taking an ACE inhibitor for hypertension. Which nursing action is most appropriate?Answer →
  82. 82Which dysrhythmia most predictably reduces Cardiac Output (CO) due to loss of "atrial kick"?Answer →
  83. 83A nurse is teaching a client who takes thiazide diuretics about orthostatic hypotension. Which statement indicates a need for further teaching?Answer →
  84. 84The nurse is providing discharge teaching to a client diagnosed with heart failure. What is the best way for the client to monitor fluid balance?Answer →
  85. 85Which of the following are potential causes of obstructive shock? Select all that apply.Answer →
  86. 86The nurse is admitting a 32-year-old woman who is to undergo major surgery and will be on bed rest for at least 48 hours. During the admission assessment, the client states that she takes oral contraceptives. The nurse should recognize that this puts the client at an increased risk of developing what health problem?Answer →
  87. 87The nurse provides discharge instructions to a client who has undergone mechanical valve replacement. Which statement by the client indicates an understanding of the instructions?Answer →
  88. 88Which information is most important for the nurse to include when teaching a patient newly diagnosed with hypertension?Answer →
  89. 89A patient with heart failure receives a positive inotrope and an angiotensin-converting enzyme (ACE) inhibitor for hypertension. Despite the pharmacotherapy, the patient has pulmonary edema. Which action should the nurse implement if the patient is adhering to but refuses to take additional medication?Answer →
  90. 90A nurse is preparing to teach a client with chronic stable angina about long-acting nitrate therapy for prevention of angina episodes. Which statement by the client indicates the need for further teaching?Answer →
  91. 91For each risk factor for coronary artery disease (CAD) listed, specify whether the risk factor is modifiable or nonmodifiable by placing a mark in the appropriate column.Answer →
  92. 92A nurse is caring for a group of clients. From which of the following clients should the nurse obtain a blood pressure reading using only the left extremity?Answer →
  93. 93A nurse is caring for a client who has pulmonary edema and a new prescription for furosemide 40 mg IV twice daily. Which of the following client findings indicates the prescription is appropriate?Answer →
  94. 94A 58-year-old patient with a known abdominal aortic aneurysm reports sudden onset of severe back pain, abdominal fullness, and lightheadedness. Vital signs reveal hypotension and tachycardia. Based on these clinical manifestations, what is the nurse's priority action?Answer →
  95. 95A client has a significant history of congestive heart failure. What should the nurse specifically assess during the client's semiannual cardiology examination?Answer →
  96. 96A nurse is caring for an adult client with numerous draining wounds from gunshots. The client's pulse rate has increased from 100 to 130 beats per minute over the last hour. The nurse should further assess the client for which of the following?Answer →
  97. 97A nurse is caring for an older adult client who has left-sided heart failure. Which of the following assessment findings should the nurse expect?Answer →
  98. 98A client in the emergency department has anxiety, dyspnea at rest, crackles, and pink frothy sputum. Which intervention is the priority?Answer →
  99. 99Which findings are most consistent with chronic venous insufficiency? Select all that apply.Answer →
  100. 100A male client has a blood pressure reading of 146/96 mm Hg and asks if he will need lifelong medication. What is the best response?Answer →
  101. 101Which location is most typical for a venous stasis ulcer?Answer →
  102. 102A patient with fluid volume excess presents dyspnea and bilateral crackles. What is the underlying physiological cause?Answer →
  103. 103A nurse is caring for a client who is at 7 weeks of gestation and is experiencing vaginal bleeding. An ultrasound shows not all products of conception have passed, the cervix is closed, and there is no fetal heartbeat. The nurse should identify this as which of the following types of spontaneous abortion?Answer →
  104. 104A nurse is caring for a client who has an arterial line inserted in the radial artery. Which of the following actions should the nurse take?Answer →
  105. 105A nurse is reviewing discharge instructions for a patient prescribed a beta blocker for hypertension. Which statement made by the patient demonstrates understanding of the teaching?Answer →
  106. 106A nurse is caring for a client who has heart failure. A nurse is reviewing the assessment finding for the client on day 4. Which of the following findings requires further action? Select all that apply.Answer →
  107. 107The health care provider has placed a central venous pressure (CVP) monitoring line in an acutely ill person to closely monitor right ventricular function and venous blood return. The results show an increased CVP- what does this indicate?Answer →
  108. 108A nurse is caring for a client who recently had surgery for insertion of a permanent pacemaker. Which of the following prescriptions should the nurse clarify?Answer →
  109. 109A client with symptomatic bradycardia is pale, diaphoretic, confused, and hypotensive with a heart rate of 30/min. Which therapy is the priority?Answer →
  110. 110A nurse notes a patient with peripheral arterial disease has a non-healing ulcer on the great toe. Which assessment finding should the nurse document as supporting evidence that this is an arterial ulcer?Answer →
  111. 111A nurse is assessing a patient suspected of having rheumatic endocarditis. Which combination of clinical manifestations should the nurse prioritize as indicative of this condition?Answer →
  112. 112A patient who has a heart rate of 132 beats per minute. What should the nurse assess to help determine the reason for this rate? Select all that apply.Answer →
  113. 113A patient with monomorphic ventricular tachycardia at 160/min has a pulse but is hypotensive and diaphoretic. Best immediate intervention?Answer →
  114. 114The nurse is developing a teaching plan for a client with peripheral arterial disease (PAD) who has a history of a myocardial infarction (MI) and smokes two packs of cigarettes daily. Which instruction has the greatest priority?Answer →
  115. 115Which fetal structure allows blood to bypass the lungs by flowing from the right atrium to the left atrium?Answer →
  116. 116Which task is appropriate for delegation to an experienced UAP (Unlicensed Assistive Personnel)?Answer →
  117. 117A patient with a history of heart failure presents with shortness of breath, bilateral ankle edema, and a weight gain of 5 pounds in the past week. Which nursing intervention should be the priority?Answer →
  118. 118A 5' 3" (1.6 meter) 113 pound (51.3 kg) client has a lipid profile of total cholesterol 267 mg/dL (6.92 mmol/L), LDL 167 mg/dL (4.33 mmol/L), HDL 85 mg/dL (2.2 mmol/L), triglycerides 79 mg/dL (0.89 mmol/L), and VLDL 16 mg/dL (0.41 mmol/L). Based on these findings, it is most important for the nurse to teach the client to make every effort to completely avoid which foods?Answer →
  119. 119A nurse enters a client's room and finds him unresponsive; no pulse was found upon assessment. Code blue was called and client was placed at the monitor. The following strip was obtained. Please identify the rhythmAnswer →
  120. 120A nurse is caring for four clients with vascular disorders admitted in the medical surgical floor: Client #1 with history of venous insufficiency reporting sudden calf pain (6 out of 10) and redness on the right leg Client #2 with chronic peripheral artery disease experiencing intermittent claudication while walking in the hallway Client #3 with a stable abdominal aortic aneurysm and controlled BP requesting a provider interview Client #4 with chronic venous insufficiency and left ankle ulcer due for wound care Which client should the nurse assess first?Answer →
  121. 121Which topics will the nurse plan to include in discharge teaching for a patient who has been admitted with heart failure? Select all that applyAnswer →
  122. 122What is the primary purpose of high-density lipoprotein (HDL) cholesterol in the body?Answer →
  123. 123A nurse is preparing a teaching plan for a client with hypertension. Which characteristic should the nurse stress?Answer →
  124. 124The nurse plans discharge education for a client who has been hospitalized with chronic heart failure. For each potential topic, click to specify whether the nurse should include or should not include the topic in the education.Answer →
  125. 125A nurse is caring for a client who has valvular heart disease and is at risk for developing left-sided heart failure. Which of the following manifestations should alert the nurse that the client is developing this condition?Answer →
  126. 126A client takes two sublingual nitroglycerin tablets for chest discomfort. Ten minutes later the client reports a headache. Based on this information what is the appropriate action taken by the nurse?Answer →
  127. 127A nurse is caring for a client who has fluid volume excess (FVE) due to heart failure (HF). Which of the following manifestations should the nurse associate with FVE? (Select all that apply.)Answer →
  128. 128A nurse is assessing the lower extremity assessment findings of a patient in traction to determine if there is evidence of a venous thromboembolism. Which clinical finding warrants further evaluation for the presence of a deep vein thrombosis (DVT)?Answer →
  129. 129The nurse is planning community education about risk factors for hypertension. What modifiable risk factor should the nurse include in the education?Answer →
  130. 130A nurse is reinforcing teaching about warfarin with a client who has a new onset of atrial fibrillation. Which of the following statements should the nurse include in the teaching?Answer →
  131. 131A nurse in the emergency department is caring for a client who is admitted with the diagnosis of myocardial infarction (MI). Which of the following cardiac enzymes would the nurse expect to be elevated first for this client?Answer →
  132. 132During assessment of a patient with mitral regurgitation, the nurse should prioritize reporting:Answer →
  133. 133A client with a new pacemaker reports redness, drainage, and fever. What should the nurse do first?Answer →
  134. 134What is a critical safety priority when caring for a patient with heart failure and pulmonary edema?Answer →
  135. 135A patient with multiple risk factors, including hypertension, hyperlipidemia, and diabetes mellitus, develops coronary artery disease (CAD). What is the primary pathophysiological mechanism underlying the development of CAD in this patient?Answer →
  136. 136For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential or contraindicated for the client.Answer →
  137. 137A nurse is assessing a client suspected of having cardiac tamponade. During blood pressure measurement with a cuff, which finding would indicate the presence of pulsus paradoxus?Answer →
  138. 138A nurse is caring for a client who has a prescription for clopidogrel. Which of the following findings indicates an adverse effect of this medication?Answer →
  139. 139A 55-year-old patient presents with aortic regurgitation. Which of the following conditions is most likely to contribute to the development of this type of valvular disorder?Answer →
  140. 140To be diagnosed with dyslipidemia, which of the following lipid profile abnormalities is typically considered in the diagnostic criteria?Answer →
  141. 141A nurse has provided treatment to a client experiencing pulmonary edema related to left-sided heart failure. Which outcome best reflects treatment has been successful?Answer →
  142. 142A nurse is assessing a client who is taking lisinopril to treat hypertension. Which of the following findings is a priority to report?Answer →
  143. 143Based on lifestyle factors contributing to heart disease risk as per the American College of Cardiology and AHA guidelines, categorize the following nursing actions as Anticipated or Contraindicated in prevention strategies for heart disease. Select whether the action is appropriate (Anticipated) or inappropriate (Contraindicated) for heart disease prevention.Answer →
  144. 144A nurse is reinforcing teaching about warfarin with a client who has a new onset of atrial fibrillation. Which of the following statements should the nurse include in the teaching?Answer →
  145. 145A nurse is caring for a client with substernal chest pressure radiating to the left arm for 3 hours. The ECG shows nonspecific ST-T changes. Initial laboratory results are pending. Which laboratory finding would most strongly support a diagnosis of acute myocardial injury?Answer →
  146. 146A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects?Answer →
  147. 147What assessment finding is consistent with the diagnosis of valvular disease?Answer →
  148. 148A nurse is caring for a patient who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?Answer →
  149. 149A 50-year-old client presents to the emergency department with sudden onset of upper chest pain that is radiating to the shoulders and is associated with diaphoresis and shortness of breath. Which of the following is the priority intervention for the nurse?Answer →
  150. 150A nurse is caring for a client who has dyspnea, crackles, and 3+ bilateral pitting pedal edema. Which of the following serum sodium levels should the nurse identify as an indication of fluid volume excess?Answer →
  151. 151The nurse cares for a client with congestive heart failure (CHF). How does monitoring the patient's daily weight assist in the evaluation of patient outcomes?Answer →
  152. 152A client has a permanent pacemaker placed. The pacemaker is connected to the client's atrium and is set to 60 bpm. Which of the following findings would the nurse expect?Answer →
  153. 153During discharge education, which patient statement indicates understanding of pericarditis self-management?Answer →
  154. 154Which client statements indicate correct understanding of varicose vein self-care? Select all that apply.Answer →
  155. 155Review the trend data in update #2. Then based on the trend data, which statement best describes the client's response to treatment?Answer →
  156. 156The nurse completed a head-to-toe assessment of several clients. Which assessment findings will the nurse record as normal? (Select all that apply.)Answer →
  157. 157Review H and P and nurse's notes. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.Answer →
  158. 158A nurse is caring for several clients on a medical-surgical unit. Which of the following clients have an elevated risk for hypocalcemia? (Select all that apply.)Answer →
  159. 159The nurse is caring for a patient with a history of secondary hypertension due to renal artery stenosis. Which intervention would the nurse expect to support long-term blood pressure control?Answer →
  160. 160An atrioventricular septal defect (AVSD) occurs due to incomplete development of which cardiac structure and is most commonly associated with which genetic condition?Answer →
  161. 161A nurse is assisting with teaching a newly licensed nurse about heart sounds. Which of the following sounds is heard when the aortic and pulmonic valves close?Answer →
  162. 162A nurse is assessing a client who is taking lisinopril to treat hypertension. Which of the following findings is a priority to report?Answer →
  163. 163A patient with heart failure suddenly develops severe dyspnea and pink frothy sputum. What is the nurse's priority intervention?Answer →
  164. 164A client with heart failure is taking Losartan. Which class of medication is this drug?Answer →
  165. 165A client recently diagnosed with congestive heart failure and receiving a loop diuretic asks the nurse which additional medication the provider might prescribe to manage the condition effectively. Considering the mechanism of action of furosemide and common combination therapies, which medication should the nurse expect to be prescribed?Answer →
  166. 166The nurse cares for several clients on the telemetry unit. Which electrocardiogram (ECG) strip should the nurse interpret as sinus bradycardia?Answer →
  167. 167The client is received in the emergency room, complaining of palpitations. Based in the attached six second strip, what would be priority?Answer →
  168. 168A client who is postoperative day 1 following a CABG has produced 20 mL of urine in the past 3 hours and the nurse has confirmed the patency of the urinary catheter. What is the nurse's most appropriate action?Answer →
  169. 169A patient who has heart failure receives ramipril (Altace), after which hyperkalemia develops. Which medication, administered with ramipril, can improve the patient's metabolic condition?Answer →
  170. 170A client with stable supraventricular tachycardia has a heart rate of 184/min, blood pressure 122/76 mm Hg, and no chest pain. Which intervention should the nurse anticipate first?Answer →
  171. 171A nurse is completing a home visit to a client who is 3 days postpartum. The nurse finds that the client is adapting well to parenthood. The nurse asks about their birth experience, and the client says they "felt in control and were listened to during the process for labor and delivery." What is this client describing that contributes to improved self-esteem and self-efficacy in transitioning to parenthood?Answer →
  172. 172A nurse is teaching a client with coronary artery disease how to use sublingual nitroglycerin for episodes of chest pain. After demonstrating how to take the medication, the client asks what side effects to expect. Which response should the nurse emphasize as a common effect of nitroglycerin therapy?Answer →
  173. 173A nurse is caring for a client who has hypertension and is taking medications to manage symptoms and reduce cardiovascular risks. Which dietary change should the nurse prioritize in teaching the client?Answer →
  174. 174The nurse is caring for four patients on a cardiac unit. Which patient should the nurse see first?Answer →
  175. 175Match the type of angina or acute coronary syndrome to the appropriate definition.Answer →
  176. 176A client with an arterial ischemic leg injury is being discharged from the hospital. Which instruction is most important for the nurse to include in this client's discharge teaching plan?Answer →
  177. 177Which of the following actions should the nurse take? (Select all that apply.)Answer →
  178. 178A nurse is caring for a client suspected of having a deep vein thrombosis (DVT). The client's D-dimer test result is significantly elevated. How should the nurse interpret this result and prioritize the next steps in care?Answer →
  179. 179For each nursing action, indicate whether it is Anticipated or Contraindicated for a client taking sublingual nitroglycerin for chest pain.Answer →
  180. 180A nurse is caring for a patient admitted with left-sided heart failure who exhibits dyspnea, bilateral crackles on lung auscultation, and an elevated B-type natriuretic peptide (BNP) level. The provider orders furosemide, oxygen therapy, and elevation of the head of the bed. Which nursing action should the nurse prioritize to evaluate the effectiveness of the treatment plan?Answer →
  181. 181A 45-year-old client presents with a family history of coronary artery disease (CAD), a sedentary lifestyle, and a recent diagnosis of hypertension. The client is a non-smoker and has no history of diabetes. Considering both modifiable and nonmodifiable risk factors, which intervention would be most appropriate for reducing the patient's risk of CAD?Answer →
  182. 182A nurse is giving a presentation to a community group about preventing atherosclerosis. Which of the following should the nurse include as a modifiable risk factor for this disorder?Answer →
  183. 183Which of these statements made by a client with heart failure indicates the client has an understanding of managing heart failure at home? (Select all that apply)Answer →
  184. 184A client is experiencing angina and has just taken one sublingual nitroglycerin tablet. After 5 minutes, the client still reports chest pain. What should the nurse include in their teaching about the next steps? Select all that apply.Answer →
  185. 185A nurse on a labor and delivery unit is assessing a client who is a gravida 2, para 1 at 37 weeks of gestation. When reviewing the client's history, which of the following factors should the nurse identify as increasing the risk of breech presentation? (Select All that Apply.)Answer →
  186. 186The client is received in the emergency room, complaining of palpitations. Based in the attached six second strip, what would be priority?Answer →
  187. 187In the assessment of heart failure, the ejection fraction (EF) is a crucial parameter. What does a reduced ejection fraction indicate in the context of heart failureAnswer →
  188. 188The nurse assesses a child with strong pulses in the upper extremities and weak pulses in the lower extremities. Which congenital heart defect does the nurse suspect?Answer →
  189. 189A nurse is preparing to administer potassium chloride (KCL) to a client who is receiving diuretic therapy. The nurse reviews the client's serum potassium level results and discovers the client's potassium level is 3.2 mEq/L. Which of the following actions should the nurse take?Answer →
  190. 190A nurse is correct to anticipate which type of IV fluid will be ordered for a client diagnosed with low blood pressure?Answer →
  191. 191A nurse is teaching a client who has acute pericarditis. Which of the following statements should the nurse include in the client teaching to explain the cause of pericarditis?Answer →
  192. 192A patient with acute pericarditis suddenly develops hypotension, muffled heart sounds, and jugular vein distention. What is the nurse's priority action?Answer →
  193. 193The client hospitalized with thoracic aortic dissection rapidly develops hypotension, jugular vein distention, and decreased peripheral pulses. Further assessment reveals muffled heart sounds. Which complication would the nurse suspect?Answer →
  194. 194A nurse is assessing a client who has peripheral artery disease for potential safety concerns. Which of the following client statements should the nurse report to the provider?Answer →
  195. 195A person with secondary hypertension has come into the clinic for a routine checkup. When comparing this person's diagnosis to that of primary hypertension, the nurse recognizes secondary hypertension:Answer →
  196. 196A patient receiving loop diuretics develops muscle weakness and ECG abnormalities. Which of the following is most concerning?Answer →
  197. 197A patient with an extensive anterior-wall myocardial infarction becomes hypotensive. Assessment reveals crackles bilaterally, jugular venous distention, cool mottled extremities, and a heart rate of 118/min. Which intervention should the nurse question?Answer →
  198. 198Which client finding suggests acute arterial occlusion rather than chronic venous disease?Answer →
  199. 199A nurse is caring for a client in the ICU. The client starts complaining of chest pressure and palpitations. The nurse obtained a 6 second strip. Identify the rhythmAnswer →
  200. 200A nurse is teaching a patient with chronic stable angina about nitroglycerin use. What patient statement indicates the need for further education?Answer →
  201. 201A nurse is developing a nursing care plan for a client with peripheral arterial disease. What will be the priority nursing diagnosis?Answer →
  202. 202The nurse is assessing a client with peripheral arterial disease secondary to atherosclerosis. Which clinical manifestation would the nurse most likely observe?Answer →
  203. 203Which positioning strategy should the nurse implement to improve arterial circulation in a patient with Peripheral Arterial Disease (PAD)?Answer →
  204. 204Which of the following findings require immediate follow-up by the nurse? (Select all that apply.)Answer →
  205. 205A nurse is caring for a client who has hypomagnesemia following a myocardial infarction. The nurse should understand the client is at risk for which of the following findings?Answer →
  206. 206A client expresses an interest in reducing intake of saturated fats and plans to stop eating hamburgers at lunch. Which menu item should the nurse suggest as an alternative source of protein?Answer →
  207. 207A patient with a non-ST segment elevation myocardial infarction (NSTEMI) is receiving heparin. What is the purpose of the heparin?Answer →
  208. 208A patient is found unresponsive in the emergency department with pulseless electrical activity (PEA) on the cardiac monitor. The nurse confirms no palpable pulse despite organized electrical activity. Which intervention should the nurse prioritize to improve this patient's chance of survival?Answer →
  209. 209Which essential drug therapy would the nurse anticipate when providing care for a client with congestive heart failure?Answer →
  210. 210What is the primary mechanism that leads to pulmonary edema?Answer →
  211. 211Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  212. 212A patient with a potassium level of 5.8 mEq/L and an ECG shows peaked T waves. Which medication must be administered first to stabilize the potassium?Answer →
  213. 213A nurse is preparing a patient for a pharmacologic stress echocardiogram using dipyridamole. What is the most important pre-procedure instruction?Answer →
  214. 214A nurse is caring for a client who has pulmonary edema and a new prescription for furosemide 40 mg IV twice daily. Which of the following client findings indicates the prescription is appropriate?Answer →
  215. 215Heparin protocol: Order: loading dose/bolus is 70 units/kg IVP. Continuous infusion following the bolus: 15 units/kg/hr. Available: Heparin 1000 units/mL for bolus dose; Heparin 25,000 units in 500 mL D5W for infusion. Patient weight: 60 kg. When setting the IV pump, how many mL/hour will the nurse administer? Record as a whole number.Answer →
  216. 216A client with left-sided heart failure and an ejection fraction of 45% is admitted. Which assessment finding best indicates worsening pulmonary congestion?Answer →
  217. 217During the management of a patient in asystole, the nurse notes that epinephrine has been administered and high-quality CPR is ongoing. Despite these interventions, the cardiac monitor continues to show a flat line. What is the nurse's best next action to optimize patient survival?Answer →
  218. 218The nurse cares for a 60-year-old male client who reports "burning" epigastric pain radiating to the chest. The client has a past medical history of gastroesophageal reflux disease (GERD), hypertension, and is a current smoker. What action should the nurse take first?Answer →
  219. 219The RN is reviewing the cardiac markers for a client who was admitted with the diagnosis of chest pain. Which marker is best to determine cardiac damage?Answer →
  220. 220A nurse working in the telemetry unit is providing care to several clients. Which change in the client's ECG is identified by the nurse as a sign of injury to the cardiac muscle?Answer →
  221. 221A patient who has been immobile post-surgery is now complaining of calf pain and redness. What is the most appropriate nursing intervention?Answer →
  222. 222A person is being evaluated in the ED for complaints of intermittent sub-sternal chest pain and dyspnea on exertion. Lab tests have been ordered-which of the following results would suggest cardiac disease (Select all that apply)Answer →
  223. 223A nurse is planning care for a child with congenital heart disease to reduce the risk of infective endocarditis. Which of the following interventions should the nurse include? (Select all that apply)Answer →
  224. 224A client with invasive hemodynamic monitoring through a Swan-Ganz catheter reports severe dyspnea and chest pain. The nurse observes elevated central venous pressure (CVP) of 12 mmHg and a decreased cardiac output (CO) of 2.8 L/min. What is the most likely cause of these findings?Answer →
  225. 225A client with a history of stable angina reports chest pain while walking in the hospital corridor. After assisting the client to sit down, what is the nurse's next priority action?Answer →
  226. 226Which telemetry patient should the nurse identify as least requiring continued inpatient monitoring?Answer →
  227. 227The nurse in the emergency department received change-of-shift report on four clients with hypertension. Which client should the nurse assess first?Answer →
  228. 228A postsurgical client reports calf pain with swelling and redness and is diagnosed with deep vein thrombosis. What treatment will best prevent further thrombus formation?Answer →
  229. 229Looking at the following picture which type of ulcer is presentAnswer →
  230. 230The clinic nurse is caring for a client taking warfarin for atrial fibrillation. Which information stated by the client alerts the nurse that further teaching is required?Answer →
  231. 231Before giving an ACE inhibitor, which lab requires follow-up?Answer →
  232. 232Cardiac monitoring shows occasional premature ventricular contractions (PVCs). Which assessment should the nurse prioritize?Answer →
  233. 233Which lifestyle change yields the largest average reduction in blood pressure?Answer →
  234. 234A client with peripheral artery disease (PAD) presents to the emergency department and reports having pain in the lower legs when walking. Which action should the nurse perform first?Answer →
  235. 235For stable symptomatic sinus bradycardia awaiting permanent pacer, the best temporary pharmacologic support is:Answer →
  236. 236A nurse is preparing to administer morning medications to clients on a medical-surgical unit. Which of the following medication prescriptions should the nurse question or hold?Answer →
  237. 237A nurse is reviewing lab results for a client who presented to the Emergency Department with shortness of breath and chest discomfort. Which of the following labs would the nurse interpret as a potential warning sign of acute coronary syndrome?Answer →
  238. 238A nurse working in the telemetry unit is providing care to several clients. Which change in the client's ECG is identified by the nurse as a sign of injury to the cardiac muscle?Answer →
  239. 239A nurse is calculating the intake of a client during the past 9 hr. The client's intake includes lactated Ringer's IV at 150 mL/hr, cefazolin 2 g IV intermittent bolus in 100 mL of 0.9% sodium chloride, two units of packed RBCs of 275 mL and 250 mL; two IV bolus infusions of 250 mL of 0.9% sodium chloride, famotidine 20 mg IV intermittent bolus in 50 mL of 0.9% sodium chloride. How many mL of intake should the nurse record?Answer →
  240. 240For each characteristic, indicate whether it applies to Stable Angina or Unstable Angina.Answer →
  241. 241A nurse is assessing a client with a known abdominal aortic aneurysm (AAA) who reports new symptoms. Which of the following findings should the nurse identify as an early manifestation indicating possible enlargement or progression of the AAA?Answer →
  242. 242A nurse is planning a presentation on health promotion activities for clients who have hypertension. Which of the following should the nurse utilize as a resource for this information?Answer →
  243. 243A nurse is assessing a client who arrived with suspected myocardial infarction (MI). The client is pale and diaphoretic and states, "My chest feels tight and it's getting worse." Vital signs are: BP 146/92 mmHg, HR 108/min, RR 28/min, and SpO2 94% on room air. Which finding should the nurse prioritize reporting to the provider?Answer →
  244. 244A nurse is assisting with teaching a newly licensed nurse about heart sounds. Which of the following sounds is heard when the aortic and pulmonic valves close?Answer →
  245. 245A person is admitted to the Emergency Department with a BP of 220/120 and is diagnosed with hypertensive emergency. The nurse understands that the treatment plan will include: Select all that applyAnswer →
  246. 246A nurse is administering morning medications to a number of clients on a medical unit. Which medication regimen is most suggestive that the client has a diagnosis of heart failure?Answer →
  247. 247A nurse is providing discharge teaching to a patient with a history of hypertension. The nurse should inform the patient that their blood pressure of 134/84 places them in which hypertensive category?Answer →
  248. 248Which dermatologic finding is typical of peripheral venous disorderAnswer →
  249. 249The nurse is teaching a patient about the flow of blood through the heart. Which of the following statements demonstrate correct understanding? Select all that apply.Answer →
  250. 250A client with atrial fibrillation is hemodynamically stable. Which therapies may be part of treatment? Select all that apply.Answer →
  251. 251The nurse is triaging a 65-year-old patient who arrived at the triage area with complaints of diaphoresis, dizziness, and left-sided chest pain. What category is appropriate?Answer →
  252. 252Upon assessment, the client is alert and has a palpable pulse. Which intervention should the nurse prepare to perform?Answer →
  253. 253A 58-year-old patient with a history of smoking, poorly controlled hypertension, and elevated cholesterol levels is at risk for atherosclerosis. Which nursing intervention should be prioritized to reduce the progression of atherosclerosis and improve cardiovascular outcomes?Answer →
  254. 254A nurse is monitoring a client who has heart failure and is receiving digoxin therapy. Which of the following findings should the nurse report to the provider immediately?Answer →
  255. 255A low fat diet is prescribed for a client with heart disease. The nurse is reviewing the client's food journal that includes plums, cherries, avocado, and peaches as between meal snacks. Which action should the nurse implement?Answer →
  256. 256The nurse is caring for a client diagnosed with hypertension. Which finding is most concerning?Answer →
  257. 257Heparin 5,000 units ordered SQ Q12hours. The syringe is labeled 20,000/2ml. How many ml will the patient receive every 12 hours?Answer →
  258. 258A 66-year-old client's blood pressure was 168/98 at a health fair. Which action should the nurse implement first?Answer →
  259. 259A client becomes unresponsive and pulseless. Which rhythm should the nurse identify?Answer →
  260. 260A nurse is reviewing findings for a client with suspected deep vein thrombosis (DVT). Which findings support the presence of a DVT? Select all that apply.Answer →
  261. 261A nurse is preparing to administer metoprolol to a client with heart failure and uncontrolled hypertension. The provider's order reads: Metoprolol tartrate 62.5 mg PO every 12 hours. The medication is available as 25 mg scored tablets. How many tablets should the nurse administer for each dose? (Enter a number only — round to the nearest tenth)Answer →
  262. 262A nurse is caring for a client in the intensive care unit (ICU) following a myocardial infarction. The client is 6 hours post-right femoral percutaneous coronary intervention. Which of the following assessment findings requires immediate nursing intervention?Answer →
  263. 263Which meal choice by a patient with heart failure indicates understanding of sodium restriction?Answer →
  264. 264A client is scheduled to undergo a transesophageal echocardiogram. The nurse prepares the post-procedure plan of care and includes which of the following? (Select all that apply)Answer →
  265. 265A nurse is reviewing the electronic fetal monitor strip for a client who is at 38 weeks of gestation and is in labor. Which of the following findings indicate to the nurse that the fetus is experiencing recurring late decelerations?Answer →
  266. 266A client has been prescribed Atorvastatin as part of his cardiac care. The nurse provides education about this medication including which of the following: Select all that applyAnswer →
  267. 267A client with acute decompensated heart failure is in cardiogenic shock, presenting with hypotension, tachycardia, jugular venous distention, crackles in the lungs, and decreased urine output. Despite intravenous fluids, blood pressure remains low. Which collaborative intervention should the nurse anticipate to improve cardiac output and prevent further organ dysfunction?Answer →
  268. 268A nurse in the emergency department is monitoring a client who has the following rhythm at the cardiac monitor. Which of the following will the nurse expect to find as part of the treatment? (Select all that apply)Answer →
  269. 269The nurse is reviewing a nutrition plan with a client newly diagnosed with hypertension. Which statement by the client indicates an understanding of the Dietary Approaches to Stop Hypertension (DASH) diet?Answer →
  270. 270A patient with newly diagnosed primary hypertension expresses difficulty adhering to lifestyle modifications. Which nursing intervention should be prioritized to effectively support blood pressure control?Answer →
  271. 271A client who is diaphoretic, hypotensive, and dizzy is placed on the monitor and shows the following rhythm. Which therapy should the nurse recognize as the priority?Answer →
  272. 272The nurse is providing education to a client with heart failure. Which clinical manifestations should the nurse instruct the client to report to the healthcare provider immediately?Answer →
  273. 273A nurse is interested in learning more about a client's myocardial contractility as it relates to their ejection fraction (EF). Where will the nurse find that information in the electronic record?Answer →
  274. 274A nurse is caring for a client with substernal chest pressure radiating to the left arm for 3 hours. The ECG shows nonspecific ST-T changes. Initial laboratory results are pending. Which laboratory finding would most strongly support a diagnosis of acute myocardial injury?Answer →
  275. 275The nurse receives report on four telemetry patients. Which patient would be LEAST appropriate to assess first?Answer →
  276. 276For each body system below, click to specify the potential nursing interventions that would be appropriate for the care of the client presenting with heart failure symptoms. Each body system may support more than one potential nursing intervention.Answer →
  277. 277On entering an adult patient's room, a nurse finds the patient unresponsive, not breathing, and without a pulse. What is the nurse's priority action?Answer →
  278. 278A patient on a ventilator develops frequent premature ventricular complexes (PVCs) after starting high levels of positive end-expiratory pressure (PEEP). Which likely mechanism is reducing the patient's Cardiac Output (CO)?Answer →
  279. 279A client has returned to the coronary care unit after having an angioplasty and stent placement through the right radial artery. Which assessment data indicates the need for immediate action by the nurse?Answer →
  280. 280A patient with venous insufficiency complains of pain after the application of a topical chemical debriding agent to a venous ulcer. How should the nurse respond?Answer →
  281. 281Which action would the nurse take when caring for a client who has a central venous access device (CVAD)?Answer →
  282. 282A preceptor reviews factors affecting cardiac output with a new nurse. Which situation would most directly increase cardiac output?Answer →
  283. 283A nurse is assessing a client who has heart failure. Which of the following client statements should indicate to the nurse that the client needs a referral for cardiac rehabilitation?Answer →
  284. 284The nurse administers dobutamine to a client with coronary artery disease who is undergoing a pharmacologic stress test. Which of the following responses would indicate that the medication is achieving its intended effect?Answer →
  285. 285A client with a history of atrial fibrillation is being monitored on warfarin therapy with monthly lab work. Which of the following labs should concern the nurse?Answer →
  286. 286A nurse is monitoring a client on veno-arterial (VA) ECMO who exhibits low pulsatility, worsening pulmonary edema, and poor oxygenation. What is the most appropriate nursing action?Answer →
  287. 287The nurse is caring for a client who is having chest pain. The healthcare provider prescribes an infusion of nitroglycerin. The initial dose is 12 mcg/min. The nitroglycerin is dispensed at a concentration of 100 mg/250 mL. How many mL/hr will the nurse set the infusion pump? (Round rate to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  288. 288A nurse is caring for a client who developed hypomagnesemia following a myocardial infarction. Which of the following complications should the nurse prioritize monitoring for in this client?Answer →
  289. 289A nurse is preparing a client with newly diagnosed heart failure for discharge. The client asks, "How will I know if I'm retaining too much fluid once I'm home?" Which instruction should the nurse include to help the client monitor fluid balance?Answer →
  290. 290A nurse is caring for a client who is receiving magnesium sulfate to suppress preterm labor. Which of the following parameters should the nurse plan to monitor? (Select All that Apply.)Answer →
  291. 291Based on the change-of-shift report, which client should the nurse assess first?Answer →
  292. 292After the nurse teaches the patient with stage 1 hypertension about diet modifications, which diet choice indicates that the teaching has been effective?Answer →
  293. 293The clinic nurse interviews a client at their one-week follow-up after having a myocardial infarction. What client statement requires immediate follow-up by the nurse?Answer →
  294. 294A client with atrial fibrillation is admitted to the telemetry unit. The nurse notes an ECG tracing with absent distinct P waves, irregularly irregular ventricular rhythm, and a ventricular rate of 140 beats per minute. Which nursing action takes priority to ensure client safety?Answer →
  295. 295Acute cardiac client's resistance to left ventricular filling has caused acute blood to back up into the t's circulatory system. Which health problem is likely to result?Answer →
  296. 296Which intervention most reduces future cardiovascular events in Peripheral Artery Disease?Answer →
  297. 297A nurse is providing discharge teaching to a client who has heart failure. Which of the following lifestyle modifications should the nurse include in the discharge teaching?Answer →
  298. 298The nurse cares for a client with congestive heart failure. How does monitoring the patient's daily weight assist in the evaluation of patient outcomes?Answer →
  299. 299A client presents to the emergency department with a myocardial infarction. For each client finding, click to specify whether the finding is safe or unsafe for the administration of nitroglycerin.Answer →
  300. 300The nurse has just finished teaching a hypertensive patient about a newly prescribed drug, ramipril (Altace). Which patient statement indicates that more teaching is needed?Answer →
  301. 301A client's morning blood pressure (BP) is 175/75. Which nursing action should be prioritized?Answer →
  302. 302A client reports shortness of breath and has the following cardiac rhythm. Which medication order does the nurse anticipate administering?Answer →
  303. 303A nurse is counting a client's apical pulse rate. Identify where the nurse should place the stethoscope to auscultate the apical pulse. (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)Answer →
  304. 304Hydroxymethylglutaryl-coenzyme A (HMG-CoA) reductase inhibitors (statins) are generally administered at which time of day?Answer →
  305. 305A client diagnosed with coronary artery disease asks the nurse, "Why do I get chest pain?" Which statement would be the most appropriate response by the nurse?Answer →
  306. 306A nurse is caring for a client with supraventricular tachycardia who becomes hypotensive and confused. Which intervention should the nurse anticipate?Answer →
  307. 307A nurse is assessing a client diagnosed with peripheral artery disease (PAD). Which of the following findings should the nurse expect?Answer →
  308. 308Which assessment finding will prompt the nurse to suspect right-sided heart failure in a client with endocarditis?Answer →
  309. 309A nurse is evaluating the effectiveness of therapies for a patient with heart failure. Which assessment actions are appropriate to evaluate the effectiveness of the therapies? Select all that apply.Answer →
  310. 310A client has been prescribed a thiazide diuretic, hydrochlorothiazide (HCTZ), for the initial treatment of hypertension. The nurse teaches the client that this medication lowers blood pressure through what effect?Answer →
  311. 311A nurse is caring for a client who recently had surgery for insertion of a permanent pacemaker. Which of the following prescriptions should the nurse question?Answer →
  312. 312The nurse is caring for a patient who experienced a STEMI and received 2 coronary stents. The nurse needs to administer 600 mg of clopidogrel (Plavix) to the patient. Fill in the blank with the number of tablets the nurse will need to administer.Answer →
  313. 313A nurse is assessing a client who has fluid overload. Which of the following clinical findings should the nurse expect?Answer →
  314. 314A nurse is preparing to administer thrombolytics therapy until PCI (percutaneous coronary intervention) can be performed. Which of the following client factors should the nurse identify as contraindications to thrombolytic therapy? (Select all that apply)Answer →
  315. 315A nurse is caring for a client who is receiving warfarin therapy to prevent a deep vein thrombosis. Which of the following medications should the nurse have available in the event of an overdose?Answer →
  316. 316A patient is classified as Stage A for heart failure according to the American College of Cardiology (ACC)/American Heart Association (AHA) staging system. What intervention is most appropriate for managing Stage A heart failure?Answer →
  317. 317A patient with heart failure has been prescribed furosemide (Lasix) and spironolactone (Aldactone). After 3 days of therapy, the nurse notes the patient is weak and reports muscle cramps. Laboratory results show a potassium level of 3.2 mEq/L (3.5-5 mEq/L). What is the nurse's most appropriate action?Answer →
  318. 318The client has an order for celecoxib 300 mg PO daily, divided into two equal doses. Available is celecoxib 50 mg capsules. How many capsule(s) should the nurse administer with each dose? ___ capsule(s) (If needed, round the answer to the nearest whole number.)Answer →
  319. 319The nurse cares for a client in the emergency department. Review the electronic health record. Drag from the choices below to specify what condition the client is most likely experiencing [blank1], two actions the nurse should take to address that condition [blank2] and [blank3], and two parameters the nurse should monitor to assess the client's progress [blank4] and [blank5].Answer →
  320. 320A child with Tetralogy of Fallot suddenly becomes extremely irritable and cyanotic. The nurse notes rapid breathing and a drop in oxygen saturation. What is the priority nursing intervention?Answer →
  321. 321An experienced LPN/LVN reports to the RN that a patient's blood pressure and heart rate have decreased and that when his face was assessed, one side twitched. What action should the RN take at this time?Answer →
  322. 322A newborn has severe cyanosis that does not improve with oxygen therapy. An echocardiogram reveals two separate circulatory systems. Based on these findings, which cardiac defect is most likely present?Answer →
  323. 323A patient with peripheral artery disease (PAD) has been prescribed clopidogrel to prevent thrombotic events. The nurse notes that the patient has a history of Hemorrhagic stroke. Which is the most appropriate nursing action regarding this medication?Answer →
  324. 324Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  325. 325A client has been diagnosed with elevated blood pressure. What should the nurse encourage the client to do to aid in preventing progression to a hypertensive state?Answer →
  326. 326A 66-year-old patient with heart disease requires ampicillin (Principen) IV for an infection. Which overnight change in the patient's assessment findings is the nurse's priority?Answer →
  327. 327The nurse is performing a cardiac assessment. Which of the following statements indicates an understanding of the correct location to listen to heart sounds?Answer →
  328. 328Which action would the nurse take first to assess for a possible blood clot in a patient's lower leg?Answer →
  329. 329Two days after undergoing a total abdominal hysterectomy, a client complains of left calf pain. Venography reveals deep vein thrombosis (DVT). When assessing the client, what is the nurse most likely to detect?Answer →
  330. 330The nurse is assessing a client who has fluid volume excess. Which finding would require immediate follow up?Answer →
  331. 331A community health nurse is planning an educational campaign addressing hypertension. The nurse should anticipate that the incidence and prevalence of hypertension are likely to be highest among members of what ethnic group?Answer →
  332. 332Review the electrocardiogram (ECG) strip. The telemetry nurse caring for a client notes this ECG rhythm. How should the nurse interpret this cardiac rhythm strip?Answer →
  333. 333A client with chronic heart failure asks which diet instruction is most important to reduce fluid overload. Which response is best?Answer →
  334. 334A nurse is caring for a client who has heart failure. Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing [blank1] and [blank2]Answer →
  335. 335A client is admitted with a right calf deep vein thrombosis (DVT). Which assessment finding requires immediate action by the nurse?Answer →
  336. 336A nurse is providing care to a client in the ER complaining of palpitations and dizziness. A 12-lead EKG was performed, and the following strip is received. What type of dysrhythmia will the nurse notify the HCP?Answer →
  337. 337A nurse finds a client in bed, unresponsive and breathing. Which of the following actions should the nurse take first?Answer →
  338. 338In the treatment of heart failure with reduced ejection fraction (HFrEF), which medication is considered a mainstay of therapy in reducing preload?Answer →
  339. 339Which triad is most consistent with acute cardiac tamponade?Answer →
  340. 340The nurse is caring for a client who has this rhythm at the cardiac monitor. Which of the following would be a priority intervention?Answer →
  341. 341The nurse collects data from a client who has experienced an episode of chest pain. The client tells the nurse that the chest pain started shortly after he started raking leaves but went away after he rested. Which type of angina should the nurse recognize in the client's description?Answer →
  342. 342How does C-reactive protein (hs-CRP) contribute to the risk of dyslipidemia?Answer →
  343. 343A nurse is teaching a client with coronary artery disease how to use sublingual nitroglycerin for episodes of chest pain. After demonstrating how to take the medication, the client asks what side effects to expect. Which response should the nurse emphasize as a common effect of nitroglycerin therapy?Answer →
  344. 344A patient with acute pulmonary edema is extremely anxious, tachypneic, and using accessory muscles. What positioning will best improve ventilation?Answer →
  345. 345A nurse is reviewing diagnostic tests for a patient suspected of having a DVT. Which result would be most useful to rule out a DVT in a low-risk patient?Answer →
  346. 346For each of the following findings in the client's medical record, click to specify if they are consistent with angina or a myocardial infarction (MI). Each finding may support more than one disease process.Answer →
  347. 34728-year-old patient presents with fatigue, dyspnea, and chest discomfort two weeks after recovering from a flu-like illness. The provider suspects myocarditis. Which viral infection is most commonly associated with the development of myocarditis?Answer →
  348. 348A client's home log shows an average blood pressure of 138/88 millimeters of mercury over three months with no cardiovascular disease and no diabetes and no previous antihypertensive treatment. What the best initial plan?Answer →
  349. 349The nurse is caring for a client who is undergoing an exercise stress test. Prior to reaching the target heart rate, the client develops chest pain. What is the nurse's most appropriate response?Answer →
  350. 350A 25 year old female complains that her hands turn blue/white in the cold along with feeling of numbness and tingling and occasionally burning pain. Raynaud's phenomenon has been identified as the cause. Client education will include which two of the following interventions?Answer →
  351. 351A patient with acute pulmonary edema is coughing pink frothy sputum. Which medication is expected first?Answer →
  352. 352For each of the following findings in the client's medical record, click to specify if they are consistent with angina or a myocardial infarction (MI). Each finding may support more than one disease process.Answer →
  353. 353Before a patient undergoes mechanical aortic valve replacement, what must the nurse emphasize in teaching?Answer →
  354. 354Cardiogenic shock usually occurs from which of the following conditions?Answer →
  355. 355Which assessment finding best indicates furosemide therapy is effective in a patient with heart failure?Answer →
  356. 356A client with peripheral arterial disease reports pain in the foot at night that improves when dangling the leg over the side of the bed. What should the nurse suspect?Answer →
  357. 357A client with left-sided heart failure is prescribed digoxin. Their digoxin level today is 2.4 ng/mL. The normal digoxin range for heart failure is 0.5 to 0.9 ng/mL. Which additional assessment finding requires immediate action?Answer →
  358. 358Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition. and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  359. 359A nurse prepares to measure blood pressure in clinic. Which technique is correct?Answer →
  360. 360A nurse in the emergency department is assessing a client who is having a suspected acute myocardial infarction (MI). Which of the following manifestations should the nurse expect?Answer →
  361. 361A nurse is caring for a client who sustained blood loss. Which of the following is a manifestation of hypovolemia?Answer →
  362. 362The school nurse was asked to teach a class on the circulatory system to a group of high school students. Place in the correct order the flow of blood through the heart as the nurse presents it, starting with the entry of blood to the heart and ending with the exit of blood into the arterial circulation.Answer →
  363. 363Which of the following ECG findings are consistent with atrial fibrillation in a client? (Select all that apply.)Answer →
  364. 364A patient weighing 78 kilograms is to receive a heparin infusion. The protocol for heparin infusion is 18 units/kg/hour. How many units per hour will the patient receive? (Provide answer as a number only, round answer to the nearest whole number)Answer →
  365. 365The nurse develops potential nursing diagnoses for Mr. Patterson. Use an X to indicate whether each nursing action listed below is Indicated (appropriate or necessary), Contraindicated (could be harmful), or Non-essential (makes no difference or is not a priority).Answer →
  366. 366The nurse is teaching a patient with hypertension about foods to avoid when taking linezolid (Zyvox). Which statement by the patient indicates the need for additional teaching?Answer →
  367. 367Which dietary adjustments can help improve overall cholesterol balance and cardiac health? (Select all that apply)Answer →
  368. 368A nurse is reviewing the laboratory values for a client who takes spironolactone and notes that the client's serum potassium level is 6.8 mEq/L. The nurse notifies the provider and anticipates that the provider will provide which of the following instructions?Answer →
  369. 369A nurse is preparing to administer morning medications to clients on a medical-surgical unit. Which of the following medication prescriptions should the nurse question or hold?Answer →
  370. 370Which of the following can be consider common situations that will worsen Congestive Heart Failure. Select all that applyAnswer →
  371. 371The nurse prepares to implement interventions for Mr. Patterson's elevated blood pressure of 168/94 mmHg and history of hypertension and chronic kidney disease. Which interventions should the nurse include in the plan of care? Select all that apply.Answer →
  372. 372Which of the following statements made by the nurse show an understanding of premature ventricular contractions (PVCs) on a client's ECG?Answer →
  373. 373What appearance on the monitor strip indicates a properly functioning demand pacemaker?Answer →
  374. 374Which of the following is the most important nursing intervention for a client with Subclavian Steal Syndrome?Answer →
  375. 375A client has been monitoring their blood pressure (BP) at home for two weeks and reports an average BP of 130/85. Which of the following statements made by the nurse about the expected plan of care is accurate?Answer →
  376. 376A nurse is reviewing a client's complete metabolic panel. The client takes an angiotensin-converting enzyme inhibitor and spironolactone for heart failure. Potassium is 5.9 mmol/L. What is the best next step?Answer →
  377. 377A client with heart failure asks which medication use at home may worsen symptoms. Which response is best?Answer →
  378. 378Which finding indicates digoxin therapy is effective in a patient with heart failure?Answer →
  379. 379A nurse is caring for a client who has heart failure. After reviewing the findings, which of the following actions should the nurse take? For each potential provider's prescription, click to specify if the prescription is anticipated, nonessential, or contraindicated for the client.Answer →
  380. 380The client presents to the urgent care clinic with a report of pain in the right lower leg in the area of the calf. Nursing assessment reveals the calf is red and when the nurse touches the area, the client yells in pain. What is the priority nursing action?Answer →
  381. 381While turning a monitored patient, the Electrocardiogram (ECG) suddenly becomes a flat line. The patient is awake and talking. Best initial action?Answer →
  382. 382A nurse asks a client who is about to have a cardiac catheterization about any allergies. The client states, "I always get a rash when I eat shellfish." Which of the following is the priority nursing action?Answer →
  383. 383A nurse assesses a client who is taking a loop diuretic, furosemide (Lasix), for treatment of heart failure. Which of these client findings would require follow-up by the nurse?Answer →
  384. 384Which of the following statements regarding the storage of sublingual nitroglycerin is accurate?Answer →
  385. 385A nurse is caring for a client who has an arterial line inserted in the radial artery. Which of the following actions should the nurse take?Answer →
  386. 386A patient who has just arrived in the emergency department reports substernal and left arm discomfort that has been going on for about 3 hours. Which laboratory test will be most useful in determining whether the nurse should anticipate implementing the acute coronary syndrome standard protocol?Answer →
  387. 387A newly diagnosed client with hypertension and type 2 diabetes has been started on antihypertensive. Which class provides both blood pressure control and kidney protection?Answer →
  388. 388Complete the diagram by identifying the condition, two priority nursing actions, and two parameters to continue to monitor.Answer →
  389. 389An OR nurse is explaining to a client that cardiac surgery requires the absence of blood from the surgical field. At the same time, it is imperative to maintain perfusion of body organs and tissues. What technique achieving these simultaneous goals should the nurse describe?Answer →
  390. 390A nurse is teaching a client who has hypertension and a new prescription for atenolol. Which of the following findings should the nurse include as adverse effects of this medication?Answer →
  391. 391A nurse is planning care for a client with chronic peripheral venous insufficiency who has been prescribed thigh-high compression stockings. Which nursing action is the priority to promote optimal venous return and prevent complications?Answer →
  392. 392A client converts from normal sinus rhythm at 80 bpm to atrial fibrillation with a ventricular response at 6 bpm. Blood pressure is 162/74 mm Hg. Respiratory rate is 20 breaths per minute with normal chest pension and clear lungs bilaterally. Which goal is a priority for this client hen received in the emergency om?Answer →
  393. 393A nurse identifies polymorphic ventricular tachycardia on the monitor in a pulseless client. Which action is the priority?Answer →
  394. 394What manifestation(s) should the nurse expect to assess in a client having a myocardial infarction? Select all that apply.Answer →
  395. 395A nurse is assessing a client hours after coronary artery bypass graft surgery (CABG). Which assessment finding requires immediate provider notification?Answer →
  396. 396A client presents with complaints of heart racing, chest tightness, and feeling short of breath. The nurse immediately places the client on a cardiac monitor and interprets the rhythm as supraventricular tachycardia (SVT). Which of the following interventions is most appropriate?Answer →
  397. 397Which assessment finding in a client admitted with acute decompensated heart failure (ADHF) requires the immediate action from the nurse?Answer →
  398. 398A client undergoing hemodynamic monitoring in cardiogenic shock has a central venous pressure of 1 mm Hg. What action by the nurse is most appropriate?Answer →
  399. 399A nurse is reinforcing discharge teaching to a client who has hyperkalemia. Which of the following foods should the nurse teach the client to avoid? (Select all that apply.)Answer →
  400. 400Which triad best characterizes acute cardiac tamponade?Answer →
  401. 401The nurse is teaching dietary modifications to a client with hypertension. Which food is the best selection to include as part of the client's lunch?Answer →
  402. 402An older adult client with advanced Alzheimer's disease reports chest pain and is transported from an extended care facility to the emergency department (ED). Upon arrival, the client denies experiencing chest pain. Which action should the nurse implement?Answer →
  403. 403A nurse in the intensive care unit is caring for a client admitted with syncope and a heart rate of 35/min. Which intervention should the nurse anticipate for this client?Answer →
  404. 404A nurse is caring for clients with peripheral vascular disease. For each finding or intervention, indicate whether it is most consistent with arterial disease or venous disease.Answer →
  405. 405Complete the following sentence by using the lists of options. The client is at risk for developing blank1 due to blank2Answer →
  406. 406The nurse has just finished teaching a hypertensive patient about a newly prescribed drug, ramipril (Altace). Which patient statement indicates that more teaching is needed?Answer →
  407. 407Which of these statements made by a client with heart failure (HF) indicates the client has an understanding of managing HF at home? (Select all that apply)Answer →
  408. 408A client was admitted with peripheral artery disease (PAD) with a non-healing wound on their shin. The nurse would expect to see all of the following orders as part of the client's plan of care except:Answer →
  409. 409For clients using ventricular assist devices, critical assessments include [blank1], [blank2] and [blank3].Answer →
  410. 410A nurse is caring for a client with a diagnosis of Stage 1 hypertension. What action should the nurse first take, when assisting the client in making needed dietary changes.Answer →
  411. 411The nurse is caring for multiple clients on the telemetry unit. Which client complaint requires immediate follow-up by the nurse?Answer →
  412. 412The nurse is assessing a client presenting with chest pain and determines that the client's symptoms correlate with angina-type pain, which was provoked by exercise. Which of the following treatments would be prioritized for this client's acute condition?Answer →
  413. 413A nurse is providing discharge teaching to a client with a history of stable angina. Which of the following actions should the nurse instruct the client to take first when experiencing chest pain?Answer →
  414. 414A nurse is collecting data from a client who has venous insufficiency. Which of the following findings should the nurse expect?Answer →
  415. 415A nurse is teaching a newly diagnosed hypertensive patient about lifestyle modifications. What is the most effective initial strategy to help reduce cardiovascular risk?Answer →
  416. 416A patient reports substernal chest pain lasting 10 minutes after walking up stairs. The pain is relieved by rest. What action should the nurse take next?Answer →
  417. 417The nurse educates a physically active client on promoting adequate perfusion by avoiding dehydration. What client statement indicates an understanding of the teaching?Answer →
  418. 418What is the primary mechanism that leads to pulmonary edema?Answer →
  419. 419Heparin protocol: Order: loading dose/bolus is 70 units/kg IVP. Continuous infusion following the bolus: 15 units/kg/hr. Available: Heparin 1000 units/mL for bolus dose; Heparin 25,000 units in 500 mL D5W for infusion. Patient weight: 60 kg. How many mL will the nurse administer IVP for the loading dose? Record using 1 decimal place.Answer →
  420. 420When assessing a patient's risk for cardiovascular disease related to obesity, which fat distribution pattern is associated with the highest risk?Answer →
  421. 421A patient presents with symptoms suggestive of acute arterial embolism. Which of the following 4 assessments align with the 6 P's used to evaluate this condition? (Select all that apply)Answer →
  422. 422The public health nurse is addressing eye health and vision protection during an educational event. What statement by a participant best demonstrates an understanding of threats to vision?Answer →
  423. 423The nurse is planning an educational program on sildenafil (VIAGRA) to a group of older male clients. Which of the following information should the nurse include in the educational program?Answer →
  424. 424A patient with acute pulmonary edema is coughing pink frothy sputum. Which medication is expected first?Answer →
  425. 425Which information about a client who has been admitted with a right calf venous thromboembolism (VTE) requires immediate action by the nurse?Answer →
  426. 426During a visit to a client with chronic heart failure, the home care nurse finds the client has ankle edema and expresses feeling too tired to do anything. What is the priority nursing diagnosis?Answer →
  427. 427A community health nurse teaches a group of older adults about modifiable risk factors that contribute to the development of peripheral arterial disease (PAD). Which statement by a participant indicates the teaching was effective?Answer →
  428. 428The nurse administers prescribed therapies for a patient with cor pulmonale and right-sided heart failure. Which assessment could be used to evaluate effectiveness?Answer →
  429. 429A patient in atrial fibrillation with rapid ventricular response (AF with RVR) at 150/min is hypotensive and margic. Best immediate action?Answer →
  430. 430A client with multiple injuries is brought to the emergency department by ambulance. The client has had his airway stabilized and is breathing on their own. The nurse does not see any active bleeding, but should suspect internal hemorrhage based on what finding?Answer →
  431. 431On the second day following admission, which of the following medications requires clarification prior to administration? Complete the following sentence by using the list of options. The nurse should clarify the prescription for [Blank1] due to the client's [Blank2]Answer →
  432. 432The nurse is caring for a patient 2 hours after a femoral-access percutaneous coronary intervention (PCI). Which assessment finding indicates a serious complication and requires immediate intervention?Answer →
  433. 433A 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?Answer →
  434. 434A client in the intensive care unit develops chest pressure and palpitations. The monitor shows a rapid, regular, narrow-QRS complex tachycardia with no visible P waves. Which rhythm is most likely?Answer →
  435. 435Which statement by a patient alerts the nurse to the possibility of right-sided heart failure?Answer →
  436. 436How does sustained sinus tachycardia at 150/min most commonly affect Cardiac Output in a patient?Answer →
  437. 437A nurse is teaching a patient recovering from a myocardial infarction about dietary modifications to support cardiac healing and prevent reinfarction. Which of the following instructions should the nurse prioritize?Answer →
  438. 438A nurse is reviewing a client's cardiac monitor for dysrhythmias. Which of the following findings should the nurse identify as an indication for the placement of a permanent pacemaker?Answer →
  439. 439A nurse is caring for a client who has a new diagnosis of essential hypertension and has been started on lisinopril. The nurse should monitor the client for which of the following findings that can occur when the patient rises from a sitting position too quickly?Answer →
  440. 440While lecturing on hypertension, the nurse teaches that the body adjusts its blood pressure through which mechanism?Answer →
  441. 441A nurse is caring for a client who develops third-degree heart block with a heart rate of 30/min. Which of the following actions should the nurse take?Answer →
  442. 442A nurse is assessing a client with decreased cardiac output due to myocardial ischemia. Which clinical manifestation should the nurse prioritize as indicating worsening cardiac function requiring immediate intervention?Answer →
  443. 443The nurse is preparing discharge instructions for a client with peripheral arterial disease. Which statement indicates successful learning?Answer →
  444. 444A nurse is caring for a client immediately following a cardiac catheterization with a femoral artery approach. Which of the following actions should the nurse take?Answer →
  445. 445A nurse is collecting data from a client who reports a sudden onset of shortness of breath, fatigue, and dizziness. Electrocardiography indicates the client is experiencing atrial fibrillation. Which of the following medications should the nurse expect to administer?Answer →
  446. 446A nurse is reviewing laboratory results for an infant with Tetralogy of Fallot (TOF). Which finding indicates polycythemia and should be reported immediately to the provider?Answer →
  447. 447A nurse is caring for a client who has a deep vein thrombosis, who received IV heparin for the past 5 days, and now has a new prescription for oral warfarin in addition to the heparin. The client asks the nurse if both medications are necessary. Which of the following is an appropriate response by the nurse?Answer →
  448. 448A patient presents to the emergency department with sudden severe chest pain radiating to the back, a history of hypertension, and a blood pressure difference of 20 mm Hg between the right and left arms. Which nursing action should be prioritized based on these clinical findings suggesting acute aortic dissection?Answer →
  449. 449A nurse is assessing a client who has progressed through the progressive stage of shock. Which of the following findings would the nurse expect during this stage?Answer →
  450. 450A patient with a potassium level of 5.8 mEq/L and an ECG shows peaked T waves. Which medication must be administered first to stabilize the potassium?Answer →
  451. 451A diabetic client has been diagnosed with peripheral artery disease (PAD). The nurse anticipates the client will be treated with which of the following medications:Answer →
  452. 452The nurse notes a harsh, systolic crescendo-decrescendo murmur during auscultation of a patient. This finding is most consistent with:Answer →
  453. 453Which client with a diagnosis of heart failure is most at risk for developing an exacerbation of heart failure?Answer →
  454. 454A nurse is assessing a client diagnosed with acute pericarditis. Which of the following clinical findings should the nurse identify as manifestations of pericarditis? (Select all that apply)Answer →
  455. 455A patient has a magnesium level of 2.6 mEq/L (elevated). The nurse anticipates which collaborative intervention with the physician?Answer →
  456. 456A nurse is caring for a client following a synchronized cardioversion. Which of the following findings indicates a therapeutic response to the treatment?Answer →
  457. 457A patient with known atherosclerosis reports new-onset coldness and pallor in one leg. Upon assessment, the nurse is unable to palpate a dorsalis pedis pulse. What is the nurse's best initial action?Answer →
  458. 458A client who weighs 80 Kg is being monitored 24 hours post-CABG procedure. Which finding should the nurse report immediately?Answer →
  459. 459Complete the following sentence by using the lists of options. The nurse should first address the clients [blank1] followed by the clients [blank2]Answer →
  460. 460A client with stable supraventricular tachycardia does not respond to vagal maneuvers. Which medication should the nurse prepare to administer?Answer →
  461. 461A hemodynamically stable client with a newly diagnosed proximal deep vein thrombosis and low bleeding risk is admitted. Which treatment should the nurse anticipate?Answer →
  462. 462Which nursing problem should be included in the plan of care for a client with heart failure?Answer →
  463. 463The nurse is leading a community education session about preventing atherosclerosis. Which of the following risk factors should the nurse emphasize can be reduced through the lifestyle of medical management? (Select all that apply.)Answer →
  464. 464A nurse is assisting in the plan of care for a client who has a suspected myocardial infarction. Which of the following medication should the nurse plan to administer first?Answer →
  465. 465A nurse is caring for a client who is 1-day postoperative following coronary artery bypass graft (CABG) surgery. Which of the following findings should the nurse report to the provider immediately?Answer →
  466. 466A client recently diagnosed with congestive heart failure and receiving a loop diuretic asks the nurse which additional medication the provider might prescribe to manage the condition effectively. Considering the mechanism of action of furosemide and common combination therapies, which medication should the nurse expect to be prescribed?Answer →
  467. 467While teaching a patient with a new diagnosis of atherosclerosis, the nurse emphasizes the need for dietary changes. What explanation best supports the importance of this teaching?Answer →
  468. 468For each assessment finding, click to specify if the assessment finding is consistent with an arterial ulcer, a venous ulcer, or a diabetic ulcer. Each finding may support more than one disease process.Answer →
  469. 469A nurse is caring for a client who has right-sided heart failure. The nurse should assess the client for which of the following manifestations?Answer →
  470. 470For each body system below, click to specify the potential nursing intervention that would be appropriate for the care of the client. Each body system may support more than one potential nursing intervention. (Each category must have at least 1 response option selected)Answer →
  471. 471A patient with persistent vomiting presents with metabolic alkalosis. Which complication is the most at risk for developing?Answer →
  472. 472A client with heart failure is being discharged. Which finding suggests a discharge planning problem that increases readmission risk?Answer →
  473. 473Which information will the nurse include in discharge teaching for a client receiving anticoagulant therapy? Select all that apply.Answer →
  474. 474A client with seven children reports having frequent morning headaches, dizziness, blurred vision, and difficulty sleeping. The client's spouse recently lost employment. The client's blood pressure is 168/104 mm Hg. After administering a STAT dose of an antihypertensive IV medication, which intervention is most important for the nurse to implement?Answer →
  475. 475A client with a history of hypertension controlled with medication presents to the emergency department reporting a "pounding" headache and a home blood pressure reading of 242/124 mm Hg. What assessment should the nurse prioritize?Answer →
  476. 476A nurse is caring for a patient who suddenly becomes unresponsive and pulseless. The cardiac monitor shows ventricular fibrillation. What is the nurse's priority action to improve the patient's chance of survival?Answer →
  477. 477A 60-year-old female client reports increasing fatigue, indigestion, jaw discomfort, and shortness of breath when completing household chores. The nurse recognizes that these findings may indicate myocardial ischemia. Which additional assessment question is most appropriate for the nurse to ask?Answer →
  478. 478How can an individual develop right-sided heart failure without concurrent left-sided heart failure?Answer →
  479. 479A nurse is participating in a multidisciplinary team meeting discussing the care plan for a client with end-stage heart failure who is no longer responding to advanced therapies. The provider mentions the term "futile" treatment. Which nurse statement best demonstrates an accurate understanding of medical futility in this context?Answer →
  480. 480When managing a patient with valvular heart disease and chronic atrial fibrillation, which therapy is essential to prevent thrombus formation?Answer →
  481. 481A nurse is teaching a client newly prescribed a beta blocker for hypertension. Which statement by the client indicates a need for further education?Answer →
  482. 482A nurse is caring for a client who has a deep vein thrombosis, who received IV heparin for the past 5 days, and now has a new prescription for oral warfarin in addition to the heparin. The client asks the nurse if both medications are necessary. Which of the following is an appropriate response by the nurse?Answer →
  483. 483A nurse in a prenatal clinic is preparing a handout for clients about deep vein thrombosis (DVT). Which of the following are risk factors for a postpartum DVT that the nurse should include?Answer →
  484. 484A nurse is planning care for a client following a cardiac catheterization accessed through his femoral artery. Which of the following actions should the nurse plan to take?Answer →
  485. 485The nurse is planning health teaching for several patients who are starting various antihypertensive drugs. Indicate which health teaching listed in the far-left column is associated with each commonly prescribed antihypertensive drug. Note that not all health teaching statements will be used. (Each category must have at least 1 response option selected)Answer →
  486. 486A 68-year-old client with smoking history reports calf pain when walking that stops with rest. The nurse suspects peripheral arterial disease. Which intervention should the nurse recommend?Answer →
  487. 487A nurse is planning to administer digoxin to a client who has heart failure. Which of the following laboratory results is the priority for the nurse to review prior to administering the medication?Answer →
  488. 488The nurse has just received orders for a client with peripheral neuropathy. Understanding the disease process, which order should the nurse question?Answer →
  489. 489Which laboratory result best supports decompensated Congestive Heart Failure in a dyspneic patient?Answer →
  490. 490A nurse in the emergency department is caring for a client who is admitted with the diagnosis of myocardial infarction (MI). Which of the following cardiac enzymes would the nurse expect to be elevated first for this client?Answer →
  491. 491A nurse is caring for a client who has dyspnea, crackles, and 3+ bilateral pitting pedal edema. Which of the following serum sodium levels should the nurse identify as an indication of fluid volume excess?Answer →
  492. 492A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil?Answer →
  493. 493A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?Answer →
  494. 494A patient with cardiogenic shock is receiving a vasoactive infusion. Which finding best indicates improvement in perfusion?Answer →
  495. 495Hypertension discharge teaching (select all that apply)Answer →
  496. 496A nurse is assessing a client suspected of having cardiac tamponade. Which of the following findings indicates the presence of pulsus paradoxus?Answer →
  497. 497Which of the following clients is at highest risk for developing a deep vein thrombosis (DVT)?Answer →
  498. 498As the clinic nurse caring for a client with varicose veins, what is an appropriate nursing action for this client?Answer →
  499. 499Complete the bow-tie item by selecting from the lists of options.Answer →
  500. 500A nurse is reviewing the client's diagnostic results and vital Signs. Which of the following actions should the nurse take? Select all that apply.Answer →
  501. 501A client with long-standing hypertension and diabetes is prescribed a new antihypertensive medication. Which class best supports kidney protection?Answer →
  502. 502A nurse is preparing to administer metoprolol 5 mg IV bolus to a client for heart rate control. Available is metoprolol injection 1 mg/ml. How many ml should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  503. 503A nurse is assessing a client with left-sided heart failure. Which findings should the nurse expect? Select all that apply.Answer →
  504. 504Which bedside action best tracks diuretic response in acute pulmonary edema?Answer →
  505. 505Which assessment data would warrant immediate intervention in the client diagnosed with peripheral arterial disease?Answer →
  506. 506The nurse assesses the lower extremities of a client with peripheral artery disease (PAD). Which assessment finding should the nurse expect?Answer →
  507. 507Whole grains help reduce which of the following?Answer →
  508. 508Which clinical manifestations are associated with venous insufficiency? (Select all that apply)Answer →
  509. 509A 4-month-old infant with congenital heart disease is prescribed digoxin. What is the primary therapeutic effect of digoxin in this patient?Answer →
  510. 510The nurse is caring for a client diagnosed with cardiomyopathy who has been prescribed medical management. Which assessment findings indicates that the treatment is effective?Answer →
  511. 511A patient admitted with hypertension reports a new-onset headache and blurred vision. Which action should the nurse take first?Answer →
  512. 512The nurse provides prescribed treatments for a client with fluid volume excess related to heart failure. What finding indicates to the nurse that the client's condition is worsening?Answer →
  513. 513When conducting a wellness class for clients with a history of cardiovascular disease, which dietary instruction should the nurse suggest to promote healthy living?Answer →
  514. 514A person was seen in the clinic for hypertension and received a prescription for a new antihypertensive medication. The patient arrived in the emergency department a few hours after taking the medication with severe angioedema. What medication is most likely responsible for this type of reaction?Answer →
  515. 515The nurse is caring for a client in a heart failure exacerbation and suspects they have progressed to cardiogenic shock. The nurse plans which priority intervention for the client?Answer →
  516. 516A nurse in the emergency department is planning care for a client experiencing an acute myocardial infarction (MI). Which medication should the nurse plan to administer to prevent further platelet aggregation and clot enlargement?Answer →
  517. 517A nurse is providing discharge teaching to a patient with a history of hypertension. The nurse should inform the patient that their blood pressure of 134/84 places them in which hypertensive category?Answer →
  518. 518Which medication is generally avoided in systolic heart failure because of negative inotropic effects?Answer →
  519. 519A patient reports a persistent dry cough that began several weeks ago. The nurse reviews the medication list and notes the patient is taking an ACE inhibitor for hypertension. Which nursing action is most appropriate?Answer →
  520. 520A nurse is caring for a client who is two days post-total hip arthroplasty who reports sudden swelling, warmth, and pain in the left calf. Which action should the nurse take?Answer →
  521. 521After the nurse teaches the patient with stage 1 hypertension about diet modifications, which diet choice indicates that the teaching has been effective?Answer →
  522. 522A trauma patient arrives after a motor vehicle collision. The patient is pale, diaphoretic, anxious, and reports thirst. Vital signs are heart rate 136/min, blood pressure 84/46 mm Hg, respiratory rate 30/min, and urine output 15 mL in the last hour. Which interpretation by the nurse is most accurate?Answer →
  523. 523A 72-year-old client has weak pedal pulses and pale, smooth, shiny, hairless skin over the lower legs. Which condition does this finding suggest and what intervention is indicated when patient complains of leg pain?Answer →
  524. 524A nurse is caring for a patient diagnosed with stable ventricular tachycardia (V-tach) who is currently alert and has a blood pressure of 110/70 mm Hg. The ECG shows a wide QRS complex at a rate of 150 beats per minute. The patient reports palpitations and mild shortness of breath. What is the nurse's priority Intervention?Answer →
  525. 525A client is admitted to the ICU with a blood pressure of 220/120 mm Hg, severe headache, blurry vision, and confusion. The nurse anticipates IV vasodilator therapy. What is the primary treatment goal during the first hour?Answer →
  526. 526A patient with fluid volume excess presents dyspnea and bilateral crackles. What is the underlying physiological cause?Answer →
  527. 527A nurse caring for a client with a chronic venous leg ulcer should include which interventions? Select all that apply.Answer →
  528. 528Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  529. 529A patient with a symptomatic bradycardia is diaphoretic with BP 78/40 and HR 32/min.Answer →
  530. 530A nurse is reviewing cardiovascular risks with a male veteran. Which finding should be prioritized for further cardiac evaluation?Answer →
  531. 531The nurse's aide notifies the nurse that a client has decreased oxygen saturation levels. The nurse assesses the client and finds that the client is tachypneic, has crackles on auscultation, and has frothy and pink sputum. The nurse should suspect which complication?Answer →
  532. 532Which assessment finding is most characteristic of aortic stenosis?Answer →
  533. 533Appropriate initial drug classes for uncomplicated primary hypertension. Select all that apply.Answer →
  534. 534Which medication order would the nurse expect for a client diagnosed with hypertrophic cardiomyopathy?Answer →
  535. 535A nurse is teaching a client who has angina about sublingual nitroglycerin. Which of the following instructions should the nurse include?Answer →
  536. 536A 45-year-old individual with a family history of coronary artery disease (CAD) is concerned about modifiable risk factors. Which of the following is an example of the individual modifying a risk factor to prevent CAD?Answer →
  537. 537A nurse is preparing an in-service presentation about the use of automated external defibrillators (AEDs). Which of the following instructions should the nurse include in the teaching?Answer →
  538. 538A nurse is providing teaching for a client who has hypertension and a prescription change from metoprolol to metoprolol/hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  539. 539A nurse is preparing to administer lidocaine 2 mg/min by continuous IV infusion to a client. The amount available is lidocaine 400 mg in 100 mL of dextrose 5% in water. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  540. 540A nurse in a clinic is caring for a client who has a prescription for digoxin. Which of the following statements indicates the client is experiencing digoxin toxicity?Answer →
  541. 541A patient with hypertension requires an intravenous (IV) infusion of nitroprusside. The order reads: 1.5 mcg/kg/min. The patient weighs 62 kg. What dose should the nurse administer per minute?Answer →
  542. 542A nurse is evaluating a patient in the emergency room who came complaining of a headache, nausea, and chest discomfort. Patients blood pressure is 182/132. Based on the finding what does the nurse suspect is happening?Answer →
  543. 543A client recently diagnosed with coronary artery disease asks the nurse, "What can I do to help stop the progression of my disease?" The nurse's response should be based on which information?Answer →
  544. 544A nurse in an emergency department (ED) is caring for a client. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  545. 545Which finding most strongly suggests secondary hypertension?Answer →
  546. 546An ambulatory care nurse measures the blood pressure of a client and finds it to be 156/94 mm Hg. Which statement indicates that the client needs additional education?Answer →
  547. 547A nurse is preparing to administer bumetanide to a client who has heart failure. Which of the following findings indicates effectiveness of the medication?Answer →
  548. 548A nurse on a labor and delivery unit is teaching a newly licensed nurse about operative vaginal birth. Which of the following statements by the newly licensed nurse indicates the teaching was effective?Answer →
  549. 549Primary prevention intervention for heart disease would be?Answer →
  550. 550A client with atrial fibrillation is admitted to the telemetry unit. The nurse notes an ECG tracing with absent distinct P waves, irregularly irregular ventricular rhythm, and a ventricular rate of 140 beats per minute. Which nursing action takes priority to ensure client safety?Answer →
  551. 551A client has a total serum calcium level of 7 mg/dL (1.75 mmol/L). Based on this information, which action is most important for the nurse to include while measuring the client's vital signs?Answer →
  552. 552A nurse is caring for a patient prescribed a nitrate medication for angina who regularly consumes grapefruit juice. Which nursing action is most appropriate to ensure patient safety?Answer →
  553. 553A client presents to the emergency department in supraventricular tachycardia. The first dose of adenosine was unsuccessful in converting the rhythm. The nurse is given an order to administer adenosine 12 mg IV STAT. Fill in the blank with the number of milliliters (mLs) the nurse needs to administer to the patient. NDC-7411715-125Answer →
  554. 554The nurse is providing education to a client who will be undergoing a cardiac catheterization. Which statement by the client indicates an understanding of the procedure?Answer →
  555. 555What triggers closure of the ductus arteriosus after birth? Select all that applyAnswer →
  556. 556A nurse is caring for a client who has heart failure. The client states she has recently been bothered by a non-productive cough. Which of the following medications should the nurse associate with the non-productive cough?Answer →
  557. 557A nurse is caring for a client who takes lisinopril for hypertension. Which of the following client statements indicates an adverse effect of the medication?Answer →
  558. 558An older adult client with hypertension cannot reach blood pressure control with oral medications, so the client is admitted to the hospital for antihypertensive management and further evaluation. Laboratory test findings include an elevated blood urea nitrogen (BUN), serum creatinine, and white blood cell count. The client becomes dyspneic and reports heart palpitations, heart rate is 150 beats/minute. Which intervention should the nurse implement?Answer →
  559. 559While performing an assessment, the nurse hears crackles in the patient's lung fields. The nurse also learns that the patient is sleeping on three pillows to help with the difficulty breathing during the night. Which condition will the nurse most likely observe written in the patient's medical record?Answer →
  560. 560A client's rhythm strip shows the following rhythm. What treatment is expected for a stable client? Select all that apply.Answer →
  561. 561The nurse is reviewing a client's assessment data. For each potential assessment findings below, click to specify the disease process is consistent with the assessment finding. Each finding may support more than one disease process.Answer →
  562. 562A nurse is caring for a client who is experiencing an early second-trimester spontaneous abortion and is hemodynamically stable. Which of the following prescriptions should the nurse expect the provider to prescribe?Answer →
  563. 563Which assessment finding is most consistent with mitral valve prolapse?Answer →
  564. 564Patient returns to the unit after a percutaneous coronary intervention (PCI) via the femoral artery. One hour later, the nurse notes swelling and firmness at the insertion site with oozing blood. The patient reports tenderness at the groin. What is the nurse's priority intervention?Answer →
  565. 565A nurse is caring for a client who came to the emergency department reporting chest pain. The provider suspects a myocardial infarction. While waiting for the troponin levels report, the client asks what this blood test will show. Which of the following explanations should the nurse provide the client?Answer →
  566. 566The nurse would recognize which of the following signs as the best indicator of cyanosis in an African-American client?Answer →
  567. 567A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  568. 568A nurse is providing discharge teaching to a client who has a permanent pacemaker. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  569. 569A nurse is reviewing the laboratory results for a male adult client who is at risk for peripheral arterial disease from atherosclerosis. The nurse should identify that which of the following results places the client at risk?Answer →
  570. 570Based on the following six-second strip. Which treatment do you expect?Answer →
  571. 571During palpation of a patient's peripheral pulses, the nurse identifies weak pulses bilaterally. What does the nurse infer from this finding?Answer →
  572. 572A nurse is caring for a client on a cardiac telemetry unit. The client begins to complain of chest discomfort. Which electrocardiographic (ECG) change should be reported to the healthcare provider immediately?Answer →
  573. 573The nurse is making rounds to check on clients and finds that the door to one of the client's rooms is marked with a stop sign. For which reason would this sign be posted and which action would the nurse take?Answer →
  574. 574A patient with persistent vomiting presents with metabolic alkalosis. Which complication is the most at risk for developing?Answer →
  575. 575A patient with a transcutaneous pacemaker exhibits consistent pacing spikes without corresponding QRS complexes. What type of pacemaker failure does this indicate?Answer →
  576. 576A client is discharged from the intensive care unit following a myocardial infarction, and the healthcare provider prescribes a low-sodium diet. Which lunch selection indicates to the nurse that this client understands the dietary restrictions?Answer →
  577. 577The client's complaint of calf pain with walking that is relieved by rest is most indicative of: ___. This condition is commonly caused by: ___.Answer →
  578. 578A nurse is evaluating a client admitted with a blood pressure of 212/118 mm Hg who reports chest pressure, decreased urine output, and confusion. The nurse suspects hypertensive emergency. Which organs are at highest risk for acute target-organ damage? Select all that apply.Answer →
  579. 579The nurse is planning care for elderly clients affected by orthostatic hypotension. Which interventions would the nurse include? Select all that apply.Answer →
  580. 580A nurse is caring for a client admitted with chronic alcoholism. The client reports numbness around the mouth and tingling in the feet. The nurse notes hyperactive deep-tendon reflexes, tremors, and the cardiac monitor shows prolonged QT interval. The nurse reviews the client's labs: Serum magnesium: 1.0 mg/dL (Normal: 1.3–2.1 mg/dL) Serum potassium: 3.4 mEq/L (Normal: 3.5–5.0 mEq/L) Serum calcium: 8.9 mg/dL (Normal: 8.6–10.2 mg/dL) Which intervention is the priority?Answer →
  581. 581A nurse is assisting in the plan of care for a client who has a suspected myocardial infarction. Which of the following medications should the nurse plan to administer first?Answer →
  582. 582An older adult with no known cardiac history is found to have a low-pitched murmur during auscultation. The nurse notes an irregular heart rhythm. What should the nurse do next?Answer →
  583. 583A nurse is caring for a client immediately following a cardiac catheterization with a femoral artery approach. Which of the following actions should the nurse take?Answer →
  584. 584A client presents to the clinic complaining of intermittent chest pain on exertion and is diagnosed with angina. The nurse should inform the client that angina is attributed to what cause?Answer →
  585. 585Holding a Doppler ultrasound probe can be crucial when a nurse is:Answer →
  586. 586A nurse is caring for a client with worsening heart failure who was started on IV furosemide earlier today. The client reports muscle cramps and increasing weakness. Cardiac monitoring shows occasional premature ventricular contractions (PVCs). Which assessment should the nurse prioritize?Answer →
  587. 587The nurse reviews Mr. Patterson's assessment findings and recognizes that his symptoms are most consistent with complications from his chronic conditions. Complete the following analysis by selecting the correct options from each drop-down menu: The client's complaint of calf pain with walking that is relieved by rest is most indicative of ________ (1). This condition is commonly caused by ________ (2).Answer →
  588. 588A nurse is caring for a client in the intensive care unit (ICU) following a myocardial infarction. The client is 6 hours post-right femoral percutaneous coronary intervention. Which of the following assessment findings requires immediate nursing intervention?Answer →
  589. 589For each body system below, click to specify the potential nursing interventions that would be appropriate for the care of the client presenting with heart failure symptoms. Each body system may support more than one potential nursing intervention.Answer →
  590. 590A nurse is caring for a client who has a serum brain natriuretic peptide (BNP) of 1200 pg/ml. (<100pg/ml). Which of the following findings should the nurse anticipate with this client? (Select all that apply.)Answer →
  591. 591Which of the following clients are most at risk for developing endocarditis? Select all that apply.Answer →
  592. 592The charge nurse observes a new staff nurse apply sequential compression devices (SCDs) to a client's lower extremities. What action(s) by the new nurse require intervention by the charge nurse? Select all that apply.Answer →
  593. 593A client presents to the emergency department with sudden palpitations and dizziness. The nurse notes an irregular pulse with a heart rate of 125 beats/minute. The nurse places a cardiac monitor on the client and determines that the client is in atrial fibrillation. Which of the following is an appropriate treatment option for this rhythm?Answer →
  594. 594A nurse is caring for a 16-year-old patient diagnosed with myocarditis following COVID-19 vaccination. The patient exhibits fatigue, palpitations, and slight peripheral edema. Laboratory results show elevated troponin and C-reactive protein levels. Which nursing diagnosis should the nurse prioritize when planning care for this patient?Answer →
  595. 595A nurse is caring for a client who has heart failure and a potassium level of 2.4 mEq/L. The nurse should identify which of the following medications as the cause of the client's low potassium level?Answer →
  596. 596Which observation regarding ulcer formation on the client's lower extremity indicates that the ulcer is a result of peripheral vascular disease?Answer →
  597. 597A nurse is caring for a patient who has a deep vein thrombosis and is prescribed heparin by continuous IV infusion at 1,200 units/hr. Available is heparin 25,000 units in 500 mL D5W. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  598. 598The nurse is caring for an older adult client who needs to limit sodium intake. Which food should the nurse encourage the client to avoid?Answer →
  599. 599A nurse is preparing to administer atenolol 50 mg PO daily to a client. The amount available is atenolol 100 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero) tabletAnswer →
  600. 600A nurse is monitoring a patient whose cardiac monitor shows chaotic, irregular electrical activity without discernible QRS complexes and a ventricular rate exceeding 300 beats per minute. The patient is unresponsive and pulseless. Which immediate intervention should the nurse prioritize to optimize survival chances?Answer →
  601. 601A patient arrives at the emergency department with squeezing substernal chest pain that started 20 minutes ago while climbing stairs. The client reports nausea and anxiety. Vital signs: BP 154/90 mm Hg, HR 110 bpm, RR 24/min, SpO₂ 92% on room air. The nurse suspects angina. Which of the following interventions are appropriate initial actions based on the client's presentation? (Select all that apply.)Answer →
  602. 602A nurse is preparing to administer metoprolol 5 mg IV bolus to a client for heart rate control. Available is metoprolol injection 1 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  603. 603After receiving change-of-shift report, which client admitted with heart failure should the nurse assess first?Answer →
  604. 604A nurse is caring for a patient 4 hr following a cardiac catheterization. Which of the following actions should the nurse take?Answer →
  605. 605A nurse is assessing a client who arrived with suspected myocardial infarction (MI). The client is pale and diaphoretic and states, "My chest feels tight and it's getting worse." Vital signs are: BP 146/92 mmHg, HR 108/min, RR 28/min, and SpO₂: 94% on room air. Which finding should the nurse prioritize reporting to the provider?Answer →
  606. 606Which interventions should the nurse include? (Select all that apply)Answer →
  607. 607A client is preparing to undergo placement of a pacemaker to regulate bradycardia. Following insertion of the pacemaker, the nurse should instruct the client to do which of the following to best protect the device?Answer →
  608. 608The nurse is reviewing medications for an older adult patient with chronic heart failure who uses NSAIDs regularly for arthritis. What assessment finding would the nurse prioritize?Answer →
  609. 609A client is prescribed atorvastatin (Lipitor) for hyperlipidemia. Which statement by the client indicates the need for further teaching regarding this medication?Answer →
  610. 610Which nursing assessment demonstrates understanding of this client's ECG? Answers: A–DAnswer →
  611. 611A nurse is reviewing a client's ECG rhythm strip. Which of the following components should the nurse use to measure impulse conduction from the sinus node through the atrioventricular node?Answer →
  612. 612A 3-year-old child is recovering in the PICU after surgical repair of a ventricular septal defect. The nurse is developing the postoperative care plan. Which interventions should be included? Select all that apply.Answer →
  613. 613A 58-year-old male patient presents to the emergency department with chest pain described as a tightness in the midsternal area lasting 20 minutes, occurring at rest, and radiating to his left arm and jaw. He also reports nausea and diaphoresis. His blood pressure is 150/90 mm Hg, heart rate 110 bpm. and respiratory rate 24/min. Which nursing action is the priority based on recognizing cues for unstable angina?Answer →
  614. 614A nurse assesses a client who is taking a loop diuretic, Furosemide (Lasix) for treatment of Heart Failure. Which of these client findings would require follow-up by the nurse?Answer →
  615. 615A nurse is monitoring the cardiac rhythm of an unresponsive patient with no palpable pulse. The cardiac monitor shows a regular rhythm with normal rate and normal QRS complexes, but no pulse is detected. Based on this assessment, which cardiac rhythm should the nurse identify and what is the most appropriate immediate nursing intervention?Answer →
  616. 616A client newly diagnosed with hypertension and other cardiovascular conditions learns about the renin-angiotensin-aldosterone system (RAAS) and asks the nurse to explain the impact of angiotensin II and aldosterone on the cardiovascular system. What should the nurse include in the response?Answer →
  617. 617A nurse assesses a client with atrial fibrillation and finds an apical pulse rate of 110 beats/min and a radial pulse rate of 92 beats/min. The client reports fatigue and shortness of breath. What is the nurse's best initial action based on the pulse deficit findings?Answer →
  618. 618A client has been prescribed a thiazide diuretic, hydrochlorothiazide (HCTZ), for the initial treatment of hypertension. The nurse teaches the client that this medication lowers blood pressure through what effect?Answer →
  619. 619A patient has a heart rate of 132 beats per minute. What should the nurse assess to help determine the reason for this rate? Select all that apply.Answer →
  620. 620A nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily at home. Which of the following instructions should the nurse give the client?Answer →
  621. 621A nurse is caring for a client who has peripheral vascular disease and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?Answer →
  622. 622When caring for a client with heart failure, the nurse administers furosemide 60 mg IV as ordered for shortness of breath and crackles in the lungs. Two hours later, the client states they are still short of breath and crackles are still auscultated in the lungs and they do not feel any better. Which nursing action is most appropriate at this time?Answer →
  623. 623After endovenous ablation for varicose veins, the nurse should prioritize which patient teaching?Answer →
  624. 624The nurse is caring for a client with heart failure and knows that the most effective treatment for heart failure is which of the following?Answer →
  625. 625Which of the following interventions should the nurse prioritize for a client with acute coronary syndrome who is undergoing percutaneous coronary intervention (PCI)? Select all that apply.Answer →
  626. 626Thrombophlebitis and venous thromboembolism have been diagnosed. Which intervention should be avoided?Answer →
  627. 627A nurse is assessing a patient with a recent penetrating chest injury who is suspected of developing cardiac tamponade. Which cluster of clinical findings client represents Beck's triad, indicating cardiac tamponade?Answer →
  628. 628A nurse is caring for a patient admitted with a suspected myocardial infarction. The patient suddenly develops confusion, hypotension, and a weak, thready pulse. Considering these clinical changes, what is the priority nursing action?Answer →
  629. 629A patient with coronary artery disease starts atorvastatin (Lipitor). The nurse notes fatigue, mild jaundice, and dark urine. Which lab should the nurse monitor to detect medication toxicity?Answer →
  630. 630In the context of cardiac rehabilitation, which activity level in METs is most appropriate for a patient in Phase III aiming to build aerobic capacity?Answer →
  631. 631A nurse is preparing a care plan for a client with an unruptured abdominal aortic aneurysm measuring 5.8 cm. Which nursing intervention should be prioritized to prevent aneurysm rupture?Answer →
  632. 632A client admitted with heart failure is complaining of persistent nausea. What does the nurse recognize as the cause of gastrointestinal distress associated with right-sided heart failure?Answer →
  633. 633A nurse is caring for a client newly diagnosed with hypertension. Which action is the nurse's priority?Answer →
  634. 634A nurse evaluates the lab results of a patient experiencing chest pain and finds normal troponin I levels. What is the most appropriate next nursing action?Answer →
  635. 635A nurse is providing education for a patient with heart failure. Which instructions should the nurse include? Select all that applyAnswer →
  636. 636The nurse received hand-off shift report on a group of clients. Which client should the nurse assess first?Answer →
  637. 637The telemetry charge nurse is reviewing four patients for possible discharge. Which patient is most appropriate for discharge?Answer →
  638. 638A nurse is caring for a client who is receiving heparin 3,800 units subcutaneous daily. Available is heparin 5,000 units/mL. How many mL should the nurse administer?Answer →
  639. 639The nurse reviews prescriptions for weight-loss medications. Which client finding requires immediate clarification before administering phentermine?Answer →
  640. 640A nurse enters a client's room and finds the client pulseless and unresponsive. The monitor shows a flat line in two leads. What is the priority nursing action?Answer →
  641. 641Your patient is unresponsive and the cardiac monitor shows Torsades de Pointes as the patient's rhythm. Which laboratory value below could be a cause of this rhythm?Answer →
  642. 642A nurse is assessing a patient who is experiencing peripheral neurovascular dysfunction. What assessment findings are most consistent with this diagnosis?Answer →
  643. 643After receiving change of shift report, which client admitted with heart failure should the nurse assess first?Answer →
  644. 644A client with chronic venous insufficiency asks which symptom pattern is typical. Which response is best?Answer →
  645. 645A nurse is reinforcing discharge teaching with a client who with heart failure (HF) and is on a loop diuretic. Which of the following statements by the client indicates the teaching was effective?Answer →
  646. 646A client tells the nurse about gaining 2 lb (0.91 kg) each day over the last three days. After weighing the client, which assessment should the nurse perform to confirm this subjective report?Answer →
  647. 647The nurse is preparing to administer metoprolol to a client with hypertension. What finding should cause the nurse to hold the drug and contact the healthcare provider?Answer →
  648. 648A nurse is planning to administer digoxin to a client who has heart failure. Which of the following laboratory results is the priority for the nurse to review prior to administering the medication?Answer →
  649. 649Which medication class is most appropriate as first-line therapy for uncomplicated primary hypertension?Answer →
  650. 650A client on a thiazide-type diuretic reports muscle cramps and weakness. Which laboratory abnormality is most consistent?Answer →
  651. 651A patient with infective endocarditis develops sudden abdominal pain with rebound tenderness and pain radiating to the left shoulder. Which complication does the nurse anticipate?Answer →
  652. 652A nurse is developing a teaching plan for a client newly prescribed simvastatin. Which dietary instruction should be included?Answer →
  653. 653A nurse is caring for a client with a prolonged QT interval on the ECG who is also experiencing hypomagnesemia. Which nursing action is the priority to prevent the development of torsade de pointes?Answer →
  654. 654The nurse is reviewing the client's medical record. Select the four findings that require immediate follow-up.Answer →
  655. 655How does heart failure typically affect left ventricular end-diastolic pressure (LVEDP)?Answer →
  656. 656Two days after undergoing a total abdominal hysterectomy, a client complains of left calf pain. Venography reveals deep vein thrombosis. When assessing the client, what is the nurse most likely to detect?Answer →
  657. 657A 55-year-old patient with a history of hypertension, diabetes, and a family history of coronary artery disease (CAD) presents with chest pain and shortness of breath. Which risk factor is likely to contribute significantly to the development of CAD in this patient?Answer →
  658. 658A nurse is caring for a client who is prescribed clonidine to manage opioid withdrawal symptoms. Which of the following findings should the nurse report to the provider immediately?Answer →
  659. 659A nurse is caring for a client prescribed metoprolol for hypertension. Which assessment finding would require the nurse to withhold the medication and notify the healthcare provider?Answer →
  660. 660A nurse is reviewing the laboratory results of a patient with confirmed deep vein thrombosis (DVT) who is receiving low-molecular-weight heparin (LMWH). The patient's platelet count has decreased significantly since the last test. What is the nurse's priority action?Answer →
  661. 661A nurse is providing care to a client in the ER complaining of palpitations and dizziness. A 12-lead EKG was performed, and the following strip is received. What type of dysrhythmia will the nurse notify the HCP?Answer →
  662. 662An older adult client is prescribed a vasodilator for hypertension. Which adverse effect is of greatest concern for an older adult taking this class of drug?Answer →
  663. 663A nurse is reinforcing discharge education to a client who has hypokalemia. Which of the following suggestions should be included in the teaching plan?Answer →
  664. 664Which of the following EKG findings would be LEAST urgent for the nurse to report to the provider immediately?Answer →
  665. 665A nurse is evaluating the supplement intake of a client who has high cholesterol. The nurse should identify that which of the following supplements will help lower the client's lipid levels?Answer →
  666. 666A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?Answer →
  667. 667A stable client with newly diagnosed atrial fibrillation asks about the purpose of anticoagulation. Which response is best?Answer →
  668. 668A nurse is caring for a patient admitted with a blood pressure of 190/125 mm Hg who reports a severe headache and blurred vision. On assessment the nurse notes confusion and diminished urine output. How should the nurse prioritize interventions based on the differentiation between hypertensive urgency and hypertensive emergency?Answer →
  669. 669A patient admitted with acute myocardial infarction has an ECG showing ST elevation in the anterior leads and laboratory results indicating elevated troponin levels. The patient complains of worsening chest pain despite nitroglycerin administration, has a blood pressure of 90/60 mm Hg, heart rate of 58 bpm, and clear lung sounds. Which nursing action is the highest priority?Answer →
  670. 670Which statement by the nurse would be most correct in teaching a client about the therapeutic effect of wearing antiembolism stockings?Answer →
  671. 671Which nursing assessment finding is most suggestive of infective endocarditis?Answer →
  672. 672A nurse assesses a patient diagnosed with atherosclerosis and notes a prolonged capillary refill time and cool lower extremities. What is the most accurate interpretation of these findings?Answer →
  673. 673A nurse is teaching a client with peripheral vascular disease who is newly prescribed clopidogrel. Which statement should the nurse identify as the most important teaching to emphasize?Answer →
  674. 674The nurse is reviewing the indications for atropine sulfate. Atropine is appropriate for which of these patients? (Select all that apply.)Answer →
  675. 675Which action does atorvastatin (Lipitor) decrease lipid levels?Answer →
  676. 676How should a nurse assess a client's apical pulse if an irregular pulse is detected?Answer →
  677. 677A client with acute decompensated heart failure and pulmonary edema is hypertensive. Which treatment should the nurse anticipate?Answer →
  678. 678Which of the following ECG findings are consistent with atrial fibrillation in a client? (Select all that apply.)Answer →
  679. 679A nurse is educating a client who will have a transesophageal echocardiogram (TEE). Which of the following statements should the nurse include in the education?Answer →
  680. 680The nurse assesses a client diagnosed with heart failure (HF). On auscultation, the nurse notes crackles in the lungs and tachypnea. Which data in the medical record most likely represents a fluid volume excess?Answer →
  681. 681A nurse notes a monitor rhythm that is irregularly irregular with no distinct P waves. The client reports weakness, fatigue, and palpitations. Which rhythm should the nurse suspect?Answer →
  682. 682A client with long-standing hypertension reports a new persistent dry cough after starting a medication two weeks ago. Which drug is the most likely cause?Answer →
  683. 683The nurse identifies a paradoxical blood pressure in a patient with pericardial tamponade. What is the nurse's best response?Answer →
  684. 684A patient in stable supraventricular tachycardia (SVT) at 180/min, BP 118/70, no chest pain. First-line intervention?Answer →
  685. 685A nurse is preparing to administer thrombolytic therapy to a client experiencing an acute myocardial infarction. Which nursing actions are appropriate to ensure safe and effective administration of this therapy? (Select all that apply)Answer →
  686. 686A client with suspected pericardial effusion needs rapid bedside evaluation. Which imaging study should the nurse anticipate?Answer →
  687. 687A nurse is caring for a client who recently had surgery for insertion of a permanent pacemaker. Which of following prescriptions should the nurse clarify?Answer →
  688. 688The nurse is creating a plan of care for a client with acute coronary syndrome. What nursing action should be included in the client's care plan?Answer →
  689. 689A nurse reviews the ECG of a patient with suspected rheumatic carditis. Which additional assessment finding supports the diagnosis?Answer →
  690. 690Which assessment finding best indicates worsening right-sided heart failure?Answer →
  691. 691A client admitted with heart failure is complaining of persistent nausea. What does the nurse recognize as the cause of gastrointestinal distress associated with right-sided heart failure?Answer →
  692. 692A nurse is assisting with the care of a client who was admitted to the telemetry unit after he experienced chest pain, dyspnea and diaphoresis. Which of the following ECG findings is a manifestation of acute myocardial infarction?Answer →
  693. 693A nurse is collecting data from a client who has venous insufficiency. Which of the following findings should the nurse expect?Answer →
  694. 694A nurse is caring for a client who has a hyperkalemia and is receiving insulin therapy. Which of the following should the nurse recognize as an adverse outcome?Answer →
  695. 695A home health nurse is teaching a client who has heart failure. Which of the following responses should the nurse identify as an indication that the client understands the teaching?Answer →
  696. 696A nurse is providing discharge teaching to a client newly diagnosed with hypertension. Which statement by the client indicates a need for further teaching?Answer →
  697. 697In pregnancy, what condition is marked by elevated blood pressure, protein in the urine, and is associated with swelling?Answer →
  698. 698Medications to use cautiously or avoid in acute decompensated cardiogenic pulmonary edema:Answer →
  699. 699While making an initial shift assessment, the nurse notes that the client's peripheral IV site appears cool, pale, and edematous around the insertion site. How should the existence of this complication be documented by the nurse?Answer →
  700. 700A nurse is teaching a group of clients about risk factors for developing chronic venous disease. Which of the following risk factors should the nurse include in the teaching?Answer →
  701. 701The nurse is reviewing the client's medical record. Which of the following findings indicates the client's condition has improved? Select all that apply.Answer →
  702. 702A client with fluid volume overload is admitted to the hospital for diuresis. Which assessment should the nurse perform to evaluate the client's fluid balance?Answer →
  703. 703A client with hypertension reports blurred vision, a severe headache, and dizziness. Which action should the nurse take first?Answer →
  704. 704A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect?Answer →
  705. 705Which clinical manifestations are associated with venous insufficiency? (Select all that apply)Answer →
  706. 706A nurse is reviewing the serum laboratory findings for a client who has hypertension and is prescribed hydrochlorothiazide. Which of the following findings should the nurse report to the provider?Answer →
  707. 707A nurse is teaching a client about the management of pericarditis. Which of the following client statements indicates to the nurse an understanding of the teaching?Answer →
  708. 708A nurse is administering morning medications to a number of clients on a medical unit. Which medication regimen is most suggestive that the client has a diagnosis of heart failure?Answer →
  709. 709A patient with a history of hypertension and coronary artery disease presents with symptoms of left-sided heart failure. What is the primary pathophysiological mechanism underlying left-sided heart failure?Answer →
  710. 710A nurse in a cardiac care unit is caring for a client with acute right-sided heart failure. Which of the following findings should the nurse expect? Select all that apply.Answer →
  711. 711Which type of hypertension is the most common?Answer →
  712. 712A Peripherally Inserted Central Catheter was just placed in the client. What does the nurse do first?Answer →
  713. 713A nurse on a telemetry unit is caring for a client receiving treatment for anorexia nervosa and recurrent atrial fibrillation. The client is prescribed a regular diet, but is consuming less than 25% of each meal. Which priority action should the nurse take?Answer →
  714. 714The nurse is assessing a patient with suspected acute coronary syndrome (ACS). Which combination of assessment and diagnostic findings is most indicative of an acute myocardial infarction rather than unstable angina?Answer →
  715. 715A nurse is providing teaching for a client who has hypertension and a prescription change from metoprolol to metoprolol/hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  716. 716A client with uncontrolled hypertension has no symptoms and asks why the provider is concerned about kidney damage. Which response is best?Answer →
  717. 717A nurse is caring for a client diagnosed with Infective endocarditis following untreated streptococcal pharyngitis. Which intervention should the nurse prioritize to prevent progression of valvular damage?Answer →
  718. 718A nurse is caring for a client who has hypomagnesemia and is receiving intravenous (IV) magnesium replacement. Which of the following findings indicates the client is experiencing magnesium toxicity?Answer →
  719. 719A patient with coronary artery disease starts atorvastatin (Lipitor). The nurse notes fatigue, mild jaundice, and dark urine. Which lab should the nurse monitor to detect medication toxicity?Answer →
  720. 720A male patient with coronary artery disease and diabetes mellitus has resistant hypertension despite therapy with benazepril (Lotensin). Which antihypertensive agent should the nurse avoid administering to this patient?Answer →
  721. 721A client presents to the emergency department with complaints of shortness of breath and chest discomfort with minimal activity that do not resolve with rest. The client took two sublingual nitroglycerin at home with no symptom relief. The nurse suspects the client is most likely experiencing:Answer →
  722. 722The nurse reviews the following blood pressure readings for a 52-year-old patient obtained during routine visits: Visit 1: 126/78 mm Hg Visit 2: 124/76 mm Hg Visit 3: 128/79 mm Hg Based on these findings, which classification of blood pressure should the nurse document?Answer →
  723. 723During a physical examination, the NP detects a harsh, crescendo-decrescendo systolic murmur at the right upper sternal border that radiates to the carotid arteries. Based on this finding, what is the most likely valve disorder?Answer →
  724. 724The nurse is reviewing the Nurse's Notes and diagnostic results. Which assessment finding requires follow up? Select all that apply.Answer →
  725. 725A nurse is providing discharge teaching for a client following coronary artery bypass graft surgery. Which of the following information should the nurse include in the teaching?Answer →
  726. 726A nurse is preparing to administer lidocaine 2 mg/min by continuous IV infusion to a client. The amount available is lidocaine 400 mg in 100 mL of dextrose 5% in water. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. use a leading zero if it applies. Do not use a trailing zero.)Answer →
  727. 727Which laboratory result best supports decompensated heart failure in a dyspneic client?Answer →
  728. 728Mr. Sharp's blood pressure has been controlled with the use of antihypertensive therapy for 2 years. Since injuring his shoulder last week, he has been taking ibuprofen 4 times a day. You expect that his:Answer →
  729. 729A nurse is assigned four clients with diagnoses that rule out myocardial infarction (MI) due to chest pain. Which client's test results best demonstrate the specific diagnosis of unstable angina (USA)?Answer →
  730. 730The nurse plans education for a client admitted to the telemetry unit with a non-ST elevation myocardial infarction who is scheduled for a cardiac catheterization later in the afternoon. For each statement, click to specify whether the statement should be included or should not be included in the nurse's education for the client.Answer →
  731. 731The nurse plans to use the Situation, Background, Assessment, and Recommendation (SBAR) format of communication during which interaction?Answer →
  732. 732The nurse assesses a client suspected of developing left-sided heart failure. What assessment(s) should the nurse perform to identify manifestations of this disease? Select all that apply.Answer →
  733. 733A nurse is conducting an initial cardiac rehabilitation session with a client who recently had a myocardial infarction and expresses doubt about the benefit of rehabilitation, stating that the damage to the heart is already done. Which nursing response best demonstrates therapeutic communication to support the client's understanding and engagement?Answer →
  734. 734A client with hypertension is taking spironolactone. Which statement indicates the need for further teaching?Answer →
  735. 735A client presents with chest pain and an ECG shows ST-segment elevation in two adjoining leads. What does this indicate regarding the client's condition?Answer →
  736. 736A nurse is caring for a patient suspected of having an arterial embolism in the lower extremity. Which clinical manifestation should the nurse prioritize as an urgent finding requiring immediate intervention?Answer →
  737. 737A nurse is caring for four patients with heart failure. Which patient should the nurse assess first?Answer →
  738. 738A nurse is evaluating the supplement intake of a client who has high cholesterol. The nurse should identify that which of the following supplements will help lower the client's lipid levels?Answer →
  739. 739What would be Assessment findings of Congestive Heart Failure? Select all that applyAnswer →
  740. 740A nurse is reinforcing teaching with a client regarding reduction of risk factors for coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)Answer →
  741. 741A nurse is caring for a patient admitted with suspected NSTEMI. The patient's ECG shows no ST-segment elevation but there is T-wave inversion, and cardiac enzymes are elevated. Which nursing intervention should the nurse prioritize to address this patient's condition?Answer →
  742. 742A diabetic client has been diagnosed with peripheral artery disease (PAD). The nurse anticipates the client will be treated with which of the following medications:Answer →
  743. 743A patent arrives at the emergency department with squeezing substernal chest pain that started 20 minutes ago while climbing stairs. The client reports nausea and anxiety. Vital signs: BP 154/90 mm Hg, HR 110 bpm, RR 24/min, SpO: 92% on room air. The nurse suspects angina. Which of the following interventions are appropriate initial actions based on the client's presentation? (Select all that apply.)Answer →
  744. 744A nurse in a provider's office is caring for a client who is at 8 weeks of gestation and asks about increased risk for blood clots. Which of the following statements should the nurse make?Answer →
  745. 745On the second day following admission, which of the following medications requires clarification prior to administration? Complete the following sentence by using the list of options. The nurse should clarify the prescription for [A] due to the client's [B].Answer →
  746. 746Which symptom most strongly suggests acute cardiogenic pulmonary edema?Answer →
  747. 747The nurse cares for a client with atrial fibrillation and a heart rate of 182 beats per minute. What additional finding should the nurse identify as most concerning?Answer →
  748. 748A patient is curious about the different types of cholesterol and their roles in cardiovascular health. Which of the following statements best differentiates between high-density lipoprotein (HDL) and low-density lipoprotein (LDL) cholesterol?Answer →
  749. 749The nurse assesses the highest-priority client first. Which action should the nurse take immediately after assessment?Answer →
  750. 750Which principle is included in the Guidelines for Healthy Americans?Answer →
  751. 751During a code the patient develops symptomatic bradycardia with a slow junctional escape rhythm and hypotension. Which medication should the nurse anticipate administering?Answer →
  752. 752A nurse is preparing a client with newly diagnosed heart failure for discharge. The client asks, "How will I know if I'm retaining too much fluid once I'm home?" Which instruction should the nurse include to help the client monitor fluid balance?Answer →
  753. 753The nurse assesses a patient and notes distended neck veins, bilateral crackles, and 2+ peripheral edema. The patient reports difficulty breathing when lying flat. Which collaborative intervention should the nurse anticipate?Answer →
  754. 754A nurse assesses a client 2 hours after a femoral cardiac catheterization. Which finding should the nurse report to the provider immediately?Answer →
  755. 755A client develops shortness of breath, increased ankle edema, and excessive fatigue. The nurse is collecting assessment data to differentiate a diagnosis. What additional client data should the nurse obtain?Answer →
  756. 756A client is 24 hours post-coronary artery bypass graft (CABG) surgery and suddenly reports new-onset chest pain rated 7/10 that is different from the expected incisional discomfort. The client appears anxious, and the cardiac monitor shows sinus tachycardia. Which actions should the nurse take first? Select all that apply.Answer →
  757. 757A nurse is preparing to administer metoprolol 5 mg IV bolus to a client for heart rate control. Available is metoprolol injection 1 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  758. 758What is a manifestation of a deep vein thrombosis (DVT)?Answer →
  759. 759What is a common cause of aortic regurgitation?Answer →
  760. 760Which of these actions by a patient with newly diagnosed heart failure indicates that discharge teaching has been effective?Answer →
  761. 761The nurse develops potential nursing diagnoses for Mr. Patterson. Indicate whether each is indicated, contraindicated, or not essential.Answer →
  762. 762A 66-year-old client has been in the hospital for care and management of heart failure. There are orders for discharge and the nurse is reviewing discharge instructions with the client. Which of the following information would be included as part of discharge information for this client?Answer →
  763. 763Based on the assessment data, which findings require early follow-up by the nurse? Select all that apply.Answer →
  764. 764A nurse is caring for a client who presents with early signs of hypovolemic shock, including a slightly decreased blood pressure and increased heart rate. Which nursing action should be prioritized first?Answer →
  765. 765Which client will the emergency nurse triage as the priority?Answer →
  766. 766A nurse is caring for a client who has hypokalemia. Which of the following findings should the nurse associate with hypokalemia?Answer →
  767. 767An adult male who is transferred to the medical unit following a myocardial infarction has a prescription for a cardiac diet. When the client complains about the flavorless hamburger that is on his lunch tray, which condiment should the nurse suggest that the client use to improve the taste of the hamburger?Answer →
  768. 768Which bedside action best tracks response to intravenous diuretic therapy in acute pulmonary edema?Answer →
  769. 769A client has been diagnosed with peripheral arterial disease. Which instruction promotes circulation?Answer →
  770. 770A client with venous insufficiency asks the nurse what to do to decrease the risk of complications. What advice should the nurse provide?Answer →
  771. 771A client with pericardial tamponade becomes hypotensive and increasingly dyspneic. Which nursing action is the priority?Answer →
  772. 772A nurse is caring for a client who develops third-degree heart block with a heart rate of 30/min. Which of the following actions should the nurse take?Answer →
  773. 773A nurse is teaching a client prescribed losartan (Cozaar) for hypertension. Which statement by the client indicates a need for further teaching?Answer →
  774. 774A nurse is preparing to administer IV potassium to a client who has a potassium level of 2.8 mEq/L and reports muscle weakness. The client's urine output over the last 4 hours has averaged 20 mL/hr. Which nursing actions are essential when administering IV potassium? (Select all that apply.)Answer →