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EAQ CARDIOVASCULAR
  • Jasmine Diaz

  • 問題数 50 • 7/23/2023

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    問題一覧

  • 1

    Which statement would the nurse include in teaching an African American client about heart failure?

    "You will have a higher risk of death and disability if you develop heart failure."

  • 2

    Place the steps in the order that the nurse would follow to identify the client's point of maximal impulse when taking the client's apical pulse.

    3412

  • 3

    Which assessment finding presents the highest risk for cardiac shock?

    Pulse 104 beats per minute

  • 4

    Which information would the nurse teach a client after surgery to replace a prolapsed mitral valve?

    The possible need for prophylactic antibiotic therapy before dental work

  • 5

    Which is the most beneficial intervention for a client who has Streptococcus viridans infection of a heart valve, a persistent body temperature of 104°F, chills, and undue fatigue?

    Advising the client to start complete bed rest

  • 6

    Which is the most appropriate initial response by the nurse when a client who experienced a myocardial infarction asks, "What's the chance of having another heart attack if I watch my diet and stress levels carefully?"

    Identifying the concerns and helping the client explore feelings

  • 7

    A parent asks what pulmonic stenosis is. Which response would the nurse give?

    "What else did the doctor say?"

  • 8

    According to the American Heart Association Heart Failure Classification, a client who reports fatigue and dyspnea that is relieved by rest would fit into which category of heart failure?

    Class Il

  • 9

    An 85-year-old client has a serum potassium level of 6.7 mEq/L (6.7 mol L). Which nursing action is the priority at this time?

    Monitor for cardiovascular irregularities.

  • 10

    Which purpose of cardiac catheterization would the nurse explain during preprocedure teaching for a client with a long history of cardiovascular problems including angina and hypertension?

    Visualizes the disease process in the coronary arteries

  • 11

    While assessing the lower extremities of a client with cardiovascular disease, the nurse notes that the client has thin, shiny skin, decreased hair growth, and thickened toenails. Which condition does the nurse understand this may indicate?

    Arterial insufficiency

  • 12

    Which client will the nurse consider has the highest risk for a dissecting aneurysm?

    65-year-old male with uncontrolled hypertension

  • 13

    Which instruction would the nurse give a client with peripheral vascular disease to help avoid amputation?

    "Stop smoking."

  • 14

    Which statement describes pulse pressure?

    Difference between systolic and diastolic readings

  • 15

    Which describes pulmonic stenosis?

    Narrowing of the valve between the right ventricle and the pulmonary artery

  • 16

    Which client history would the nurse recognize as a possible cause of mitral valve stenosis?

    Childhood strep throat

  • 17

    Which finding indicates to the nurse that a client is hypertensive?

    Diastolic blood pressure that remains higher than 90 mm Hg

  • 18

    Which explanation of an electrocardiogram (ECG) would the nurse give the client that is suspected of having had a silent myocardial infarction?

    "This test will reflect any heart damage."

  • 19

    Which condition unrelated to cardiac disease is the major cause of right ventricular failure?

    Chronic obstructive pulmonary disease (COPD)

  • 20

    Which is the primary reason that the nurse would administer oxygen to a client with a coronary occlusion that is experiencing chest pain and distress?

    Increase oxygen concentration to heart cells.

  • 21

    Which rationale would the nurse provide to a client who asks about the purpose of an electrocardiogram?

    Aids in detecting heart damage

  • 22

    Which statement by the nurse indicates an understanding of the pattern of circulation in the body?

    "Blood enters the right atrium via the superior and inferior vena cava, flows to the right ventricle and then into the lungs, returns from the lungs to the left atrium and left ventricle, and exits out the aorta.

  • 23

    Which client condition can a slow pulse rate indicate during the early postoperative period after open heart surgery?

    Heart block

  • 24

    Which response by the nurse is appropriate for a client with emphysema who is questioning why he or she has a barrel chest?

    "The air sacs in your lungs are no longer elastic, and this causes an increase in the lung size.

  • 25

    Which valves close when the first heart sounds are produced on auscultation?

    Mitral and tricuspid

  • 26

    Which activity would the nurse expect to cause significant distress in a client with heart failure?

    Climbing a flight of stairs to the bedroom

  • 27

    Which statement would the nurse expect a client with early left ventricular heart failure to make?

    "I have trouble breathing when I walk fast."

  • 28

    Which condition causes inflammation of the membranous sac surrounding the heart muscle, aches, fatigue, and dyspnea?

    pericarditis

  • 29

    During auscultation of the heart, where would the nurse expect the first heart sound (SI) to be the loudest?

    Apex of the heart

  • 30

    Which is the best response by the nurse to a client's spouse who voices concern about how pale the client is after the client was admitted with chest pain?

    "You must be worried about this."

  • 31

    Which finding on the medical record of a client admitted with chest pain to rule out myocardial infarction indicates an increased risk for cardiovascular disease?

    Gingivitis

  • 32

    At which client age is an electrocardiogram performed preoperatively?

    40 years

  • 33

    A client with angina pectoris is scheduled for a stress echocardiogram. How would the nurse explain an echocardiogram?

    Noninvasive approach to assess cardiovascular status

  • 34

    A nurse in the cardiovascular clinic reviews a client's electrocardiogram (ECG). Which nursing intervention would be appropriate?

    Document that the rhythm is normal.

  • 35

    Which condition does the nurse document in a client's record who has a cardiovascular disorder and reports exhaustion and activity intolerance?

    fatigue

  • 36

    Which data from the client's history and diagnostic workup represent risk factors for hypertension? Select all that apply. One, some, or all responses may be correct.

    Occasional cocaine use, African-American heritage

  • 37

    Which assessment supports the conclusion that a client may be experiencing a myocardial infarction? Select all that apply. One, some, or all responses may be correct.

    anxiety , chest pain , irregular pulse

  • 38

    Which location would the nurse expect the first heart sound (S1) to be heard the loudest when auscultating a client's heart?

    Apex of the heart

  • 39

    Which manifestation would the nurse expect when assessing a client with the diagnosis of left ventricular failure?

    Dyspnea on exertion

  • 40

    Which complication would the nurse include in a teaching session with a client newly diagnosed with hypertension? Select all that apply. One, some, or all responses may be correct.

    stroke, blindness , heart attack , heart failure, kidney disease

  • 41

    Which result is within normal range for a 50-year-old female client? Select all that apply. One, some, or all responses may be correct.

    Oral temperature 98.2°F, Apical pulse 88 beats per minute and regular, Blood pressure 116/78 mm Hg while in a sitting position

  • 42

    Which assessment finding is a key feature of right-sided heart failure? Select all that apply. One, some, or all responses may be correct.

    Distended abdomen, Dependent edema, Urinating at night

  • 43

    The nurse is providing a prenatal class about the changes that occur during pregnancy and the necessity of prenatal care. Which cardiovascular compensatory mechanism would the nurse include? Select all that apply.

    Increased blood volume, Increased cardiac output, Increased heart rate

  • 44

    Which of the four clients would qualify for home health services under Medicaid?

    A low-income client in the last stage of cancer

  • 45

    Which dietary selection by the client with cardiovascular disease indicates the need for further instruction?

    Whole milk with oatmeal

  • 46

    Which intervention would the nurse implement for a client experiencing a myocardial infarction to prevent further heart muscle injury? Select all that apply. One, some, or all responses may be correct.

    Relieve pain., Administer oxygen., Space out activities., Provide frequent rest periods., Maintain a calm, quiet environment.

  • 47

    Which factor would the nurse include in a teaching session about the causes of stroke in young people? Select all that apply. One, some, or all responses may be correct.

    Drug abuse, Rheumatic fever, Atrial fibrillation, Sickle cell anemia, Mitral valve prolapse, Smoking combined with oral contraceptive use

  • 48

    Which statement by a client with a brain tumor demonstrates the need for further instruction?

    " I am so glad my tumor is benign; now I don't have to worry about it anymore."

  • 49

    Which condition is a common cause of the gradual occlusion of the internal or common carotid arteries, manifested by transient ischemic attacks?

    Atherosclerosis of the vascular system

  • 50

    Which assessment supports the conclusion that the client may be experiencing a myocardial infarction? Select all that apply. One, some, or all responses may be correct.

    anxiety , chest pain , irregular pulse