EAQ CARDIOVASCULAR

50問 • 2年前

問題一覧

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."

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

Which assessment finding presents the highest risk for cardiac shock?

Pulse 104 beats per minute

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

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

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

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

"What else did the doctor say?"

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

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.

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

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

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

65-year-old male with uncontrolled hypertension

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

"Stop smoking."

Which statement describes pulse pressure?

Difference between systolic and diastolic readings

Which describes pulmonic stenosis?

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

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

Childhood strep throat

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

Diastolic blood pressure that remains higher than 90 mm Hg

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."

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

Chronic obstructive pulmonary disease (COPD)

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.

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

Aids in detecting heart damage

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.

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

Heart block

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.

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

Mitral and tricuspid

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

Climbing a flight of stairs to the bedroom

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

"I have trouble breathing when I walk fast."

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

pericarditis

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

Apex of the heart

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."

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

At which client age is an electrocardiogram performed preoperatively?

40 years

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

Noninvasive approach to assess cardiovascular status

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

Document that the rhythm is normal.

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

fatigue

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

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

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

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

Dyspnea on exertion

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

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

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

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

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

A low-income client in the last stage of cancer

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

Whole milk with oatmeal

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.

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

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."

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

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

EAQ FUNDAMENTALS 26

Jasmine Diaz · 50問 · 2年前

EAQ FUNDAMENTALS 26

50問 • 2年前

Jasmine Diaz

EAQ RESPIRATORY

Jasmine Diaz · 50問 · 2年前

EAQ RESPIRATORY

50問 • 2年前

Jasmine Diaz

問題一覧

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."

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

Which assessment finding presents the highest risk for cardiac shock?

Pulse 104 beats per minute

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

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

Identifying the concerns and helping the client explore feelings

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

"What else did the doctor say?"

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

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.

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

Arterial insufficiency

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

65-year-old male with uncontrolled hypertension

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

"Stop smoking."

Which statement describes pulse pressure?

Difference between systolic and diastolic readings

Which describes pulmonic stenosis?

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

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

Childhood strep throat

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

Diastolic blood pressure that remains higher than 90 mm Hg

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."

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

Chronic obstructive pulmonary disease (COPD)

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.

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

Aids in detecting heart damage

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

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

Heart block

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.

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

Mitral and tricuspid

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

Climbing a flight of stairs to the bedroom

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

"I have trouble breathing when I walk fast."

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

pericarditis

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

Apex of the heart

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."

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

At which client age is an electrocardiogram performed preoperatively?

40 years

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

Noninvasive approach to assess cardiovascular status

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

Document that the rhythm is normal.

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

fatigue

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

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

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

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

Dyspnea on exertion

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

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

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

Increased blood volume, Increased cardiac output, Increased heart rate

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

A low-income client in the last stage of cancer

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

Whole milk with oatmeal

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

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

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."

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

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