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Terms in this set (21)
An outpatient who has heart failure returns c. BP of 88/42 mm Hg
to the clinic after 2 weeks of therapy with an
ACE inhibitor. Which of these assessment
findings is most important for the nurse to
report to the health care provider?
a. Pulse rate of 56
b. 2+ pedal edema
c. BP of 88/42 mm Hg
d. Complaints of fatigue
The nurse is developing a health teaching d. Elevation of the client's serum low density lipoprotein (LDL)
plan for a 60-year-old man with the level
following risk factors for coronary artery
disease (CAD). Which of the following risk
factors should the nurse focus on when
teaching the client?
a. Family history of coronary artery disease
b. Increased risk associated with the client's
gender
c. High incidence of cardio vascular disease
in older people
d. Elevation of the client's serum low density
lipoprotein (LDL) level
The nurse is caring for a client with angina d. The ability to do daily activities without chest discomfort
who has been prescribed nadolol. Which of
the following parameters should the nurse
assess to determine whether the drug is
effective?
a. Decreased blood pressure and apical
pulse rate b.
b. Fewer complaints of having cold hands
and feet
c. Improvement in the quality of the
peripheral pulses
d. The ability to do daily activities without
chest discomfort
, The nurse is assessing a client who has c. Prolonged capillary refill in all the toes
chronic peripheral artery disease (PAD) of
the legs and an ulcer on the left great toe.
Which of the following findings should the
nurse expect?
a. A positive Homans' sign
b. Swollen, dry, scaly ankles
c. Prolonged capillary refill in all the toes
d. A large amount of drainage from the ulcer
The nurse working in the heart failure clinic c. Calls the clinic when the weight increases from 56 to 59 kg
will know that teaching for a client with in 2 days.
newly diagnosed heart failure has been
effective when the client does which of the
following actions?
a. Uses an additional pillow to sleep when
feeling short of breath at night.
b. Tells the home care nurse that furosemide
is taken daily at bedtime.
c. Calls the clinic when the weight increases
from 56 to 59 kg in 2 days.
d. Says that the nitroglycerin patch will be
used for any chest pain that develops.
Which of the following information given by d. The client states that the pain is resolved after taking one
a client admitted with chronic stable angina sublingual nitroglycerin tablet.
will help the nurse confirm this diagnosis?
a. The client rates the pain at a level 3-5 (0-
10 scale).
b. The client states that the pain "wakes me
up at night."
c. The client says that the frequency of the
pain has increased over the last few weeks.
d. The client states that the pain is resolved
after taking one sublingual nitroglycerin
tablet.
Clinical manifestations of CAD (Coronary - Angina
Artery Disease): - Shortness of Breath
- Fatigue
- Palpitations
- Syncope
- Myocardial Infarction (Heart Attack)
Clinical manifestations of PAD (Peripheral Claudication: Similar to intermittent claudication in PVD,
Artery Disease): characterized by cramping leg pain during exercise that
resolves with rest.
Rest Pain: Pain in the feet, toes, or legs at rest, particularly
when lying flat.
Skin Changes: Skin may appear pale, thin, shiny, or
discoloured, with loss of hair and thickened toenails.
Non-healing Ulcers: Ulcers or sores may develop on the feet
or toes, particularly over pressure points or areas of trauma.
Gangrene: Tissue death (necrosis) may occur in severe cases,
leading to the development of gangrene.
Weak or Absent Pulses: Diminished or absent pulses may be
palpable in the affected limb.