CARDIOVASCULAR DISORDERS
The nurse advises a client recovering from a myocardial infarction to
decrease fat and sodium intake. Which foods should the nurse instruct
the client to avoid? Select all that apply.
a) Soft drinks
b) Oatmeal
c) Pepperoni pizza
d) Bacon
e) Apple juice
f) Cheese - ANS -A. Soft drinks
C. Pepperoni pizza
D. Bacon
F. Cheese
Foods high in sodium include cheese, processed meats such as
pepperoni and bacon, and soft drinks. Bacon and cheese also have a
high fat content.
,A client with heart failure is receiving digoxin intravenously. The nurse
should determine the effectiveness of the drug by assessing which of
the following?
a) Increased myocardial contractility.
b) Dilated coronary arteries.
c) Decreased electrical conductivity in the heart.
d) Decreased cardiac arrhythmias. - ANS -A. Increased myocardial
contractility.
Digoxin is a cardiac glycoside with positive inotropic activity. This
inotropic activity causes increased strength of myocardial contractions
and thereby increases output of blood from the left ventricle. Digoxin
does not dilate coronary arteries. Although digoxin can be used to treat
arrhythmias and does decrease the electrical conductivity of the
myocardium, these are not primary reasons for its use in clients with
heart failure and pulmonary edema.
What is the most important reason for a nurse to encourage a client
with peripheral vascular disease to initiate a walking program?
a) Walking increases high-density lipoprotein (HDL) level.
b) Walking aids in weight reduction.
c) Walking decreases venous congestion.
, d) Walking reduces stress. - ANS -C. Walking decreases venous
congestion.
Regular walking is the best way to decrease venous congestion because
using the leg muscles as a pump helps return blood to the heart.
Regular exercise also aids in stress reduction and weight reduction and
increases the formation of HDLs, which are all beneficial to a client with
peripheral vascular disease. However, these changes do not have as
significant an effect on the client's condition as decreasing venous
congestion.
A nurse is assigned with an ancillary staff member to care for a group of
cardiac clients. Which client should the nurse address first?
a) The client who suffered an acute myocardial infarction (MI) who is
complaining of constipation.
b) The client who had a pacemaker inserted yesterday and who is
complaining of incisional pain.
c) The client who has his call light on.
d) The client admitted with unstable angina pectoris who wants to be
discharged. - ANS -A. The client who suffered an acute myocardial
infarction (MI) who is complaining of constipation.
The nurse advises a client recovering from a myocardial infarction to
decrease fat and sodium intake. Which foods should the nurse instruct
the client to avoid? Select all that apply.
a) Soft drinks
b) Oatmeal
c) Pepperoni pizza
d) Bacon
e) Apple juice
f) Cheese - ANS -A. Soft drinks
C. Pepperoni pizza
D. Bacon
F. Cheese
Foods high in sodium include cheese, processed meats such as
pepperoni and bacon, and soft drinks. Bacon and cheese also have a
high fat content.
,A client with heart failure is receiving digoxin intravenously. The nurse
should determine the effectiveness of the drug by assessing which of
the following?
a) Increased myocardial contractility.
b) Dilated coronary arteries.
c) Decreased electrical conductivity in the heart.
d) Decreased cardiac arrhythmias. - ANS -A. Increased myocardial
contractility.
Digoxin is a cardiac glycoside with positive inotropic activity. This
inotropic activity causes increased strength of myocardial contractions
and thereby increases output of blood from the left ventricle. Digoxin
does not dilate coronary arteries. Although digoxin can be used to treat
arrhythmias and does decrease the electrical conductivity of the
myocardium, these are not primary reasons for its use in clients with
heart failure and pulmonary edema.
What is the most important reason for a nurse to encourage a client
with peripheral vascular disease to initiate a walking program?
a) Walking increases high-density lipoprotein (HDL) level.
b) Walking aids in weight reduction.
c) Walking decreases venous congestion.
, d) Walking reduces stress. - ANS -C. Walking decreases venous
congestion.
Regular walking is the best way to decrease venous congestion because
using the leg muscles as a pump helps return blood to the heart.
Regular exercise also aids in stress reduction and weight reduction and
increases the formation of HDLs, which are all beneficial to a client with
peripheral vascular disease. However, these changes do not have as
significant an effect on the client's condition as decreasing venous
congestion.
A nurse is assigned with an ancillary staff member to care for a group of
cardiac clients. Which client should the nurse address first?
a) The client who suffered an acute myocardial infarction (MI) who is
complaining of constipation.
b) The client who had a pacemaker inserted yesterday and who is
complaining of incisional pain.
c) The client who has his call light on.
d) The client admitted with unstable angina pectoris who wants to be
discharged. - ANS -A. The client who suffered an acute myocardial
infarction (MI) who is complaining of constipation.
