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1. What should the nurse do first when there are no Check the client status and
electrocardiographic complexes on the screen? lead placement.
2. What interventions should the nurse expect to be pre- Administering oxygen, in-
scribed for a client with suspected pulmonary edema? serting a Foley catheter,
administering furosemide
(Lasix), administering
morphine sulfate intra-
venously, and placing the
client in a low-Fowler's
side-lying position.
3. What is the highest priority observation for a nurse Blood pressure.
monitoring a client after cardioversion?
4. How can a nurse prevent dislodgement of a pacing Limit movement and ab-
catheter after pacemaker insertion? duction of the right arm.
5. What life-threatening complication should a nurse Pulmonary embolism.
be aware of in a client with thrombophlebitis who
suddenly complains of chest pain and shortness of
breath?
6. What should the nurse check for in a 24-year-old man Smoking history.
with claudication and superficial thrombophlebitis?
7. What statement indicates that a client with Raynaud's Sources of caffeine should
disease needs further teaching? be eliminated from the
diet.
8. What breath sounds should a nurse expect to hear Crackles.
bilaterally in a client with myocardial infarction who is
tachycardic and coughing frothy, pink-tinged sputum?
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9. What is the immediate action for a nurse when a client Notify the registered
develops extreme dyspnea and tachycardia? nurse.
10. What position should a client with pulmonary edema Low-Fowler's side-lying
be placed in? position.
11. What medication is commonly administered for pul- Furosemide (Lasix).
monary edema?
12. What is a common symptom of pulmonary embolism? Chest pain and shortness
of breath.
13. What should a nurse monitor in a client after a perma- The status of the pacing
nent pacemaker insertion? catheter.
14. What is a key nursing intervention for a client with Administer oxygen.
heart failure experiencing pulmonary edema?
15. What is the significance of crackles in lung sounds? They indicate fluid in the
lungs, often associated
with conditions like pul-
monary edema.
16. What is the role of nifedipine (Procardia) in managing It decreases vessel spasm.
Raynaud's disease?
17. What are the signs of air hunger in a client? Tachycardia and difficulty
breathing.
18. What should be limited after the insertion of a pace- Movement and abduction
maker? of the right arm.
19. What is the expected nursing action for a client with a
suspected pulmonary embolism?
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Immediate assessment
and oxygen administra-
tion.
20. What is a common treatment for a client experiencing Monitoring vital signs and
tachycardia after a myocardial infarction? administering prescribed
medications.
21. What should a nurse do if a client with heart failure Notify the healthcare
shows signs of pulmonary edema? provider immediately.
22. What is a common cause of claudication in young Peripheral vascular dis-
adults? ease.
23. What lifestyle change is critical for managing Ray- Smoking cessation.
naud's disease?
24. What are the expected characteristics of right-sided Dyspnea, hacking cough,
heart failure? dependent edema, and
crackles on lung ausculta-
tion.
25. What does a warm, red, and edematous leg with a pal- Normal, caused by in-
pable pedal pulse indicate after an aortoiliac bypass creased blood flow
graft? through the leg.
26. What does carotid massage stimulate in a patient with The vagus nerve to slow
rapid rate atrial fibrillation? the heart rate.
27. Which type of infection should be checked for in a Streptococcal infection.
client with possible rheumatic endocarditis?
28. What does mottled, cool toes and numbness indicate The boot is impairing ve-
in a client with an Unna boot? nous return.
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29. How should prolonged and severe anginal pain occur- Variant angina.
ring at the same time each day be classified?
30. Which finding is probably unrelated to an abdominal Hyperactive bowel sounds
aortic aneurysm (AAA)? in the area.
31. What is the client's response when they refuse nitro- Denial.
glycerin, believing they have no heart issues?
32. What is the purpose of performing carotid massage in To stimulate the vagus
a patient with atrial fibrillation? nerve and potentially slow
the heart rate.
33. What symptom might indicate that an Unna boot is Mottled toes and numb-
applied too tightly? ness in the foot.
34. What type of angina is characterized by pain occurring Unstable angina.
without precipitating factors?
35. What is a common symptom of right-sided heart fail- Dependent edema.
ure?
36. What does a pulsatile abdominal mass indicate in a It is a common finding as-
patient with AAA? sociated with the condi-
tion.
37. What should the nurse monitor for in a client with an Pulsatile abdominal mass,
abdominal aortic aneurysm? systolic bruit, and sub-
jective sensation of 'heart
beating' in the abdomen.
38. What does it mean if a client has a subjective sensation
of 'heart beating' in the abdomen?