NURS 221 cardiac system Questions & Answers (98% Correct)

NURS 221 cardiac system Questions & Answers A nurse is assessing a client who had left femoral cardiac angiography. Identify where the nurse will palpate to assess the most distal pulse on the affected side. (Selectable areas, or "Hot Spots," are outlined in the artwork below. Select only the outlined area that corresponds to your answer.)Answers cannot be displayed for this alternate item format. Selected Answer: left pedal pulse A nurse is teaching a client who is postoperative following the insertion of a permanent pacemaker. Which of the following instructions should the nurse include? (Select all that apply.) Selected Answers: Count your pulse for 1 min each morning. Do not wear tight clothing over the insertion area. A nurse is planning care for a client who has deep vein thrombosis of the lower leg. Which of the following interventions should the nurse include in the plan of care? Selected Answer: Have the client ambulate prior to applying antiembolic stockings. A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). The nurse recognizes that which of the following prescriptions by the provider requires clarification? Selected Answer: 0.9% normal saline IV at 50 mL/hr continuous A nurse is caring for a client in a critical care unit who suffered a knife wound to the chest. The nurse suspects the client is developing cardiac tamponade. Which of the following assessment findings should the nurse identify as supporting this suspicion? Selected Answer: Muffled heart sounds. A nurse is monitoring a client who is on telemetry. Which of the following findings on the ECG strip should the nurse recognize as normal sinus rhythm? Selected Answer: The P wave falls before the QRS complex. A nurse is caring for a client who just had a cardiac catheterization. Which of the following nursing interventions should the nurse include in the client's plan of care? (Select all that apply.) Selected Answers: Check peripheral pulses in the affected extremity. Keep the client's hip and leg extended. Have the client remain in bed up to 6 hr. A nurse is reviewing the serum laboratory findings for a client who has hypertension and is prescribed hydrochlorothiazide. Which of the following findings should the nurse report to the provider? Selected Answer: Potassium 2.3 mEq/L A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations and shortness of breath. Which of the following assessments should indicate to the nurse that the client may have developed atrial fibrillation? Selected Answer: Different apical and radial pulses. A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurse's priority? Selected Answer: Defibrillation A patient with atrial fibrillation is being considered for cardioversion. Which diagnostic test should the nurse anticipate being prescribed prior to this procedure being completed? Selected Answer: Transesophageal echocardiogram (TEE) While performing an admission assessment for a client, the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which of the following nursing diagnoses should the nurse identify as being the priority in the client's care? Selected Answer: Impaired tissue perfusion A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching? Selected Answer: Exercise at least three times per week. A nurse is teaching a client who has a new diagnosis of venous insufficiency. Which of the following instructions should the nurse include? Selected Answer: "Use elastic stockings." A nurse is caring for a client who reports heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse should anticipate the need for taking which of the following actions? Selected Answer: Elective cardioversion A nurse in a clinic is caring for a client who has a prescription for digoxin. Which of the following statements indicates the client is experiencing digoxin toxicity? Selected Answer: "My vision seems yellow." A nurse is teaching an older adult client who is postoperative following insertion of a permanent pacemaker. The nurse should instruct the client to notify the provider about which of the following manifestations? Selected Answer: Rapid pulse A nurse is caring for a client who has infective endocarditis. Which of the following manifestat