Evolve - Med Surg - Cardio
What should a nurse do to decrease or control the sensory and cognitive disturbances
that can occur after a client has open-heart surgery? - ✅Plan for maximum periods of
rest
A client is scheduled to be transferred from the coronary care unit to a progressive care
unit. The client asks a nurse, "Are you sure I'm ready for this move?" What does the
nurse conclude the client most likely is experiencing? - ✅Fear
A nurse provides teaching regarding vitamin B12 injections to a client with pernicious
anemia. The nurse concludes that the teaching was understood when the client states,
"I must take the drug: - ✅Monthly, for the rest of my life.
A client admitted to the hospital has edematous ankles. What should the nurse do to
best reduce edema of the lower extremities? - ✅Elevate the legs.
A client hospitalized for heart failure is receiving digoxin (Lanoxin) and will continue
taking the drug after discharge. What should be included in the plan of care for the next
few days? - ✅Taking the apical pulse before drug administration and teaching the client
how to count the pulse.
The nurse should monitor the client for which clinical finding indicating digoxin toxicity? -
✅Blurred vision
A client who is scheduled for a modified radical mastectomy decides to have family
members donate blood in the event it is needed. The client has type A negative blood.
Blood can be used from relatives whose blood is: - ✅Type A or O negative
A client asks a nurse why captopril (Capoten) was prescribed. What specific drug
classification should the nurse include in the explanation to the client? -
✅Antihypertensive
A client who is complaining of severe midsternal pain is brought to the emergency
department. The client is diagnosed with a myocardial infarction. Which drug can the
nurse expect to be prescribed to control this client's pain? - ✅Morphine sulfate (MS
Contin)
What is the most objective way that a nurse can assess the extent of edema in a client?
- ✅Weighing the client
After sustaining multiple internal injuries when hit by a motor vehicle, a client has a
sudden drop in blood pressure to 80/60 mm Hg. What does the nurse determine
probably caused this response? - ✅Reduction in circulating blood volume
, The nurse is assessing a client for signs of right ventricular failure. What should the
nurse expect if this occurs? - ✅Neck vein distention
The nurse is assessing a client with the diagnosis of chronic heart failure. Which clinical
finding should the nurse expect the client to experience? - ✅Dependent edema in the
evening
The nurse is providing teaching to a client who is scheduled for a cardiac catheterization
via the femoral approach. The teaching includes that the client will be: - ✅In the supine
position with the affected leg extended for several hours postprocedure.
A nurse is evaluating the results of treatment with erythropoietin (Epogen). Which client
response is considered significant? - ✅Elevation in hematocrit level
The nurse provides medication discharge instructions to a client who received a
prescription for digoxin (Lanoxin) following the client's myocardial infarction. The nurse
concludes that the teaching was effective when the client says, "I should: - ✅Check my
radial pulse rate daily.
The nurse is caring for a client who is experiencing signs and symptoms of a cardiac
dysrhythmia who is scheduled to wear a Holter monitor for 24 hours. During the test, the
client should be instructed to: - ✅Keep a diary of activities
A client is recovering from a myocardial infarction. Before developing the client's
teaching plan, it is important for the nurse to: - ✅Identify the learning needs of the client
A client with bilateral varicose veins of the lower extremities questions the nurse about
the brownish discoloration of the lower legs. The best response by the nurse is, "This is
probably the result of: - ✅Leakage of red blood cells through the vascular wall."
A client with impaired peripheral pulses and signs of chronic hypoxia in a lower
extremity is scheduled for a femoral angiogram. What would be appropriate for the
nurse to include in the postprocedure plan of care? - ✅Perform a neurovascular
assessment every two hours
A client develops a non-healing ulcer of a lower extremity and complains of leg cramps
after walking short distances. The client asks the nurse what causes these leg pains.
The nurse's best response is: - ✅"Pain occurs in the legs while walking because there
is a lack of oxygen to the muscles."
A client who is receiving a cardiac glycoside, a diuretic, and a vasodilator has been
placed on bed rest. The client's apical pulse rate is 44 beats per minute. The nurse
concludes that the decreased heart rate most likely is a result of the: - ✅Cardiac
glycoside
What should a nurse do to decrease or control the sensory and cognitive disturbances
that can occur after a client has open-heart surgery? - ✅Plan for maximum periods of
rest
A client is scheduled to be transferred from the coronary care unit to a progressive care
unit. The client asks a nurse, "Are you sure I'm ready for this move?" What does the
nurse conclude the client most likely is experiencing? - ✅Fear
A nurse provides teaching regarding vitamin B12 injections to a client with pernicious
anemia. The nurse concludes that the teaching was understood when the client states,
"I must take the drug: - ✅Monthly, for the rest of my life.
A client admitted to the hospital has edematous ankles. What should the nurse do to
best reduce edema of the lower extremities? - ✅Elevate the legs.
A client hospitalized for heart failure is receiving digoxin (Lanoxin) and will continue
taking the drug after discharge. What should be included in the plan of care for the next
few days? - ✅Taking the apical pulse before drug administration and teaching the client
how to count the pulse.
The nurse should monitor the client for which clinical finding indicating digoxin toxicity? -
✅Blurred vision
A client who is scheduled for a modified radical mastectomy decides to have family
members donate blood in the event it is needed. The client has type A negative blood.
Blood can be used from relatives whose blood is: - ✅Type A or O negative
A client asks a nurse why captopril (Capoten) was prescribed. What specific drug
classification should the nurse include in the explanation to the client? -
✅Antihypertensive
A client who is complaining of severe midsternal pain is brought to the emergency
department. The client is diagnosed with a myocardial infarction. Which drug can the
nurse expect to be prescribed to control this client's pain? - ✅Morphine sulfate (MS
Contin)
What is the most objective way that a nurse can assess the extent of edema in a client?
- ✅Weighing the client
After sustaining multiple internal injuries when hit by a motor vehicle, a client has a
sudden drop in blood pressure to 80/60 mm Hg. What does the nurse determine
probably caused this response? - ✅Reduction in circulating blood volume
, The nurse is assessing a client for signs of right ventricular failure. What should the
nurse expect if this occurs? - ✅Neck vein distention
The nurse is assessing a client with the diagnosis of chronic heart failure. Which clinical
finding should the nurse expect the client to experience? - ✅Dependent edema in the
evening
The nurse is providing teaching to a client who is scheduled for a cardiac catheterization
via the femoral approach. The teaching includes that the client will be: - ✅In the supine
position with the affected leg extended for several hours postprocedure.
A nurse is evaluating the results of treatment with erythropoietin (Epogen). Which client
response is considered significant? - ✅Elevation in hematocrit level
The nurse provides medication discharge instructions to a client who received a
prescription for digoxin (Lanoxin) following the client's myocardial infarction. The nurse
concludes that the teaching was effective when the client says, "I should: - ✅Check my
radial pulse rate daily.
The nurse is caring for a client who is experiencing signs and symptoms of a cardiac
dysrhythmia who is scheduled to wear a Holter monitor for 24 hours. During the test, the
client should be instructed to: - ✅Keep a diary of activities
A client is recovering from a myocardial infarction. Before developing the client's
teaching plan, it is important for the nurse to: - ✅Identify the learning needs of the client
A client with bilateral varicose veins of the lower extremities questions the nurse about
the brownish discoloration of the lower legs. The best response by the nurse is, "This is
probably the result of: - ✅Leakage of red blood cells through the vascular wall."
A client with impaired peripheral pulses and signs of chronic hypoxia in a lower
extremity is scheduled for a femoral angiogram. What would be appropriate for the
nurse to include in the postprocedure plan of care? - ✅Perform a neurovascular
assessment every two hours
A client develops a non-healing ulcer of a lower extremity and complains of leg cramps
after walking short distances. The client asks the nurse what causes these leg pains.
The nurse's best response is: - ✅"Pain occurs in the legs while walking because there
is a lack of oxygen to the muscles."
A client who is receiving a cardiac glycoside, a diuretic, and a vasodilator has been
placed on bed rest. The client's apical pulse rate is 44 beats per minute. The nurse
concludes that the decreased heart rate most likely is a result of the: - ✅Cardiac
glycoside
