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Exam (elaborations)

Cardiac-Vascular Nursing Exam Sample Questions

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The examination of a patient in a supine position reveals distended jugular veins from the base of the neck to the angle of the jaw. This finding indicates: decreased venous return. increased central venous pressure. increased pulmonary artery capillary pressure. left-sided heart failure. - Answer- increased central venous pressure. When caring for a patient who has intermittent claudication, the cardiac-vascular nurse advises the patient to: apply graduated compression stockings before getting out of bed. elevate the legs when sitting. refrain from exercise. walk as tolerated. - Answer- walk as tolerated. The cardiac-vascular nurse reviews recommended activities with a patient who sustained a myocardial infarction. The patient states, "It doesn't really matter what I do or don't do. I will either get better or die." This statement reflects: acceptance of changed health status. an internal locus of control. feelings of loss of control. projection. - Answer- feelings of loss of control. A patient who is in the 10th week of outpatient cardiac rehabilitation continues to exhibit symptoms of depression. When developing a discharge plan, the cardiac-vascular nurse includes: a referral for counseling and possible medication. a trial of herbal remedies. alternative therapies, including yoga and massage. comprehensive information about the patient's cardiac status to help reduce his or her anxiety. - Answer- a referral for counseling and possible medication. When reviewing a patient's four-week diet history, the cardiac-vascular nurse identifies a pattern of high-calorie intake on Monday, Wednesday, and Friday nights. The patient states that the patient's spouse recently started taking a night class on those evenings at a local university. The patient's diet history indicates: a disabling family coping behavior. a lack of dietary instruction. a need for cooking classes. an individual coping behavior. - Answer- an individual coping behavior.

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