Alterations in Cardiovascular
Function & Perfusion 100%ACCURATE
GRADE A+
A nurse is caring for a client who is experiencing heart palpitations.
Which of the following interventions should the nurse include in the
plan of care for this client?
Select All that Apply
Answer:
- Have the client bear down as if for a bowel movement
- Ask the client to cough forcefully
A nurse is assisting in caring for a client who has pericarditis.
Based on the assessment findings, which of the following lab tests
should the nurse anticipate will have abnormal results?
Select All that Apply
Answer:
- C reactive protein (CRP)
- Erythrocyte sedimentation rate (ESR)
- White blood cell count (WBC)
A nurse is reinforcing discharge teaching to a client who has
cardiomyopathy. Which of the following should the nurse include in
the teaching?
Select all that Apply
Answer:
- Restrict fluids to approximately 2L each day
- Limit dietary intake of sodium
- Check weight every morning
- Report ankle edema
A nurse is collecting data from a client who had valvular dysfunction.
Which of the following client statements should indicate to the nurse
that this condition is affecting the client's ability to perform
activities of daily living (ADLs)?
Answer:
"I get short of breath when I make my bed."
A nurse is assisting in caring for a client who has coronary artery
disease that has progressed to an ST elevation myocardial infarction
, (STEMI). Which of the following procedures should the nurse
anticipate for this client?
Answer:
Heart catheterization and percutaneous intervention
A nurse is collecting data from a client's ECG strip and identifies
the following information:
HR: 75 bpm
Rhythm: Regular
P wave: One before each QRS complex
PR interval: 0.16 seconds
QRS interval: 0.08 seconds
Based upon this information, the nurses will interpret the client's
rhythm as which if the following?
Answer:
- Normal sinus rhythm (NSR)
A nurse is collecting data from a client who has atrial fibrillation.
Which of the following client statements should indicate to the nurse
that this condition is affecting the client's activities of daily
living (ADLs)?
Answer:
" I feel pressure in my chest when I climb stairs."
A nurse is presenting an in-service to nursing staff on heart failure.
Which of the following risk factors for heart disease should the
nurse identify as the result of structural changes to the heart?
Answer:
- Hypertension
A nurse is assisting in caring for a client who has chronic venous
disease, and the client asks why their legs have been swelling and
feel so heavy at times. Which of the following statements should the
nurse include?
Answer:
"Damaged or occluded veins cause blood to pok in the legs instead of
returning to the heart."
A nurse is reinforcing teaching to a client who has coronary artery
disease (CAD) about prevention of progression of the disease. Which
of the following lifestyle modifications should the nurse include in
the teaching?
Answer:
Controlling of hypertension
A nurse is collecting data from a client's ECG strip and identifies
the following information:
HR: 145 bpm
Rhythm: Regular
P wave indiscernible
Function & Perfusion 100%ACCURATE
GRADE A+
A nurse is caring for a client who is experiencing heart palpitations.
Which of the following interventions should the nurse include in the
plan of care for this client?
Select All that Apply
Answer:
- Have the client bear down as if for a bowel movement
- Ask the client to cough forcefully
A nurse is assisting in caring for a client who has pericarditis.
Based on the assessment findings, which of the following lab tests
should the nurse anticipate will have abnormal results?
Select All that Apply
Answer:
- C reactive protein (CRP)
- Erythrocyte sedimentation rate (ESR)
- White blood cell count (WBC)
A nurse is reinforcing discharge teaching to a client who has
cardiomyopathy. Which of the following should the nurse include in
the teaching?
Select all that Apply
Answer:
- Restrict fluids to approximately 2L each day
- Limit dietary intake of sodium
- Check weight every morning
- Report ankle edema
A nurse is collecting data from a client who had valvular dysfunction.
Which of the following client statements should indicate to the nurse
that this condition is affecting the client's ability to perform
activities of daily living (ADLs)?
Answer:
"I get short of breath when I make my bed."
A nurse is assisting in caring for a client who has coronary artery
disease that has progressed to an ST elevation myocardial infarction
, (STEMI). Which of the following procedures should the nurse
anticipate for this client?
Answer:
Heart catheterization and percutaneous intervention
A nurse is collecting data from a client's ECG strip and identifies
the following information:
HR: 75 bpm
Rhythm: Regular
P wave: One before each QRS complex
PR interval: 0.16 seconds
QRS interval: 0.08 seconds
Based upon this information, the nurses will interpret the client's
rhythm as which if the following?
Answer:
- Normal sinus rhythm (NSR)
A nurse is collecting data from a client who has atrial fibrillation.
Which of the following client statements should indicate to the nurse
that this condition is affecting the client's activities of daily
living (ADLs)?
Answer:
" I feel pressure in my chest when I climb stairs."
A nurse is presenting an in-service to nursing staff on heart failure.
Which of the following risk factors for heart disease should the
nurse identify as the result of structural changes to the heart?
Answer:
- Hypertension
A nurse is assisting in caring for a client who has chronic venous
disease, and the client asks why their legs have been swelling and
feel so heavy at times. Which of the following statements should the
nurse include?
Answer:
"Damaged or occluded veins cause blood to pok in the legs instead of
returning to the heart."
A nurse is reinforcing teaching to a client who has coronary artery
disease (CAD) about prevention of progression of the disease. Which
of the following lifestyle modifications should the nurse include in
the teaching?
Answer:
Controlling of hypertension
A nurse is collecting data from a client's ECG strip and identifies
the following information:
HR: 145 bpm
Rhythm: Regular
P wave indiscernible
