Assessment of Cardiovascular Function- Latest Update 2025 Questions Solved Correctly (Graded A+)
The client states, "My doctor says that because I am now taking this water pill, I need to eat more foods
that contain potassium. Can you give me some ideas about what foods would be good for this?" The
nurse's appropriate response is which of the following? - Answers Apricots, dried peas and beans, dates
Apricots, dried peas and beans, dates, and kiwi contain high amounts of potassium. The other foods
listed contain minimal amounts.
The nurse prepares to auscultate heart sounds. Which nursing interventions would be most effective to
assist with this procedure? - Answers Explain to the client that the nurse will be listening to different
areas of the chest and may listen for a long time, but that does not mean that anything abnormal is
heard
During auscultation the client remains supine and the room should be as quiet as possible while the
nurse listens to heart sounds. The client should breathe quietly during the examination.
In preparation for transesophageal echocardiography (TEE), the nurse must: - Answers Inform the
patient that blood pressure (BP) and electrocardiogram (ECG) monitoring will occur throughout the test
The patient will have BP and ECG monitored throughout the test and must be NPO 6 hours
preprocedure. The patient is sedated to make him or her comfortable, but will not be heavily sedated.
Also, the patient will have an IV line initiated preprocedure.
A patient has undergone a cardiac catheterization. He is to be discharged today. What information
should the nurse emphasize during discharge teaching? - Answers Avoid heavy lifting for the next 24
hours.
For the next 24 hours, the patient should not bend at the waist, strain, or life heavy objects. The patient
should avoid tub baths, but shower as desired. The patient should call her the health care provider if she
has any bleeding, swelling, new bruising, or pain from her procedure puncture site, or a temperature of
101.5 degrees Fahrenheit or more.
Each chamber of the heart has a particular role in maintaining cellular oxygenation. Which chamber is
responsible for pumping blood to all the cells and tissues of the body? - Answers Left ventricle
, The left ventricle pumps blood to all the cells and tissues of the body. The left atrium receives
oxygenated blood from the lungs. The right ventricle pumps blood to the lungs to be oxygenated. The
right atrium receives deoxygenated blood from the venous system.
The nurse auscultates the PMI (point of maximal impulse) at which anatomic location? - Answers Left
midclavicular line, fifth intercostal space
The left ventricle is responsible for the apical impulse or the point of maximum impulse, which is
normally palpable in the left midclavicular line of the chest wall at the fifth intercostal space. The right
ventricle lies anteriorly, just beneath the sternum. Use of inches to identify the location of the PMI is
inappropriate based on variations in human anatomy. Auscultation below and to the left of the xiphoid
process will detect gastrointestinal sounds, but not the PMI.
The nurse cares for a client with clubbing of the fingers and toes. The nurse should complete which
action given these findings? - Answers Obtain an oxygen saturation level.
Clubbing of the fingers and toes indicates chronic hemoglobin desaturation (decreased oxygen supply)
and is associated with congenital heart disease. The nurse should assess the client's O2 saturation level
and intervene as directed. The other assessments are not indicated.
The nurse reviews discharge instructions with a client who underwent a left groin cardiac catheterization
8 hours ago. Which instructions should the nurse include? - Answers "Do not bend at the waist, strain, or
lift heavy objects for the next 24 hours."
The nurse should instruct the client to follow these guidelines: For the next 24 hours, do not bend at the
waist, strain, or lift heavy objects if the artery of the groin was used; contact the primary provider if
swelling, new bruising or pain from the procedure puncture site, or a temperature of 101°F or more
occur. If bleeding occurs, lie down (groin approach) and apply firm pressure to the puncture site for 10
minutes. Notify the primary provider as soon as possible and follow instructions. If there is a large
amount of bleeding, call 911. The client should not drive to the hospital.
The nurse is educating a patient at risk for atherosclerosis. What nonmodifiable risk factor does the
nurse identify for the patient? - Answers positive family history
The health history provides an opportunity for the nurse to assess patients' understanding of their
personal risk factors for coronary artery, peripheral vascular, and cerebrovascular diseases (see Chart
27-1 in Chapter 27) and any measures that they are taking to modify these risks. Risk factors are
classified by the extent to which they can be modified by changing one's lifestyle or modifying personal
The client states, "My doctor says that because I am now taking this water pill, I need to eat more foods
that contain potassium. Can you give me some ideas about what foods would be good for this?" The
nurse's appropriate response is which of the following? - Answers Apricots, dried peas and beans, dates
Apricots, dried peas and beans, dates, and kiwi contain high amounts of potassium. The other foods
listed contain minimal amounts.
The nurse prepares to auscultate heart sounds. Which nursing interventions would be most effective to
assist with this procedure? - Answers Explain to the client that the nurse will be listening to different
areas of the chest and may listen for a long time, but that does not mean that anything abnormal is
heard
During auscultation the client remains supine and the room should be as quiet as possible while the
nurse listens to heart sounds. The client should breathe quietly during the examination.
In preparation for transesophageal echocardiography (TEE), the nurse must: - Answers Inform the
patient that blood pressure (BP) and electrocardiogram (ECG) monitoring will occur throughout the test
The patient will have BP and ECG monitored throughout the test and must be NPO 6 hours
preprocedure. The patient is sedated to make him or her comfortable, but will not be heavily sedated.
Also, the patient will have an IV line initiated preprocedure.
A patient has undergone a cardiac catheterization. He is to be discharged today. What information
should the nurse emphasize during discharge teaching? - Answers Avoid heavy lifting for the next 24
hours.
For the next 24 hours, the patient should not bend at the waist, strain, or life heavy objects. The patient
should avoid tub baths, but shower as desired. The patient should call her the health care provider if she
has any bleeding, swelling, new bruising, or pain from her procedure puncture site, or a temperature of
101.5 degrees Fahrenheit or more.
Each chamber of the heart has a particular role in maintaining cellular oxygenation. Which chamber is
responsible for pumping blood to all the cells and tissues of the body? - Answers Left ventricle
, The left ventricle pumps blood to all the cells and tissues of the body. The left atrium receives
oxygenated blood from the lungs. The right ventricle pumps blood to the lungs to be oxygenated. The
right atrium receives deoxygenated blood from the venous system.
The nurse auscultates the PMI (point of maximal impulse) at which anatomic location? - Answers Left
midclavicular line, fifth intercostal space
The left ventricle is responsible for the apical impulse or the point of maximum impulse, which is
normally palpable in the left midclavicular line of the chest wall at the fifth intercostal space. The right
ventricle lies anteriorly, just beneath the sternum. Use of inches to identify the location of the PMI is
inappropriate based on variations in human anatomy. Auscultation below and to the left of the xiphoid
process will detect gastrointestinal sounds, but not the PMI.
The nurse cares for a client with clubbing of the fingers and toes. The nurse should complete which
action given these findings? - Answers Obtain an oxygen saturation level.
Clubbing of the fingers and toes indicates chronic hemoglobin desaturation (decreased oxygen supply)
and is associated with congenital heart disease. The nurse should assess the client's O2 saturation level
and intervene as directed. The other assessments are not indicated.
The nurse reviews discharge instructions with a client who underwent a left groin cardiac catheterization
8 hours ago. Which instructions should the nurse include? - Answers "Do not bend at the waist, strain, or
lift heavy objects for the next 24 hours."
The nurse should instruct the client to follow these guidelines: For the next 24 hours, do not bend at the
waist, strain, or lift heavy objects if the artery of the groin was used; contact the primary provider if
swelling, new bruising or pain from the procedure puncture site, or a temperature of 101°F or more
occur. If bleeding occurs, lie down (groin approach) and apply firm pressure to the puncture site for 10
minutes. Notify the primary provider as soon as possible and follow instructions. If there is a large
amount of bleeding, call 911. The client should not drive to the hospital.
The nurse is educating a patient at risk for atherosclerosis. What nonmodifiable risk factor does the
nurse identify for the patient? - Answers positive family history
The health history provides an opportunity for the nurse to assess patients' understanding of their
personal risk factors for coronary artery, peripheral vascular, and cerebrovascular diseases (see Chart
27-1 in Chapter 27) and any measures that they are taking to modify these risks. Risk factors are
classified by the extent to which they can be modified by changing one's lifestyle or modifying personal
