A patient ask the nurse what are the actions of the arteries? correct answers The arterties carry blood from the heart to capillaries
The nurse is accessing the heart rate for a person who plays basketball and runs back. What findings are anticipated? correct answers Bradycardia
The nurse is ...
VNSG 1409 Med-Surg Exam 1 Chapter 21-26 || with
Complete Solutions.
A patient ask the nurse what are the actions of the arteries? correct answers The arterties carry
blood from the heart to capillaries
The nurse is accessing the heart rate for a person who plays basketball and runs back. What
findings are anticipated? correct answers Bradycardia
The nurse is caring for a patient recovering from a cardiac catherization with a right femoral
artery entry site. Which action should the nurse take? correct answers Encourage oral fluid
The nurse is caring for a patient admitted with chest pain and suspected myocardial infarction
(MI). The elevation of which laboratory value supports this finding? correct answers Troponin
The nurse is caring for a group of patients. Which factor plays a leading role in cardiovascular
disease? correct answers Lifestyle choice
The nurse is explaining the regulation of blood pressure (BP) to a patient newly diagnosed with
hypertension. What tissues within the artery wall that help maintain diastolic BP should the nurse
identify for the patient? correct answers Smooth muscle and elastic connective tissue
The nurse instructs a patient on stopping the prescribed medication warfarin (Coumadin) before
surgery. What is the reason for this? correct answers It increases bleeding risk
A patient has sustained damage to the sinoatrial (SA) and atrioventricular (AV) nodes. Which
heart rates indicate that the patient's bundle of His node has taken over as the pacemaker for the
heart? correct answers 20-35 beats per minute
The nurse is reinforcing teaching to a patient about to undergo a cardiac catheterization. Which
statement made by the patient indicates a need for additional teaching? correct answers This test
will access the electrical system of my heart
The nurse is reviewing laboratory values for a patient and notes a potassium level of 6.4 mEq/L.
Which finding can the nurse expect the patient to report? correct answers Slow, irregular
heartbeat
The nurse is applying knee-high antiembolism stockings. What action should the nurse take?
correct answers Apply stockings up to 1 to 2 inches below the kneecap
The nurse is assessing a patient and notices the radial pulse has fewer beats than the apical pulse.
Which action should the nurse take? correct answers Notify the HCP
The nurse is caring for a patient who had a cardiac catheterization using the radial approach for
entry. What activity level can the patient do afterward? correct answers Up as tolerated
,The patient is ordered to wear a 24-hour Holter monitor device. What instructions should the
patient be given when an event occurs? correct answers Push the event button
A patient is ordered to wear a Holter monitor for a week. What should the nurse instruct the
patient about bathing? correct answers Take a sponge bath
The nurse is assessing a patient and notes that the nailbed angle exceeds 180 degrees and feels
spongy when squeezed. How should the nurse document these findings? correct answers Severe
clubbing noted, HCP notified
The nurse takes the BP of a patient with a result of 120/80 mm Hg. Which action should the
nurse take? correct answers Document the finding as normal.
The nurse is auscultating heart sounds and notes an S3 heart sound. The nurse knows an S3
sound may be heard in a patient with which condition? correct answers Fluid overload
The nurse is caring for a patient recovering from a transesophageal echocardiogram. Which
action should the nurse take? correct answers Keep patient NPO until gag reflexes are present
The nurse is caring for a patient receiving hemodynamic monitoring. Which action should the
nurse take? correct answers Monitor the site for infection
The nurse is reviewing the medication history for a patient about to undergo cardiac surgery.
Which medication should the nurse report to the surgeon? correct answers Aspirin
The nurse is caring for a patient with a potassium level of 7.6 mEq/L. Which diagnostic testing is
priority? correct answers Electrocardiogram
The nurse is assessing a patient and notes a grating sound. How should the nurse document this
finding? correct answers Perdicardial friction rub
A patient being treated for a severe blood loss has a BP of 90/56 mm Hg and urine output of 10
mL over the last hour. Which physiological mechanism will be activated to improve the
situation? correct answers Renin-angiotensin-aldosterone
While collecting data, the nurse notes that the patient expectorates pink, frothy sputum. Which
health problem should the nurse consider is occurring in this patient? correct answers Heart
failure
The nurse is caring for a patient with venous blood flow problems. What findings of the legs are
anticipated? correct answers Brown discoloration, and blue when hanging dependently
The nurse is caring for a patient with decreased arterial blood flow. Which clinical
manifestations can the nurse expect to document? correct answers Decreased hair distribution
Thick, brittle nails
, Shiny skin
The nurse is reinforcing teaching for a patient who is to wear a Holter monitor. Which of the
following should the nurse include? correct answers Push the event button when symptoms occur
Keep an accurate diary of symptoms and activities
Avoid showers or baths while wearing the monitor
The nurse is caring for a patient who is having an exercise treadmill test. What interventions
would be appropriate for the test? correct answers Monitor vital signs throughout the test.
Monitor electrocardiogram before, during, and after the test.
The nurse is caring for a patient with peripheral vascular disease. Which signs or symptoms
should the nurse expect to observe in this patient? correct answers Pain
Paralysis
Pulselessness
Parathesia
The nurse is helping a patient get out of bed for the first time after prolonged bedrest. Upon
standing, the patient becomes lightheaded. What actions should the nurse take? correct answers
Use a walking belt for activity out of bed
Sit patient down
Ask about any other symptoms, like chest pain
Take orthostatic BP reading
A patient is newly diagnosed with hypertension, placed on new medications, and expected to
comply with lifestyle modifications, weight loss, and follow-up visits. The patient tells the nurse
they cannot afford the medications and are uninsured. What action should the nurse take to
support compliance? correct answers Refer the pt for financial assistance
The nurse is reviewing orders for a patient taking digoxin (Lanoxin) for heart failure. Which
additional medication should the nurse question? correct answers Diltiazem ( Cardizem)
The nurse is caring for a group of patients. Which patient is the priority? correct answers A pt
with a blood pressure of 180/120 who is asymptomatic
The nurse is measuring BPs during a screening clinic for a client experiencing hypertension
urgency and started on medications. Which recommended follow-up timeframe should the nurse
suggest? correct answers Within several days
A patient tells the nurse he has started experiencing erectile dysfunction since beginning
treatment for hypertension. Which statement by the nurse is most appropriate? correct answers I
will talk to your doctor to see if adjustments can be made
The nurse is planning care for patients with hypertension. What side effect should be included
with teaching about the beta blocker propranolol (Inderal)? correct answers Rise slowly to
prevent dizziness
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