Cardiovascular NCLEX-PN 6th Edition
questions well answered already passed
The nurse is providing discharge teaching for a post-myocardial infarction (MI) client who will be taking 1
baby aspirin a day. The nurse determines that the client understands the use of this medication if the
client makes which statement? - correct answer ✔✔"I will take this medication every day."
A client with heart failure is scheduled to be discharged to home with digoxin (Lanoxin) and furosemide
(Lasix) as ongoing prescribed medications. The nurse teaches the client to report which sign/symptom
that indicates the medications are not producing the intended effect? - correct answer ✔✔Weight gain 2
to 3 pounds in a few days
The nurse is reinforcing instructions to a client with angina pectoris about measures to reduce
recurrence of chest pain. The nurse should stress to the client the importance of taking which measure?
- correct answer ✔✔Avoiding exposure to either very hot or very cold
The nurse in a medical unit is caring for a client with heart failure. The client suddenly develops extreme
dyspnea, tachycardia, and lung crackles, and the nurse suspects pulmonary edema. The nurse
immediately notifies the registered nurse and expects which interventions to be prescribed? Select all
that apply. - correct answer ✔✔Administering oxygen
Inserting a Foley catheter
Administering furomeside (Lasix)
Administering morphine sulfate intravenously
The nurse has reinforced instructions to the family of an older client who seems anxious about being
discharged after cardiac surgery. The nurse understands further teaching is needed if a family member
makes which statement? - correct answer ✔✔"A daily half-mile-long brisk walk generally helps people
bounce back more quickly and provides more of a sense of control."
,The nurse has reinforced dietary instructions to a client with coronary artery disease. Which statement
by the client indicates an understanding of the dietary instructions? - correct answer ✔✔"I should
routinely use polyunsaturated oils in my diet."
The nurse is planning a dietary menu for a client with heart failure being treated with digoxin (Lanoxin)
and furosemide (Lasix). Which would be the best dinner choice from the daily menu? - correct answer
✔✔Baked pollock, mashed potatoes, and carrot-raisin salad
A hospitalized client with a history of angina pectoris is ambulating in the corridor. The client suddenly
complains of severe substernal chest pain. The nurse should take which action first? - correct answer
✔✔Assist the client to sit or lie down
The nurse is monitoring a client with an abdominal aortic aneurysm (AAA). Which finding is probably
unrelated to the AAA? - correct answer ✔✔Hyperactive bowel sounds in the area
The nurse has completed counseling about smoking cessation with a client with coronary artery disease
(CAD). The nurse determines that the client has understood the material best if the client makes which
statement? - correct answer ✔✔"A smoker has twice the risk of having a heart attack as a nonsmoker."
A client is scheduled for a cardiac catheterization using a radiopaque dye. The nurse checks which most
critical item before the procedure? - correct answer ✔✔Prior reaction to contrast media
The nurse is preparing for a health fair about tobacco use and the development of coronary heart
disease. Which information should the nurse include? Select all that apply. - correct answer ✔✔Nicotine
decreases oxygen to the heart
Hypnosis may be helpful to stop smoking
Avoid exposure to environmental tobacco smoke
The nurse reinforces instructions to a client at risk for thrombophlebitis regarding measures to minimize
its occurrence. Which statement by the client indicates an understanding of this information? - correct
answer ✔✔"I should avoid sitting in one position for long periods of time."
, The licensed practical nurse (LPN) is assisting in caring for a client with a diagnosis of myocardial
infarction (MI). The client is experiencing chest pain that is unrelieved by the administration of
nitroglycerin. The registered nurse administers morphine sulfate to the client as prescribed by the health
care provider. Following administration of the morphine sulfate, the LPN plans to monitor which
indicator(s)? - correct answer ✔✔Respirations and blood pressure
The nurse is collecting data on a client with a diagnosis of right-sided heart failure. The nurse should
expect to note which specific characteristic of this condition? - correct answer ✔✔Dependent edema
A client has experienced an episode of pulmonary edema. The nurse determines that the client's
respiratory status is improving if which breath sounds are noted? - correct answer ✔✔Crackles in the
lung bases
The nurse is setting up the bedside unit for a client being admitted to the nursing unit from the
emergency department with a diagnosis of coronary artery disease (CAD). The nurse should place
highest priority on making sure that which is available at the bedside? - correct answer ✔✔Oxygen
tubing and flowmeter
The nurse is assisting in the care of a client with myocardial infarction who should reduce intake of
saturated fat and cholesterol. The nurse should help the client comply with diet therapy by selecting
which food items from the dietary menu? - correct answer ✔✔Baked haddock, steamed broccoli, herbed
rice, sliced strawberries
The nurse determines that a client with coronary artery disease (CAD) understands disease management
if the client makes which statement? - correct answer ✔✔"I will walk for one-half hour daily."
The health care provider is discharging a client with a diagnosis of primary hypertension. Which health
maintenance instructions should the nurse reinforce in the discharge teaching plan? Select all that apply.
- correct answer ✔✔Monitor the blood pressure at home
Restrict sodium intake as prescribed
Eye examinations with an ophthalmoscope should be routine
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