A 63-year-old accountant was admitted to the cardiac ICU with full-blown pulmonary edema.
After he was revived, the nurse discusses his symptoms with the client and his wife. What is a
typical, subtle symptomthat communicates right-sided heart failure?
2. Weighing the client daily at the same time each day.
A client is at risk for excess fluid volume. Which nursing intervention ensures the most accurate
monitoring of the client's fluid status?
3. Low blood pressure
A patient is receiving anticoagulant therapy. The nurse should be alert to potential signs and
symptoms of external or internal bleeding, as evidenced by which of the following?
4. Sinoatrial (SA) node, atrioventricular (AV) node, bundle of His, right and left bundle
branches, and the Purkinje fibers
The nurse is teaching a beginning EKG class to staff nurses. As the nurse begins to discuss the
the parts of the EKG complex, one of the students asks what the normal order of conduction
through the heart is. The correct response would be which of the following?
,5. Chest pain, weight gain, fatigue.
The nurse is taking a health history from a client admitted with the medical diagnosis of
cardiovascular disease (CVD). Identify which of the following symptoms indicate CVD.
6. Bibasilar crackles
A client is returning from the operating room after inguinal hernia repair. The nurse notes that
he has fluid volume excess from the operation and is at risk for left-sided heart failure. Which
sign or symptom indicates left-sided heart failure?
7. Thallium-201
Your client is going to have a stress test. What radionuclide would most likely be used to
diagnose ischemic heart disease during this test?
8. High LDL Levels
Jack Donohue, a 62-year-old stock broker, attends his annual physical appointment and indicates
physical changes since his last examination. He reports chest pain and palpitation during and
after his morning jogs. Jack's family history reveals includes coronary artery disease. His lipid
profile reveals his LDL level to be 122 mg/dl. Which of the following correctly states the Jack's
condition?
9. 10 Minutes
A nurse has come upon an unresponsive, pulseless victim. She has placed a 911 call and begins
, CPR. The nurse understands that if the patient has not been defibrillated within which time
frame, the chance of survival is close to zero?
10. Place the client in high Fowler's position.
A nurse is caring for a client with acute pulmonary edema.To immediately promote oxygenation
and relieve dyspnea, the nurse should
11. Pulmonary artery
Which of the follow arteries carries deoxygenated blood?
12. Instruct the patient to restrict food and oral intake.
Which of the following nursing interventions is required to prepare a patient with cardiac
dysrhythmia for an elective electrical cardioversion?
13. Clients with recurrent life-threatening tachydysrhythmias.
You are caring for a client who has been admitted to have a cardioverter defibrillator implanted.
You would know that implanted cardioverter defibrillators are used in what clients?
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