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A nurse is assisting a client who will wear a Holter monitor for continuous cardiac monitoring over the next 24 hours. The nurse takes which of the following actions to assist this client? Correct Answer: Gives the client a device holder to wear around the waist A client is admitted to the hospital with a diagnosis of pericarditis. The nurse reviews the client's record for which manifestation that differentiates pericarditis from other cardiopulmonary problems? Correct Answer: Perica...

1) A client is scheduled for a cardiac catherization using a radiopaque dye. Which of the following assessments is most critical before the procedure? 1.Intake and output 2.Baseline peripheral pulse rates 3.Height and weight 4.Allergy to iodine or shellfish Correct Answer: 4. Allergy to iodine or shellfish This procedure requires an informed consent because it involves injection of a radiopaque dye into the blood vessel. The risk of allergic reaction and possible anaphylaxis is serio...

Coronary artery perfusion is dependent upon: A. Diastolic pressure B. Systolic pressure C. Afterload D. SVR Correct Answer: A. Diastolic pressure Rationale: Diastolic pressure in the aortic root is higher than left ventricular end diastolic pressure (LVEDP) (the pressure exerted on the ventricular muscle at the end of diastole when the ventricle is full). This enables blood to flow from a higher pressure through open arteries to a lower pressure. This pressure gradient is known as...

The nurse is preparing to teach the pt newly diagnosed with angina pectoris how to selfadminister nitroglycerine (NTG) tablets. What pt teaching should the nurse emphasize? select all that apply A. stop all activities immediately and sit down if chest pain occurs B. if the pain is unrelieved after three NTG tablets, continue to rest and call the prescriber right away C. After discharge, keep NTG tablets on your bedside table day and night D. immediately after chest pain begins, notify y...

The client is admitted to the telemetry unit diagnosed with acute exacerbation of congestive heart failure (CHF). Which signs/symptoms would the nurse expect to find when assessing this client? 1. Apical pulse rate of 110 and 4+ pitting edema of feet. 2. Thick white sputum and crackles that clear with cough. 3. The client sleeping with no pillow and eupnea. 4. Radial pulse rate of 90 and capillary refill time <3 seconds. Correct Answer: 1 The nurse is developing a nursing care plan fo...

The nurse is preparing the client for a cardiac catheterization with angiography. Which teaching should the nurse give the patient prior to the test? A) "You will need to fast for about 2 hours before the test" B) "It's important for you to know that you will be lying flat on a table for about 5 hours during this process. It could be painful" C) "You may feel the need to void when the dye is injected, but this sensation should diminish in a minute" D) "If you have an allergy to...

The nurse is assessing a pt w/ chronic heart failure. Which abnormal chest sound would the nurse most likely auscultate? 1. expiratory wheezes 2. friction rub 3. harsh vesicular 4. crackles Correct Answer: Answer: 4 Rationale 1, 2, 3: Expiratory wheezes, friction rub, & harsh vesicular sounds are not associated w/ chronic heart failure. Rationale 4: Fluid accumulates in the alveolar spaces w/ left-sided heart failure. This fluid causes the sound of crackles at the end of inspiration...

The Nurse is assessing a client who has a low-pitches murmur. What is the most appropriate way for the nurse to position the client to auscultate this murmur Correct Answer: On the left lateral side using the bell of the stethoscope. During a cardiovascular assessment the nurse finds a bluish tinge on the clients lips, fingers, and toes. what is the appropriate documentation for this finding? Correct Answer: Central and peripheral cyanosis When evaluating a client's circulation the nurs...

Canada Correct Answer: second largest country in the world Canada Correct Answer: one of the only countries which is bordered by 3 oceans Canada's motto Correct Answer: "from sea to sea" Canadian North Correct Answer: one of the least used and most deserted areas in the world Canada's Arctic Islands Correct Answer: Baffin Island, Victoria Island, Ellesmere Island Newfoundland Correct Answer: Island on Canada's east coast in the northern Atlantic Vancouver Island Correct Answer:...

The community health nurse is planning health promotion teaching targeted at preventing coronary artery disease (CAD). Which ethnic group would the nurse select as the highest priority for this intervention? A. White male B. Hispanic male C. African American male D. Native American female Correct Answer: A. White male The incidence of CAD and myocardial infarction (MI) is highest among white, middleaged men. Hispanic individuals have lower rates of CAD than non-Hispanic whites or ...