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A client with myocardial infarction has been transferred from a coronary care unit to a general medical unit with cardiac monitoring via telemetry. A nurse plans to allow for which of the following client activities?
Ad lib activities because client is being monitored
Bathroom privileges and self-care activities
Strict bed rest for at least 24 HRS to prevent falls
Allowing him to move from bed to chair freely
A nurse is assessing the blood pressure of a client diagnosed with primary hypertension. The nurse ensures accurate measurement by avoiding which of the following?
Take blood pressure within 15 min after caffeine ingestion
Seat client with arm bared, supported, and at heart level
Using cuff that encircles at-least 80% of the limb
Measure BP after pt has been sitting quietly for 5 min
During an echocardiogram an LVEF is measured to assess the amount of cardiac output. Which percentage is considered within normal range?
57%
49%
68%
75%
Patient on the cardiac unit is complaining of an "annoying dry cough" since he started his new medication. Which medication may be causing this issue?
atorvastatin
amlodipine
losartan
lisinopril
Nurse on the cardiac unit knows, sudden withdrawal of which medication could be dangerous?
lisinopril
metoprolol
mononitrate
atorvastatin
Patient exhibits proper understanding of medication administration when he stated he will stop taking Viagra with which medication?
isosorbide mononitrate
atorvastatin
morphine
nitroglycerin
OPQRST abbreviation stands for what?
Onset, Precipitating events, Quality, Radiating, Severity, Time
Which position should patient be lying during Echocardiogram?
Right-side lying
High Fowlers, feet dangling
Left-side lying
Trendelenburg/legs elevated
When auscultating heart sounds, the student nurse remembers Audrey teaching her about APETA, what does that stand for?
Aortic, Pulmonary, Erks, Tricuspid, Apex
This diagnostic test is considered the "Gold Standard" for diagnosing AMI?
12 Lead EKG
Cardiac troponin
Chest x-ray
Echocardiogram
Hypertension is known as the silent killer. This phrase is associated with the fact that hypertension often goes undetected until symptoms of other system failures occur. This may occur in the form of:
Pulmonary Disease
Myocardial infarction
Liver disease
Cerebrovascular accident
Which of the following symptoms should the nurse teach the client with unstable angina to report immediately to her physician?
Pain during mowing the lawn
Pain while resting
A pain during sex
A change in the pattern of her pain
Which of the following parameters is the major determinant of diastolic blood pressure?
Vascular resistance
Cardiac output
Renal function
Baroreceptors
The physician refers the client with unstable angina for a cardiac catheterization. The nurse explains to the client that this procedure is being used in this specific case to:
Bypass obstructed vessels
Assess the functional adequacy of valves and heart muscle
Open and dilate blocked coronary arteries
Assess the extent of atrial blockage
Which of the following types of pain is most characteristic of angina?
Shooting
Knifelike
Tightness
Sharp
Which of the following terms describes the resistance against which the ventricle must expel blood?
Preload
Afterload
Cardiac Output
Overload
