Exam 4

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?

Which medication will increase contractility?

What are the two symptoms Audrey advised are in both right and left sided heart failure?

The patient has a core body temperature of 38.7 C. The RN recognizes that this may decrease the patients

A nurse notes 2+ bilateral edema in the lower extremities of a client with myocardial infarction who was admitted two (2) days ago. The nurse would plan to do which of the following next?

An 8 year old boy is taking Digoxin. The nurse knows she should hold this medication if his pulse is

To evaluate a client’s condition following cardiac catheterization, the nurse will palpate the pulse:

What are normal BUN/Creatinine levels?

How much of a difference between apical-radial pulse may indicate a deficit?

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?

The physician’s order says to administered Lasix 40 mg IV twice a day. The patient has the following morning labs: Na+ 148, BNP 900, K+ 2.0, and BUN 10. Which of the following is a nursing priority?

IV drug use may put patient at risk for:

Which one of these medications is considered an angiotensin-converting enzyme?

In order to prevent the development of tolerance, the nurse instructs the patient to:

Nurse on the cardiac unit knows, sudden withdrawal of which medication could be dangerous?

Which of the following instructions should be included in the discharge teaching for a patient discharged with a transdermal nitroglycerin patch?

Which of the following types of pain is most characteristic of angina?

What is the normal range for BNP (B-type Natriuretic Peptide) levels?

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:

If patient is on digoxin, and his serum K levels are currently showing at 5.6mEq/L it could

During an echocardiogram an LVEF is measured to assess the amount of cardiac output. Which percentage is considered within normal range?

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:

Patient has crushing chest pain that radiates to his shoulder and left arm. The admitting diagnosis is acute MI. Orders are oxygen by NC at 4L/minute, blood work, chest X-ray, an ECG, and two (2) mg of morphine IV. The nurse should FIRST:

Patient exhibits proper understanding of medication administration when he stated he will stop taking Viagra with which medication?

Which one of these medications can cause visual disturbances with (yellow/green halos)?

Which of the following symptoms should the nurse teach the client with unstable angina to report immediately to her physician?

When auscultating heart sounds, the student nurse remembers Audrey teaching her about APETA, what does that stand for?

Which of the following parameters is the major determinant of diastolic blood pressure?

One hour after administering IV furosemide (Lasix) to a client with heart failure, a short burst of ventricular tachycardia appears on the cardiac monitor. Which of the following electrolyte imbalances should the nurse suspect?

This diagnostic test is considered the "Gold Standard" for diagnosing AMI?

The patient was diagnosed with left sided heart failure, but now is exhibiting dyspnea and cough with frothy blood tinged sputum. This may be indicative of:

You're providing diet discharge teaching to a patient with a history of heart failure. Which of the following statements made by the patient represents they understood the diet teaching?

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?

Which of the following terms describes the resistance against which the ventricle must expel blood?

Which position should patient be lying during Echocardiogram?

OPQRST abbreviation stands for what?