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Adult Health EAQ #1 Cardiovascular questions with verified answers
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Adult Health EAQ #1 Cardiovascular questions with verified answers
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Adult Health EAQ #1 Cardiovascularthe spouse of a client who had emergency coronary artery by[ass surgery asks why there is a dressing on
the clients left leg. what does the nurse explain?
1. this is the access site for the heart lung machine
2. a filter is inserted in the leg to prevent embolization
3. vein in the leg was used to bypass the coronary artery
4. the arteries in the extremities are examined during surgery - correct answer ✔✔3. vein in the leg was
used to bypass the coronary artery
a client is on a cardiac monitor. the monitor begins to alarm showing ventricular tachycardia what should
the nurse do first?
1. check for a pulse
2. start cardiac compressions
3. prepare to defibrillate the client
4. administer oxygen via an ambu bag - correct answer ✔✔1. check for pulse
a client is diagnosed with HF and is admitted for medical management. which statement by the client
may indicate worsening HF?
1. I am unable to run a mile now
2. i wake up at night short of breath
3. my shoes seem larger lately
4. wife says i snore very loud - correct answer ✔✔2. i wake up at night short of breath
child with leukemia who is undergoing chemotherapy is susceptible to rectal ulcerations. what should
the nurse recommend to the parents that will lessen the severity of this problem?
1. encourage lying on the abdomen when in bed
2. have the child wear cotton underpants at night
3. apply rectal ointment liberally 4 times a day
,4. clean the childs perianal area after each bowel movement - correct answer ✔✔4. clean the childs
perianal area after each bowel movement
A client is to be transferred from the coronary care unit to a progressive care unit. The client asks the
nurse, "Are you sure I'm ready for this move?" From this statement the nurse determines that the client
most likely is experiencing:
1
Fear
2
Depression
3
Dependency
4
Ambivalence - correct answer ✔✔1. Fear
client with angina pectoris is scheduled for a stress echocardiogram. what does the nurse explain the
echocardiogram is?
1. tool used solely to determine the cause of chest pain
2. noninvasive approach to assess cardiovascular status
3. modality of minimal value in planning treatment for angina
4. test that's invasive that measures the bodys rxn to progressive increases in exertion. - correct answer
✔✔2. noninvasive approach to assess cardiovascular status
plan of care for a postoperative client who has developed a pulmonary embolus includes monitoring and
bed rest. the client asks why all activity is restricted. the nurses response is based on which principle of
bed rest?
1. prevents the further aggregation of platelets
2. enhances the peripheral circulation in the deep vessels
3. decreases the potential for further dislodgment of emboli
4. maximizes the amount of blood available to damaged tissues - correct answer ✔✔3. decreases the
potential for further dislodgment of emboli
,a nurse has administered sublingual nitroglycerine. which parameter should the nurse use to determine
the effectiveness of sublingual nitrogylcerin?
1. relief of anginal pain
2. improved cardiac output
3. decreased BP
4. dilation of superficial blood vessels - correct answer ✔✔1. relief of anginal pain
the nurse is providing care for a client who had an endarterectomy (cartoid artery surgery in neck) one
month ago. the nurse explains the reason that clopidogrel (Plavix) is being prescribed. the nurse
concludes that the teaching is understood when the client says what?
1. medication will limit inflammation around my incision
2. medication will help prevent further clogging of my arteries
3. medication will lower the slight fever I have had since surgery
4. medication will reduce the discomfort I feel at the surgical incision - correct answer ✔✔2. medication
will help prevent further clogging of my arteries
nurse is caring for a client who has an occlusion of the left femoral artery and is scheduled for an
arteriogram (image of arteries). which clinical finding is most significant when assessing the left
extremity before the arteriogram?
1. mottling of the leg
2. coolness of the foot
3. absence of the pedal pulse
4. thickening of the toenails on the foot - correct answer ✔✔3. absence of the pedal pulse
client who was in an automobile collision is now in hypovolemic shock. why is it important for the nurse
to take the clients VS freq during the compensatory stage of shock?
1. arteriolar constriction occurs
2. cardiac workload decreases
3. contractility of the heart decreases
4. parasympathetic nervous system is triggered - correct answer ✔✔1. arteriolar constriction occurs
, client is receiving doxorubicin as a part of a chemotherapy protocol. nurse should assess the client for
which major life-threatening side effect of doxrubicin?
1. anemia
2. cardiotoxicity
3. pulmonary fibrosis
4. ulcerative stomatitis - correct answer ✔✔2. cardiotoxicity
client is taking administering warfarin (Coumadin) the nurse recalls that the antidote for this medication
is what?
1. Vitamin K
2. Fibrinogen
3. Prothrombin
4. Protamine sulfate - correct answer ✔✔1. Vitamin K
nurse is preparing to teach a client to apply a nitroglycerin path (Nitro-Dur) as prophylaxis for angina.
which instruction should the nurse include in the teaching plan?
1. apply the patch on a distal extremity
2. remove a previous patch before applying the next one
3. massage the area gently after applying the patch to the skin
4. apply a warm compress to the sit before attaching the patch - correct answer ✔✔2. remove a previous
patch before applying the next one
for the first several hours after a cardiac catheterization its most essential for the nurse to do what?
1. monitor the clients apical pulse and BP
2. keep the head of the clients bed elevated 45 degrees
3. encourage the client to cough and deep breathe every 2 hrs
4. check the clients temp every hr until it returns to normal - correct answer ✔✔1. monitor the clients
apical pulse and BP
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