Exam Bank Solution Manual for adult cardiovascular Already Passed
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Course
Adult Cardiovascular
Institution
Adult Cardiovascular
Exam Bank Solution Manual for adult cardiovascular Already Passed
The ambulatory care nurse is working with a client who has been diagnosed with Prinzmetal's (variant) angina. What should the nurse plan to teach the client about this type of angina?
1.
It is most effectively managed by beta-b...
Exam Bank Solution Manual for adult cardiovascular Already Passed
The ambulatory care nurse is working with a client who has been diagnosed with Prinzmetal's (variant)
angina. What should the nurse plan to teach the client about this type of angina?
1.
It is most effectively managed by beta-blocking agents.
2.
It has the same risk factors as stable and unstable angina.
3.
It can be controlled with a low-sodium, high-potassium diet.
4.
Generally it is treated with calcium channel-blocking agents - Answers Generally it is treated with
calcium channel-blocking agents
Prinzmetal's angina results from spasm of the coronary vessels and is treated with calcium channel
blockers. Beta blockers are contraindicated because they may actually worsen the spasm. The risk
factors are unknown, and this type of angina is relatively unresponsive to nitrates. Diet therapy is not
specifically indicated.
The nurse is assessing the neurovascular status of a client who returned to the surgical nursing unit 4
hours ago after undergoing aortoiliac bypass graft. The affected leg is warm, and the nurse notes
redness and edema. The pedal pulse is palpable and unchanged from admission. How should the nurse
correctly interpret the client's neurovascular status?
1.
The neurovascular status is normal because of increased blood flow through the leg.
2.
, The neurovascular status is moderately impaired, and the surgeon should be called.
3.
The neurovascular status is slightly deteriorating and should be monitored for another hour.
4.
The neurovascular status is adequate from an arterial approach, but venous complications are arising. -
Answers The neurovascular status is normal because of increased blood flow through the leg.
An expected outcome of aortoiliac bypass graft surgery is warmth, redness, and edema in the surgical
extremity because of increased blood flow. The remaining options are incorrect interpretations.
The nurse is monitoring a client with acute pericarditis for signs of cardiac tamponade. Which
assessment finding indicates the presence of this complication?
1.
Flat neck veins
2.
A pulse rate of 60 beats/minute
3.
Muffled or distant heart sounds
4.
Wheezing on auscultation of the lungs - Answers Muffled or distant heart sounds
Assessment findings associated with cardiac tamponade include tachycardia, distant or muffled heart
sounds, jugular vein distention with clear lung sounds, and a falling blood pressure accompanied by
pulsus paradoxus (a drop in inspiratory blood pressure greater than 10 mm Hg). The other options are
not signs of cardiac tamponade.
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