A client has been admitted to the hospital with a diagnosis of suspected bacterial endocarditis. The complication the nurse will constantly observe for is: A. Presence of heart murmur B. Systemic emboli C. Fever D. Congestive heart failure Correct Answer: B. Systemic emboli Emboli are the major… Read More »
Cholesterol, frequently discussed in relation to atherosclerosis, is a substance that: A. May be controlled by eliminating food sources. B. Is found in many foods, both plant and animal sources. C. All persons would be better off without because it causes the disease process. D. Circulates in the blood, the level… Read More »
When teaching a client with a cardiac problem, who is on a high-unsaturated fatty-acid diet, the nurse should stress the importance of increasing the intake of: A. Enriched whole milk B. Red meats, such as beef C. Vegetables and whole grains D. Liver and other glandular organ meats … Read More »
A 2-gram sodium diet is prescribed for a client with severe hypertension. The client does not like the diet, and the nurse hears the client’s request that the spouse “Bring in some good home-cooked food.” It would be most effective for the nurse to plan to: A. Call in the dietician for client teaching.… Read More »
A client’s electrocardiogram strip shows atrial and ventricular rates of 80 complexes per minute. The PR interval is 0.14 second, and the QRS complex measures 0.08 second. The nurse interprets this rhythm is: A. Normal sinus rhythm B. Sinus bradycardia C. Sinus tachycardia D. Sinus dysrhythmia Correct… Read More »
What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor? Select all that apply. A. The RR intervals are relatively consistent. B. One P wave precedes each QRS complex. C. Four to eight complexes occur in a 6-second strip. D. The ST segment is… Read More »
A client has frequent bursts of ventricular tachycardia on the cardiac monitor. A nurse is most concerned with this dysrhythmia because: A. It is uncomfortable for the client, giving a sense of impending doom. B. It produces a high cardiac output that quickly leads to cerebral and myocardial ischemia. C. It is almost impossible… Read More »
A home care nurse is making a routine visit to a client receiving digoxin (Lanoxin) in the treatment of heart failure. The nurse would particularly assess the client for: A. Thrombocytopenia and weight gain B. Anorexia, nausea, and visual disturbances C. Diarrhea and hypotension D. Fatigue and muscle twitching … Read More »
A client with angina complains that the angina pain is prolonged and severe and occurs at the same time each day, most often in the morning, On further assessment a nurse notes that the pain occurs in the absence of precipitating factors. This type of anginal pain is best described as: A. Stable angina… Read More »
The physician orders continuous intravenous nitroglycerin infusion for the client with MI. Essential nursing actions include which of the following? A. Obtaining an infusion pump for the medication. B. Monitoring BP q4h. C. Monitoring urine output hourly. D. Obtaining serum potassium levels daily. Correct Answer: A. Obtaining… Read More »