Aspirin is administered to the client experiencing an MI because of its: A. Antipyretic action B. Antithrombotic action C. Antiplatelet action D. Analgesic action Correct Answer: B. Antithrombotic action Aspirin does have antipyretic, antiplatelet, and analgesic actions, but the primary reason ASA is administered to the client… Read More »
Which of the following is an expected outcome for a client on the second day of hospitalization after an MI? A. Has severe chest pain. B. Can identify risk factors for MI. C. Agrees to participate in a cardiac rehabilitation walking program. D. Can perform personal self-care activities without pain. … Read More »
Which of the following reflects the principle on which a client’s diet will most likely be based during the acute phase of MI? A. Liquids as ordered B. Small, easily digested meals C. Three regular meals per day D. NPO Correct Answer: B. Small, easily digested meals Recommended dietary… Read More »
An older, sedentary adult may not respond to emotional or physical stress as well as a younger individual because of: A. Left ventricular atrophy B. Irregular heartbeats C. Peripheral vascular occlusion D. Pacemaker placement Correct Answer: A. Left ventricular atrophy In older adults who are less active… Read More »
Which of the following nursing diagnoses would be appropriate for a client with heart failure? Select all that apply. A. Ineffective tissue perfusion related to decreased peripheral blood flow secondary to decreased cardiac output. B. Activity intolerance related to increased cardiac output. C. Decreased cardiac output related to structural and functional changes. … Read More »
Which of the following would be a priority nursing diagnosis for the client with heart failure and pulmonary edema? A. Risk for infection related to stasis of alveolar secretions. B. Impaired skin integrity related to pressure. C. Activity intolerance related to pump failure. D. Constipation related to immobility. … Read More »
Captopril may be administered to a client with HF because it acts as a: A. Vasopressor B. Volume expander C. Vasodilator D. Potassium-sparing diuretic Correct Answer: C. Vasodilator ACE inhibitors have become the vasodilators of choice in the client with mild to severe HF. Vasodilator drugs are… Read More »
Furosemide is administered intravenously to a client with HF. How soon after administration should the nurse begin to see evidence of the drug’s desired effect? A. 5 to 10 minutes B. 30 to 60 minutes C. 2 to 4 hours D. 6 to 8 hours Correct Answer:… Read More »
Which of the following foods should the nurse teach a client with heart failure to avoid or limit when following a 2-gram sodium diet? A. Apples B. Tomato juice C. Whole wheat bread D. Beef tenderloin Correct Answer: B. Tomato juice Canned foods and juices, such as… Read More »
The nurse finds the apical pulse below the 5th intercostal space. The nurse suspects: A. Left atrial enlargement B. Left ventricular enlargement C. Right atrial enlargement D. Right ventricular enlargement Correct Answer: B. Left ventricular enlargement A normal apical impulse is found under over the apex of… Read More »