The nurse coming on duty receives the report from the nurse going off duty. Which of the following clients should the on-duty nurse assess first? A. The 58-year-old client who was admitted 2 days ago with heart failure, BP of 126/76, and a respiratory rate of 21 breaths a minute. B. The 88-year-old client… Read More »
When developing a teaching plan for a client with endocarditis, which of the following points is most essential for the nurse to include? A. “Report fever, anorexia, and night sweats to the physician.” B. “Take prophylactic antibiotics after dental work and invasive procedures.” C. “Include potassium rich foods in your diet.” D. “Monitor… Read More »
A nurse is conducting a health history with a client with a primary diagnosis of heart failure. Which of the following disorders reported by the client is unlikely to play a role in exacerbating the heart failure? A. Recent URI B. Nutritional anemia C. Peptic ulcer disease D. A-Fib … Read More »
Which of the following blood tests is most indicative of cardiac damage? A. Lactate dehydrogenase B. Complete blood count (CBC) C. Troponin I D. Creatine kinase (CK) Correct Answer: C. Troponin I Troponin I levels rise rapidly and are detectable within 1 hour of myocardial injury. Troponin I levels… Read More »
A nurse is preparing for the admission of a client with heart failure who is being sent directly to the hospital from the physician’s office. The nurse would plan on having which of the following medications readily available for use? A. diltiazem (Cardizem) B. digoxin (Lanoxin) C. propranolol (Inderal) D. metoprolol… Read More »
What is the primary reason for administering morphine to a client with an MI? A. To sedate the client. B. To decrease the client’s pain. C. To decrease the client’s anxiety. D. To decrease oxygen demand on the client’s heart. Correct Answer: D. To decrease oxygen demand… Read More »
Which of the following conditions is most commonly responsible for myocardial infarction? A. Aneurysm B. Heart failure C. Coronary artery thrombosis D. Renal failure Correct Answer: C. Coronary artery thrombosis Coronary artery thrombosis causes an inclusion of the artery, leading to myocardial death. The pathogenesis of acute myocardial infarction… Read More »
Which of the following complications is indicated by a third heart sound (S3)? A. Ventricular dilation B. Systemic hypertension C. Aortic valve malfunction D. Increased atrial contractions Correct Answer: A. Ventricular dilation Rapid filling of the ventricle causes vasodilation that is auscultated as S3. The third heart… Read More »
After an anterior wall myocardial infarction, which of the following problems is indicated by auscultation of crackles in the lungs? A. Left-sided heart failure B. Pulmonic valve malfunction C. Right-sided heart failure D. Tricuspid valve malfunction Correct Answer: A. Left-sided heart failure The left ventricle is responsible… Read More »
The nurse is preparing to teach a client with microcytic hypochromic anemia about the diet to follow after discharge. Which of the following foods should be included in the diet? A. Eggs B. Lettuce C. Citrus fruits D. Cheese Correct Answer: A. Eggs One of the microcytic,… Read More »