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evolve chap 40
Terms in this set (25)
1. The client with unstable angina has received education about the acute coronary syndrome. Which of the following indicates that he understood the teaching?
a. "This is a big warning, I must modify my lifestyle or risk having a heart attack in the next year."
2. The nurse is caring for a group of clients who have sustained myocardial infarction (MI). The nurse observes the client with which type of MI most carefully for the development of left ventricular heart failure?
b. Anterior wall
3. The nurse is providing a cardiac class for a women's group. The nurse emphasizes that which characteristics place women at high risk for myocardial infarction (MI)? Select all that apply.
b. Increasing age
c. Family history
d. Abdominal obesity
4. The nurse is teaching a group of teens about prevention of heart disease. Which point should the nurse emphasize?
c. Do not smoke or chew tobacco.
5. The nurse is teaching the client that metabolic syndrome can increase the risk for myocardial infarction (MI). Which signs of metabolic syndrome should the nurse include in the discussion? Select all that apply.
d. Glucose intolerance
e. Client taking losartan (Cozaar)
6. Which of the following atypical symptoms may be present in the female client experiencing myocardial infarction (MI)? Select all that apply.
d. Extreme fatigue
7. To validate that the client has had a myocardial infarction (MI), the nurse assesses for positive findings on which tests?
d. Myoglobin and troponin
8. When caring for a client with acute myocardial infarction, the nurse recognizes that prompt pain management is essential for which reason?
b. Pain relief improves the oxygen supply and decreases oxygen demand.
9. When planning care for a client in the emergency department, the nurse recognizes that which interventions are needed in the acute phase? Select all that apply
a. Morphine sulfate
10. After thrombolytic therapy, the nurse working in the cardiac catheterization laboratory would be alarmed to notice which sign?
b. Facial drooping
11. The nurse is caring for a client in phase 1 cardiac rehabilitation. Which activity should the nurse suggest?
c. Placing a chair in the shower for independent hygiene
12. The nurse is caring for a client 36 hours post coronary artery bypass grafting (CABG), with a diagnosis of activity intolerance related to imbalance of myocardial oxygen supply and demand. Which of these findings causes the nurse to terminate an activity and return the client to bed?
d. Respiratory rate 28
13. The nurse in the coronary care unit is caring for a group of clients who have had myocardial infarction. Which client should the nurse see first?
b. Client with third-degree heart block on the monitor
14. The client in the cardiac care unit has had a large myocardial infarction. How does the nurse recognize onset of left ventricular failure?
b. Crackles in the lung fields
15. The nurse is concerned that the client who had myocardial infarction (MI) has developed cardiogenic shock. Which of these findings indicates shock? Select all that apply.
b. Cool, diaphoretic skin
c. Crackles in the lung fields
e. Anxiety and restlessness
16. The client undergoing coronary artery bypass grafting (CABG) asks why the doctor has chosen to use the internal mammary artery for the surgery. Which response by the nurse is correct?
c. "These arteries remain open longer."
17. The client has just returned from coronary artery bypass graft (CABG) surgery. For which finding should the nurse contact the surgeon?
b. Chest tube drainage 175 mL last hour
18. The visiting nurse is seeing a client post coronary artery bypass graft. Which nursing action should be performed first?
c. Monitor for dysrhythmias.
19. During discharge planning after admission for a myocardial infarction, the client says, "I won't be able to increase my activity level. I live in an apartment, and there is no place to walk." What is the nurse's best response?
d. "Where might you be able to walk?"
20. The older adult client, 4 hours post coronary artery bypass graft (CABG), has a blood pressure of 80/50. What action should the nurse take?
c. Assess pulmonary artery wedge pressure (PAWP).
21. The nurse is assessing the client with chest pain to evaluate whether the client is suffering from angina or myocardial infarction (MI). Which symptom is indicative of an MI?
d. Substernal chest pressure relieved only by opioids
22. The client comes to the emergency department with chest discomfort. Which action does the nurse perform first?
b. Obtains the client's description of the chest discomfort
23. Which statement by the client scheduled for a percutaneous transluminal coronary angioplasty indicates a need for further preoperative teaching
e. "My angina will be gone for good."
24. After receiving change-of-shift report in the coronary care unit, which client should you assess first?
a. The client with acute coronary syndrome who has a 3-pound weight gain and dyspneaa. The client with acute coronary syndrome who has a 3-pound weight gain and dyspnea
25. An LPN/LVN is scheduled to work on the inpatient "step-down" cardiac unit where you are the team leader. Which of these clients would be best to assign to the LPN/LVN?
c. A 66-year-old who has a prescription for a nitroglycerin (Nitro-Dur) patch and is scheduled for discharge to a group home later today
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