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RN Lesson 8A Cardiovascular-Hematologic

Terms in this set (10)

ref#5865 The nurse is caring for a client with a diagnosis of pericarditis. The unlicensed assistive person reports to the nurse that the client's last set of vital signs were blood pressure of 84/40 mm Hg, respiratory rate of 28 breaths/minute, heart rate of 112 bpm and the client seemed short of breath. The nurse examines the client and also notes the presence of jugular vein distention. What should the nurse do next?

Notify the health care provider.
Place the client on nothing by mouth status.
Obtain a 12-lead electrocardiogram.
Administer the prescribed metoprolol
Notify the health care provider.
ref#5861 The nurse is caring for a client with severe iron deficiency anemia. Which interventions should the nurse include in the client's plan of care? Select all that apply.

Prepare the client for packed red blood cells transfusion.
Monitor the client's stool for color, consistency and frequency.
Encourage the client to eat more green leafy vegetables and beans.
Instruct assistive personnel to allow the client to rest during care activities.
Administer the client's prescribed iron supplements with milk.
Review the client's medical record for NSAID use.
Monitor the client for palpitations and orthostatic hypotension.
Monitor the client's stool for color, consistency and frequency.
Encourage the client to eat more green leafy vegetables and beans.
Instruct assistive personnel to allow the client to rest during care activities.
Review the client's medical record for NSAID use.
Monitor the client for palpitations and orthostatic hypotension.
ref#5880 A client is admitted to the cardiology unit for treatment for recurrent supraventricular tachycardia. Which observation by the nurse would best indicate that the client's condition can be considered hemodynamically stable?

The client denies any chest pain and capillary refill is less than three seconds.
The client's blood pressure is 88/40 mm Hg.
The client's cardiac monitor shows a heart rate of 170 beats per minute.
The client's pulse oximeter reads 91% on three liters nasal cannula.
The client denies any chest pain and capillary refill is less than three seconds.
ref#5882 The nurse administered furosemide to a client with acute pulmonary edema. Which observation by the nurse would indicate that the client is experiencing an adverse side effect of the medication?

The client exhibits exertional dyspnea with walking.
The client's weight decreased by 2 lbs. in two days.
The client reports muscle cramps in both legs.
The client's blood pressure is 104/60 mm Hg.
The client reports muscle cramps in both legs.
ref#5883 The nurse in the outpatient clinic is reviewing the medical record of a client diagnosed with Raynaud's disease. What information from the client's health history would support this diagnosis? Select all that apply.

Fingers become cyanotic when exposed to cold objects.
The client works in an office setting as a typist.
The client complains of brittle fingernails that break easily.
The client smokes two packs of cigarettes per day.
Warfarin is listed on the medication reconciliation form.
Fingers become cyanotic when exposed to cold objects.
The client works in an office setting as a typist.
The client complains of brittle fingernails that break easily.
The client smokes two packs of cigarettes per day.
ref#5870 A client with a history of chronic alcohol use disorder is admitted to the inpatient unit with a serum magnesium level of 1.0 mEq/L. Which intervention should the nurse implement first?

Order the client a meal with foods high in magnesium.
Obtain the client's heart rate and oxygen saturation.
Place the client on fall risk and seizure precautions.
Assess the client's deep tendon reflexes.
Obtain the client's heart rate and oxygen saturation.
ref#5881 The nurse is caring for a client admitted with sickle cell crisis. Which medication is the drug of choice for pain management with this client?

Meperidine.
Acetaminophen.
Ibuprofen.
Hydromorphone.
Hydromorphone
ref#6196 The nurse is developing a plan of care for a client who is on complete bedrest due to a spinal cord injury. Which intervention is most important for the nurse to include?

Administer a daily enema.
Apply pneumatic compression devices to both legs.
Insert an indwelling urinary catheter.
Turn and reposition the client every shift.
Apply pneumatic compression devices to both legs.
ref#5869 The nurse is planning care for a client newly diagnosed with essential hypertension. Which interventions should the nurse include in the client's plan of care? Select all that apply.

Encourage the client to take daily, 30-minute walks.
Explain the negative effects of hypertension on the body.
Evaluate the client's understanding of a low-sodium diet.
Evaluate the client's ability to take their own blood pressure.
Encourage the client to limit smoking to one pack of cigarettes per day.
Instruct the client to abstain from drinking any alcohol.
Encourage the client to take daily, 30-minute walks.
Explain the negative effects of hypertension on the body.
Evaluate the client's understanding of a low-sodium diet.
Evaluate the client's ability to take their own blood pressure.
ref#5862 The nurse is reviewing the plan of care for a client with peripheral artery disease who has a history of leg pain with walking. Which interventions should the nurse include in the client's plan of care? Select all that apply.

Enroll the client in an exercise program that involves low-impact activities.
Assist the client in enrolling in a smoking cessation program.
Encourage the client to elevate their legs on pillows when in bed.
Assist the client in selecting food items that are low in saturated fats and cholesterol.
Reinforce teaching on the importance of not walking without shoes on.
Enroll the client in an exercise program that involves low-impact activities.
Assist the client in enrolling in a smoking cessation program.
Assist the client in selecting food items that are low in saturated fats and cholesterol.
Reinforce teaching on the importance of not walking without shoes on.
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