Cardiovascular-structure (Perfusion Concept)
The nurse is caring for a client who is scheduled to undergo mechanical valve replacement. Client education would include coverage of which intervention?
Long-term anticoagulant therapy
A patient is seen in the emergency department (ED) with heart failure secondary to dilated cardiomyopathy. What key diagnostic laboratory test does the nurse assess to determine the severity of the patient’s heart failure?
B-type natriuretic peptide (BNP)
Which of the following is the hallmark symptom for peripheral arterial disease (PAD) in the lower extremity?
Intermittent claudication
A nurse is caring for a client who had a thyroidectomy and is at risk for hypocalcemia. What should the nurse do?
Observe for muscle twitching and numbness or tingling of the lips, fingers, and toes.
A client with diabetes mellitus is receiving an oral antidiabetic agent. When caring for this client, the nurse should observe for signs of:
hypoglycemia
During assessment of a client admitted for cardiomyopathy, the nurse notes the following symptoms: dyspnea on exertion, fatigue, fluid retention, and nausea. The initial appropriate nursing diagnosis is which of the following?
Decreased cardiac output
Which is a potassium-sparing diuretic used in the treatment of heart failure (HF)? And what Labs do you need to review prior to administering this medication?
Spironolatone
Potassium (or BMP)
A nurse is instructing a client about using antiembolism stockings. Antiembolism stockings help prevent deep vein thrombosis (DVT) by:
forcing blood into the deep venous system.
The preferred medication for treating hypothyroidism includes which of the following?
Levothyroxine (Synthroid)
A nurse is providing education to a client who is newly diagnosed with diabetes mellitus. What are classic symptoms associated with diabetes?
increased thirst, hunger, and urination
A client with a mechanical valve replacement asks the nurse, "Why do I have to take antibiotics before getting my teeth cleaned?" What is the nurse's best response?
"You are at risk of developing an infection in your heart."
A client is admitted to the ER with complaints of shortness of breath and has a history of cardiomyopathy. The client states, "I can't breathe when I lay down at night!" What is the most important question that the nurse should ask this client?
"How many pillows do you use to sleep at night?"
(Indicates severity of Paroxysmal nocturnal dyspnea (PND))
As the clinic nurse caring for a client with varicose veins, what is an appropriate nursing action for this client?
Demonstrate how to apply and remove elastic support stockings
The nurse is caring for a client with hypoparathyroidism. When the nurse taps the client’s facial nerve, the client’s mouth twitches and the jaw tightens. What is this response documented as related to the low calcium levels?
Positive Chvostek’s sign
A nurse is preparing to administer insulin to a child who's just been diagnosed with type 1 diabetes. When the child's mother stops the nurse in the hall, she's crying and anxious to talk about her son's condition. The nurse's best response is:
"I'm going to give your son some insulin. Then I'll be happy to talk with you."
A nurse is obtaining a history from a new client in the cardiovascular clinic. When investigating for childhood diseases and disorders associated with structural heart disease, which disease that the client experienced should the nurse consider significant?
Rheumatic fever
The nurse is preparing to administer Lisinopril and isosorbide dinitrate. When obtaining vital signs, the nurse notes that the blood pressure is 90/60. What is the priority action by the nurse?
Hold the medication and call the health care provider.
A client has been diagnosed with peripheral arterial occlusive disease. Which of the following instructions is appropriate for the nurse to give the client for promoting circulation to the extremities?
Participate in a regular walking program
During an assessment of a client’s functional health pattern, which question by the nurse directly addresses the client’s thyroid function?
During an assessment of a client’s functional health pattern, which question by the nurse directly addresses the client’s thyroid function?
A nurse is working for the summer at a camp for adolescents with diabetes. When providing information on the prevention and management of hypoglycemia, what action should the nurse promote?
Always carry a form of fast-acting sugar.
The nurse is auscultating the breath sounds of a client with pericarditis. Which finding is most consistent with this diagnosis?
Friction rub
The nurse is caring for a client with heart failure who is receiving a diuretic medication. What implementation will help the nurse evaluate the client's response of the medication?
measuring intake and output
A nurse is caring for a client following an arterial vascular bypass graft in the leg. What should the nurse plan to assess over the next 24 hours?
Peripheral pulses every 15 minutes after surgery
A nurse is caring for a client with hypoparathyroidism. During assessment, the nurse elicits a positive Trousseau’s sign. What does the nurse observe to verify this finding?
hand flexing inward
A nurse educates a group of clients with diabetes mellitus on the prevention of diabetic nephropathy. Which of the following suggestions would be most important?
Control blood glucose levels.