Cardiac assessments and meds
Procedures
Heart failure
Symptoms
I know what I'm doing
To intervene or not?
100

Which vital sign must be reassessed before administering lisinopril

Blood pressure

100

This medication is required before placing a client on cardiopulmonary bypass for a mitral valve replacement.

Anticoagulant.

100

Clients with malignant hypertension require this frequent monitoring.

What is blood pressure monitoring?

100

Defibrillation is used to eliminate this type of arrhythmia.

What is a ventricular arrhythmia?

100

This this risk factor puts a client with deep vein thrombosis is at higher risk for further complications

What is immobility?

100

This medication can relieve anxiety and slow respiratory rate in clients with cardiogenic pulmonary edema.

What is morphine sulfate?

200

These heart patterns often develop into life-threatening arrhythmias.

What are altered rhythmic patterns?

200

The nurse should do this immediately before pressing the discharge button on a defibrillator.

Shout "All clear."

200

This symptom indicates left-sided heart failure with impaired renal perfusion.

decreased urine output

200

 This teaching point helps clients with heart failure monitor fluid retention at home.

What is daily weight measurement?

200

This test result must be monitored closely in clients receiving digoxin.

What is potassium level?

200

This priority action should be taken when the apical heart rate is 110 beats/minute after a cardiac transplant client.

What is no action, as a transplanted heart beats faster than a natural heart?

300

Warfarin helps prevent what serious complication in clients with atrial fibrillation?

Stroke.

300

This is the most common vessel used for grafting during coronary artery bypass surgery.

Saphenous vein.

300

Clients with left-sided heart failure may experience this respiratory condition.

What is dyspnea?

300

This common consequence can result from untreated chronic hypertension.

What is stroke?

300

The client's blood pressure of 80/46 mm Hg indicates this in a client with heart failure.

What is decreased cardiac output?

300

The nurse should monitor for this complication in clients post-CABG surgery when encouraging deep breathing.

What is wound dehiscence?

400

This condition is a potential side effect when monitoring a client on atenolol.

Bradycardia.

400

This body system primarily regulates arterial blood pressure.

The kidney.

400

This position is best for a client experiencing difficulty breathing with left-sided heart failure.

What is high-Fowler's position?

400

This symptom in clients post-myocardial infarction with an 88% pulse oximetry suggests pulmonary edema.

What is pink, frothy sputum?

400

This action should be taken when a client has a heart rate of 52 beats per minute before administering digoxin.

What is withholding the medication and notifying the physician?

400

This advice should be given to a client post-CABG surgery regarding holding their grandchild.

What is refraining from lifting anything over 10 lb for at least 6 to 12 weeks?

500

Clients on digoxin with which electrolyte imbalance are at risk for digoxin toxicity?

Low potassium.

500

The primary rationale for a low-sodium diet in a client with heart failure is to improve this.

What is cardiac output?

500

This is a common nursing intervention for premature ventricular contractions (PVCs).

What is monitoring for irregular beats?

500

Clients with right-sided heart failure may experience this symptom.

What is peripheral edema?

500

The client should be instructed to contact the physician if weight gain exceeds this amount in 24 hours.

What is 2 pounds?


500

Which respiratory symptom is commonly found in clients with left-sided heart failure?

Orthopnea.

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