Cardiovascular
A 46-year-old patient is receiving propranolol (Inderal), a nonselective beta-adrenergic blocker, for a heart condition. What patient teaching is most appropriate?
Never stop taking the drug abruptly.
A nurse assesses a patient’s capillary refill time as less than 3 seconds. What does this assessment indicate?
Tissue perfusion
A nurse is educating a patient regarding a stress test on a treadmill. Teaching includes that this test is a noninvasive procedure. What additional information is appropriate for the nurse to include?
Is monitored continuously by blood pressure and an electrocardiogram
Vascular disease disorders often require the use of elastic stockings. Which action should the nurse implement when caring for a patient with elastic stockings?
Remove the stockings for skin inspection two times a day.
Which factors affect stroke volume? (Select all that apply.)
Contractility
Preload
Afterload
Which assessment should be immediately addressed in a patient on lidocaine?
Increase in temperature to 102 F
A nurse performs Homans maneuver by flexing the knee and sharply dorsiflexing the foot. What response indicates a positive Homans sign?
Pain in the calf area
A patient inquires how something as simple as walking could help his venous vascular disorder. What is the best response by the nurse when explaining the benefits of walking?
Boosts venous circulation through leg muscle activity
Which instruction is most appropriate for a patient with arterial insufficiency?
Frequently allow the legs to dangle dependently.
Which age-related changes in the heart should a nurse take into consideration? (Select all that apply.)
Decrease in contractility
Thickened valves
Stiffened valves
Decreased SA node cells
A nurse records a “1” for the pulse quality of the pedal pulse. What interpretation is correct regarding the pulse?
Thready
Which technique should the nurse implement when performing the Allen test on a patient to evaluate the adequacy of circulation in the radial artery?
Observes whether the color is returning to the hand, which indicates perfusion
What is contraindicated for a patient performing Buerger-Allen exercises?
Lying on the stomach
A nurse is preparing to administer low-molecular-weight heparin (LMWH). What is a major advantage related to the administration of LMWH?
It is provided fixed doses
Why do older persons adapt more slowly to changes in the peripheral vascular system? (Select all that apply.)
Slowing heart rate
Decreasing cardiac output
Stiffening of blood vessels
Thickening of aorta
A patient with an irregular sinoatrial (SA) node conduction has a permanent pacemaker with the code AAIOO and is now going home. The patient asks, “What happens when my real SA node fires on its own?” How should the nurse respond regarding what the pacemaker should do?
Not fire
A nurse records that a patient has a 3+ edema to the right foot. How deep did the nurse’s thumb depress the edematous area?
To 1 inch
A nurse cautions a patient with peripheral vascular disease (PVD) that continued smoking causes detrimental vasoconstriction for up to ____ after only one cigarette.
1 hour
Which statement made by a patient indicates to the nurse that a teaching plan for the use of warfarin was not effective?
“I’m drinking too much tea. My urine looks like tea.”
A nurse suspects a circulatory disorder in one leg. Which assessments should the nurse include when comparing both legs? (Select all that apply.)
Color
Warmth
Pulse quality
Hair loss on extremity
What is a normal age-related change in older adults that makes them susceptible to cardiovascular disease?
Stiff peripheral vessels
A nurse is caring for a patient who has had an angiogram. What should the nurse make a point of care to assess and document on this patient?
Peripheral pulses in the affected leg
A nurse is performing an intake examination on a patient with peripheral vascular disease (PVD). Which lifestyle information identified by the patient aggravates vascular disease?
Being employed as an air traffic controller
What medication obtained in a patient’s history will lessen the effects of warfarin (Coumadin)?
Yaz (drospirenone/estradiol) as an oral contraceptive
At rest, the cardiac cells in the myocardium are electrically polarized, with the inside of the cell being more ______ than the outside of the cell
negative