Assessment
What pulse should the nurse be assessing after a cardiac cath?
dorsalis pedis
Which blood product should the nurse anticipate administering when a patient is in hypovolemic?
Red blood cells
What type of addictive substance should the nurse ask a patient about before a stress test
caffeine use
What electrolyte should the nurse watch when a patient is on both Lasix and Digoxin?
Potassium level
A nurse is caring for a client with massive trauma and possible spinal cord injury in the emergency department (ED). Which assessment finding by the nurse will help confirm a diagnosis of neurogenic shock?
Bradycardia
Why are crackles or wheezing in lungs after a heart attach and cardiac cath so considering?
It's a sign of left side heart failure.
what non medication treatment should the nurse prepare for a unstable sinus brady patient
pacemaker
A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which medication taken by the client places the client at risk for acute kidney injury?
Metformin
When titrating IV nitroglycerin which action will the nurse take to evaluate the effectiveness of the drug?
chest pain
The nurse is caring for a client post-myocardial infarction who develops cardiogenic shock following cardiac catheterization. Which intervention will the nurse include in the plan of care for this client?
Resp assessment
why is family history so important in the cardiac assessment?
A nurse is caring for a client who is on the telemetry unit and develops atrial flutter, rate 150, with associated dyspnea and chest pain. Which action that is included in the hospital dysrhythmia protocol should the nurse do first?
o2
Elevated T waves mean what?
Electrolytes problems.
A nurse is caring for a client with septic shock. After receiving 2 L of normal saline the blood pressure is still 82/40 mm Hg. The nurse will use which prescription to further treat the client?
norepinephrine
Which data collected by the nurse caring for a client who has cardiogenic shock indicates that the client may be developing multiple organ dysfunction syndrome (MODS) and needs to be reported to the health care provider immediately?
elevated kidney levels.
A nurse assesses a client with atrial fibrillation. Which manifestation should alert the nurse to the possibility of a serious complication from this condition
speech issues
A nurse is preparing to administer digoxin to a client who has heart failure. Which action is most appropriate prior to administration
Evaluate client for nausea, anorexia, and vision changes.
A client presents to the emergency department with chest pain and shortness of breath. Which of the following laboratory values should be reported to the heatlhcare provider immediately?
Troponin levels increasing
The nurse is caring for a client with systemic inflammatory response syndrome (SIRS) who is prescribed pantoprazole (Protonix). Which assessment will the nurse perform to evaluate the effectiveness of this prescription?
blood in the stool
The nurse is caring for a client with septic shock who has a BP of 70/46 mm Hg, pulse of 136 beats/min, respirations of 32 breaths/min, temperature of 104°F, what is the first intervention
IV fluids.
The client is disoriented to time and place, diaphoretic, and lips are cyanotic after a trauma. The nurse should notify the health care provider immediately with which assessment?
H and H decreasing
The nurse is caring for a client with dilated cardiomyopathy, pulmonary edema, and severe dyspnea who is placed on a dobutamine drip. Which assessment finding indicates that the drug is effective?
increased activity tolerance
The nurse is caring for a client with sternal wound infection post coronary artery bypass graft. Which assessment finding is of greatest concern?
decreased LOC
A nurse in a coronary care unit is admitting a client who has had CPR following a cardiac arrest from V. tach. The client is receiving lidocaine IV at 2 mg/min. Which assesment finding indicates this medication is effective?
no V tach
The nurse is caring for a client who has an intraaortic balloon pump in place to treat cardiogenic shock. Which action should be included in the plan of care?
closely monitor urine output