Cards Review Exam 2

The nurse is providing teaching for a client with heart failure about decreasing their oxygen consumption. Which statement made by the client indicates a need for further teaching?

• “I should exercise at least 4 hours per day.”

• “If I put objects at waist level, my heart rate won’t rise too much.”

• “I should take stool softeners so I don’t strain when having a bowel movement.”

• “I need to take a bath, then rest for a little while, then brush my teeth.’

The nurse is caring for a client who underwent a heart transplant. Which of the following interventions should the nurse implement to promote sleep? Select all that apply.

• Dim the lights.

• Increase sensory stimulation.

• Allow visitors for short periods.

• Play soothing music.

• Administer narcotics as ordered.

Which of the following is shown here?  See picture. 

• Right pulmonary artery

• Tricuspid valve

• Mitral valve

• Superior vena cava

The nurse is caring for a client with a mechanical valve replacement. Which statement made by the client requires correction?

• “There is a chance I could develop infective endocarditis (IE).”

• “I may get blood clots with this kind of valve.”

• “This valve might last 20 to 30 years.”

• “I have to take anticoagulant therapy for only a few years.”

The nurse notes skin cool to the touch and a decreased capillary refill in a client with infective endocarditis (IE). Which action should the nurse take first?

• Apply a cooling blanket.

• Notify the health-care provider (HCP).

• Assess the client’s vital signs.

• Auscultate lung sounds for a murmur.

Which of the following can result from coronary artery disease (CAD) if untreated?

• Cardiomyopathy

• Hyperlipidemia

• Myocardial infarction (MI)

• Ventricular septal defect

The nurse is caring for a client with lymphangitis. Which clinical manifestation can the nurse expect to find?

• Loss of hair in the affected extremity

• Spider veins

• Red streaks on the extremity

• Brownish extremities

An older adult client reports coughing and dyspnea. During assessment, the nurse auscultates S1, S2, and S3 heart sounds and crackles in the lung fields. What is the nurse’s priority action?

• Ask whether the client has an allergy to antibiotics

• Draw blood to measure cardiac biomarkers

• Ask whether the client has ever had pneumonia

• Prepare the client for a chest radiograph

The nurse is reviewing a client’s laboratory results. Because the client is taking digoxin, which electrolyte imbalance most concerns the nurse?

• Hypermagnesemia

• Hypocalcemia

• Hypokalemia

• Hypernatremia

A client’s heart rate is 38 bpm and blood pressure (BP) is 70/30 mm Hg. What is the nurse’s top priority action?

• Administer intravenous (IV) atropine

• Administer IV digoxin

• Transcutaneous pacing

• Transvenous pacing