460 Cardiac (HTN/HF/Cardio/Infective/MI/CAD)

The nurse is reviewing the vital signs of a patient admitted with cellulitis whose BP is 136/86. Which of the following should the nurse teach the patient about this BP reading?

• "Your BP is in the normal range, you don't need to worry"

• "This BP shows prehypertension; try to cut down on sodium and see your HCP"

• "I will notify the provider of your BP; a BP of 136/86 indicates you have HTN"

• "You are at risk for organ damage; this BP indicates a hypertensive crisis"

During routine screening, the nurse notes a BP 172/96. The patient states, "I feel fine--what is the big deal?". Which of the following indicates the best response by the nurse?

• "As long as you are feeling well and you are under 60 years old, there is no need to worry"

• "Untreated high BP may result in kidney failure, heart attack, or stroke"

• "This BP elevation indicates you have not been compliant with your medication"

• "Have you had any unusual nosebleeds or headaches lately?"

The nurse is teaching a patient about BP self-monitoring. What direction should be included in the plan of care?

• You may sit or stand when taking your BP

• Do not eat or drink for at least 2 hours before measuring your BP

• Make sure the cuff is loose enough to avoid squeezing your arm too tightly

• Keep your arm at heart level and avoid talking during BP measurement

A nurse is completing medication teaching for a patient diagnosed with hypertension. What directive is important to include in the plan to prevent rebound hypertension?

• Caution the client about the use of OTC vitamins

• Inform the client that beta blockers can cause sexual dysfunction

• Avoid abruptly stopping antihypertensive medications

• Teach the patient/client to arise slowly

A patient arrives to the emergency room complaining of nausea, diaphoresis, SOB, and squeezing substernal chest pain that radiates to the left shoulder and jaw. The nurse should perform which interventions?

• Complete admission registration, alert the catheter lab team, establish an IV access, and record all VS

• Alert the cath lab team, administer oxygen, obtain blood work and notify the health care provider

• Establish an IV, give sublingual nitroglycerin as ordered, insert a foley catheter, and alert the cath team

• Administer oxygen, apply a cardiac monitor, record patient's CS and give sublingual nitorglycerin as ordered

What does the nurse recognize as an absolute contraindication for thrombolytic therapy?

• Active bleeding

• Current anticoagulant therapy

• Over age 75

• Severe hepatic disease

The nurse is caring for a nonsmoking female patient with the diagnosis of coronary atherosclerosis who has bene admitted to the hospital with angina. The patient states that she never experiences chest pain going down her arm or in the middle of her chest. The nurse is not surprised at this statement and explains to the patient that:

• Women who have ischemia are usually totally asymptomatic

• Women have been found to have more atyplical symptoms such as dyspnea, nausea, and weakness

• Chest pain occurs only with strenuous exercise

• Cigarette smoking is usually the contributing factor to chest pain

Two hours after cardiac catheterization that was accessed via the right femorla artery route, an adult client complains of numbness and pain in the right foot. What action should the nurse take first?

• Call the provider immediately

• Check the client's peripheral pulses (posteriro/pedal)

• Take the client's blood pressure

• Recognise that tis is an expected response and reassess the patient in 1 hour

A nurse suspects an MI based on an elevation int he ECG. Which lab studies diagnose a MI?

• CK-MB and LDH

• LDH and troponin 1

• CK-MB and troponin 1

• Troponin 1 and SGPT

Incomplete closure of the mitral valve results in back flow of blood from the:

• RV to the RA

• RA to the RV

• LV to LA

• LA to LV