Cardiovascular review

You are caring for a patient who has pericarditis. Which of the following findings should the nurse expect?

• Petechaie

• Murmur

• Rash

• Friction rub

A nurse is caring for four clients. Which of the following clients should the nurse identify as being at risk of developing rheumatic endocarditis?

• Older adult who has COPD

• Child who has streptococcal pharyngitis

• Middle-aged adult who has lupus erythematosus

• Young adult who recently had the flu

A nurse is reinforcing teaching with a client who is scheduled for an echocardiogram. Which of the following statements should the nurse include in the teaching?

• "You may experience a warm feeling when the dye in injected."

• "The test will require 2 hours to complete."

• "You will be placed on your right side during the procedure."

• "The test allows us to see how your heart valves work."

A nurse is reinforcing teaching with a client who is scheduled for coronary angiography. Which of the following statements should the nurse include?

• "You should have nothing to eat or drink for 4 hours prior to the procedure."

• "You will be given general anesthesia during the procedure."

• "You should not have this procedure done if you are allergic to eggs."

• "You will need to keep your effected leg straight following the procedure."

You are caring for a patient who began having chest pain 2 hours ago. Which of the following laboratory findings would you identify as an indication that the client has sustained injury to the heart?

• Troponin 0.8 ng/mL

• Creatine kinase 100 u/L

• Myoglobin 80 mcg/L

• Triglycerides 120 mg/dL

You should recognize which of the following clients as being at risk for the development of a dysrhythmia? Select all that apply.

• A client who has a metabolic disorder

• A client who has a potassium level of 4.3 mEq/L

• A client who has an SaO2 of 96%

• A client who has an alcohol use disorder

• A client who underwent stent placement in a coronary artery

A nurse is caring for a client on telemetry and recognizes that the client's HR is 46bpm. Which of the following actions might the nurse expect?

• Defibrillation

• Pacemaker insertion

• Synchronized cardioversion

• Administration of IV lidocaine

A nurse is repositioning her patient that is post angioplasty that was inserted through a femoral artery. When turning, the nurse discovers blood underneath the client's lower back. Which of the following should the nurse suspect?

• Retroperitoneal bleeding

• Cardiac tamponade

• Bleeding from the incision site

• Heart failure

A nurse is assisting with the admission of a client who has a suspected MI and a history of angina. Which of the following findings will help the nurse distinguish stable angina from an MI?

• Stable angina can be relieved with rest and nitroglycerin

• The pain of an MI resolves in less than 15 minutes

• The type of activity that causes an MI can be identified

• Stable angina can radiates into the patients jaw and shoulder

A nurse is teaching a patient who has angina about a new prescription for metoprolol. Which of the following statements by the client indicates understanding of the teaching?

• "I should place the tablet under my tongue."

• "I should have my clotting time checked weekly."

• "I will report ringing in my ears."

• "I will call my doctor if my pulse is less than 50."