NUR202B Ch.31,32 & 33

Which action does the nurse implement first when caring for a patient with unstable angina whose cardiac monitor shows ventricular tachycardia?

• A. Check the patient for a pulse.

• B. Cardiovert the patient at 50 joules.

• C. Give the patient IV lidocaine.

• D. Defibrillate the patient at 200 joules. 

The nurse monitors for which significant effect when a patient is prescribed adenosine drug therapy to convert supraventricular tachycardia to normal sinus rhythm?

• A. Bradycardia

• B. Rebound tachycardia

• C. Ventricular fibrillation

• D. Premature atrial complexes

A nurse cares for a client with atrial fibrillation who reports fatigue when completing activities of daily living. What intervention would the nurse implement to address this client’s concerns?

•  A. Administer oxygen therapy at 2 L per nasal cannula.

•  B. Provide the client with a sleeping pill to stimulate rest.

•  C. Schedule periods of exercise and rest during the day. 

•  D. Ask assistive personnel (AP) to help bathe the client.

Which action would the nurse perform first for a patient diagnosed with infectious endocarditis who is confused and is having difficulty speaking?

• A. Administer oxygen.

• B. Contact the health care provider.

• C. Perform a full mental status examination.

• D. Place the patient in the high-Fowler position.

A nurse assesses a client admitted to the cardiac unit. Which statement by the client alerts the nurse to the possibility of right-sided heart failure?

• A. “I sleep with four pillows at night.”

• B. “My shoes fit really tight lately.”

• C. “I wake up coughing every night.”

• D. “I have trouble catching my breath.”

While assessing a client on a cardiac unit, a nurse identifies the presence of an S3 gallop. What action would the nurse take next?

•  A. Assess for symptoms of left-sided heart failure. 

• B. Document this as a normal finding.

• C. Call the primary health care provider immediately.

• D. Transfer the client to the intensive care unit.

The health care provider prescribes warfarin to a patient with deep vein thrombosis (DVT). Which nutrient would the nurse instruct to the patient to avoid?

• A. Vitamin C

• B. Vitamin A

• C. Vitamin B

• D. Vitamin K

A new nurse is caring for a client with an abdominal aneurysm. What action by the new nurse requires the nurse’s mentor to intervene?

• A. Assesses the client for back pain.

• B. Auscultates over abdominal bruit.

• C. Measures the abdominal girth.

• D. Palpates the abdomen in four quadrants.

A nurse is teaching a client who has premature ectopic beats. Which education would the nurse include in this client’s teaching? (Select all that apply.)

• A. Smoking cessation

• B. Stress reduction and management

• C. Avoiding vagal stimulation

• D. Adverse effects of medications

• E. Foods high in potassium

Which patient has the highest risk for developing infective endocarditis?

• A. A 16-year-old patient with a cardiac defect who has been diagnosed with scabies

• B. A 24-year-old patient with a recent history of systemic infection who is being seen for preoperative care

• C. A 65-year-old patient with a history of a valve replacement who has been diagnosed with chronic renal failure

• D. A 45-year-old patient with a history of IV drug use who recently had a dental procedure