47 Qs CH.8: Cardiovascular Nursing Quiz PG 8

Modifiable risk factors for coronary artery disease (CAD) include which group?

• Diabetes, family history

• Family history, smoking

• Smoking, heredity

• High cholesterol, obesity

A 63-year-old patient with an acute myocardial infarction is on a cardiac monitor and begins to show some dysrhythmias. The physician will probably prescribe which intravenous medication?

• Nitroglycerin

• Digitalis

• Lidocaine

• Amyl nitrite

The nurse identifies the nursing diagnosis of Ineffective tissue perfusion related to decreased arterial blood flow for a patient with chronic arterial insufficiency. In evaluating the patient outcomes after patient teaching, which statement by the patient does the nurse recognize as indicating a need for further instruction?

• For about 40 minutes each day, I will walk to the point of pain, then rest, than walk again until I develop pain.

• I will drink hot coffee several times a day to increase the circulation and warmth in my feet.

• I will wear loose clothing that doesn’t bind across my legs or waist.

• I will change my position every hour and avoid long periods of sitting with my legs down.

The patient has right-sided heart failure. She will probably be comfortable in which position?

• Dorsal recumbent

• Trendelenburg

• Supine

• Orthopneic

A patient is admitted from the emergency department. The emergency department physician notes the patient has a diagnosis of heart failure with a New York Heart Association (NYHA) classification of IV. This indicates the patient’s condition as

• moderate heart failure.

• severe heart failure.

• congestive heart failure.

• negligible heart failure.

A patient admitted from the emergency room with a diagnosis of heart failure and a NYHA classification of IV is requesting ambulation to the bathroom. Which nursing intervention would be appropriate for this patient?

• Assist the patient to the bathroom.

• Obtain a bedside commode.

• Offer a urinal or bedpan.

• Obtain assistance of another nurse and ambulate the patient to the bathroom.

A patient admitted from the emergency department with a diagnosis of heart failure and a NYHA classification of IV has edema in his lower extremities of +4. Which nursing intervention would aid in decreasing this edema?

• Ambulate in the hallway.

• Elevate lower extremities.

• Keep the extremities in a dependent position.

• Stand at the bedside.

A patient, age 59, has Buerger’s disease. The most important aspect of patient compliance in order to decrease signs and symptoms of Buerger’s disease is

• a low-fat diet.

• weight loss.

• not smoking.

• keeping extremities warm.

A patient has heart failure. His physician’s orders include complete bed rest. The nurse knows that this order means he

• is encouraged to rest as much as possible.

• is confined to bed but may assume responsibility for all of his personal care.

• is confined to bed but is allowed to go to the bathroom as needed.

• must remain as quiet as possible, with any task requiring physical effort done for him.

An old term defined as the condition in which the patient suffers peripheral or pulmonary congestion is called

• pneumonia.

• peripheral edema.

• pulmonary edema.

• congestive heart failure.