Nurse Tophee is performing nursing assessment in a Cardiovascular Clinic. He recorded the following manifestations from the patient: anorexia, edema of the lower extremities and weight gain of 3 kilograms for the past 2 days. Analyzing the given data Nurse Tophee will suspect which disorder?

A male patient in the Rural Health Unit has a history of HPN. During assessment he told Nurse Tophee that he is always experience easy fatigability especially when performing house hold chores. Nurse Tophee evaluates that the fatigue experienced by the patient may be due to:

A 73 y/o female patient was rushed to the ER due to sudden loss of consciousness. After thorough Nursing assessment, Nurse Tophee noted that the patient is taking Amlodipine and Metoprolol as her drug maintenance for HPN. It was also reported by the significant other of the patient that the event was preceded with sudden rising from sitting position in order for the patient to answer a phone call. Based on the data, Nurse Tophee will judge this as:

Nurse Tophee is conducting Public Health Education in the Major Cardiovascular Risk Factors. Nurse Tophee will be correct if he can classify which one is not classified as major risk factor for cardiovascular disease:

Dietary modifications, exercise, weight loss, and careful monitoring are important strategies for managing three major cardiovascular risk factors: HYPERLIPIDEMIA, HYPERTENSION, AND HYPERGLYCEMIA (diabetes mellitus). Develop a diet for a patient with cardiovascular disorders:

A Female patient with history of cardiovascular disorder is complaining of NOCTURIA (awakening at night to urinate). As a Nurse, you will interpret that this might be due to which cardiac disorder:

To avoid straining and performing Valsalva’s maneuver, patients who become easily constipated need to establish a regular bowel regimen. The maneuver is judged as:

Because many cardiac medications can cause gastrointestinal side effects or bleeding, the Nurse must instruct the patient to take the medication:

A Patient is taking multiple drugs for his cardiac condition. The patient complains fatigue, which is associated with low ejection fraction and certain medications. Examining the drugs taken by the patient, the nurse will suspect that the complaint is due to:

A patient is informed the Nurse that he is sleeping upright in a chair instead of in bed, increasing the number of pillows used and awakening short of breath at night. The Nurse interprets this as:

Evaluating cognitive ability helps to determine whether the patient has the mental capacity to manage safe and effective self-care. Develop question(s) that would evaluate the patient’s cognitive ability:

Personality traits common in people with “type A behavior” do affect the heart. Judge among the choices if which one is indicative of this type of behavior:

People with Type A Behavior usually experience various physical and mental manifestations. Among the following choices, distinguish which one is not a manifestation of Type A. Personality?

A male patient is verbalizing that he is experiencing sexual related problem every time that he is in bed with his wife. You perform evaluation of all the medications taken by the patient. Based on your nursing judgement, which drug may influence the development of such problem?

Stress initiates a variety of physiologic responses, including increases in the circulation of catecholamine and cortisol, and has been strongly linked to cardiovascular events. As nurse, proposed mental health promotion activities in order to mitigate the effects of stress:

Echocardiography (Ultrasound Cardiography): uses ultrasound to assess cardiac structure and mobility. It is the most commonly used noninvasive cardiac imaging tool. Judge among the choices the statement which is considered incorrect?

Transesophageal Echocardiography (TEE) allows ultrasonic imaging of the cardiac structures and great vessels via the esophagus. Yields a higher quality picture of the heart than does regular echocardiography. A nurse is about to assist the said procedure. Select the statement that is considered incorrect.

Coronary Angiography is an invasive imaging procedure that involves the introduction of a contrast medium into the vascular system through the insertion of a catheter to outline the heart and blood vessels for their patency of blood flow versus blockage. Based on your nursing judgement, which nursing care consideration for Coronary Angiography is considered incorrect:

Cardiac Catheterization is a diagnostic procedure in which a catheter is introduced into the heart and blood vessels. Investigating the purposes of cardiac catheterization, select the statement depicting its purpose(s):

You are performing Nursing assessment to your patient. You observed that the patient has a yellowish, slightly raised plaques in the skin. As a Nurse, you will interpret this as a case of:

A patient arrives in the Emergency Room with bluish discoloration of the skin and mucous membrane. The patient is having chest pain and respiratory distress. As a nurse, formulate your plan of care for this type of patient:

A patient under anti-coagulant therapy is complaining of a purplish-blue color; associated with blood outside of blood vessels. As a nurse you will interpret this as a case of:

You are caring a patient in the Medical ward with swollen nail base and loss of normal angle. The patient chronic pulmonary and cardiovascular disease. As a nurse you will interpret this as a case of:

You have noted inside the ICU that the patients BP is 90/80. As a nurse, you will interpret this as a case of:

Chronic Stress is considered as a 21st Century Disease which affects the cardiovascular health of our patients. Based on your nursing judgement, which statement could alleviate this problem?

Patient’s anxiety leads to increased cardiovascular related complications and re-hospitalization of patients with previous cardiac related hospital admissions. As a Nurse, what intervention can you implement to reduce the anxiety felt by your patient?

During Physical assessment of a patient’s LOC with cardiac problem, the nurse observes that the patient is oriented to time, place and location. As a Nurse, you will interpret your patient as:

While the Nurse is conducting Cardiac Health Education session to her patient, the nurse noted that one of his patients suddenly experiences drowsiness and sleepiness while having the session. As a Nurse, you will interpret this as?

During the Nursing rounds, the staff nurse observes that one of her patients are constantly asleep. As a Nurse, you will interpret this as?

Inside the ICU, a student nurse observes that one of the patients is unresponsive to all forms of external stimuli. Because of the student nurse curiosity, she asked the ICU Nurse regarding the LOC of the patient. Based on your judgment as an ICU nurse, you will answer the student nurse that the patient is?

A patient is admitted at the Emergency room with a Blood Pressure of 200/120. As an ER Nurse, you will judge your patient as having a pulse pressure of?

A patient is admitted at the Emergency room with a Blood Pressure of 200/120. As an ER Nurse, you will judge your patient as having a pulse pressure of that is interpreted as?

An elderly patient is receiving diuretic and calcium channel blocker to manage his HPN. In order to promote patient’s safety, the Nurse must must plan to educate and execute the patient regarding the importance of?

As a Nurse, you are knowledgeable that elderly patients under diuretic therapy or Anti HPN are at risk to suffer which safety issues?

A patient with Heart Failure is receiving potassium wasting diuretic (Furosemide). Among the following Electrolyte results, which one will make the Nurse suspects for the presence of hypokalemia?

A patient is receiving Heparin Therapy post PTA. After 3 days of Heparin therapy, the Nurse reported to the ordering Physician some bleeding manifestations from the patient. The physician diagnosed the patient with Heparin Toxicity. Based on your Nursing judgement, you will prepare which antidote?

A male patient is receiving Warfarin Therapy for a patient with Atrial Fibrillation. One morning, the patient called the clinic nurse to report that he has bruises and episodes of nose bleeding. The Nurse instructed the patient to discontinue the medication and to report immediately to the clinic for Medical Check-up. The physician diagnosed the patient with Warfarin Toxicity. Based on your Nursing judgement, you will prepare which antidote?

The CBC result of an admitted patient in the Medical Ward reflects platelet counts of 50,000 mm3. As a Nurse, you will interpret that the patient at risk to suffer which problem?

The CBC result of an admitted patient in the Medical Ward reflects WBC counts of 15,000 mm3. As a Nurse, you will interpret that the patient at risk to suffer which problem?

The patient will undergo Lipid Profile test. As a Nurse, which one indicates an incorrect interpretation?

A high school football coach is admitted to the coronary care unit with a tentative diagnosis of myocardial infarction. When assessing and judging the client’s pain, the nurse would probably expect him to describe it as:

A client who has been admitted to the cardiac care unit with a myocardial infarction complains of chest pain. Selecting from the choices, the nursing intervention that would be most effective in relieving the pain would be to administer the ordered:

A client with a history of venous insufficiency came to the medical clinic complaining of severe pain in the legs. They were swollen and covered with deep, draining, foul-smelling ulcers. What would the nurse suspect as an underlying cause of the venous insufficiency?

A 65-year-old man is admitted with venous stasis ulcers and chronic venous insufficiency. To help control the swelling, what intervention should the nurse teach the client to perform?

A nitroglycerin transdermal patch was prescribed 6 weeks ago for an adult to treat

angina pectoris. How will the nurse know the patch is effective?

An adult is scheduled for a percutaneous transluminal coronary angioplasty (PTCA). The adult asks the nurse, “Can you tell me again what the doctor is going to do?” What is the nurse’s best response?

A client reports an aching pain and cramping sensation that occurs while walking. The pain disappears after cessation of walking. Based on your judgement, what condition does the nurse suspect is occurring?

A client reports aching, heaviness, itching, and moderate swelling of the legs. On assessment, the nurse notes dilated tortuous skin veins.

What condition does the nurse suspect?

An adult male had a below-the-knee amputation of the right foot 2 days ago. He is complaining of pain in his right foot. What is the best response by the nurse?