WorksheetsCardiology2
Total questions: 20
Worksheet time: 36mins
The cardiac nurse is preparing to administer one unit of blood to a client. Which interventions should the nurse implement? Rank in order of priority.
1. Infuse the unit of blood at 20 gtts/min the first 15 minutes.
2. Check the unit of blood and the client’s blood band with another nurse.
3. Initiate Y-tubing with normal saline via an 18-gauge angiocatheter.
4. Assess the client’s vital signs and lung sounds, and assess for a rash.
5. Obtain informed consent for the unit of blood from the client
(a)
The nurse is preparing to administer digoxin 0.25 mg IVP to a client in severe congestive heart failure who is receiving D5W/0.9 NaCL at 25 mL/hr. Rank in order of importance.
1. Administer the medication over 5 minutes.
2. Dilute the medication with normal saline.
3. Draw up the medication in a tuberculin syringe.
4. Check the client’s identification band.
5. Clamp the primary tubing distal to the port.
(a)
The UAP working in a long-term care facility notifies the nurse that the client diagnosed with congestive heart failure who is on a low-sodium diet is complaining that the food is inedible. Which intervention should the nurse implement first?
1. Have the family bring food from home for the client.
2. Check to see what the client has eaten in the past 24 hours.
3. Tell the client that a low-sodium diet is an important part of the diagnosis.
4. Ask the dietician to discuss food preferences with the client.
The charge nurse on the cardiac unit is making shift assignments. Which client should be assigned to the most experienced nurse?
1. The client diagnosed with mitral valve stenosis
2. The client diagnosed with asymptomatic sinus bradycardia.
3. The client diagnosed with fulminant pulmonary edema.
4. The client diagnosed with acute atrial fibrillation.
The evening nurse in a long-term care facility is preparing to administer medications to a client diagnosed with atrial fibrillation. Which medication should the nurse question administering?
1. Warfarin (Coumadin), an anticoagulant.
2. Metoclopramide (Reglan), a gastric motility medication.
3. Docusate (Colace), a stool softener.
4. Atorvastatin (Lipitor), an antihyperlipidemic.
The nurse and the UAP enter the client’s room and discover that the client is unresponsive. Which action, according to the American Heart Association (AHA) guidelines, should the nurse assign to the UAP first?
1. Ask the UAP to check whether the client is asleep.
2. Tell the UAP to perform cardiac compressions.
3. Instruct the UAP to get the crash cart.
4. Request the UAP to put the client in a recumbent position.
The elderly client on a cardiac unit has a do not resuscitate (DNR) order written. Which intervention should the nurse implement?
1. Continue to care for the client’s needs as usual.
2. Place notification of the DNR inside the client’s chart.
3. Refer the client to a hospice organization.
4. Limit visitors to two at a time, so as not to tire the client.
The nurse is initiating discharge teaching to a 68-year-old male client who had quadruple coronary bypass surgery. Which priority question should the nurse ask the client?
1. “Are you sexually active?”
2. “Can you still drive your car?”
3. “Do you have pain medications at home?”
4. “Do you know when to call your HCP?”
The LPN informs the clinic nurse that the client diagnosed with atrial fibrillation has an INR of 4.5. Which intervention should the nurse implement?
1. Tell the LPN to notify the clinic healthcare provider (HCP).
2. Instruct the LPN to assess the client for abnormal bleeding.
3. Obtain a stat electrocardiogram on the client.
4. Take no action because this INR is within the normal range.
The nurse at a disaster site is triaging victims when a woman states, “I am a certified nurse aide. Can I do anything to help?” Which action should the nurse implement?
1. Request the woman to please leave the area.
2. Ask the woman to check the injured clients.
3. Tell the woman to try and keep the victims calm.
4. Instruct the woman to help the paramedics.
The cardiac clinic nurse hears the UAP tell the client, “You have gained over 15 pounds since your last visit.” The scale is located in the office area. Which action should the clinic nurse implement?
1. Tell the UAP in front of the client to not comment on the weight.
2. Ask the UAP to put the client in the room and take no action.
3. Explain to the UAP, in private, that this is an inappropriate comment and violates HIPAA.
4. Report the UAP to the director of nurses of the clinic.
The nurse on the cardiac unit is discussing case management with a client who asks, “Why do I need a case manager for my heart disease?” Which statements are most appropriate for the nurse to respond? Select all that apply.
1. “Case management helps contain the costs of your healthcare.”
2. “It will help enhance your quality of life with a chronic illness.”
3. “It decreases the fragmentation of care across many healthcare settings.”
4. “Case management is a form of health insurance for clients with chronic illnesses.”
5. “We try to provide quality care along the healthcare continuum.”
The client diagnosed with arterial hypertension and has been taking a calcium channel blocker, a loop diuretic, and an ACE inhibitor for 3 years. Which statement by the client would warrant intervention by the nurse?
1. “I have to go to the bathroom a lot during the morning.”
2. “I get up very slowly when I have been sitting for a while.”
3. “I do not salt my food when I am cooking it but I add it at the table.”
4. “I drink grapefruit juice every morning with my breakfast.”
The director of nurses in the cardiac clinic is counseling an unlicensed assistive personnel (UAP) in the clinic who returned late from her lunch break seven times in the past 2 weeks. Which conflict resolution uses the win-lose strategy?
1. The UAP explains she is checking on her ill mother during lunch, and the nurse allows her to take a longer lunch break if she comes in early.
2. The director of nurses offers the UAP a transfer to the emergency weekend clinic so that she will be off during the week.
3. The director of nurses terminates the UAP, explaining that all staff must be on time so that the clinic runs smoothly.
4. The UAP is placed on 1-month probation, and any further occurrences will result in termination from this position.
The cardiac clinic nurse has told the female unlicensed assistive personnel (UAP) twice to change the sharps container in the examination room, but it has not been changed. Which action should the nurse implement first?
1. Tell the UAP to change it immediately.
2. Ask the UAP why the sharps container has not been changed.
3. Change the sharps container as per clinic policy.
4. Document the situation and place a copy of the documentation in the employee file.
The elderly client on the cardiac unit was found on the floor by the bed. Which information should the nurse document in the client’s chart?
1. Fell. No injuries noted. Incident report completed. HCP notified.
2. Found on floor. No complaints of pain. Able to move all extremities.
3. States no one answered call light, so attempted to get up without help.
4. Got out of bed without assistance and fell by the bedside.
The home health (HH) nurse is caring for an elderly client. Which nursing task should the nurse delegate to the HH aide?
1. Cook and freeze meals for the client.
2. Assist the client to sit on the front porch.
. 3. Take the client for outings to the store.
4. Monitor the client’s mental status.
The client admitted to rule out (R/O) a myocardial infarction is complaining of substernal chest pain radiating to the left arm and jaw. Which intervention should the nurse implement first?
1. Take the client’s pulse, respirations, and blood pressure.
2. Call for a stat electrocardiogram and a troponin level
3. Place sublingual nitroglycerin 1/150 g under the tongue.
4. Notify the HCP that the client has pain.
The client on the cardiac unit has a cardiac arrest. Which is the administrative supervisor nurse’s first intervention during the code?
1. Begin to take notes to document the code.
2. Make sure all the jobs are being done.
3. Arrange for an intensive care unit bed.
4. Administer the emergency medications.
Which client should the cardiac nurse assess first after receiving the p.m. shift report?
1. The client who is completing the second unit of PRBCs.
2. The client who is crying after being informed of a terminal diagnosis.
3. The client who refused to eat the dietary tray but got food from home.
4. The client who became short of breath ambulating in the hallway.
