A client’s electrocardiogram strip shows atrial and ventricular rates of 110 beats/minute. The PR interval is 0.14 seconds, the QRS complex measures 0.08 seconds, and the PP and RR intervals are regular. How would the nurse correctly interpret this rhythm?

The nurse cares for a client with a history of left-sided heart failure who does not regularly take their medications. What findings, if observed by the nurse, does the nurse find most concerning? For each finding, select whether it requires immediate action or is not concerning to the nurse. Finding: Arms and feet are cool to the touch

The nurse cares for a client with a history of left-sided heart failure who does not regularly take their medications. What findings, if observed by the nurse, does the nurse find most concerning? For each finding, select whether it requires immediate action or is not concerning to the nurse. Finding: Tachypnea

The nurse cares for a client with a history of left-sided heart failure who does not regularly take their medications. What findings, if observed by the nurse, does the nurse find most concerning? For each finding, select whether it requires immediate action or is not concerning to the nurse. Temperature 98.2 F (36.8C)

The nurse cares for a client with a history of left-sided heart failure who does not regularly take their medications. What findings, if observed by the nurse, does the nurse find most concerning? For each finding, select whether it requires immediate action or is not concerning to the nurse. Finding: 2+ pitting edema in the lower extremities

The nurse cares for a client with a history of left-sided heart failure who does not regularly take their medications. What findings, if observed by the nurse, does the nurse find most concerning? For each finding, select whether it requires immediate action or is not concerning to the nurse. Finding: Crackles in all lung fields

A home health nurse visits a client with right-sided heart failure who is sitting in a wheelchair. The nurse notes bilateral lower extremity edema. Which additional finding would be most concerning?

A client who is 2 days postoperative from abdominal surgery reports discomfort in the right calf. Which assessment finding should the nurse recognize as a possible indication of thrombophlebitis?

A nurse is caring for a client newly diagnosed with heart failure and will be starting sacubitril/valsartan (Entresto) an angiotensin receptor neprilysin inhibitor (ARNI). When teaching a patient about the medication’s side effect of orthostatic hypotension, the nurse should explain that the risk for falls can be reduced by which action?

A patient admitted for heart failure exacerbation is due for a morning dose of furosemide (Lasix) 60 mg IV. The nurse notes the client's potassium is 3.0 mEq/L (reference range: 3.5-5.0 mEq/L). Which of the following is the appropriate action by the nurse?

A nurse is working in a cardiovascular clinic seeing clients with hypertension that have started new antihypertensive medications. Which of the following clients has indications of orthostatic hypotension?

A nurse is providing discharge teaching to a patient with heart failure and will be taking spironolactone (Aldactone). Which of the following instructions should the nurse emphasize to optimize renal rest at night in a patient taking a diuretic?

A client is admitted with complaints of leg pain. The client states, "Every time I walk to my mailbox, my calves start to hurt, but when I sit down, the pain goes away." On assessment, the nurse notes diminished pedal pulses and shiny, hairless skin on both legs. Which clinical manifestation is most consistent with the client's diagnosis of peripheral arterial disease (PAD)?

A home health nurse visits a client with chronic venous insufficiency. On assessment, the nurse notes bilateral ankle edema, brown discoloration around the ankles, and varicose veins. Which additional finding would the nurse expect?

When assessing an individual with peripheral arterial disease, which clinical manifestation would indicate complete arterial obstruction of the lower left leg?

When an peripheral arterial embolus has been diagnosed in the lower left extremity, an emergency surgical embolectomy may be considered if the involved extremity is viable. After an embolectomy surgery, which of the following nursing actions is a priority to prevent complications?

The nurse should teach patients with peripheral vascular disease to stop smoking because of the effects of nicotine. Which of the following are effects of nicotine?

The nurse measures the blood pressure of a 78-year-old patient and finds it to be 168/86 mm Hg. Which of the following is an age-related change that contributes to this finding?

The nurse is caring for a client admitted with peripheral arterial disease (PAD) and performing an admission assessment. The nurse is unable to palpate the patient's left dorsalis pedal pulses. Which of the following actions would the nurse take next?

The nurse has been assigned to a patient with Raynaud's disease. The nurse is providing education to the client for methods to prevent vasospasms of the hands. Which of the following statements from the client indicates a need for further education?

During assessment of a patient who has primary hypertension, the nurse understands that the patient will most commonly experience which of the following?

A client with hypertension is prescribed propranolol 80 mg twice daily. During a follow-up visit, the client reports fatigue and malaise. Which action by the client best shows understanding of propranolol therapy?

The nurse assesses that a patient with acute decompensated heart failure is dyspneic. What is the priority nursing action?

A client with peripheral arterial disease returns to the surgical unit after a femoral-popliteal bypass graft. Which nursing action is the first priority?

A 62 year-old patient is admitted to the hospital with a blood pressure of 240/118 mm Hg. The patient has been taking metoprolol and hydrochlorothiazide for 10 years for hypertension. The nurse assesses the reason for the patient’s hypertensive crisis. Which of the following would be a priority reason to question the patient?

A nurse is caring for a client with a left lower venous thromboembolism (VTE) and is being discharged on rivaroxaban (Xarelto). Which of the following is a priority to teach the patient about the medication?

The nurse receives report on a client with heart failure who received a 1.5-liter bolus of normal saline for hypovolemia the previous shift. Which post-intervention assessment finding is a priority concern for the nurse?

A client is prescribed digoxin secondary to heart failure. What assessment findings would be most concerning to the nurse? Select all that apply.

When caring for a client on digoxin therapy which laboratory finding alerts the nurse to the potential for digoxin toxicity?

The nurse is providing care to a client on IV heparin sodium. Which laboratory test indicates to the nurse that the medication is effective?

A client who is hypertensive receives a prescription for furosemide (Lasix). When teaching about the side effects of this drug, which symptoms are most important for the nurse to instruct the client to report?

Review the client's electronic health record and determine the nurse's next best action.

A patient who has recently started taking pravastatin (Pravachol) for hyperlipidemia reports several symptoms to the nurse. Which information is most important to communicate to the health care provider as a potential adverse effect of the medication?

Interventions for patients with atherosclerosis or those at high risk for the disease focus on modifiable risk factors. Which of the following are modifiable risk factors?

Ultrasound confirms the presence of a large deep vein thrombosis and the physician orders continuous intravenous (IV) heparin infusion for a patient with edema and pain of the upper leg. Which action is most appropriate for the nurse while the patient is receiving the heparin infusion?

Identify this rhythm

Identify this rhythm

A patient with newly diagnosed Raynaud's disease is referred to the nurse clinician for teaching. The teaching plan should include which of the following strategies to prevent vasospasm?

The nurse is taking a health history of a new client who reports pain in his left lower leg and foot when walking. This pain is relieved with rest and the nurse observes that the left lower leg is slightly edematous and is hairless. When planning this client's care, the nurse should most likely address what health problem?

A nurse is reviewing the assessment findings of a client with Heart Failure with reduced ejection fraction (HFrEF). Which of the following is indicative of a diagnosis of heart failure?

The nurse is performing an assessment on a client with a diagnosis of left-sided heart failure. Which assessment component would prompt the nurse regarding the client's left-sided heart function?

A patient diagnosed with heart failure is treated with an angiotensin-converting enzyme (ACE) inhibitor. The nurse should monitor the patient for what side effect?

A nurse caring for a client being worked up with complaints of worsening fatigue, weight loss, poor appetite and shortness of breath. After reviewing the client’s record, the nurse notes the echocardiogram reveals an left ventricular ejection fraction of 35%. Which of the following problems does the nurse expect?

The clinic nurse is providing instructions to a client with hypertension who will be taking captopril. Which statement by the client indicates a need for further instruction?

A patient recently had a cardiac catheterization via right-radial approach and now has a compression device in place. The patient reports numbness and pain in the right hand. The cardiac-vascular nurse notes a diminished pulse, with a cool and cyanotic hand. Which of the following is the most appropriate action for the nurse to implement?

A nurse is caring for a client admitted with acute coronary syndrome for observation. The patient has been receiving a heparin sodium IV weight based infusion daily for the last three days. The patient’s most current platelet count is $$65,000 \times 10^3/uL$$ ; while the platelet count on admission was $$350,000 \times 10^3/uL$$ (Reference range: $$150,000-400,000 \times 10^3/uL$$ ). The nurse contacts the provider to recommend which of the following?

A nurse is caring for an observation patient that was admitted with chest pain. The patient is reporting recurring chest pain that is similar to their pain on admission. What is the most appropriate action at this time of the nurse?

A nurse is responding to a code blue on the unit. When compressions are paused, the nurse notes the following rhythm on the monitor. What does the nurse interpret as the rhythm?

A client with coronary artery disease is prescribed clopidogrel (Plavix). Which client statement indicates a need for further teaching?

A client is prescribed sublingual nitroglycerin for angina. Which teaching should the nurse include?

A client is receiving a weight-based heparin infusion for a DVT. The current aPTT is 95 seconds (therapeutic range: 60–80 seconds). According to protocol, what is the nurse’s priority action?

A client with hypertension is prescribed captopril. Which client statements indicate correct understanding of this medication? Select all that apply.

The nurse is teaching a client with a new prescription for aspirin therapy. Which statements by the client indicate correct understanding? Select all that apply.

Which laboratory test is most important to monitor for a client on warfarin?

A client prescribed spironolactone (Aldactone) for heart failure has a potassium level of 6.0 mEq/L. What is the nurse’s priority action?

Which task can the nurse safely delegate to an unlicensed assistive personnel (UAP) when caring for a client with stable heart failure?

The nurse provides lifestyle teaching to a client with hypertension. Which statement indicates correct understanding?

The nurse reviews laboratory results for a client receiving digoxin. Which finding would place the client at greatest risk for digoxin toxicity?