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nursing cardiac

Question	Answer
When caring for a client with a diagnosis of aortic aneurysm scheduled for surgery, what would be most important for the nurse to monitor?	Level of consciousness, characteristics of pain, and signs of hemorrhage or dissection
A nurse should be prepared to manage complications following abdominal aortic aneurysm resection. Which complication is most common?	Renal failure
To relieve chest pain associated with pericarditis, which position should the nurse encourage the client to assume?	Leaning forward while sitting
Which abnormal lab values would be seen in the patient diagnosed with infective endocarditis?	• Elevated white blood cell (WBC) count • Elevated c-reactive protein • Elevated erythrocyte sedimentation rate (ESR)
The nurse is providing discharge teaching for a client with rheumatic endocarditis but no valvular dysfunction. On which nursing diagnosis should the nurse focus her teaching?	Risk for infection
What is the most common cause of mitral stenosis?	Rheumatic endocarditis
What is the most significant risk factor for mitral stenosis?	Rheumatic fever
Describe the sound that can be ausculatated in a patient with mitral regurgitation	"The high-pitched blowing sound at the apex is indicative of a systolic murmur."
A physician admits a client with a history of I.V. drug abuse to the medical-surgical unit for evaluation for infective endocarditis. Nursing assessment is most likely to reveal that this client has:	Osler's nodes and splinter hemorrhages.
What is the most common complication of prosthetic valves?	Thromboembolism
Which of the following clinical manifestations would the nurse expect to find in the patient diagnosed with aortic regurgitation?	Visible neck vein pulsations
One of the most common causes of mitral valve regurgitation in people living in developed countries is	ischemia of the left ventricle
A physician has scheduled a client with mitral stenosis for mitral valve replacement. Which condition may arise as a complication of mitral stenosis?	pulmonary hypertension
Which pathophysiologic events occur in mitral stenosis?	• Pulmonary pressure increases • Diastole is shortened • Amount of time for forward flow is lessened
The patient with which of the following characteristics is considered high risk for the development of infective endocarditis?	Cyanotic congenital malformations
A client is hospitalized for repair of an abdominal aortic aneurysm. The nurse must be alert for signs and symptoms of aneurysm rupture and thus looks for which of the following?	Constant, intense back pain and falling blood pressure
A physician admits a client to the health care facility for treatment of an abdominal aortic aneurysm. When planning this client's care, which goal should the nurse keep in mind as she formulates interventions?	Stabilizing heart rate and blood pressure and easing anxiety
Which medication classification lyses and dissolves thrombi?	fibrinolytic
The most common site of aneurysm formation is in the:	abdominal aorta, just below the renal arteries.
A client with peripheral arterial disease asks the nurse about using a heating pad to warm the feet. The nurse's best response is which of the following?	"It is better to put the heating pad on your abdomen, which causes vasodilation and warmth to your feet."
A client comes to the emergency department complaining of sudden onset of lower leg pain. Inspection and palpation reveal absent pulses; paresthesia; and a mottled, cyanotic, cold, and cadaverous left calf. The nurse should:	keep the affected leg level or slightly dependent.
A nurse is admitting a new client with a deep vein thrombosis in her left leg. During the admission process, which information provided by the client would be a contraindication to anticoagulant therapy?	upcoming eye surgery
Which of the following observations regarding ulcer formation on the patient's lower extremity indicates that the ulcer is a result of venous insufficiency?	irregular ulcer borders
Two days after undergoing a total abdominal hysterectomy, a client complains of left calf pain. Venography reveals deep vein thrombosis (DVT). When assessing this client, the nurse is likely to detect:	left calf circumference 1" (2.5 cm) larger than the right.
While receiving heparin to treat a pulmonary embolus, a client passes bright red urine. What should the nurse do first?	give protamine sulfate
A home health nurse is teaching a client with peripheral arterial disease ways to improve circulation to the lower extremities. The nurse encourages which of the following in teaching?	Keeping the legs in a neutral or dependent position
Which of the following are risk factors related to venous stasis for DVT and pulmonary embolism?	obesity
When teaching a client with peripheral vascular disease about foot care, a nurse should include which instruction?	avoid canvas shoes
(see full question) A nurse should be prepared to manage complications following abdominal aortic aneurysm resection. Which complication is most common?	renal failure
Which of the following is a true statement regarding the role of baroreceptors?	Initiates the parasympathetic response
A nurse is completing a head to toe assessment on a patient diagnosed with right-sided heart failure. To assess peripheral edema, which of the following areas should be examined?	Fingers, hands
Which of the following are alterations noted in Virchow’s triad? Select all that apply.	• Stasis of blood • Vessel wall injury • Altered coagulation
Which of the following is a characteristic of an arterial ulcer?	Border regular and well demarcated
Which of the following observations regarding ulcer formation on the patient's lower extremity indicates that the ulcer is a result of venous insufficiency?	irregular border
What is the most common cause of mitral stenosis?	rheumatic endocarditis
Which of the following procedures describes splitting or separating fused cardiac valve leaflets?	Commissurotomy
An asymptomatic patient questions the nurse about mitral regurgitation and inquires about continuing exercises. Which of the following is the most appropriate nursing response?	Continue exercising until mild symptoms develop
The nurse working in the medical intensive care unit has a patient admitted with mitral stenosis. The nurse knows that the pathophysiology of mitral stenosis is consistent with some of the following. Choose all that apply.	• Left atrial hypertrophy

Created by: mhaye26

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