nursing cardiac
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| 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
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| A nurse should be prepared to manage complications following abdominal aortic aneurysm resection. Which complication is most common? | Renal failure
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| To relieve chest pain associated with pericarditis, which position should the nurse encourage the client to assume? | Leaning forward while sitting
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| 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)
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| 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
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| What is the most common cause of mitral stenosis? | Rheumatic endocarditis
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| What is the most significant risk factor for mitral stenosis? | Rheumatic fever
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| 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."
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| 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.
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| What is the most common complication of prosthetic valves? | Thromboembolism
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| Which of the following clinical manifestations would the nurse expect to find in the patient diagnosed with aortic regurgitation? | Visible neck vein pulsations
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| One of the most common causes of mitral valve regurgitation in people living in developed countries is | ischemia of the left ventricle
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| 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
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| Which pathophysiologic events occur in mitral stenosis? | • Pulmonary pressure increases
• Diastole is shortened
• Amount of time for forward flow is lessened
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| The patient with which of the following characteristics is considered high risk for the development of infective endocarditis? | Cyanotic congenital malformations
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| 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
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| 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
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| Which medication classification lyses and dissolves thrombi? | fibrinolytic
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| The most common site of aneurysm formation is in the: | abdominal aorta, just below the renal arteries.
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| 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."
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| 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.
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| 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
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| 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
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| 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.
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| While receiving heparin to treat a pulmonary embolus, a client passes bright red urine. What should the nurse do first? | give protamine sulfate
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| 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
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| Which of the following are risk factors related to venous stasis for DVT and pulmonary embolism? | obesity
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| When teaching a client with peripheral vascular disease about foot care, a nurse should include which instruction? | avoid canvas shoes
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| (see full question) A nurse should be prepared to manage complications following abdominal aortic aneurysm resection. Which complication is most common? | renal failure
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| Which of the following is a true statement regarding the role of baroreceptors? | Initiates the parasympathetic response
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| 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
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| Which of the following are alterations noted in Virchow’s triad? Select all that apply. | • Stasis of blood
• Vessel wall injury
• Altered coagulation
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| Which of the following is a characteristic of an arterial ulcer? | Border regular and well demarcated
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| 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
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| What is the most common cause of mitral stenosis? | rheumatic endocarditis
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| Which of the following procedures describes splitting or separating fused cardiac valve leaflets? | Commissurotomy
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| 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
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| 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
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Created by:
mhaye26