Exam 47: Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

The nurse assesses that the home health patient has no signs or symptoms of heart failure, but does have a history of rheumatic fever and has been recently diagnosed with diabetes mellitus. The nurse is aware that using the American College of Cardiology and the American Heart Association (ACC/AHA) staging, this patient would be a:

The nurse would assess closely for signs of right-sided heart failure which include (select all that apply):

The patient with congestive heart failure who is on a diuretic drug shows a weight loss of 6.6 lb. The nurse is aware that the patient has lost ______ L of fluid.

The process by which a heart is shocked from a persistent arrhythmia back into sinus rhythm is called a ____________.

The nurse caring for a patient recovering from a myocardial infarction (MI) teaches which method to avoid the Valsalva maneuver during a bowel movement?

The nurse reminds the patient who is on Coumadin for the treatment of atrial fibrillation that the ideal is to maintain the international normalized ratio (INR) at between:

What is the major cause of cardiac valve disease?

The home health nurse warns the patient who is taking warfarin (Coumadin) for anticoagulant therapy for thrombophlebitis to stop taking the herbal remedy of ginkgo because ginkgo can:

What is the transesophageal echocardiogram (TEE) used for? (Select all that apply.)

The nurse outlines which of the following as conditions that would disqualify a candidate for a heart transplant? (Select all that apply.)

The nurse is aware that the symptoms of an impending myocardial infarction (MI) differ in women because acute chest pain is not present. Women are frequently misdiagnosed as having:

The patient has a total cholesterol of 190 with a high-density lipid (HDL) of 110 and a low-density lipid (LDL) of 80. The nurse's reaction is one of:

After an influenza-like illness, the patient complains of chills and small petechiae in his mouth and his legs. A heart murmur is detectable. These are characteristic signs of:

Which information should be taught to patients starting on anticoagulant therapy for a valvular disorder? (Select all that apply.)

The patient has been hospitalized for hypertensive episodes three times in the last months. While preparing the discharge teaching plan, the nurse assesses that he does not comply with his medication regimen. The nurse's immediate course of action would be to:

The nurse identifies the "LUBB" sound of the "LUBB/DUBB" of the cardiac cycle as the sound of the:

What is the patient goal of the walking exercise program designed for the rehabilitation of a post-MI patient?

Which patient teaching would help to prevent venous stasis? (Select all that apply.)