Exam 24: Nursing Care of Patients With Occlusive Cardiovascular Disorders

A patient has chronic peripheral arterial disease.During neurovascular checks,the nurse finds an absent left pedal pulse and a cyanotic leg.What should the nurse do?

The nurse is reinforcing teaching provided to a patient with an aneurysm.Which patient statement indicates correct understanding of a dissecting aneurysm?

A patient reports that chest pain started at 2 pm.The nurse realizes that for thrombolytic treatment to be most effective in dissolving a blood clot,it should be given by:

A patient is brought to the emergency room by a daughter who reports that the patient has had multiple episodes of chest pain in the past few days and has refused to seek care.The patient states,"I feel fine and the pain has only lasted for brief periods." The nurse recognizes that the patient is most likely using which coping technique?

The nurse is reinforcing teaching for managing the pain of peripheral arterial disease.Which patient statement indicates correct understanding of discharge instructions?

The nurse reviews the importance of seeking medical treatment with a patient at risk for an MI.Which patient statement indicates that teaching has been effective?

A patient with chest pain is a candidate for thrombolytic therapy.How soon should this medication be provided to the patient?

The physician prescribes nitroglycerin for a patient with anterior MI.The patient's vital signs are apical pulse 52 beats/min and blood pressure 80/60 mm Hg.What action should the nurse take?

The nurse is collecting data from a patient who has chronic venous insufficiency of the lower extremities.Which finding should the nurse expect?

The nurse is reinforcing teaching provided to a patient with Raynaud's disease.Which measure should the nurse include to prevent an attack?

The nurse is reinforcing teaching provided to a patient who has been prescribed a new medication.For which medication should the patient be instructed there is the possibility of developing a cough when taking the drug?

The nurse is providing discharge instructions to a patient with brown,leathery,edematous ankles and increased pain when sitting.Which patient statement indicates that teaching has been effective?

The nurse is assisting with the care of a patient with an MI.Which specialized diet should the nurse expect to be prescribed for this patient?

A patient is recovering from a cardiac catheterization that was completed through the right femoral site.Which information is most essential for the nurse to collect immediately after the procedure?

The nurse is collecting data from a patient experiencing an MI.Which finding should the nurse expect?

The nurse is assisting with admission of a patient experiencing symptoms of an acute MI.Which activity would be the highest priority for this patient?

The nurse is assisting with the care of a patient who is receiving an intravenous infusion with potassium.The nurse realizes that fluids containing potassium are administered slowly and cautiously to prevent which health problem?

The nurse is caring for a patient with a cardiac history.Which actions should the nurse take when administering diltiazem (Cardizem)? (Select all that apply.)

A patient being treated for cardiogenic shock has an order for captopril (Capoten).Vital signs are blood pressure 120/70 mm Hg,pulse 85 beats/min,and respirations 16 breaths/min.What action should the nurse take regarding this medication?

The nurse is helping prepare a teaching plan to modify risk factors for a patient with coronary artery disease.Which risk factor should the nurse include in this patient's teaching plan?