Question 1

The patient has become very dyspneic,respirations are 32,and the pulse is 100.The patient is coughing up frothy red sputum.What should be the initial nursing intervention?

Accepted Answer

A)  Lay the patient flat to reduce hypotension and the symptoms of cardiogenic shock. 
B)  Place patient in side-lying position to reduce the symptoms of atrial fibrillation. 
C)  Place patient upright with legs in dependent position to reduce the symptoms of pulmonary edema. 
D)  Lay the patient flat and elevate the feet to increase venous return in cardiogenic shock.

Question 2

The nurse making a teaching plan for a patient with Buerger disease (thromboangiitis obliterans)will focus on the need for:

Accepted Answer

A)  reduction of alcohol intake. 
B)  avoiding cold remedies. 
C)  cessation of smoking. 
D)  weight reduction.

Question 3

The nurse making the schedule for the daily dose of furosemide (Lasix)would schedule the administration for which of the following times?

Accepted Answer

A)  Late in the afternoon 
B)  At bedtime 
C)  With any meal 
D)  In the morning

Question 4

The nurse clarifies that the master pacemaker of the heart is the:

Accepted Answer

A)  left ventricle. 
B)  atrioventricular (AV)node. 
C)  sinoatrial (S
A) node. 
D)  bundle of His.

Question 5

The nurse is aware that the muscle layer of the heart,which is responsible for the heart's contraction,is the:

Accepted Answer

A)  endocardium. 
B)  pericardium. 
C)  mediastinum. 
D)  myocardium.

Question 6

The nurse explains that the heart has the ability to contract in a rhythmic pattern that is called ____________.

Accepted Answer

The answer of The nurse explains that the heart has...

Question 7

Which assessment would lead the nurse to examine the leg closely for evidence of a stasis ulcer?

Accepted Answer

A)  Cool dry lower limb 
B)  Edematous,red scaly skin on medial surface of the leg 
C)  Lack of hair and shiny appearance of the lower leg 
D)  Lack of a pedal pulse

Question 8

What is the difference between primary and secondary hypertension?

Accepted Answer

A)  Secondary hypertension is caused by another disorder like renal disease. 
B)  Secondary hypertension is related to hereditary factors. 
C)  Secondary hypertension cannot be treated effectively. 
D)  Secondary hypertension is no real threat to health.

Question 9

The patient,age 26,is hospitalized with cardiomyopathy.While obtaining a nursing history from her,the nurse recognizes that the increased incidence of cardiomyopathy in young adults who have minimal risk factors for cardiovascular disease is related to which factor(s)?

Accepted Answer

A)  Cocaine use 
B)  Viral infections 
C)  Vitamin B1 deficiencies 
D)  Pregnancy

Question 10

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

Accepted Answer

A)  Detect thrombi before a cardioversion. 
B)  Check for cardiac arrhythmias. 
C)  Visualize vegetation on the heart valves. 
D)  Measure effectiveness of diuretic therapy. 
E)  Visualize abscesses on the heart valves.

Question 11

The life support system that uses special techniques,ventilation equipment,and therapies for emergency situations is ________.

Accepted Answer

The answer of The life support system that uses special...

Question 12

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:

Accepted Answer

A)  1 and 2. 
B)  2 and 3. 
C)  3 and 4. 
D)  4 and 5.

Question 13

How should the nurse advise a patient with an international normalized ratio (INR)of 5.8?

Accepted Answer

A)  Make arrangements to go to the emergency room immediately. 
B)  Increase fluid intake to 2000 mL/day. 
C)  Stop taking the anticoagulant and notify health care provider. 
D)  Add more leafy green vegetables to patient diet.

Question 14

During a health interview by the home health nurse,which patient complaint suggests left-sided heart failure?

Accepted Answer

A)  "I have to sleep in my recliner and I have this hacking cough." 
B)  "I have no appetite and I have lost 3 lb in the last week." 
C)  "I have to urinate every 2 hours,even during the night." 
D)  "I go barefoot most of the time because my feet are so hot."

Question 15

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

Accepted Answer

The answer of The process by which a heart is...

Question 16

The home health nurse caring for a patient with infective endocarditis overhears the patient making a dental appointment for an extraction next month.Which question is most important for the nurse to ask?

Accepted Answer

A)  "Do you have a toothache?" 
B)  "Have you contacted your physician about your dental appointment?" 
C)  "Is your dentist board certified?" 
D)  "Do you think you should wait that long for your tooth extraction?'

Question 17

The pain that a person with arterial insufficiency feels on exertion,which is relieved by rest,is ______________ _____________.

Accepted Answer

The answer of The pain that a person with arterial...

Question 18

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:

Accepted Answer

A)  satisfaction.This is good cholesterol control. 
B)  determination.This is evidence that more instruction is necessary. 
C)  inquiry.This needs to clarified as to the cause of noncompliance with the drug protocol. 
D)  regret.This shows very poor cholesterol control.

Question 19

Following an angiogram with the insertion site of the left groin,the nurse will include in the plan of care provisions for: (Select all that apply. )

Accepted Answer

A)  checking pedal pulses. 
B)  ambulating with assistance 2 hours after recovery. 
C)  checking color and warmth of left leg frequently. 
D)  sandbagging over insertion site. 
E)  placing patient in semi-Fowler's position.

Question 20

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:

Accepted Answer

A)  congestive heart failure. 
B)  heart block. 
C)  aortic stenosis. 
D)  infective endocarditis.

Exam 48: Care of the Patient With a Cardiovascular or a Peripheral Vascular Disorder

The patient has become very dyspneic,respirations are 32,and the pulse is 100.The patient is coughing up frothy red sputum.What should be the initial nursing intervention?

The nurse making a teaching plan for a patient with Buerger disease (thromboangiitis obliterans) will focus on the need for:

The nurse making the schedule for the daily dose of furosemide (Lasix) would schedule the administration for which of the following times?

The nurse clarifies that the master pacemaker of the heart is the:

The nurse is aware that the muscle layer of the heart,which is responsible for the heart's contraction,is the:

The nurse explains that the heart has the ability to contract in a rhythmic pattern that is called ____________.

Which assessment would lead the nurse to examine the leg closely for evidence of a stasis ulcer?

What is the difference between primary and secondary hypertension?

The patient,age 26,is hospitalized with cardiomyopathy.While obtaining a nursing history from her,the nurse recognizes that the increased incidence of cardiomyopathy in young adults who have minimal risk factors for cardiovascular disease is related to which factor(s) ?

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

The life support system that uses special techniques,ventilation equipment,and therapies for emergency situations is ________.

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:

How should the nurse advise a patient with an international normalized ratio (INR) of 5.8?

During a health interview by the home health nurse,which patient complaint suggests left-sided heart failure?

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

The home health nurse caring for a patient with infective endocarditis overhears the patient making a dental appointment for an extraction next month.Which question is most important for the nurse to ask?

The pain that a person with arterial insufficiency feels on exertion,which is relieved by rest,is __ _.

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:

Following an angiogram with the insertion site of the left groin,the nurse will include in the plan of care provisions for: (Select all that apply. )

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: