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ATI Cardiovascular
A nurse is providing teaching about a heart healthy diet to a group of clients with hypertension. Which of the following statements by one of the clients indicates a need for further teaching? -"I may eat 10 ounces of lean protein each day." A nurse is providing teaching for client who has a new diagnosis of angina pectoris. The nurse should give the client which of the following Information about anginal pain? -exertion and anxiety can trigger the pain A nurse in an emergency department is assessing a client who is having a suspected acute myocardial infarction (MI). Which of the following manifestations should the nurse expect to find for a client experiencing an acute MI? (Select all that apply.) -Nausea -Tachycardia -Diaphoresis A nurse is providing teaching to a client who has hypertension and a new prescription for captopril. Which of the following instructions should the nurse provide? -do not use salt substitutes while taking this medication A nurse caring for a client who came to the emergency department reporting chest pain. The provider suspects a myocardial infarction. While waiting for the troponin levels report the client asks what this blood test will show. Which of the following explanations should the nurse provide the client? -troponin is a heart muscle protein that appears in the bloodstream when there is damage to the heart A nurse providing teaching to a client who has stable angina and a new prescription for transdermal nitroglycerin. Which of the following Instructions should the nurse include? (Select all that apply.) -apply the patch to a hairless area and rotate sites
-apply a new patch each morning -remove the patch for 10 to 12 hr daily A nurse teaching a client who has hypertension and a new prescription for atenolol. Which of the following findings should the nurse include as adverse effects of this medication? -bradycardia A nurse providing teaching to a client who has hypertension and a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse provide? -take the medication early in the day A nurse in the emergency room is caring for a client who presents with manifestations that a myocardial infarction. Which of the following prescriptions should the nurse take first? -initiate oxygen therapy A nurse is admitting a client who is at 37 weeks of gestation and has severe gestational hypertension. Which of the following actions should the nurse expect to implement? (Select all that apply.) -administer magnesium sulfate IV -provide a dark, quiet environment -ensure that calcium gluconate is readily available A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension? -obstructive sleep apnea (OSA) A nurse is providing teaching to a client who has stable angina and a new prescription for nitroglycerin oral, sustained-release capsules. Which of the following instructions should the nurse include?
-Increase your daily intake of dietary fiber. A nurse caring for a client who has a new diagnosis of essential hypertension. The nurse should monitor the client for which of the following findings that is consistent with this diagnosis? -vertigo A nurse establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should the nurse include? -the client will walk for 30 min 5 days a week A nurse teaching the partner of a client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzymes studies? -these tests help determine the degree of damage to the heart tissues A nurse is caring for a client who has had a myocardial Infarction. Upon his first visit to cardiac rehabilitation, he tells the nurse that he doesn't understand why he needs to be there because there nothing more to do, as the damage done. Which of the following is the correct nursing response? -cardiac rehabilitation cannot undo the damage to your heart but it can help you get back to your previous level of activity safely A client is teaching a client who has a new prescription for hydrochlorothiazide for management of hypertension. Which of the following instructions should the nurse include? -monitor for leg cramps A nurse reviewing the serum laboratory findings for a client who has hypertension and prescribed hydrochlorothiazide. Which of the following findings should the nurse report to the provider? -potassium 2.3 mEq/L
A nurse in the emergency department is caring for a client who is experiencing manifestations of a myocardial infarction (MI). Which of the following laboratory tests should the nurse expect the provider to prescribe? -troponin I A nurse teaching a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris. Which of the following instructions should the nurse include in the teaching? -apply the transdermal patch in the morning A nurse in the antepartum unit caring for a client who at 36 weeks of gestation and has pregnancy induced hypertension. Suddenly, the client reports continuous abdominal pain and vaginal bleeding. The nurse should suspect which of the following complications? -abruptio placentae A nurse providing teaching for a client who has hypertension and a prescription change from metoprolol to metoprolol/hydrochlorothiazide Which of the following statements by the client indicates an understanding of the teaching? -with the new medication, I should experience fewer side effects A nurse in a provider's office is reviewing the laboratory results of a client who takes furosemide for hypertension. The nurse notes that the client's potassium level is 3.3mEq/L. The nurse should monitor the client for which of the following complications? -cardiac dysrhythmias A nurse is providing teaching to a client who has angina pectoris and a new prescription for nitroglycerin sublingual tablets. Which of the following statements by the client indicates an understanding of the teaching? -I will dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2 more tablets 5 minutes apart while waiting A nurse is monitoring an older adult female client who had a myocardial Infarction (MI) for the development of an acute kidney Injury Which of the following findings should the nurse identify as indicating an increased risk of acute kidney injury (AKI)?
A client has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin given due to which of the following actions of the medication? -antiplatelet aggregate A nurse an emergency department is planning care for a client who is having an acute myocardial infarction (). The nurse should planta administer which of the following medications after the initial acute phase to manage the client's pain and anxiety? -morphine A nurse teaching a middle-aged client about hypertension. Which of the following information should the nurse include in the teaching? -diuretics are the first type of medication to control hypertension A nurse caring for a client who has liver cirrhosis with ascites, bleeding esophageal varices, and portal hypertension. The nurse recognizes which of the following laboratory findings as indicating the client's gastrointestinal (GI) tract is digesting and absorbing blood? -elevated BUN A nurse providing teaching to a client who has a family history of hypertension. The nurse should inform the client that his blood pressure of 124/84 mm Hg places him in which of the following categories? -prehypertension A on a telemetry unit is caring for a client who has unstable angina and is reporting chest pain with a severity of 6 on a 0 to 10 scale. The nurse administers 1 sublingual nitroglycerin tablet. After 5 min the states that his chest pain is now a severity of Which of the following actions should the nurse take? -administer another nitroglycerin tablet A nurse is providing teaching about the Mediterranean diet to a client who has a new diagnosis of hypertension. Which of the following statements by the client indicates a need for further teaching? -I will limit my intake of red meat to twice weekly
A nurse caring for a client who has hypertension and asks the nurse about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions? -asthma A nurse in an emergency department caring for a client who reports substernal chest pain and dyspnea. The client is vomiting and is diaphoretic. Which of the following laboratory tests are used to diagnose a myocardial infarction? (Select all that apply.) -Troponin I -Troponin T -CPK -Myoglobin A nurse in an emergency department is preparing to administer alteplase accelerated therapy to a client who is having a myocardial infarction. Which of the following actions should the nurse plan to take? (Select all that apply) -administer the med within 30 minutes of the client’s arrival to the department -reconstitute the med with sterile water -administer a 15mg IV bolus -asses the client for back pain A nurse is teaching a client who has angina about nitroglycerin sublingual tablets. Which of the following statements should the nurse include in the teaching? -nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart A nurse is reviewing the medical record of a client who has hypertension and a new prescription for metoprolol. Which of the following findings should the nurse investigate further? -a history of left sided heart failure
A nurse is providing discharge teaching for a client who is postoperative following a simple mastectomy. The client is to begin outpatient radiation therapy the next day. Which of the following instructions about maintaining skin integrity should the nurse include? -Do not apply heat to the area of irradiation A nurse is caring for a client who has myelosuppression after receiving chemotherapy. The nurse should monitor the client for which of the following adverse effects? -Bleeding from the gums A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client? -You should report any tendon discomfort you experience while taking this medication A nurse is planning care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care? -Limit the number of health care workers entering the room A nurse is caring for a client who is participating in a research study for an experimental chemotherapy medication. After three treatments, the experimental medication is discontinued due to evidence of rapidly advancing kidney failure. The nurse should understand discontinuing this medication demonstrates which of the following ethical principles? -Non maleficence A nurse is caring for an older adult client who has a urinary tract infection (UTI). Which of the following manifestations should the nurse identify as a finding specifically associated with this client? -Confusion A nurse is caring for a client who is receiving radiation therapy to treat lung cancer. Which of the following actions should the nurse take? -Observe for signs of infection A nurse is caring for a client who is receiving radiation therapy to treat lung cancer. Which of the following actions should the nurse take? -Tingling feeling in the extremities A nurse is caring for a client who is to start chemotherapy for advanced breast cancer. She tells the nurse she is worried about the adverse effects of the treatment. Which of the following responses should the nurse make? -What is it about the adverse effects that concern you? A nurse is providing teaching to a client about measures to prevent urinary tract infections (UTI) Which of the following client statements indicates a need for further teaching? -I will need to wipe my perineal area from back to front after urination
A nurse is caring for a client who has cancer and is scheduled for immediate chemotherapy. The client tells the nurse that she wants to try nontraditional treatments first. Which of the following responses should the nurse make? -Tell me more about your concern about taking chemotherapy A nurse providing dietary teaching to a client who has frequent kidney stones. Which of the following instructions should the nurse include in the teaching? -Avoid eating tree nuts such as almonds A-nurse is teaching a client about the physical effects of chemotherapy. Following the teaching, the nurse asks the client to describe one physical effect. The nurse is focusing on which of the following elements of the communication process? -Feedback A nurse is preparing a teaching plan for a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer. Which of the following should the nurse plan to include in the teaching? -Bottled water is an appropriate choice to increase fluid intake A nurse teaching a client who has urolithiasis (renal calculi). The nurse should explain that which of the following conditions can increase the risk for renal calculi? -Dehydration A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy induced nausea. For which of the following adverse effects should the nurse monitor? -Headache A client who has chronic lymphocytic leukemia is starting chemotherapy treatments and asks if she needs to make any dietary changes. Which of the following statements should the nurse make? -You should avoid drinking liquids an hour before the treatments A nurse is caring for an older adult client who has a WBC count of 2, 000 / mm 3 after three rounds of chemotherapy. Which of the following actions should the nurse take? -Serve cooked fruits with meals A nurse is preparing a client who is to receive chemotherapy for treatment of ovarian cancer. Which of the following actions should the nurse plan to take? -Administer an antiemetic prior to the procedure A nurse caring for a client who is experiencing severe nausea and vomiting after a course of chemotherapy. The nurse should monitor the client for which of the following clinical manifestations?
A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider suspects has metabolic acidosis. Which of the following results should the nurse expect to see? -Ph below 7. A nurse is caring for a client who has late-stage Alzheimer's disease and is hospitalized for treatment of pneumonia. During the night shift the client is found climbing into the bed of another client who becomes upset and frightened. Which of the following actions should the nurse take? -Assist the client to the correct room A nurse caring for a client who is at 6 weeks of gestation and has pneumonia While the nurse is obtaining the client's history, the client tells the nurse that she takes the herb feverfew for migraine headaches. Which of the following actions should the nurse take? -Explain to the client that she should not take this herb while she is pregnant A nurse in the emergency department is assessing an older adult client who has community- acquired pneumonia. Which of the following findings should the nurse expect? -Confusion A nurse is caring for a client who has drainage tubes. Which of the following clients should the nurse recognize as being at risk for hypokalemia? -the client who has a nasogastric tube NG suction A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent IV bolus. 10 minutes into the infusion of the third dose the climb reports that the IV site itches and that he feels dizzy and short of breath. Which of the following action should the nurse take first? -Stop the infusion A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to promote thinning of respiratory secretions? -Encourage the client to increase fluid intake A nurse is caring for a client who has tuberculosis and new prescriptions for rifampin and pyrazinamide. Which of the following laboratory tests should the nurse instruct the client will be required while on this medication regimen? -Liver function test A nurse is assessing a client who has pulmonary tuberculosis. Which of the following findings should the nurse expect? -Lethargy A nurse is providing discharge teaching to a client who has pulmonary tuberculosis and a new prescription for rifampinWhich of the following information should the nurse provide? -Urine and other secretion might turn orange
A nurse is caring for a client who has metabolic alkalosis. For which of the following clinical manifestations should the nurse monitor? (Select all that apply.) -Bicarbonate excess -Circumoral paresthesia A nurse is assessing a client who has volume deficit. The nurse should expect which of the following findings -Increased BUN A nurse is providing teaching to a group of adult athletes about prevention the effects of dehydration on the body. Which of the following manifestations should the nurse include in the teaching? -Impaired motor control A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess? (Select all that apply.) -Bounding pulse -Pitting edema -Crackles upon auscultation A nurse is assessing a client who is taking chlorothiazide sodium. The nurse recognizes which of the following as a manifestation of hypokalemia? -Shallow respirations A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for IV rifampin. The nurse should instruct the client that they should expect to experience which of the following manifestations while taking this medication? -Red colored urine A nurse is caring for a client who has pneumonia and a prescription for oxygen therapy at 5L/mL via nasal cannula. Which of the following actions should the nurse take? -Attach a humidifier bottle to the base of the flow meter A nurse is caring for a client who has an elevated potassium level and is on a cardiac monitor. The nurse is aware that hyperkalemia may be associated with changes to the T-wave. On the graphic, point and click on the area of the electrocardiogram (ECG) that represents the T-wave. (Selectable areas, or "Hot Spots," can be found by moving your cursor over the artwork until the cursor changes appearance, usually into a hand. Click only on the Hot Spot that corresponds to your answer.)
A nurse reviewing the laboratory results of a client who has fluid volume deficit. The nurse would expect which of the following findings? -Urine specific gravity 1. A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following room assignments should the nurse make for the client? -A room with air exhaust directly to the outdoor environment A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia? -Abnormally prominent U wave A nurse is preparing for the admission of client who has suspected active tuberculosis. Which of the following precautions should the nurse plan to implement to safely care for this client? -Place the client in a private room with a special ventilation system A nurse is preparing an adolescent client who has pneumonia for percussion, vibration, and postural drainage. Prior to the procedure, which of the following nursing actions should the nurse complete first? -Auscultate lung fields A nurse in a community health center is assessing the results of a tuberculin skin test she performed for a client. Which of the following results indicates exposure to and a possible infection with tuberculosis (TB)? -15 mm induration A nurse is reviewing the laboratory values of a client who has respiratory acidosis. Which of the following findings should the nurse expect? -PaCO2 50 mm Hg A nurse is planning care for a client who has dehydration and is receiving a continuous IV infusion of 0.9 % sodium chloride. Which of the following interventions should the nurse include in the plan of care? Offer the client 240 mL (8oz) of oral fluids every 4hr A nurse is admitting a client who has tuberculosis and a productive cough. Which of the following types of isolation precautions should the nurse initiate for the client? -Airborne A nurse is teaching a client who is to begin medicated treatment of tuberculosis The nurse should instruct the client that which of the following herbal supplements can interact adversely with the treatment? -Echinacea
A nurse is teaching a client who has tuberculosis and is to start medication therapy with isoniazid, rifampin, and pyrazinamide. Which of the following instructions should the nurse include? -Drink at least 8 ounces of water when you take the pyrazinamide tablet A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of antitubercular medications. Which of the following information should the nurse include in the teaching? -A typical course of treatment involves 6 to 9 months of consistent medication use A nurse is providing instruction to a new nurse about caring for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia? -Spironolactone A nurse is caring for a client who has hypernatremia and requires IV fluid therapy due to his NPO status Which of the following solutions should the nurse prepare to infuse for this client? -0.45% sodium chloride A nurse in a provider's office is assessing a client. The nurse should identify that which of the following findings are manifestations of pulmonary tuberculosis? (Select all that apply) -Night sweats -Low grade fever -Blood in the sputum A nurse is reviewing the medical records of four clients who have an acid base imbalance. The nurse should recognize that which of the following clients is at risk for metabolic acidosis? -A client who has diarrhea A nurse is teaching a client who has tuberculosis and is to start combination drug therapy. Which of the following medications should the nurse plan to administer? (Select all that apply) -Rifampin -Isoniazid -Pyrazinamide A nurse is caring for a client who is receiving fluids to correct dehydration. Which of the following laboratory values should indicate to the nurse that the client effectively responding to treatment? -Urine specific gravity 1. A nurse in a provider's office is assessing an older adult client whose son reports that the client has been sick with a respiratory illness for the past 6 days. Which of the following assessment findings is a manifestation of pneumonia in the older adult client? -Confusion
-dexterity -motivation A nurse is planning care for a client who has a new diagnosis of diabetes insipidus. Which of the following interventions should the nurse include the plan of care? -check urine specific gravity A nurse is preparing a teaching session about reducing the risk of complications of diabetes mellitus. Which of the following information should the nurse plan to include in the teaching? (Select all that apply.) -reduce cholesterol and saturated fat intake -increase physical activity and daily exercise -enroll in a smoking-cessation program -maintain optimal blood pressure to prevent kidney damage A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect? -urine specific gravity 1. A nurse administers desmopressin to a client who has a diagnosis of diabetes insipidus. The nurse recognizes that which the following laboratory findings indicate a therapeutic effect of the medication? -urine specific gravity 1. A nurse teaching a client who is taking metformin XR for type diabetes mellitus. Which of the following Instructions should the nurse include in the teaching? -take the medication with a meal A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identities which of the following as manifestations of hypoglycemia? (Select all that apply.) -blurred vision -tachycardia
-moist, clammy skin A nurse is caring for a client who has uncontrolled type 1 diabetes mellitus. Which of the following findings should the nurse expect? -weight loss A nurse is providing teaching for a client who newly diagnosed with type 2 diabetes mellitus and has a prescription for glipizide. Which of the following statements by the nurse best describes the action of glipizide? -glipizide stimulates your pancreas to release insulin A nurse is planning a community diabetes mellitus management program. Which of the following goals should the nurse include for the program? -clients will have a decreased incidence of foot amputations A nurse is teaching a client who has diabetes mellitus and a new prescription for glimepiride. The nurse should teach the client to avoid which of the following drinks while taking this medication? -alcohol A nurse is caring for a client who is type 1 diabetes mellitus. The nurse misread the client’s morning blood glucose level as 210 instead of 120 and administered the insulin dose appropriate for a reading over 200 before the client’s breakfast. Which of the following actions is the nurse’s priority? -monitor the client for hypoglycemia A nurse is providing teaching to a female client who has type 2 diabetes and a new prescription for pioglitazone. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) -monitor weight daily -increase calcium intake A nurse is teaching a client who has type 1 diabetes mellitus about exercise. Which of the following instructions should the nurse include?
