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NUR 308: Cardiovascular ACTUAL EXAM 170 QUESTIONS
AND CORRECT ANSWERS LATEST UPDATE//ALL YOU
NEED TO PASS NURS 308 EXAM//GRADED A+
The healthcare provider is evaluating a patient for atherosclerotic plaque present in the carotid artery. Which diagnostic test is anticipated?
- Magnetic resonance imaging (MRI)
- Computed tomography (CT) angiogram
- Carotid duplex ultrasonography
- Magnetic resonance angiography (MRA) - ANSWER-C. Carotid duplex ultrasonography
A patient newly diagnosed with hypertension is resistant to begin medications. He asks the nurse, "What's the worse thing that could happen if I don't take the medications?" What complications should the nurse include when ANSWERing the question? Select all that apply.
- Stroke
- Aneurysm
- Cardiomyopathy
- Pulmonary embolism
- Deep-vein thrombosis - ANSWER-A. Stroke
- Aneurysm
- Cardiomyopathy
The nurse received hand-off report for four patients. Which patient should the nurse assess first?
A. Patient A: BP 120/80mmHg and watching tv
B. Patient B: BP 140/90mmHg and going for surgery in an hour
C. Patient C: BP 150/100mmHg and new onset of a pounding headache
- Patient D: BP 160/105mmHg and received a beta blocker 5 minutes ago - ANSWER-C. Patient C
The nurse is teaching about a heart healthy diet to a community group with newly diagnosed hypertension. What should the nurse include in the teaching?
- Reduction of salt is important to controlling the fluid in your body.
- Increase the amount of meat you eat to increase your protein intake. 1 / 4
- Decrease the amount of fruits and vegetables you eat because of fiber.
- Minimize your intake of sugar to keep your blood glucose level in control. - ANSWER-A.
Reduction of salt is important to controlling the fluid in your body.
The nurse is caring for a patient with a history of hypertension and diabetes whose blood pressure is 190/120 mmHg on admission with slurred speech. He is anxious and tachypneic. What is the nurse's priority action?
- Administer labetalol 400 mg orally.
- Obtain a finger stick glucose reading.
- Begin oxygen at 2 L/nasal cannula.
- Administer labetalol 20 mg intravenously - ANSWER-D. Administer labetalol 20 mg
intravenously
The nurse is reviewing the factors of deep-vein thrombosis. What provides the greatest risk?
- Diabetes
- Pregnancy
- Dyslipidemia
- Limb ischemia - ANSWER-B. Pregnancy
The nurse is teaching a patient about the interventions to prevent the development of deep-vein thrombosis (DVT). Which statement made by the patient indicates the need for further teaching?
- "I should take adequate fluids."
- "I should use compression stockings."
- "I should elevate my legs 10° to 20° while at rest."
- "I should limit my physical activity and spend more time sitting." - ANSWER-D. "I should limit my
physical activity and spend more time sitting."
The nurse is caring for patients at risk for developing a deep vein thrombosis. Which clients are the most concerning? Select all that apply.
- Obese patient with a body mass index (BMI) of 32, being treated for pneumonia.
- Patient who is a distance runner, treated for a clavicle fracture.
- Older patient with a fractured femur.
- Postmenopausal patient with breast cancer. 2 / 4
- Patient in atrial fibrillation who had a syncopal episode. - ANSWER-C. Older patient with a
- Postmenopausal patient with breast cancer.
fractured femur.
The nurse caring for a patient in skeletal traction says, "my calf hurts on the other leg." The nurse asks the patient to describe the pain. Which pain description is consistent with deep vein thrombosis (DVT)?"
- Pressure feeling deep inside the leg
- Stabbing pain on the surface of the calf
- Sudden onset
- Dull ache that is relieved with movement - ANSWER-C. Sudden onset
The nurse is preparing to administer heparin therapy to a patient with a deep vein thrombosis.Available is a vial of 5000 units per mL solution. The order is for the delivery of 1000 units of heparin IV push. How many milliliters should the nurse deliver? Enter the numeral only. - ANSWER-0.2
The nurse assesses a postoperative patient who is on bedrest. How should the nurse document this equipment used for the prevention of deep vein thrombosis?
- Graduated compression stockings
- Venous foot pumps
- Active external intermittent compression devices
- Thromboembolic deterrent hose (TED) - ANSWER-C. Active external intermittent compression
devices
The nurse is caring for a patient with suspected peripheral artery disease (PAD) who asks what kind of tests he will have to go through. What should the nurse explain as possible diagnostic tests that are used? Select all that apply.
- Treadmill test
- Toe brachial test
- Ankle brachial test
- Plethysmography test
- Radiographic imaging - ANSWER-A. Treadmill test
- Toe brachial test 3 / 4
- Ankle brachial test
- Plethysmography test
- Radiographic imaging
A patient has been started on anticoagulation therapy for prevention of developing another deep vein thrombosis. Which medication requires instructions on decreasing ingestion of vitamin K?
- Rivaroxaban
- Low molecular weight heparin
- Warfarin
- Unfractionated heparin - ANSWER-C. Warfarin
A patient is started on low molecular weight heparin (LMWH). What complications should the nurse monitor for?
- Increased platelet aggregation
- Thrombocytopenia
- Significant risk of hemorrhage
- Symptomatic bradycardia - ANSWER-B. Thrombocytopenia
While caring for a patient with atherosclerotic disorder, the nurse observes that the patient has difficulty speaking because he states that he has lost vision in one eye. What should the nurse do next?
- Contact the health-care provider.
- Complete a focused neurological assessment.
- Call a rapid response.
- Order a computed tomography (CT) scan. - ANSWER-B. Complete a focused neurological
assessment.
Which nursing intervention performed by the nurse when caring for a patient with coronary artery disease helps in dilating the coronary arteries?
- Administering aspirin as ordered
- Administering nitroglycerin as ordered
- Administering calcium channel blockers as ordered
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