Ivana603 Preview - Students also studied Science MedicineNursing Save

Davis Edge: Cardiac part 1

Students also studied Science MedicineNursing Save Understanding cultural components...48 terms Ivana603Preview Ch. 7 Hartman 29 terms wolkowitzs8439 Preview HSC&S Ch7 10 terms arabella_le_thats_me Preview exam 5 68 terms bre Hypertension can lead to which change in the heart?

1.Increase in size of left atrium 2.Increase in size of left ventricle 3.Increase in size of right atrium 4.Increase in size of right ventricle

• increase in size of left ventricle

The nurse is assessing the pulse of a client.The pulse disappears when slight pressure is applied and returns when the pressure is removed. This describes a pulse of what quality?

1.0 2.1+ 3.2+ 4.3+

• 1+

The nurse is monitoring a client's pulse and notes there are fewer radial beats than apical beats. Which action by the nurse is best?

1.Document the finding as normal 2.Continue to monitor the pulses more frequently 3.Notify the health-care provider 4.Instruct the client to stand, and recheck

• Notify HCP

Which internal factor may contribute to hypertension?

1.Decreased blood viscosity 2.Decreased fluid volume 3.Decreased peripheral vascular resistance 4.Decreased elasticity of blood vessels

• decreased elasticity of blood vessels

The nurse is caring for a client with hypertension. Which clinical manifestations should the nurse expect the client to exhibit? Select all that apply.

1.Asymptomatic 2.Headache 3.Bloody nose 4.Shortness of breath 5.Feeling of calmness

1,2,3,4

The nurse is caring for a group of clients.Which client is at highest risk for developing hypertension?

1.A 56-year-old African-American female who is 5'4" and weighs 260 pounds.

2.A 30-year-old Hispanic male who is 6'0" and weighs 240 pounds.

3.A 45-year-old Caucasian woman who is 5'5" and weighs 120 pounds 4.A 60-year-old Hispanic male who is 5'7" and weighs 145 pounds

• A 56-year-old African-American female who is 5'4" and weighs 260 pounds.

The nurse is providing teaching regarding the DASH diet for a client diagnosed with hypertension. Which statement made by the client indicates a need for further education?

1."I should eat five servings of fresh fruit each day." 2."Four times per week I can eat one-third cup of nuts or one-half cup of cooked beans." 3."I should eat one-half cup of oatmeal in the morning." 4."I can eat foods high in sodium as long as I drink plenty of water."

• "I can eat foods high in sodium as long as I drink plenty of water."

The nurse is caring for a client receiving furosemide. The nurse should provide the

following education to the client:

1.Avoid all sources of potassium 2.Take the medication in the morning 3.If edema occurs, double the dose 4.This medication must be taken on an empty stomach

• take med in morning

The nurse is caring for a client with hypertension. The client is at risk for which of the following? Select all that apply.

1.Stroke 2.Liver failure 3.Heart failure 4.Pulmonary edema 5.Hypothyroidism 1,3,4

The nurse is providing teaching for a client being discharged home with metoprolol.Which of the following is most important for the nurse to include in the teaching?Select all that apply.

1.Weigh yourself weekly

• Check blood pressure before taking the

medication

• sit up slowly from a lying position

4.Do not stop taking the medication abruptly 5.Notify the health-care provider if dizziness occurs

1,3,4,5

A client with a diagnosis of hypertension who has been taking medication reports a dry cough. Which medication can the nurse expect to find in the client's medication history?

1.Amlodipine 2.Lisinopril 3.Clonidine 4.Furosemide

• Lisinopril

A client presents to the emergency department with chest pain. Which blood study is most important to monitor to rule out a myocardial infarction (MI)?

1.Complete blood count (CBC) 2.Cardiac troponin 3.Kidney function tests 4.Potassium level

• cardiac troponin

The nurse is assessing a client who reports chest pain along with pain in the shoulder.Which term describes this pain?

1.Radiate 2.Severity 3.Type 4.Onset

• Radiate

The nurse obtains a blood pressure (BP) reading of 134/86. According to the blood pressure categories, this client's blood pressure is in which category?

1.Normal 2.Elevated 3.Stage I Hypertension 4.Stage II Hypertension

• Stage I Hypertension

The nurse is caring for a client with hypertension. Which of the following are complications that can occur? Select all that apply.

1.Systemic lupus erythematosus (SLE) 2.Hypothyroidism 3.Stroke 4.Myocardial infarction (MI) 5.Kidney failure 3,4,5 The nurse is providing teaching regarding healthy food choices to a client with hypertension. Which food choice indicates that the client understood the teaching?

1.One medium bean burrito with small French fries 2.One large deli ham sandwich with two slices of cheese 3.½ cup of canned vegetables with 1 cup of chicken noodle soup 4.1 small apple with 1 cup of raw leafy vegetables and 1 ½ ounce of cheese 4.1 small apple with 1 cup of raw leafy vegetables and 1 ½ ounce of cheese A client returns to the clinic for a follow-up after being treated for hypertension for 4 months. Which assessment data indicates that the medication has been effective?

1.Weight loss of 2 pounds 2.Client reports riding a bicycle for 30 minutes daily 3.Client reports eating food from the DASH diet guidelines 4.Blood pressure is 116/70

4. BP 116/70

The nurse is caring for a group of clients.Which client should the nurse see first?

1.A client waiting to be taken for cardiac catheterization 2.A client with a manual blood pressure of

224/114

3.A client awaiting discharge following a cardiac catheterization 8 hours ago 4.A client who takes lisinopril and who reports a cough 2.A client with a manual blood pressure of 224/114 The nurse is caring for a group of clients.Which client should the nurse see first?

1.A client with a blood pressure of 200/104 in kidney failure 2.A client with a blood pressure of 180/80 with a potassium of 3.0 mEq/L 3.A client with a blood pressure of 190/100 who reports intermittent claudication 4.A client with a blood pressure of 180/90 who reports chest pain 4.A client with a blood pressure of 180/90 who reports chest pain