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Cardiac Exam Flashcards | StudBud
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Cardiac Exam
Cardiac Exam
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1
which data would cause a nurse to question administering digoxin to a patient w/ CHF?
digoxin level is 1.2 mcg/ml
K+ 3.2 meq/L
apical pulse is 64 bpm
pt denies yellow haze
2
which instruction will assist a client with heart failure to prevent complications?
weigh yourself daily w same amount of clothing
when you feel SOB, take an additional diuretic
drink at least 2L of fluid daily
eat 6 small meals daily
3
pt w/ AAA of 8 cm admitted for repair. which s/sx wouldn’t make the nurse suspect client has an expanding AAA?
increased abdominal girth
C/O low back pain
decreased urine output
weakened radial pulses
4
which med do you give for bradycardia, hypotension, and dizziness?
atropine
lidocaine
metoprolol
digoxin
5
a client’s ECG tracing shows a run of sustained V Tach. What is the first action the nurse will take?
assess airway, breathing, LOC
administer verapamil IV push
begin CPR
defibrillate client
6
Which info from UAP would require immediate intervention for pt 1 day post-op AAA repair?
VS: T 98, P 90, RR 18, BP 130/70
pt refuses to turn from back to side
urinary output 90 ml/6 hours
pt wants to sit on side of bed
7
which is potential comp in pt w/ infective endocarditis who has an embolization of vegetative lesions in mitral valve?
hemoptysis
cerebrovascular accident
DVT
PE
8
which finding would nurse expect in assessment of pt w/ pericarditis?
presence of gallop rhythm
irregular heart rate that speeds up and slows down
friction rub at the left lower sternal border
Substernal lift at the apex
9
which clinical manifestation should alert nurse to impending PE in 75 y/o w/ Heart failure ?
sacral edema
confusion
dysphagia
irregular HR
10
A client receiving unfractionated heparin is hemorrhaging. which medication will the nurse administer ?
protamine sulfate
enoxaparin
vitamin K
warfarin
11
client returning from arterial revascularization states they feel pain similar to before the procedure in aff limb.
admin pain med
notify surgeon
place warm blanket on operative limb
elevate extremity
12
which ass data would warrant immediate intervention by nurse?
immobile pt refusing to turn for last 3 hrs
pt who had open cholecystectomy refuses to breathe deeply
pt who has had an inguinal hernia who must void before d/c
pt w/ DVT C/O pain on inspiration
13
which manifestation of CVD indicates arterial insufficiency?
rubor in dependent foot
paradoxical BP
dependent edema
clubbing of fingers and toes
14
which assessment data supports dx of AAA?
abdominal bruit
ripping abdominal pain
dec urinary output
SOB
15
The client w/ V Tach is unresponsive and has no pulse. What is the next action?
defibrillate
initiate CPR
carry out emergency cardioversion
administer epinephrine
16
which conditions are caused by left-sided heart failure?
confusion
pulmonary HTN
cough worsens at night
S3/S4 gallop
17
which assessment data would require immediate intervention for pt 6 hrs post op AAA repair?
C/O pain at site of incision
distended, tender abdomen
absent bilateral pedal pulses
elevated temp of 100 degrees
18
client is taking HCTZ and furosemide. Which finding alerts nurse to serious S/E?
bradycardia
H/A
cough
hypokalemia
19
HCP has prescribed warfarin while client is still receiving IV heparin. which is nurses best action?
turn off the heparin drip for one hour before administration
hold the dose of warfarin
d/c heparin drip completely before warfarin administration
administer meds as prescribed
20
what is the nurses priority intervention for a client with an exacerbation of heart failure?
monitor resp status
insert a Foley catheter
Monitor serum electrolytes
Administer IV fluids
21
what manifestation alerts nurse to the possibility that client’s mitral stenosis has progressed?
dyspnea on exertion
O2 sat of 92%
loss of strength in the upper extremities
systolic crescendo-decrescendo murmur
22
client w/ PAD and claudication states burning pain often awakens him from sleep. what is nurse’s interpretation?
client has outflow dz
client has inflow dz
client’s dz is stable
client’s dz is worsening
23
Which med prevents systemic emboli in chronic A Fib?
lidocaine
heparin
atropine
sotalol
24
which tx would be prescribed for AAA less than 3 cm
IV Pyelogram yearly
repair of aneurysm
assessment of abdominal girth monthly
ultrasound q6 months
25
what is the priority problem in the patient diagnosed with CHF ?
Knowledge deficit
dec CO
fluid volume overload
activity intolerance
26
The nurse assesses for which client outcome as indicative of effective HTN mgmt?
client’s BP reading is stable @ 148/94
client has not developed pedal edema
no ind of target organ damage
no evidence sexual dysfunction
27
which finding in the clients history leads nurse to suspect rheumatic carditis?
client is currently taking antibiotics
client has a history of alcoholism
client has had a sore throat for one week
client was vacationing in tropics 2 wks ago
28
which additional finding does the nurse expect in a client with a venous ulcer on the left ankle?
brownish discoloration of lower extremity at ulcer site
extremity is cold and gray-blue in color
skin surrounding ulcer is mottled, toenails are thickened
dependent rubor and absence of hair
29
A nurse notes increasing difficulty in auscultating heart sounds in pt w/ pericarditis. what is best first action?
notify the physician
increase IV flow rate
use a doppler to assess heart sounds
administer oxygen by mask
