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NURS245 - Exam 4 - Cardiac Review Flashcards | StudBud
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NURS245 - Exam 4 - Cardiac Review
NURS245 - Exam 4 - Cardiac Review
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Review for Cardiac Exam #4
Flashcards
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Questions
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Answers
1
A nurse is reviewing lab results for a patient 4 hrs after a MI. Which lab value would the nurse expect to be elevated?
Aspartate aminotransferase (AST)
Troponin I
Unconjugated bilirubin
Serum amylase
2
What diagnostic test is best for detecting DVT in the calf?
X-ray of the calf
CT scan of the leg
Venous duplex ultrasound
MRI of the leg
3
Question
"Don't worry, you'll get used to it soon."
"Cardiac rehab can help you manage your heart condition effectively."
"Trust your doctor; they know what they're doing."
"Others in your situation found it useful; you will too."
4
Before giving digoxin to a heart failure patient, which lab value should the nurse prioritize?
Potassium level
Blood glucose level
Sodium level
WBC count
5
Question
I've been experiencing heartburn and indigestion recently.
I have severe, crushing chest pain that has lasted for over 30 minutes.
I felt a stabbing pain in my chest, but it went away after a few seconds.
The pain in my chest went away when I sat down and rested for a bit.
6
What finding is expected in a client with peripheral arterial disease?
Skin hyperpigmentation
Hair loss on the extremities
Edema
Increased leg circumference
7
During the acute phase of a MI, what should a nurse administer to manage pain and anxiety for the client?
Morphine
Fentanyl
Heparin
Ativan
8
Question
"I feel completely fine when I'm resting."
"I've had this squeezing sensation in my chest."
"I've felt shortness of breath when walking up the stairs."
"I experience pain in my jaw and left arm occasionally."
"I've had frequent palpitations lately."
9
What effect does dopamine IV have on renal perfusion?
Initially decreases, then increases renal perfusion
No effect on renal perfusion
Increases renal perfusion
Decreases renal perfusion
10
A nurse is instructing a client who will undergo a cardiac MRI soon. What should the nurse teach about this test?
"Drinking coffee is not allowed before the test."
"All metal accessories, such as jewelry, must be removed."
"You can keep your eyeglasses on during the test."
"Plan to be immobile for about 40 minutes."
11
What should the nurse instruct the client to do with their affected leg after a cardiac catheterization?
Apply a hot pack to the affected leg.
Keep the affected leg straight and immobile.
Flex the affected leg intermittently.
Keep the affected leg elevated at a 45-degree angle.
12
Which food choice shows the client understands a low-cholesterol diet post-coronary bypass?
Quinoa and bean salad
Shrimp cocktail
Steak and potatoes
Baked chicken breast
Tofu stir-fry
Avocado toast
13
What data does the nurse need to gather to accurately calculate a client's cardiac output?
Pulse oximetry reading
Heart rate
Capillary refill time
Body mass index (BMI)
14
A patient is scheduled for an MRI with IV contrast. Which should be temporarily discontinued to prevent kidney injury?
Aspirin
Lisinopril
Atorvastatin
Metformin
15
A patient with CHF on digoxin therapy reports feeling nausea and has skipped lunch. What is the nurse's priority action?
Schedule a dietary consult.
Offer the patient an alternative meal.
Administer an antiemetic as needed.
Check the patient's apical pulse.
16
A nurse has a client with atherosclerosis & peripheral artery disease (PAD). What finding should the nurse expect?
Reduced urine output
Respiratory rate of 22/min
Intermittent claudication during exercise
Elevated white blood cell count
17
Which laboratory marker is indicative of heart muscle injury shortly after a cardiac event?
Blood urea nitrogen (BUN)
Hemoglobin A1C
Troponin I
Direct bilirubin
18
Question
We draw blood to prepare for potential surgical intervention.
The blood tests rule out conditions like respiratory infections.
Blood tests show any problems with your family member's kidneys.
"The tests show how much damage has occurred to the heart muscle."
19
In a patient with a past myocardial infarction, why would a daily dose of aspirin 325 mg be recommended?
To reduce inflammation
To relieve pain
To lower body temperature
To inhibit clot formation
20
Which sign is most indicative of cardiac tamponade in a client with a chest wound?
Muffled heart sounds
Peripheral edema
Increased respiratory rate
Pulsus paradoxus
Decreased urine output
21
Question
"Stand up quickly to allow your body to adjust."
"You are probably allergic to nitroglycerin."
"These symptoms are common side effects of nitroglycerin."
"These symptoms are a sign that the medication is not effective."
22
Question
"Has your child traveled to any tropical areas recently?"
"Has your child been experiencing headaches or migraines?"
"Has your child recently experienced any urinary tract issues?"
"Has your child been exposed to strep throat in the last few weeks?"
23
A client with heart failure has a potassium level of 2.9 mEq/L. Which medication could be the culprit for the low level?
Metformin
Triamterene
Furosemide
Spironolactone
24
For a patient with chronic venous insufficiency, which of the follwing signs is expected?
Edema
Improved arterial pulses
Hair growth improvement
Decreased leg circumference
25
Which procedure heightens a patient's risk for deep-vein thrombosis the most post-operatively?
Dental extraction
Tonsillectomy
Open cholecystectomy
Knee replacement surgery
26
Before giving digoxin to a client with atrial fibrillation, what should the nurse assess?
Blood glucose level
Client's respiratory rate
Body weight
Apical pulse for 1 minute
27
Question
Contact emergency services for immediate hospital admission.
Instruct the client to perform deep breathing exercises.
Encourage the client to restrict fluid intake immediately.
Recommend sleeping with extra pillows to elevate the head.
Ask about medication adherence, especially diuretics & cardiac medications.
28
Which of the following are associated with peripheral arterial disease?
Varicose veins
Stasis ulcers
Edema
Intermittent claudication
29
A client on digoxin therapy for heart failure reports new symptoms. Which statement suggests digoxin toxicity?
"I've been going to the bathroom a lot more."
"My lower back has been hurting for a week."
"I'm experiencing a loss of appetite and nausea."
"I've been feeling really energetic lately."
30
Which symptom suggests digoxin toxicity?
Nausea and loss of appetite
Visual disturbances
Increased stamina
Frequent urination
31
A patient had a cardiac catheterization using a right femoral artery access. Which pulse should the nurse assess?
Left femoral pulse
Right brachial pulse
Left radial pulse
Right dorsalis pedis pulse
32
Which of the following is essential for post-CABG recovery BESIDES pain relief?
Deep breathing
Higher blood pressure
Improved sleep quality
Enhanced mood
33
Which of the following s/s should the nurse identify as indicative of developing left-sided heart failure?
Peripheral pitting edema
Jugular venous distension
Ascites
Crackles or wheezes on auscultation
Orthopnea
Fatigue
34
A patient with peripheral vascular disease complains of cold hands. What should the nurse do for the client's comfort?
Massage the client's hands vigorously.
Apply hot compresses to the client's hands.
Encourage increased caffeine intake.
Provide warm gloves for the client.
35
A patient complains of a hot, swollen, and painful area behind the left knee. What order does the nurse anticipate?
Chest X-ray.
Apply an ice pack to the area.
Arterial blood gas test.
Venous duplex ultrasound.
36
Which is NOT a therapeutic effect of dopamine infusion?
Increased cardiac output
Elevated renal perfusion
Reduced blood flow to kidneys
Enhanced myocardial contractility
37
Which medication should a nurse expect to administer to a client who has just developed a pulmonary embolism?
Metformin
Nifedipine
Epinephrine
Heparin
38
Question
Numbness and pain while at rest
Swelling in the ankles
Muscle cramps after walking
Skin discoloration on the foot
39
What non-analgesic benefit do opioids provide post-CABG?
Raising heart rate
Lowering urine output
Reducing anxiety
Facilitating deep breathing
40
Which intervention should a nurse prioritize for a client who has developed a pulmonary embolism?
Administer heparin IV.
Administer oxygen therapy.
Elevate the head of the bed.
Perform a 12-lead ECG.
41
A nurse is managing a client with CHF who has just started on furosemide. Which adverse effect should the nurse monitor?
Hyperglycemia
Orthostatic Hypotension
Hypomagnesemia
Hyperkalemia