ADN 232 Cardaic 1

Question 1

pt newly dx w/ hypertension. RN plans to do which as the first step in teaching about disorder?

Accepted Answer

identify the pts knowledge and needs

Question 2

pt dx w/ primary hypertension is taking chlorothiazide. teaching is effective when the pt says the following: select all

Accepted Answer

take weight daily at the same time each day, do not drink alcoholic beverages while on this medication, reduce salt intake

Question 3

newly dx with angina ask how to prevent future angina attacks. RN should teach:

Accepted Answer

dress appropriately in very cold or very hot weather

Question 4

which instruction should be given to pt who is prescribed amiloride to treat hypertension?

Accepted Answer

take the med in the morning w/ breakfast

Question 5

pt w/angina has instructions on lifestyle changes to control disease process. statement indicate need further teaching?

Accepted Answer

try to exercise at least once a week for 30 mins

Question 6

50yo w/ fam history of CAD. fasting lab: choles 198, HDL 58, LDL 120, trigly 148, BS 102, CRP 4.2. why statin & aspirin

Accepted Answer

the CRP is elevated = inflammation seen in cardiac disease. these meds help

Question 7

nurse completed an assessment on a client with a decreased cardiac output. finding should receive the highest priority?

Accepted Answer

confusion, urine output 15 ml over last 2 hours, orthopnea

Question 8

pt taking clonidine for hypertension. following common adverse effects of this drug? select all.

Accepted Answer

dry mouth, sleep disturbance, impotence

Question 9

RN preparing to give beta blocker to pt w/ CAD. which assessment data would cause the nurse to question giving the med?

Accepted Answer

apical pulse of 56

Question 10

RN has counseled someone after cardiac surgery about safety related to sexual activity. needs further teaching?

Accepted Answer

the room should be slightly chilly so I don't get overheated

Question 11

which client is at greatest risk for CAD?

Accepted Answer

65 yr old female who is obese with an LDL of 188

Question 12

pt w/ chest pain of 8/10 & EKG w/ ST elevation & elevated troponin. highest priority nurse management at this time?

Accepted Answer

reduce pain and myocardial oxygen demand

Question 13

pt has throbbing headache after taking nitroglycerin for angina. nurse should instruct:

Accepted Answer

tylenol or ibuprofen can be taken for this common side effect

Question 14

nurse teaches a pt who has been dx w/hypertension about following a low-fat, low-sodium diet. which menu is best?

Accepted Answer

baked chicken, an apple, and a slice of white bread

Question 15

following dx of angina a pt reports not being able to walk up 2 flights of stairs w/out pain. what would prevent prob?

Accepted Answer

take a nitroglycerin tablet before climbing the stairs

Question 16

Pt is trying to identify risk factors for CAD. Labs: total cholesterol 183, LDL 110, HDL 65. RN determines:

Accepted Answer

pt is low risk for CAD

Question 17

an older adult has chest pain and shortness of breath. Dr. prescribes nitroglycerin tablets. nurse instruct pt to do...

Accepted Answer

put tablet under tongue until it's absorbed

Question 18

dr. prescribes nitroglycerin for angina. drug's principal effects are produced by:

Accepted Answer

vasodilation of peripheral vasculature

Question 19

pt has been managing angina episodes with nitroglycerin. which of the following indicate the drug is effective?

Accepted Answer

decreased chest pain

Question 20

pt is taking metoprolol for hypertension. which of the following info should nurse include in teaching plan? select all.

Accepted Answer

do not crush or chew tablets, report any fainting spells to the health care provider, tablets should be taken with food at the same time each day, have blood glucose level drawn every 6-12 months during therapy

Question 21

the pt w/angina has been told to follow a low cholesterol diet. which of the following meals would be best?

Accepted Answer

spaghetti w/tomato sauce, salad, and coffee

Question 22

teaching a client about propanalol, nurse should base the information on the following knowledge:

Accepted Answer

blocks beta stimulation, lowers HR, myocardial contractility, & conduction

Question 23

RN developing teaching plan for older pt w/ hypertension. pt needs to learn to manage diet and meds. RN should first:

Accepted Answer

determine pt's readiness to learn

Question 24

a client taking nifedipine should be instructed to:

Accepted Answer

inspect gums daily

Question 25

nurse notices that a client's heart rate decreases from 63 to 50 BPM on the monitor. the nurse should first:

Accepted Answer

take the client's blood pressure

Question 26

which of the following is NOT a risk factor for the development of atherosclerosis?

Accepted Answer

late onset of puberty

Question 27

pt is scheduled for a rt femoral cardiac cath. nursing intervention should the nurse implement after procedure.

Accepted Answer

assess the client's neurovascular status

Question 28

which pt teaching should the nurse implement for the pt diagnosed with CAD? select all.

Accepted Answer

instruct pt to walk 30 mins a day, teach pt to increase fiber in the diet, encourage a low fat, low cholesterol diet

Question 29

nurse teaching about use of furosemide in pt w/hypertension. pt needs further education when they say:

Accepted Answer

i know i should not drive after taking my lasix.

Question 30

pt dx w/anterior MI 2 days ago. upon assessment nurse identifies systolic murmur at apex. nurse should first:

Accepted Answer

assess for changes in vitals

Question 31

RN working at health screening clinic gathers data about pt's risk of coronary artery disease. risks are modifiable? all

Accepted Answer

cigarette smoker, physically inactive, personal history of diabetes mellitis

Question 32

RN trying to assess pt's adjustment to new dx of CAD. which question will give most useful response?

Accepted Answer

How do you feel about the lifestyle changes you are planning to make?

Question 33

after an MI, the hospitalized pt is taught to move the legs while resting in bed. expected outcome of this exercise is:

Accepted Answer

prevent thrombophlebitis & clot formation

Question 34

pt with MI has scripts. O2 nasal cannula @ 4L/min, CBC, radiograph, 12 lead EKG, & 2 mg of morpine sulfate. nurse do 1st

Accepted Answer

administer the morphine

Question 35

RN obtaining history from pt w/ CAD. RN determines which items from the history are modifiable risk factors?

Accepted Answer

hypertension & cigarette smoking

Question 36

expected outcome for a client on the 2nd day of hospitalization after a myocardial infarction.

Accepted Answer

can perform personal self-care activities without pain

Question 37

teaching a pt w hypertension to avoid orthostatic hypotension nurse should emphasize which of the following. select all.

Accepted Answer

avoid standing still for long periods, arise slowly from bed

Question 38

pt knows they need to quit smoking. nurse makes a plan to help pt achieve goal. first step?

Accepted Answer

establish the client's daily smoking pattern

Question 39

RN is performing assessment on pt w/primary hypertension. RN needs to do what to accurately assess patient's BP?

Accepted Answer

seat the pt with the arm bared, supported, and at heart level

Question 40

68 yr old pt on day 2 after hip surgery has no cardiac history but reports having chest heaviness. first nursing action?

Accepted Answer

ask about onset, duration, severity, and precipitating factors

Question 41

pt w/chest pain is prescribed IV nitroglycerin. which assessment is greatest concern for start of nitro drip?

Accepted Answer

blood pressure 88/46

Question 42

metropolol is added to med regime of diabetic female pt w/ stage 2 hypertension. expected therapeutic effect is:

Accepted Answer

decrease heart rate

Question 43

pt w/ chest pain is recieving IV morphine. which of the following results are intended effects of morphine? select all.

Accepted Answer

reduces anxiety and fear, reduces myocardial oxygen consumption, reduces blood pressure and heart rate

Question 44

Which of the following is an expected outcome when a client is receiving an IV administration of furosemide?

Accepted Answer

increased urine output

Question 45

nurse is discussing the importance of exercise w/ pt w/ CAD. intervention should the nurse implement?

Accepted Answer

do not walk outside if it is less than 40 degrees

ADN 232 Cardaic 1

Questions 45

ADN 232 Cardaic 1

Questions 45