MS Ex 2 Su 24

An exam finding of 2+ pitting edema in lower extremities indicates what to the RN?

What is the priority nursing action for a client with BP 90/60 mm Hg with Hydralazine and Isosorbide dinitrate due?

The nurse observes a bluish tinge around a client's lips. What does the RN determine that this finding indicates?

The RN is educating a client about nitroglycerin. Which information should be included?

Which pre-procedural med will a client with impaired renal function receive when scheduled for a multidetector scan?

Which is the best nursing response to a client asking about the cardioprotective benefit of estrogen replacement?

A client has missed 2 doses of digitalis. Which lab result would indicate the patient is within therapeutic range?

Which BP reading reflects a reduce pulse pressure?

What does the RN document as the difference between the systolic and diastolic pressures?

A client followed monthly at the clinic for BP checks has a BP of 158/64 today. This finding indicates

Which med will most likely be prescribed for a client who developed a dry hacking cough while taking an ACE inhibitor?

A client 2 days post-op pacemaker insertion is having hiccups. Which does the RN identify is happening with the client?

Which procedure may be recommended for a client who has recurrent episodes of tachyarrhythmias w/o response to meds?

A client w/ HF who c/o no sx at rest but is symptomatic w/increased physical activity. Which NYHA classification?

The nurse auscultates heart sounds of a patient with mitral stenosis. The pulse is weak & irregular. Which rhythm?

For what serious complication of pericarditis should the RN monitor?

Which client statement regarding a new propranolol prescription indicates additional teaching is needed?

Client diagnosed w/pre-hypertension is encouraged to exercise & begin wt loss program. A follow up should be scheduled

Which immunosuppressant will be necessary after a heart transplant?

How long is the recovery period of AKI expected to last?

Which complication will the RN monitor for in a patient with a HR of 140?

The most common and serious complication of CAPD is ____________.

The RN cares a client with heart failure. Which classification of med does the RN administer to improve sx and survival?

A client takes amiloride & lisinpril for HTN. Which lab studies should the RN monitor while patient takes these meds?

The RN palpates a pulse w/quick, sharp strokes that suddenly collapse. This is diagnostic for what?

__________________, likely due to the use of glucose containing dialysate, is common in clients on long-term PD.

_____________ & ____________ cause approximately 70% of cases of chronic kidney disease.

What will the RN do first upon finding an unresponsive client with a flat line on the monitor?

Which symptom is significant for diagnosis with pericarditis?

A client arrives with BP 180/110 but no evidence of impending organ damage. Which situation is client experiencing?

How much pressure needs to be applied to paddles during defibrillation?

During the oliguric phase of AKI, what protein intake is recomended for 165-lb client?

Following the diuretic phase of AKI, what diet is recommended?

The RN is adminstering diltiaem to a client with symptomatic sinus tachycardia at 132 bpm. What action is anticipated?

__________ is characterized by increased glomerular permeability, & manifested by massive proteinuria.

Which indicates aldosterone should be withheld and provider notified in a client with heart failure?

What is a key diagnostic test to determine the severity of a client's heart failure?

Two forms of nephrosclerosis are

Which rhythm will be interpreted when client suddenly becomes unresponsive, has no pulse & chaotic, disorganized rhythm?

A client in RR after surgery has extremity parasthesia, peaked T waves, & confusion. Which electrolyte imbalance?

The RN is reviewing labs for a client suspected of having an MI. Which cardiac-specific isoenzyme is monitored?

The most common type of renal CA arises from the renal parenchyma & accounts for ____ % of all kidney tumors.

Which medication would be administered for HR 36?

What type of murmur does the RN correlate with a dx of mitral valve regurgitation?

Which finding in the patient history correlates w/dx of hypertrophic cardiomyopathy?

When measuring for JVD to determine abnormal increase in blood volume, at what angle should the patient be sitting at?

A patient undergoing angiography experiences nausea & difficulty breathing. Which med is a priority?

The major manifestation of nephrotic syndrome is ___________.

The RN is administering a beta-blocker to a patient in order to decrease automaticity. Which med will be given?

Over what area should the RN place the stethoscope to ausculate the apex of the heart?

For which type of procedure will the nurse prepare the patient with fused mitral leaflets?

The characteristics of first degree AV block include

What education will the RN provide to a client with stage A (ACC classification) heart failure?

Which indicator is present for the patient to have a percutaneous transluminal coronary angioplasty (PCTA)?

Which finding is significant when obtaining orthostatic VS?

Which factor is most important in regulating the caliber of blood vessels, determining the resistance to flow?

Which of the following is contraindicated for patient with severe CAD?

The RN anticipates a client will receive treatment for which condition with an EF of 35% on echocardiogram?

Which part of the telemetry strip will be used to analyze ventricular rate and rhythm?

Which will the RN document related to the vital sign assessment of a client with a pernament pacemaker?

Which medication would the RN question & discuss with the provider as it related to pericarditis?

Ventricular rate 88, irregular. No discernable P waves. Rhythm is

A patient is being monitored in the ICU. Which post-cardiac surgery complication is assoc w/alteration in preload?

A client in ED reports CP after cocaine use. VS: BP 140/92, HR 128, RR 26, O2 sat 98%. Which rhythm is expected ?

A client w/dilated cardiomyopathy is having episodes of V Fib. Which would be best to sense & terminate the episodes?

Which finding may be observed during a focused assessment of the eyes in a client with severe HTN?

Which results indicate a client is not at significant risk for development of CAD?

A client describes SOB, periods of "lightheadedness" & feeling fatigued. RN notes systolic click. Which will RN suspect?

Homocysteine, an amino acid, is linked to the development of _________ b/c it can damage endothelial lining of arteries

Client w/HTN has maintained BP 130/70 x 1 year by reducing Na & taking HCTZ & atenolol. Which will the RN educate about

Which bacterium causes rhematic endocarditis?

Which interventions help relieve leg pain during rest in a client with peripheral arterial insufficiency?

Which of the following is a an angiotensin II receptor blocker (ARB)?

Which medication will be used to prevent thrombi in a client newly diagnosed with A Fib?

Which BP reading is indicative of an abnormal postural response?

The 4 phases of AKI are

The PACU RN observes regular ventricular rate 82 bpm & "sawtooth" P waves w/atrial rate of about 300 bpm. The rhythm is

An abnormal heart sound is detected early in diastole a client w/HF. How will the RN document this finding?

The ICU responds to an alarm & finds client unresponsive, no pulse & a flat line on the monitor. The 1st action will be

Which diagnostic test would be most helpful to identify cardiomyopathy?

Where is the apical pulse located if the heart is in the normal position?

Which is the resting phase before the next depolarization?

Which test for suspected rheumatic endocarditis?

Two blood levels that are significantly increased in AKI are ______ & _______.

Where is the inflammation in pericarditis?

A patient has been intubated. Which priority action by the nurse will assist in the confirmation of tube placement?

RN educates client r/t mitral valve prolapse diagnosis. Which client statement demonstrates understanding?

The most accurate indicator of fluid loss or gain in an acutely ill patient is _________

Which diagnostic test would be best to determine left ventricular enlargement?