NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS, Exams of Nursing

Download NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS and more Exams Nursing in PDF only on Docsity! NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ Cardiovascular Care of Patients with Dysrhythmias Ignatavicius: Medical-Surgical Nursing, 8th Edition • A nurse prepares to defibrillate a client who is in ventricular fibrillation. Which priority intervention should the nurse perform prior to defibrillating this client? ❖ Ensure that everyone is clear of contact with the client and the bed. • After teaching a client who has an implantable cardioverter-defibrillator (ICD), a nurse assesses the client’s understanding. Which statement by the client indicates a correct understanding of the teaching? ❖ “I will avoid sources of strong electromagnetic fields.” • A nurse cares for a client with atrial fibrillation who reports fatigue when completing activities of daily living. What interventions should the nurse implement NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ client’s blood pressure is 135/75 mm Hg and oxygen saturation is 94% on 2 liters per nasal cannula. The nurse assesses the client’s rhythm on the cardiac monitor and observes the reading shown below: Which action should the nurse take first? ❖ Ask the client what medications he or she takes. ✓ This client is stable and therefore does not require any intervention except to determine the cause of the bradycardia. Bradycardia is often caused by medications. Clients who have multiple chronic diseases are often on multiple medications that can interact with each other. The nurse should assess the client’s current medications first. NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ • The nurse is caring for a client on the medical-surgical unit who suddenly becomes unresponsive and has no pulse. The cardiac monitor shows the rhythm below: After calling for assistance and a defibrillator, which action should the nurse take next? ❖ Initiate cardiopulmonary resuscitation (CPR). ✓ The client’s rhythm is ventricular fibrillation. This is a lethal rhythm that is best treated with immediate defibrillation. While the nurse is waiting for the defibrillator to arrive, the nurse should start CPR. A pericardial thump is not a treatment for ventricular fibrillation. If the client does not NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ already have an IV, other members of the team can insert one after defibrillation. The client’s code status should already be known by the nurse prior to this event. • After assessing a client who is receiving an amiodarone intravenous infusion for unstable ventricular tachycardia, the nurse documents the findings and compares these with the previous assessment findings: Vital Signs Nursing Assessment Time: 0800 Temperature: 98° F Heart rate: 68 beats/min Blood pressure: 135/60 mm Hg Respiratory rate: 14 breaths/min Oxygen saturation: 96%NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ Respirations equal and unlabored. Client denies shortness of breath and chest pain. Client voids 420 mL of clear yellow urine. Based on the assessments, which action should the nurse take? ❖ Slow the amiodarone infusion rate. ✓ IV administration of amiodarone may cause bradycardia and atrioventricular (AV) block. The correct action for the nurse to take at this time is to slow the infusion, because the client is asymptomatic, and no evidence reveals AV block that might require pacing. Abruptly ceasing the medication could allow fatal dysrhythmias to occur. The administration of IV fluids and encouragement of coughing and deep breathing exercises are not indicated and will not increase the client’s heart rate. NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ • A nurse cares for a client with congestive heart failure who has a regular cardiac rhythm of 128 beats/min. For which physiologic alterations should the nurse assess? (Select all that apply.) ❖ Decrease in cardiac output ❖ Increase in blood pressure ❖ Decrease in urine output • A nurse teaches a client with a new permanent pacemaker. Which instructions should the nurse include in this client’s teaching? (Select all that apply.) ❖ “Until your incision is healed, do not submerge your pacemaker. Only take showers.” ❖ “Report any pulse rates lower than your pacemaker settings.” ❖ “Do not lift your left arm above the level of your shoulder for 8 weeks.” NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ • A nurse is teaching a client with premature ectopic beats. Which education should the nurse include in this client’s teaching? (Select all that apply.) ❖ Smoking cessation ❖ Stress reduction and management ❖ Adverse effects of medications • A nurse assesses a client with tachycardia. Which clinical manifestation requires immediate intervention by the nurse? ❖ Mid-sternal chest pain • A nurse teaches a client who experiences occasional premature atrial contractions (PACs) accompanied by palpitations that resolve spontaneously without treatment. Which statement should the nurse include in this client’s teaching? ❖ “Minimize or abstain from caffeine.” • The nurse asks a client who has experienced ventricular dysrhythmias about substance abuse. The client asks, “Why do you want to know if I use NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ UR 2032C CARDIOVASCULAR EXAM QUESTION D ANSWERS BEST EXAM SOLUTION ARANTEED SUCCESS LATEST UPDATE 2022 RADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ rate of 35 beats/min on the cardiac monitor. Which assessment should the nurse complete next? ❖ Level of consciousness • A nurse cares for a client with an intravenous temporary pacemaker for bradycardia. The nurse observes the presence of a pacing spike but no QRS complex on the client’s electrocardiogram. Which action should the nurse take next? ❖ Assess vital signs and level of consciousness. • A nurse supervises an unlicensed assistive personnel (UAP) applying electrocardiographic monitoring. Which statement should the nurse provide to the UAP related to this procedure? ❖ “Clean the skin and clip hairs if needed.” • A nurse assesses a client’s electrocardiogram (ECG) and observes the reading shown below: N S ANGUG NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ How should the nurse document this client’s ECG strip? ❖ Sinus rhythm with premature ventricular contractions (PVCs) ✓ Sinus rhythm with PVCs has an underlying regular sinus rhythm with ventricular depolarization that sometimes precede atrial depolarization. Ventricular tachycardia and ventricular fibrillation rhythms would not have sinus beats present. Premature atrial contractions are atrial contractions initiated from another region of the atria before the sinus node initiates atrial depolarization. NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ : Care of Patients with Vascular Problems Ignatavicius: Medical-Surgical Nursing, 8th Edition 1. A student nurse is assessing the peripheral vascular system of an older adult. What action by the student would cause the faculty member to intervene? ❖ Palpating both carotid arteries at the same time 2. The nurse is reviewing the lipid panel of a male client who has atherosclerosis. Which finding is most concerning? ❖ Triglycerides: 198 mg/dL 3. The nurse is evaluating a 3-day diet history with a client who has an elevated lipid panel. What meal selection indicated the client is managing this condition well with diet?NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ ago?” NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ 11. An older client with peripheral vascular disease (PVD) is explaining the daily foot care regimen to the family practice clinic nurse. What statement by the client may indicate a barrier to proper foot care? ❖ “My hands shake when I try to do things requiring coordination.” 12. A client is taking warfarin (Coumadin) and asks the nurse if taking St. John’s wort is acceptable. What response by the nurse is best? ❖ “No, it may interfere with the warfarin.” 13. A nurse is teaching a larger female client about alcohol intake and how it affects hypertension. The client asks if drinking two beers a night is an acceptable intake. What answer by the nurse is best? ❖ “No, women should only have one beer a day as a general rule.” 14. A nurse is caring for four clients. Which one should the nurse see first? ❖ Client who had a first dose of captopril NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ (Capoten) and needs to use the bathroom 15. A client had a percutaneous transluminal coronary angioplasty for peripheral arterial disease. What assessment finding by the nurse indicates a priority outcome for this client has been met? ❖ Distal pulse on affected extremity 2+/4+ 16. A client is 4 hours postoperative after a femoropopliteal bypass. The client reports throbbing leg pain on the affected side, rated as 7/10. What action by the nurse takes priority? ❖ Assess distal pulses and skin color. 17. A client had a femoropopliteal bypass graft with a synthetic graft. What action by the nurse is most important to prevent wound infection? ❖ Appropriate hand hygiene before giving care 18. A client is receiving an infusion of alteplase (Activase) for an intra-arterial clot. The client begins to mumble and is disoriented. What action by the nurse takes priority? NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ ❖ Assess the client’s lung sounds and oxygenation. 26. A nurse is caring for a client with a nonhealing arterial lower leg ulcer. What action by the nurse is best? ❖ Consult with the Wound Ostomy Care Nurse. 27. A client has peripheral arterial disease (PAD). What statement by the client indicates misunderstanding about self- management activities? ❖ “I can use a heating pad on my legs if it’s set on low.” 28. A client presents to the emergency department with a severely lacerated artery. What is the priority action for the nurse? ❖ Ensure the client has a patent airway. 29. The nurse is assessing a client on admission to the hospital. The client’s leg appears as shownNUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ below: What action by the nurse is best? ❖ Assess the client’s ankle-brachial index. 30. What nonpharmacologic comfort measures should the nurse include in the plan of care for a client with severe varicose veins? (Select all that apply.) ❖ Applying elastic compression stockings ❖ Elevating the legs when sitting or lying ❖ Reminding the client to do leg exercises 31. A nurse is preparing a client for a femoropopliteal bypass operation. What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.) ❖ Raising the siderails on the bed ❖ Recording baseline vital signs 32. A client has been bedridden for several days after major abdominal surgery. What action does the nurse delegate to the unlicensed assistive personnel (UAP) for deep vein thrombosis (DVT) prevention? (Select allNUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ that apply.) ❖ Apply compression stockings. ❖ Assist with ambulation. NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ aneurysm formation? (Select all that apply.) ❖ Atherosclerosis ❖ History of hypertension ❖ History of smoking 38. A client with a known abdominal aortic aneurysm reports dizziness and severe abdominal pain. The nurse assesses the client’s blood pressure at 82/40 mm Hg. What actions by the nurse are most important? (Select all that apply.) ❖ Assess distal pulses every 10 minutes. ❖ Notify the Rapid Response Team. ❖ Take vital signs every 10 minutes. 39. A nurse is caring for a client who weighs 220 pounds and is started on enoxaparin (Lovenox). How much enoxaparin does the nurse anticipate administering? (Record your answer using a whole number.) mg ❖ 90 mg ✓ The dose of enoxaparin is 1 mg/kg body weight, not to exceed 90 mg. This client weighs 220 pounds (110 kg), and so will get the maximalNUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ dose. : Care of Patients with Acute Coronary Syndromes Ignatavicius: Medical-Surgical Nursing, 8th Edition NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ 1. A client is receiving an infusion of tissue plasminogen activator (t-PA). The nurse assesses the client to be disoriented to person, place, and time. What action by the nurse is best? ❖ Stop the infusion and call the provider. 2. A client received tissue plasminogen activator (t-PA) after a myocardial infarction and now is on an intravenous infusion of heparin. The client’s spouse asks why the client needs this medication. What response by the nurse is best? ❖ “The heparin keeps that artery from getting blocked again.” 3. A client is in the hospital after suffering a myocardial infarction and has bathroom privileges. The nurse assists the client to the bathroom and notes the client’s O2 saturation to be 95%, pulse 88 beats/min, and respiratory rate 16 breaths/min after returning to bed. What action by the nurse is best? NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ 10. A client in the cardiac stepdown unit reports severe, crushing chest pain accompanied by nausea and vomiting. What action by the nurse takes priority? ❖ Maintain airway patency. NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ 11. An older adult is on cardiac monitoring after a myocardial infarction. The client shows frequent dysrhythmias. What action by the nurse is most appropriate? ❖ Assess for any hemodynamic effects of the rhythm. 12. The nurse is preparing to change a client’s sternal dressing. What action by the nurse is most important? ❖ Perform hand hygiene. 13. A client has an intra-arterial blood pressure monitoring line. The nurse notes bright red blood on the client’s sheets. What action should the nurse perform first? ❖ Put on a pair of gloves. 14. A nurse is in charge of the coronary intensive care unit. Which client should the nurse see first? ❖ Client who is 1 day post coronary artery bypass NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ graft, blood pressure 180/100 mm Hg 15. A client with coronary artery disease (CAD) asks the nurse about taking fish oil supplements. What response by the nurse is best? ❖ “The best source is fish, but pills have benefits too.” 16. A client has presented to the emergency department with an acute myocardial infarction (MI). What action by the nurse is best to meet The Joint Commission’s Core Measures outcomes? ❖ Give the client an aspirin. 17. A nurse is caring for four clients. Which client should the nurse assess first? ❖ Client who is 1-hour post angioplasty, has tongue swelling and anxiety 18. A nurse is caring for a client who is intubated and has an intra-aortic balloon pump. The client is restless and agitated. What action should the nurse perform first for comfort? ❖ Allow family members to remain at the bedside. NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ What action by the nurse is most important? ❖ Assess the client’s blood pressure and level of consciousness. 26. A nursing student learns about modifiable risk factors for coronary artery disease. Which factors does this include? (Select all that apply.) ❖ Hypertension ❖ Obesity ❖ Smoking ❖ Stress 27. A nurse is caring for a client who had coronary artery bypass grafting yesterday. What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.) ❖ Assist the client to the chair for meals and to the NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ bathroom. ❖ Ensure the client wears TED hose or sequential compression devices. ❖ Take and record a full set of vital signs per hospital protocol. 28. A nursing student studying acute coronary syndromes learns that the pain of a myocardial infarction (MI) differs from stable angina in what ways? (Select all that apply.) ❖ Accompanied by shortness of breath ❖ Feelings of fear or anxiety ❖ No relief from taking nitroglycerin ❖ Pain occurs without known cause 29. A client is 1 day postoperative after a coronary artery bypass graft. What nonpharmacologic comfort measures does the nurse include when caring for this client? (Select all that apply.) ❖ Assist the client into a position of comfort in bed. ❖ Provide complementary therapies such as music. NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ ❖ Remind the client to splint the incision when coughing. 30. A nursing student planning to teach clients about risk factors for coronary artery disease (CAD) would include which topics? (Select all that apply.) ❖ Advanced age ❖ Diabetes ❖ Ethnic background ❖ Smoking : Care of Patients with Cardiac Problems Ignatavicius: Medical-Surgical Nursing, 8th Edition 1. A nurse assesses clients on a cardiac unit. Which client should the nurse identify as being at greatest risk for the development of left- sided heart failure? ❖ A 36-year-old woman with aortic stenosis 2. A nurse assesses a client in an outpatient clinic. Which statement alerts the nurse to the possibility of left- NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ from bed. 8. A nurse assesses a client after administering isosorbide mononitrate (Imdur). The client reports a headache. Which action should the nurse take? ❖ Administer PRN acetaminophen. 9. A nurse teaches a client who is prescribed digoxin (Lanoxin) therapy. Which statement should the nurse include in this client’s teaching? ❖ “Do not take this medication within 1 hour of taking an antacid.” 10. A nurse teaches a client who has a history of heart failure. Which statement should the nurse include in this client’s discharge teaching? ❖ “Weigh yourself daily while wearing the same amount of clothing.” 11. A nurse admits a client who is experiencing an exacerbation of heart failure. Which action should the nurse take first?NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ ❖ Assess the client’s respiratory status. 12. A nurse assesses a client with mitral valve stenosis. What clinical manifestation should alert the nurse to the possibility that the client’s stenosis has progressed? ❖ Dyspnea on exertion 13. A nurse cares for a client recovering from prosthetic valve replacement surgery. The client asks, “Why will I need to take anticoagulants for the rest of my life?” How should the nurse respond? ❖ “Blood clots form more easily in artificial replacement valves.” 14. After teaching a client who is being discharged home after mitral valve replacement surgery, the nurse assesses the client’s understanding. Which client statement indicates a need for additional teaching? ❖ “I will have my teeth cleaned by my dentist in 2 NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ weeks.” 15. A nurse cares for a client with infective endocarditis. Which infection control precautions should the nurse use? ❖ Standard Precautions 16. A nurse assesses a client with pericarditis. Which assessment finding should the nurse expect to find? NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ begin.” 23. A nurse is caring for a client with acute pericarditis who reports substernal precordial pain that radiates to the left side of the neck. Which nonpharmacologic comfort measure should the nurse implement? ❖ Sit the client up with a pillow to lean forward on. 24. A nurse assesses a client who has mitral valve regurgitation. For which cardiac dysrhythmia should the nurse assess? ❖ Atrial fibrillation 25. A nurse is assessing a client with left- sided heart failure. For which clinical manifestations should the nurse assess? (Select all that apply.) ❖ Pulmonary crackles ❖ Confusion, restlessness ❖ Cough that worsens at night 26. A nurse evaluates laboratory results for a client NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ with heart failure. Which results should the nurse expect? (Select all that apply.) ❖ Hematocrit: 32.8% ❖ Serum sodium: 130 mEq/L NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ ❖ Proteinuria ❖ Microalbuminuria 27. A nurse assesses clients on a cardiac unit. Which clients should the nurse identify as at greatest risk for the development of acute pericarditis? (Select all that apply.) ❖ A 36-year-old woman with systemic lupus erythematosus (SLE) ❖ A 42-year-old man recovering from coronary artery bypass graft surgery ❖ An 80-year-old man with a bacterial infection of the respiratory tract 28. After teaching a client with congestive heart failure (CHF), the nurse assesses the client’s understanding. Which client statements indicate a correct understanding of the teaching related to nutritional intake? (Select all that apply.) ❖ “I’ll read the nutritional labels on food items for NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ infective endocarditis. Which assessment findings should the nurse expect? (Select all that apply.) ❖ Night sweats ❖ Cardiac murmur NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ ❖ Oslers nodes : Management of Patients with Dysrhythmias & Conduction Problems Brennar: Medical-Surgical Nursing, 14th Edition 1. The nurse is caring for a patient who has had an ECG. The nurse notes that leads I, II, and III differ from one another on the cardiac rhythm strip. How should the nurse best respond? ❖ Recognize that the view of the electrical current changes in relation to the lead placement. 2. The nurse is analyzing a rhythm strip. What component of the ECG corresponds to the resting state of the patient’s heart? ❖ T wave 3. The nursing educator is presenting a case study of an adult patient who has abnormal ventricular depolarization. This pathologic change would be most NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ evident in what component of the ECG? ❖ QRS complex 4. An adult patient with third-degree AV block is admitted to the cardiac care unit and placed on continuous cardiac monitoring. What rhythm characteristic will the ECG most likely show? ❖ Fewer QRS complexes than P waves 5. The nurse is writing a plan of care for a patient with a cardiac dysrhythmia. What would be the most appropriate goal for the patient? ❖ Maintain adequate cardiac output. 6. A patient has returned to the cardiac care unit after having a permanent pacemaker implantation. For which potential complication should the nurse most closely assess this patient? ❖ Bleeding at the implantation site 7. A patient the nurse is caring for has a permanent NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ discussing whether the patient is a candidate for cardiac conduction surgery. What would be the most important criterion for a patient to have this surgery? ❖ Atrial and ventricular tachycardias not responsive to other treatments 13. A nurse is caring for a patient who is exhibiting ventricular tachycardia (VT). Because the patient is pulseless, the nurse should prepare for what intervention? ❖ Defibrillation 14. A patient converts from normal sinus rhythm at 80 bpm to atrial fibrillation with a ventricular response at 166 bpm. Blood pressure is 162/74 mm Hg. Respiratory rate is 20 breaths per minute with normal chest expansion and clear lungs bilaterally. IV heparin and Cardizem are given. The nurse caring for the patient understands that the main goal of treatment is what? ❖ Control ventricular heart rate NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ 15. The nurse and the other members of the team are caring for a patient who converted to ventricular fibrillation (VF). The patient was defibrillated unsuccessfully, and the patient remains in VF. According to national standards, the nurse should anticipate the administration of what medication? ❖ Epinephrine 1 mg IV push 16. The nurse is planning discharge teaching for a patient with a newly inserted permanent pacemaker. What is the priority teaching point for this patient? ❖ Avoid exposure to high-voltage electrical generators. 17. A patient is brought to the ED and determined to be experiencing symptomatic sinus bradycardia. The nurse caring for this patient is aware the medication of choice for treatment of this dysrhythmia is the administration of atropine. What guidelines will the nurse follow when administering atropine? ❖ Administer atropine 0.5 mg as an IV bolus every 3 NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ to 5 minutes to a maximum of 3.0 mg. 18. An ECG has been ordered for a newly admitted patient. What should the nurse do prior to electrode placement? ❖ Gently abrade the skin by rubbing the electrode sites with dry gauze or cloth. NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ presence of scarring on the atria. How should the nurse best respond to this finding? ❖ Recognize this as a therapeutic goal of the procedure. 26. A patient is scheduled for catheter ablation therapy. When describing this procedure to the patient’s family, the nurse should address what aspect of the treatment? ❖ Destruction of specific cardiac cells 27. A patient has undergone diagnostic testing and received a diagnosis of sinus bradycardia attributable to sinus node dysfunction. When planning this patients care, what nursing diagnosis is most appropriate? ❖ Risk for activity intolerance 28. The nurse is caring for a patient on telemetry. The patient’s ECG shows a shortened PR interval, slurring of the initial QRS deflection, and prolonged QRS duration. What does this ECG show?NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ ❖ Wolf-Parkinson-White (WPW) syndrome 29. A patient is undergoing preoperative teaching before his cardiac surgery and the nurse is aware that a temporary pacemaker will be placed later that day. What is the nurse’s responsibility in the care of the patient’s pacemaker? NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ ❖ Monitoring for pacemaker malfunction or battery failure 30. The nurse caring for a patient whose sudden onset of sinus bradycardia is not responding adequately to atropine. What might be the treatment of choice for this patient? ❖ Transcutaneous pacemaker 31. The nurse is caring for a patient who has had a dysrhythmic event. The nurse is aware of the need to assess for signs of diminished cardiac output (CO). What change in status may signal to the nurse a decrease in cardiac output? ❖ Changes in level of consciousness 32. Following cardiac resuscitation, a patient has been placed in a state of mild hypothermia before being transferred to the cardiac intensive care unit. The nurse’s assessment reveals that the patient is NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ 39. A patient is admitted to the cardiac care unit for an electrophysiology (EP) study. What goal should guide the planning and execution of the patients care? ❖ Diagnose the dysrhythmia. NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ 40. A patient calls his cardiologists office and talks to the nurse. He is concerned because he feels he is being defibrillated too often. The nurse tells the patient to come to the office to be evaluated because the nurse knows that the most frequent complication of ICD therapy is what? ❖ Oversensing of dysrhythmias : : Management of Patients with Complications from Heart Disease Brennar: Medical-Surgical Nursing, 14th Edition 1. The nurse notes that a patient has developed a cough productive for mucoid sputum, is short of breath, has cyanotic hands, and has noisy, moist-sounding, rapid breathing. These symptoms and signs are suggestive of what health problem? ❖ Pulmonary edema 2. The nurse is assessing an older adult patient with numerous health problems. What assessment datum NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ indicates an increase in the patient’s risk for heart failure (HF)? ❖ The patients age is greater than 65. 3. The triage nurse in the ED is assessing a patient with chronic HF who has presented with worsening symptoms. In reviewing the patient’s medical history, what is a potential primary cause of the patient’s heart failure? ❖ Atherosclerosis 4. Which assessment would be most appropriate for a patient who is receiving a loop diuretic for HF? ❖ Monitor for hypotension 5. The nurse is assessing a patient who is known to have right-sided HF. What assessment finding is most consistent with this patient’s diagnosis? ❖ Distended neck veins 6. The nurse is caring for an adult patient with HF who is prescribed digoxin. When assessing the patient for adverse effects, the nurse should assess for which ofNUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ 11. A patient admitted to the medical unit with HF is exhibiting signs and symptoms of pulmonary edema. The nurse is aware that positioning will promote circulation. How should the nurse best position the patient? ❖ In a high Fowlers position 12. The nurse has entered a patient’s room and found the patient unresponsive and not breathing. What is the nurses next appropriate action? ❖ Activate the Emergency Response System (ERS). 13. The nurse is providing discharge education to a patient diagnosed with HF. What should the nurse teach this patient to do to assess her fluid balance in the home setting? ❖ Monitor her weight daily 14. The nurse is caring for an 84-year-old man who has just returned from the OR after inguinal hernia repair. The OR report indicates that the patient received large volumes of IV fluids during surgery and the nurse NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ recognizes that the patient is at risk for left- sided heart failure. What signs and symptoms would indicate left- sided heart failure? ❖ Bibasilar fine crackles 15. A patient with HF is placed on a low- sodium diet. Which statement by the patient indicates that the nurses nutritional teaching plan has been effective? ❖ I will have a baked potato with broiled chicken for dinner. 16. The nurse’s comprehensive assessment of a patient who has HF includes evaluation of the patients hepatojugular reflux. What action should the nurse perform during this assessment? ❖ Press the right upper abdomen. 17. The nurse overseeing care in the ICU reviews the shift report on four patients. The nurse recognizes which patient to be at greatest risk for the development of cardiogenic shock? ❖ The patient admitted following an MI NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ 18. When assessing the patient with pericardial effusion, the nurse will assess for pulsus paradoxus. Pulsus paradoxus is characterized by what assessment finding? ❖ A systolic blood pressure that is lower during inhalation 19. The cardiac monitor alarm alerts the critical care nurse that the patient is showing no cardiac rhythm on the monitor. The nurse’s rapid assessment suggests cardiac arrest. In providing cardiac resuscitation documentation, how will the nurse describe this initial absence of cardiac rhythm? ❖ Asystole 20. The nurse is reviewing a newly admitted patients electronic health record, which notes a history of orthopnea. What nursing action is most clearly indicated? ❖ Avoid positioning the patient supine. NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ rate of 81 beats per minute, and blood pressure of 94/59 mm Hg. When planning this patient’s subsequent care, what nursing diagnosis should be identified? ❖ Risk for falls related to hypotension NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ 28. The nurse is performing an initial assessment of a client diagnosed with HF. The nurse also assesses the patient’s sensorium and LOC. Why is the assessment of the patient’s sensorium and LOC important in patients with HF? ❖ HF ultimately affects oxygen transportation to the brain. 29. Cardiopulmonary resuscitation has been initiated on a patient who was found unresponsive. When performing chest compressions, the nurse should do which of the following? ❖ Perform at least 100 chest compressions per minute. 30. The nurse is providing patient education prior to a patients discharge home after treatment for HF. The nurse gives the patient a home care checklist as part of the discharge teaching. What should be included on this checklist? ❖ Know how to recognize and prevent orthostatic NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ hypotension. 31. The nurse is educating an 80-year-old patient diagnosed with HF about his medication regimen. What should the nurse to teach this patient about the use of oral diuretics? ❖ Take the diuretic in the morning to avoid interfering with sleep. 32. The nurse is addressing exercise and physical activity during discharge education with a patient diagnosed with HF. What should the nurse teach this patient about exercise? ❖ Eventually aim to work up to 30 minutes of exercise each day. 33. The nurse is creating a care plan for a patient diagnosed with HF. When addressing the problem of anxiety, what interventions should the nurse include in the care plan? Select all that apply. ❖ Facilitate the presence of friends and family NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ ❖ Acute pulmonary edema 38. A patient who is at high risk for developing intracardiac thrombi has been placed on long-term anticoagulation. What aspect of the patient’s health history creates a heightened risk of intracardiac thrombi? ❖ Atrial fibrillation 39. Diagnostic imaging reveals that the quantity of fluid in a client’s pericardial sac is dangerously increased. The nurse should collaborate with the other members of the care team to prevent the development of what complication? ❖ Cardiac tamponade 40. The nurse is caring for a patient with severe left ventricular dysfunction who has been identified as being at risk for sudden cardiac death. What medical intervention can be performed that may extend the NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ survival of the patient? ❖ Insertion of an implantable cardioverter defibrillator 30: Assessment & Management of Patients with Vascular Disorders & Problems of Peripheral Circulation Brennar: Medical-Surgical Nursing, 14th Edition 1. The nurse is taking a health history of a new patient. The patient reports experiencing pain in his left lower leg and foot when walking. This pain is relieved with rest. The nurse notes that the left lower leg is slightly edematous and is hairless. When planning this patient’s subsequent care, the nurse should most likely address what health problem? ❖ Intermittent claudication 2. While assessing a patient the nurse notes that the patient’s ankle-brachial index (ABI) of the right leg is 0.40. How should the nurse best respond to this assessment finding? ❖ Implement interventions relevant to arterial narrowing.NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ 3. The nurse is providing care for a patient who has just been diagnosed with peripheral arterial occlusive disease (PAD). What assessment finding is most consistent with this diagnosis? ❖ Unequal peripheral pulses between extremities 4. The nurse is admitting a 32-year-old woman to the presurgical unit. The nurse learns during the admission assessment that the patient takes oral contraceptives. Consequently, the nurses postoperative plan of care should include what intervention? ❖ Early ambulation and leg exercises 5. A nurse is creating an education plan for a patient with venous insufficiency. What measure should the nurse include in the plan? ❖ Avoiding tight-fitting socks. 6. The nurse is caring for a patient with a large venous leg ulcer. What intervention should the nurseNUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ has presented with complaint of pain and swelling in her right lower leg. The patients pain became much worse last night and appeared along with fever, chills, and sweating. The patient states, I hit my leg on the car door 4 or 5 days ago and it has been sore ever since. The patient has a history of chronic venous insufficiency. What intervention should the nurse anticipate for this patient? ❖ Antibiotics to treat cellulitis 11. A nurse in a long-term care facility is caring for an 83- year-old woman who has a history of HF and peripheral arterial disease (PAD). At present the patient is unable to stand or ambulate. The nurse should implement measures to prevent what complication? ❖ Deep vein thrombosis 12. A nurse is admitting a 45-year-old man to the medical unit who has a history of PAD. While providing his health history, the patient reveals that he smokes about two packs of cigarettes a day, has a history of alcoholNUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ abuse, and does not exercise. What would be the priority health education for this patient? ❖ Cigarettes contain nicotine, which is a powerful vasoconstrictor and may cause or aggravate PAD. 13. A nurse has written a plan of care for a man diagnosed with peripheral arterial insufficiency. One of the nursing diagnoses in the care plan is altered peripheral tissue perfusion related to compromised circulation. What is the most appropriate intervention for this diagnosis? ❖ Encourage the patient to engage in a moderate amount of exercise. 14. The nurse is caring for a 72-year-old patient who is in cardiac rehabilitation following heart surgery. The patient has been walking on a regular basis for about a week and walks for 15 minutes 3 times a day. The patient states that he is having a cramp-like pain in the legs every time he walks and that the pain gets better when I rest. The patients care plan should address what problem? NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ ❖ Acute pain related to intermittent claudication NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ at first. 20. You are caring for a patient who is diagnosed with Raynaud’s phenomenon. The nurse should plan interventions to address what nursing diagnosis? ❖ Ineffective tissue perfusion 21. A patient presents to the clinic complaining of the inability to grasp objects with her right hand. The patient’s right arm is cool and has a difference in blood pressure of more than 20 mm Hg compared with her left arm. The nurse should expect that the primary care provider may diagnose the woman with what health problem? ❖ Upper extremity arterial occlusive disease 22. A nurse working in a long-term care facility is performing the admission assessment of a newly admitted, 85-year-old resident. During inspection of the resident’s feet, the nurse notes that she appears to have early evidence of gangrene on one of her greatNUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ toes. The nurse knows that gangrene in the elderly is often the first sign of what? ❖ PAD 23. The prevention of VTE is an important part of the nursing care of high-risk patients. When providing patient teaching for these high-risk patients, the nurse should advise lifestyle changes, including which of the following? Select all that apply. NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+ ❖ Weight loss ❖ Regular exercise ❖ Smoking cessation 24. The nurse is caring for an acutely ill patient who is on anticoagulant therapy. The patient has a comorbidity of renal insufficiency. How will this patient’s renal status affect heparin therapy? ❖ Lower doses of heparin are required for this patient. 25. The nurse is assessing a woman who is pregnant at 27 weeks gestation. The patient is concerned about the recent emergence of varicose veins on the backs of her calves. What is the nurse’s best response? ❖ Teach the patient that circulatory changes during pregnancy frequently cause varicose veins. 26. Graduated compression stockings have been prescribed to treat a patient’s venous insufficiency. What education should the nurse prioritize when introducing this intervention to the patient? NUR 2032C CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022 GRADED A+