Exam 37: Circulation Perfusion

The client diagnosed with inadequate closure of the mitral valve is scheduled for surgery and asks the nurse, "Why does it matter if my valve leaks?" What is the nurse's best response to explain why this mitral valve needs to be repaired?

The nurse is teaching a pregnant woman about the increased oxygen demand that develops during pregnancy. The nurse knows the client comprehends the teaching when she makes the following statement:

As the nurse caring for a client who has suffered myocardial infarction that has damaged the sinoatrial (SA) node, you should plan to monitor for which of the following potential complications? Select all that apply.

A nurse is performing CPR on an infant. When performing chest compressions, the nurse understands that the compression rate should be at least:

The nurse administers sublingual nitroglycerine to a client diagnosed with angina. When the client's chest pain is not relieved, the nurse prepares to give another nitroglycerine tablet. What is the nurse's priority action prior to administering the next dose of medication?

The nurse is assessing a healthy older client who has comes to the health clinic because she reports not feeling like herself. The client complains of increased fatigue when walking up stairs and performing normal household activities. What are normal physiological changes in the cardiovascular system that occur with aging? Select all that apply.

The nurse is preparing the nursing care plan for a middle-aged client admitted to the intensive care unit for acute myocardial infarction. The client's symptoms include tachycardia, palpitations, anxiety, jugular vein distention, and fatigue. Which of the following nursing diagnoses is most appropriate?

The nurse is preparing client teaching for a client diagnosed with peripheral edema secondary to right-sided heart failure. What intervention will promote circulation and reduce edema in the lower extremities?

The nurse administers a beta-adrenergic agent to a client with congestive heart failure. What assessment findings would indicate that the drug is working?

A client diagnosed with hypertension is taking an angiotensin-converting enzyme (ACE) inhibitor. When planning care, which of the following outcomes would be appropriate for the client?

The nurse is assessing the client's home medication and note that although the client denies hypertension, there are several antihypertensive medications. Which of the following medications lower blood pressure? Select all that apply.

The nurse is caring for a client with reduced perfusion to the extremities. The nurse evaluates the client and finds the response to therapy is not optimal. What lifestyle change does the nurse suspect is contributing to the lack of response?

The nurse is assessing a young adult client in the allergy clinic. The nurse recognizes that an allergic reaction will cause which of the following cardiac events? Select all that apply.

A client with heart failure has BP 120/60 mm Hg, heart rate (HR) 64 beats/min, respiratory rate (RR) 18 breaths/min, temperature (T) 97.6°F, coarse crackles bilaterally, and 3+ edema to the lower extremities. An appropriate nursing diagnosis for this client is:

The nurse is assessing an adult client diagnosed with chronic heart failure 10 years ago. Which finding would indicate poor perfusion to the tissues?

The nurse is reviewing the results of the client's laboratory findings and notes an elevated C-reactive protein (CRP) level. What does this indicate?

The nurse is planning care for an elderly client diagnosed with end-stage heart failure and a nursing diagnosis of Decreased Cardiac Output secondary to ineffective left ventricular function. What outcome would the nurse plan for this client to measure improvement in cardiac output?

The nurse is assessing a client who is complaining of chest pain, clutching his chest, and short of breath. Which assessment question would be appropriate for the nurse to ask?

The nurse plans to maintain hydration for the client at risk for thrombus formation. What evaluation finding is an indicator that the intervention is successful?

The nurse is providing care to the client who is 3 days status post cardiac bypass grafting. The client has incisions to his right leg from the graft harvest of the veins. The client complains of warmth and tenderness to their right calf. The nurse notes a 3-cm periwound, with erythema and swelling at the distal end of the incision. Staples are intact along the incision, and there is no drainage. Vital signs are stable. The nurse would suspect that the client has what kind of complication?