Exam 15: The Cardiovascular System

An older patient diagnosed with pneumonia does not understand why the health problem occurred since respiratory problems have never been experienced. How should the nurse respond to this patient? Select all that apply.

An older patient with valvular disease is scheduled for an echocardiogram. What should the nurse teach the patient about this diagnostic test?

The nurse is planning a presentation to a group of senior citizens on lifestyle modifications to manage high blood pressure. What major points will the nurse include in this presentation? Select all that apply.

An older patient has an increase in pitting edema of both ankles and is experiencing breathlessness. The patient is not experiencing any pain. What action should the nurse take to help the patient at this time?

An older patient has a blood pressure reading of 150/88. The patient reports no other symptoms or medical history of illness. What should the nurse instruct the patient to do?

During a home visit an older patient with heart disease tells the nurse of plans to shovel the snow as soon as the visit concludes. How should the nurse instruct the patient at this time?

An older patient asks the nurse what holistic actions can be used to help lower elevated cholesterol and triglyceride levels. What information should the nurse provide to the patient? Select all that apply.

The nurse is assessing an older patient diagnosed with heart failure several years ago. Which would indicate the patient is in the late stage of heart failure?

During a home visit, the nurse learns that an older patient with hypertension takes prescribed medications only when feeling tense. What instruction should the nurse provide to the patient?

An older female patient experiences fatigue and nausea, is not sleeping well, and makes a vague complaint of intermittent chest discomfort. How should the nurse interpret these symptoms?

The nurse is concerned that an older patient is at risk for developing metabolic syndrome. What manifestations would be present? Select all that apply.

An older patient being treated for hypertension experiences lightheadedness when getting up in the middle of the night to void and when making sudden movements. How should the nurse instruct this patient?

The nurse is providing instruction to an older patient regarding a new diuretic medication. Which should be included in the teaching?

An older patient complains of prolonged and severe chest pain that occurs at the same time each day during rest with no precipitating factors. How should the nurse describe this type of pain?

The nurse is planning care for an older patient with heart failure who is experiencing shortness of breath. Upon assessment, the patient stated the inability to purchase medication because of financial limits. Which nursing diagnoses will be of the greatest initial importance when planning care?

An older patient is diagnosed with arterial peripheral vascular disease. What will the nurse assess in this patient? Select all that apply.

An older patient with a history of atrial fibrillation has a fall at home and is diagnosed with a hemorrhagic stroke. What will the nurse assess first to help determine the cause of this patient's bleeding? Select all that apply.

The nurse is planning to assess an older patient's risk for cardiovascular disease. Which assessment question is priority?

The nurse is providing discharge instructions for an older patient who is prescribed atorvastatin (Lipitor) for elevated cholesterol. What effects should the nurse advise the patient to report to the healthcare provider? Select all that apply.

The nurse anticipates that an older patient with right-sided heart failure would exhibit which symptoms? Select all that apply.