Deck 24: Nursing Care of Patients With Occlusive Cardiovascular Disorders

Question 1

The nurse is reinforcing teaching provided to a patient with Raynaud disease. Which measure should the nurse include to prevent an attack?

A)Get plenty of outdoor exercise all year.
B)Keep affected body areas covered at all times.
C)Avoid stimulation that causes vasoconstriction.
D)Take vasopressors to prevent exacerbation of symptoms.

Answer 1

Avoid stimulation that causes vasoconstriction.

Question 2

The nurse is teaching a patient about a low-cholesterol diet. Which food choice made by the patient indicates teaching has been effective?

A)Small bowl of oatmeal 2.4 ounces of sardines
B)Medium order of fried shrimp 4.3 ounces of bacon

Answer 2

Small bowl of oatmeal 2.4 ounces of sardines

Question 3

The nurse is caring for a group of patients. Which patient should the nurse see first?

A)A patient with stable angina reporting chest pain
B)A patient with an aneurysm reporting sudden back pain
C)A patient with varicose veins reporting heaviness in the legs
D)A patient with Raynaud disease reporting white and numb skin

Answer 3

A patient with an aneurysm reporting sudden back pain

Question 4

The nurse is contributing to the teaching plan for a patient who is taking nitroglycerin. Which action should be included if chest pain occurs?

A)Take two tablets every 3 hours for four doses until pain is relieved.
B)Take three tablets every 3 minutes for four doses until pain is relieved.
C)Take one tablet every 5 minutes for three doses until pain is relieved.
D)Take two tablets every 2 minutes for three doses until pain is relieved.

Question 5

The nurse is collecting data on a patient with varicose veins. What should the nurse document as a subjective finding of varicosities?

A)Ankle edema
B)Purple lesions
C)Aching of legs
D)Palpable nodules

Question 6

The nurse is teaching a patient with an abdominal aortic aneurysm about activity. Which statement made by the patient indicates an understanding of the teaching?

A)"I am starting back to work as a stocker next week."
B)"I am going to continue my marathon training tomorrow."
C)"I will walk 20 minutes every other day."
D)"Instead of taking my car, I will ride my bike."

Question 7

A patient with peripheral venous disease (PVD) is sitting in a chair and has edematous and purple feet. What action should the nurse to take?

A)Notify the physician.
B)Cover the patient with a blanket.
C)Place the patient's legs on a tall footstool.
D)Have the patient lie in bed with a pillow under the knees.

Question 8

The nurse is reinforcing teaching a patient about resuming sexual activity following an MI 3 days ago. Which statement indicates patient understanding?

A)"I will no longer be able to participate in sexual activity."
B)"Once I can climb two flights of stairs, I should be able to resume sexual activity."
C)"I can resume sexual activity in 1 to 2 weeks."
D)"I can resume sexual intercourse now as long as I take a nitroglycerin tablet before."

Question 9

A patient being treated for an acute MI reports severe chest pressure, "as if someone is standing on my chest." What should the nurse do first?

A)Obtain vital signs.
B)Notify the physician.
C)Administer nitroglycerin.
D)Order an electrocardiogram.

Question 10

The nurse is teaching a patient with venous stasis ulcers. Which information should the nurse include in the teaching?

A)Encourage the patient to keep legs in a dependent position.
B)Encourage frequent ambulation.
C)Apply compression stockings.
D)Instruct the patient to wear constrictive clothing.

Question 11

The nurse is caring for a patient who underwent vascular surgery. During a neurovascular check, the nurse notes the extremity is cool to touch and dusky. Which action should the nurse take?

A)Apply a warm compress to the extremity.
B)Elevate the extremity.
C)Notify the HCP.
D)Document the finding as normal.

Question 12

The nurse is assessing a patient who is receiving rosuvastatin (Crestor) to reduce cholesterol. Which finding should concern the nurse?

A)The patient reports black and tarry stools.
B)The patient reports muscle pain.
C)The apical pulse is 58 beats/min.
D)The patient reports feeling dizzy.

Question 13

The nurse is assessing a patient with an aneurysm. Which finding should be reported to the RN immediately?

A)The patient reports nausea.
B)The patient reports sudden flank pain.
C)The patient reports feeling full.
D)The patient reports abdominal pain.

Question 14

The nurse is teaching a class about coronary artery disease and explains atherosclerosis. Which statement made by the patient indicates an understanding of the teaching?

A)"This means my heart isn't pumping like it should."
B)"This is an inflammation of the sac around the heart."
C)"Atherosclerosis is the loss of elasticity and calcification of arterial walls."
D)"I have plaque in my arteries that can cause coronary artery disease."

Question 15

A patient who develops chest pain says the pain is a 9 on a scale of 0 to 10. Which action should the nurse take?

A)Notify the registered nurse (RN).
B)Apply telemetry.
C)Administer aspirin.
D)Listen to breathing sounds.

Question 16

The nurse is reinforcing teaching provided to a patient with an aneurysm. Which patient statement indicates correct understanding of a dissecting aneurysm?

A)"An outpouching of one side of the arterial wall."
B)"A communication between an artery and a vein."
C)"A separation of the inner layer of the arterial wall."
D)"An enlargement of the entire circumference of the artery."

Question 17

The nurse is caring for a patient with lymphangitis. Which interventions should the nurse implement first?

A)Keep the extremity in the dependent position.
B)Apply ice to the extremity as ordered.
C)Prepare the patient for intubation.
D)Administer analgesics as prescribed.

Question 18

The nurse is assessing a patient with a myocardial infarction who may receive tissue plasminogen activator [t-PA]. Which question is most important for the nurse to ask?

A)"What time did the chest pain begin?"
B)"Have you received t-PA within the last year?"
C)"Have you taken any nitroglycerin?"
D)"Are you experiencing any nausea?"

Question 19

The nurse is reviewing laboratory values for a patient with chest pain. Which requires notification of the healthcare provider?

A)Magnesium 2.0 mEq/L
B)Potassium 4.8 mEq/L
C)Troponin 0.70 ng/mL
D)Sodium 140 mEq/L

Question 20

The nurse is caring for a group of patients. Which patient is at highest risk for having a myocardial infarction (MI) at a young age?

A)A 21-year-old male who drinks socially
B)A 20-year-old male who smokes socially and works a high-stress job
C)A 22-year-old female who lives a sedentary lifestyle but follows a low-fat diet
D)A 23-year-old female who smokes and uses oral contraceptives

Question 21

The nurse is collecting data from a patient experiencing an MI. Which finding should the nurse expect?

A)Flushed face
B)Extreme thirst
C)A moist cough
D)Profuse diaphoresis

Question 22

The nurse is caring for a patient who has long-standing asthma and stable angina. Which medication can the nurse safely provide to the patient?

A)Pindolol (Visken)
B)Nadolol (Corgard)
C)Atenolol (Tenormin)
D)Propranolol (Inderal)

Question 23

The nurse is caring for a group of patients. Place in order, from the highest to lowest priority (from 1 to 4), the nurse should see patients.

A) ____ A patient receiving enoxaparin (Lovenox) for experiencing an MI 3 days ago
B) ____ A patient with coronary artery disease who reports chest pain radiating to the jaw
C) ____ A patient with peripheral artery disease with a diminished pulse to the right leg
D) ____ A patient with venous insufficiency with 2+ pitting edema

Question 24

The physician prescribes nitroglycerin for a patient with anterior MI. The patient's vital signs are apical pulse 52 beats/min and blood pressure 80/60 mm Hg. What action should the nurse take?

A)Administer the drug as ordered.
B)Report the vital signs to the RN.
C)Recheck vital signs in 30 minutes.
D)Give medication at half the prescribed dose.

Question 25

The HCP prescribes enoxaparin (Lovenox) 1 mg/kg to a patient who weighs 80 kg. The available dose is 80 mg/0.8 mL. How many mL will the nurse administer? Enter the numeral only.

Question 26

The nurse is assessing a patient who underwent repair for an abdominal aortic aneurysm. Which finding should the nurse report to the RN?

A)Report of level 5 pain on a 0-to-10 scale
B)An increase in abdominal girth
C)Temperature of 98.9°F
D)Urine output of 60 mL/hr

Question 27

The nurse has administered two doses 5 minutes apart of nitroglycerin (Nitrostat) 0.4 mg per dose sublingually. How many milligrams did the patient receive total? Enter the numeral only.

Question 28

The nurse is teaching a group of patients about risk factors for heart disease. Which does the nurse identify as a modifiable risk factor?

A)Hypertension
B)Gender
C)Age
D)Ethnicity

Question 29

The nurse is preparing to administer morphine 6 mg IV to a patient having an MI. Available is morphine 10 mg/mL. How many mL will the nurse administer? Enter the numeral only.

Question 30

The nurse is teaching a patient about Buerger disease. Which is most important for the nurse to include in the teaching?

A)Avoiding caffeine
B)Smoking cessation
C)Limiting exposure to cold
D)Reducing emotional stress

Question 31

The nurse is contributing to a patient's teaching plan. What should be included when teaching a patient about the use of nitroglycerin? (Select all that apply.)

A)Take tablet every morning.
B)Place tablet under the tongue.
C)Rise slowly after taking tablet.
D)Sit or lie down when taking tablet.
E)Take before activity known to cause angina. 6.Have a year's supply of the medication at home.

Question 32

The nurse is caring for a patient with an abdominal aortic aneurysm. Which statement indicates that the patient understands this condition?

A)"A blood clot in a vein."
B)"An incompetent valve in a large vein."
C)"An outpouching in the wall of an artery."
D)"A deposit of plaque in the wall of an artery."

Question 33

The nurse is collecting data from a patient who has chronic venous insufficiency of the lower extremities. Which finding should the nurse expect?

A)Leathery, brown skin
B)Diminished pedal pulse
C)Absence of pedal pulses
D)Pallor in the extremities

Question 34

The nurse is teaching a group of patients about stable versus unstable angina. Which should the nurse include in the teaching? (Select all that apply.)

A)Stable angina occurs at rest.
B)Unstable angina is relieved by medication.
C)Pain with stable angina is predictable.
D)Unstable angina can lead to an MI.
E)Angina is caused by a lack of oxygen to the heart.

Question 35

The nurse is contributing to the plan of care for a patient experiencing chest pain for 7 hours. The laboratory tests reveal elevated troponin I and myoglobin levels. What action should the nurse take when caring for this patient? (Select all that apply.)

A)Elevate head of bed.
B)Encourage ambulation.
C)Provide rest in bed or chair.
D)Offer regular diet with hot tea.
E)Provide bedpan for elimination.