Deck 51: Circulation

Question 1

What dietary teaching should the nurse provide to the client who has homocysteine elevation?

A)Reduce salt intake.
B)Take a B-complex vitamin supplement daily.
C)Increase fluid intake to 2,000 mL per day.
D)Avoid alcohol intake.

Answer 1

Take a B-complex vitamin supplement daily.

Question 2

The nurse finds a client pulseless and breathless.The client's skin is pale and cool,but not cyanotic.Because of this finding,what should the nurse suspect?

A)Respiratory arrest occurred prior to cardiac arrest.
B)Cardiac arrest occurred prior to respiratory arrest.
C)The client cannot be resuscitated.
D)Arrest was caused by airway obstruction.

Answer 2

Cardiac arrest occurred prior to respiratory arrest.

Question 3

The post-myocardial infarction client asks the nurse about return to exercise.What information should the nurse give this client?

A)It is better to exercise when it is cold.
B)Environmental temperatures have little impact on cardiac function.
C)Avoid exercise when the weather is hot or cold.
D)Hot temperatures increase peripheral blood vessel contraction.

Answer 3

Avoid exercise when the weather is hot or cold.

Question 4

The nurse is assessing a newly admitted client for the presence of impaired peripheral arterial circulation.Which finding would be significant to this condition?

A)Ruddy skin color over legs
B)Bounding pedal pulses
C)Hot spots on the feet and legs
D)Decreased hair on the legs

Question 5

The nurse is reviewing the laboratory results of a client who is being observed for possible myocardial infarction.Which laboratory result would be most important for the nurse to discuss with the physician?

A)Increased hemoglobin
B)Decreased creatine kinase
C)Increased troponin
D)High normal potassium

Question 6

The nurse notes a widely bizarre pattern on the client's cardiac monitor.What is the nurse's priority action?

A)Call a code blue.
B)Check the client's pulse.
C)Immediately defibrillate the client.
D)Check the rhythm in a different lead.

Question 7

The nurse is preparing to apply sequential compression devices to a client.In which order should the nurse apply these devices?
Standard Text: Click and drag the options below to move them up or down.

A)Place in the dorsal recumbent or semi-Fowler's position.
B)Place a sleeve under each leg with the opening at the knee.
C)Wrap the sleeve securely around the leg,securing the Velcro tabs.
D)Turn on the control unit and adjust the alarms and pressures as needed.
E)Connect the sleeves to the control unit and adjust the pressure as needed.

Question 8

The 50-year-old who is postmenopausal asks the nurse about the use of estrogen replacement therapy to protect the heart.How should the nurse respond?

A)"This therapy is well proven to protect the heart in postmenopausal women."
B)"Estrogen replacement therapy is helpful to reduce the sleep disturbances and hot flashes associated with menopause,but does not protect the heart."
C)"Estrogen replacement therapy has been proven to have no effect on any postmenopausal symptoms and is not protective of the heart."
D)"The use of estrogen replacement therapy is complex and requires a thoughtful review of the balance between possible benefits and possible risks."

Question 9

A client has a heart rate of 170 beats per minute.For what will the nurse assess next in this client?

A)Increased cardiac output
B)Increased preload
C)Decreased afterload
D)Decreased cardiac output

Question 10

The client has complaints of being tired,listless,and unable to tolerate activity at usual levels.Which laboratory value should the nurse review first while assessing this complaint?

A)Blood urea nitrogen
B)Hemoglobin and hematocrit
C)Blood sugar
D)Serum potassium

Question 11

A client exhibits confusion,decreased capillary refill time,low oxygen saturation readings,and decreased renal output.What NANDA nursing diagnosis problem statement should the nurse choose for this client?

A)Ineffective Tissue Perfusion
B)Decreased Cardiac Output
C)Activity Intolerance
D)Risk for Injury

Question 12

The nurse is collecting equipment to assess a client's ankle/brachial index (ABI).What equipment should be taken to the client's bedside?

A)Blood pressure cuff and a Doppler ultrasound device
B)None,as no special equipment is needed
C)Stethoscope and penlight
D)Reflex hammer and tuning fork

Question 13

The client has a history of recurrent transient ischemic attack (TIA).Based upon this history the nurse should be most concerned about the client's potential to develop

A)renal failure.
B)gangrene.
C)myocardial infarction.
D)stroke.

Question 14

After a cardiac catheterization,an infant is diagnosed with a malformation of the mitral valve.The nurse will monitor the client for the development of a problem associated with the delivery of

A)oxygenated blood to the body.
B)deoxygenated blood to the lung.
C)oxygenated blood to the right atrium.
D)deoxygenated blood to the left ventricle.

Question 15

A client has a long history of hypertension and has developed heart failure.The nurse should anticipate giving medications for which purpose?

A)To increase preload
B)To decrease afterload
C)To decrease contractility
D)To decrease cardiac output

Question 16

The nurse is planning teaching for a client that focuses on Healthy People 2020 objectives for cardiovascular health.Which modifiable risk factors should the nurse include in this teaching?
Standard Text: Select all that apply.

A)Age
B)Gender
C)Obesity
D)Smoking
E)Hypertension

Question 17

The client is admitted with a possible deep vein thrombosis.Nursing interventions should be designed to prevent which complication?

A)Myocardial infarction
B)Renal failure
C)Pulmonary embolism
D)Pneumonia

Question 18

A client is on strict bed rest following hip surgery.What nursing intervention would support vascular health?

A)Place pillows under the unaffected knee for support.
B)Position the bed to flex the knees at least 20 degrees.
C)Have the client alternately flex and extend the feet several times a day.
D)Keep the client in a prone position for at least 20 minutes twice a day.

Question 19

The nurse assessing a 1-day-old infant discovers the heart rate is 140 and irregular.What action should the nurse take?

A)Immediately contact the infant's physician.
B)Prepare to resuscitate the infant.
C)Note this normal finding in the infant's medical record.
D)Stimulate the infant gently.

Question 20

The client has experienced a myocardial infarction with damage to the inferior portion of the heart.Due to this history,the nurse monitors the client for the development of rhythm disturbances that are most directly based upon which factor?

A)The resultant change in blood sugar
B)Electrolyte disturbances from tissue damage
C)The automaticity of cardiac cells
D)Decreased blood flow to the liver

Question 21

A client with a terminal illness without an advance directive stops breathing,and does not have a heartbeat.What should the nurse do?

A)Call a "slow code."
B)Call a partial code.
C)Call the physician.
D)Call a code.

Question 22

A client asks why sequential compression devices have been prescribed.How should the nurse respond to the client?

A)"They stimulate the blood return that would occur with walking."
B)"They prevent lymph drainage buildup in the tissues."
C)"They exercise the muscles of the leg."
D)"They are used instead of walking out of bed."

Question 23

The nurse is planning morning care for a client who has sequential compression devices in place.How should the nurse instruct the UAP who will be giving the bath?

A)"Come get me when it is time to remove the devices,because that must be done by a nurse."
B)"You may remove the devices,but standards require that only a nurse put them back on the client."
C)"You may leave the devices off until the client's legs air dry."
D)"Put the devices on as quickly as possible after the bath."

Question 24

The nurse seeing a client stop breathing realizes that there is how much time before the onset of permanent damage?

A)3 minutes
B)2 minutes
C)4 to 6 minutes
D)20 to 40 minutes

Question 25

A client is diagnosed with anemia.What will the nurse most likely assess in this client as evidence of an alteration in cardiovascular functioning?
Standard Text: Select all that apply.

A)Chronic fatigue
B)Lower-extremity edema
C)Pallor
D)Shortness of breath
E)Hypotension

Question 26

The nurse is documenting the use of sequential compression devices in a client's medical record.What should be included in this documentation?
Standard Text: Select all that apply.

A)Calf circumference
B)Skin integrity
C)Peripheral vascular status
D)Neurovascular status
E)Control unit settings

Question 27

After an assessment,the nurse determines that a client's sequential compression devices need to be removed.What should the nurse document about this client's status in the medical record?

A)Client ambulating without assistance.
B)Client complains of numbness,tingling,and leg pain with the sequential compression devices.
C)Client requested devices to be removed.
D)Client to wear sequential compression devices during sleep.

Question 28

The nurse determines that UAP can apply sequential compression devices to a client when what is observed?

A)The devices are left off for 1 hour after morning care.
B)The alarm is turned off.
C)The tubing is not kinked.
D)Ankle pressure is set at 100 mm Hg.