Cardiovascular

The nurse is caring for a 55-year-old female patient who is scheduled for a Venous Doppler examination. Which of the following instructions will likely be on the patient instruction sheet?

The nurse is caring for a 48-year-old male patient who is receiving 20 mg of furosemide (Lasix) OD. Which information is most important to tell the oncoming nurse?

The nurse is caring for a 60-year-old female patient who is confined to bed and most closely monitors for signs of which complication?

Which of the following is the immediate drug of choice for an adult patient who has symptomatic sinus bradycardia with a pulse?

A nurse is caring for a 47-year-old man who is admitted in the substance abuse unit for alcohol detoxification. The patient exhibits signs and symptoms of alcohol withdrawal, including hallucinations. Which of the following medications do you anticipate will be ordered for alcohol withdrawal?

A nurse is caring for a 34-year-old postpartum patient with deep vein thrombosis who is receiving heparin. Which of the following should the nurse prepare as bedside emergency for patients receiving heparin?

A 51-year-old man complains of mild headache and dizziness when standing up from bed. Which of the following medications was recently started?

A nurse is caring for a 59-year-old woman who is receiving heparin. Which of the following can be used to track the effectiveness of heparin therapy?

A 76-year-old man with a history of congestive heart failure suddenly fell on the ground as he was trying to get up from bed. He is conscious but feels dizzy. Which of the following is the best next step?

After receiving a dose of antibiotics, a 34-year-old man develops an itchy rash, throat swelling, shortness of breath, lightheadedness, and hypotension. Which of the following is the best next step?

The patient in the emergency room has a traumatic leg wound which has been cleaned and dressed. The nurse enters the room to reassess the wound prior to discharging the patient and notes bright red drainage on the dressing that is increasing in size. Which action does the nurse take first?

A patient comes into the emergency department who has just been in a head-on collision and is unconscious. Which of the following requires the nurse’s immediate attention?

The nurse provides counseling to a client with atrial fibrillation (AF) who is starting on rivaroxaban. Which statement, if made by the client, indicates the teaching is effective?

A client with an intracranial hemorrhage has a sudden increase of 25 mmHg intracranial pressure. The nurse also notes an elevated temperature, increased blood pressure, fixed and dilated right pupil, loss of consciousness, and irregular pulse and respirations. Which condition does the nurse suspect is causing these signs and symptoms?

An 82-year-old client with a history of hypertension becomes acutely confused and complains of a severe headache. The nurse is concerned the client is having a stroke. Which action does the nurse take first?

Which term denotes the heart’s dominant pacemaker?

The patient presents to the emergency department complaining of lightheadedness and states, “I feel like my heart is racing.” Upon assessment, the nurse notes the patient is diaphoretic and pale. Vital signs are significant for a heart rate of 220 bpm, blood pressure of 70/50 mm Hg, and oxygen saturations of 96%. The 12-lead EKG indicates supraventricular tachycardia. Which medication does the nurse prepare to administer?

The telemetry monitor for a patient who chronically abuses alcohol sounds and the provider requests a dose of magnesium. The nurse understands the patient has likely experienced which arrhythmia?

The 35-year-old patient presents to the emergency department with nausea, vomiting, and diarrhea for the past week. Vital signs are significant for a heart rate of 135 bpm and a blood pressure of 75/40 mmHg. The nurse anticipates which order?

The nurse is reviewing patient charts for risk factors for hypertension. Which characteristics does the nurse include in the search? Select all that apply.

The nurse is reviewing today’s patient assignments. Which patient does the nurse assess first?

The nurse finds a 70-year-old client admitted with heart failure, unresponsive with agonal gasping respirations. Which action does the nurse take first?

A 35-year-old client with a three-day history of vomiting is admitted with dehydration. The provider prescribes 1 liter of normal saline solution to infuse over 4 hours. As the nurse prepares to insert an intravenous (IV) catheter, she’s unable to palpate the vein at the intended insertion site. How does the nurse proceed?

Which finding in a client receiving a continuous magnesium sulfate infusion for preeclampsia indicates toxicity?

Which of the following may benefit from inhaled surfactant therapy? Select all that apply.

A patient with congestive heart failure (CHF) complains of worsening cough with frothy secretions. The nurse notes the patient is sitting in the tripod position and appears to be air hungry. A chest x-ray is ordered. Which of the following x-ray findings most likely explains the patient’s acute symptoms?

The provider tells the nurse that the goal of therapy for a patient with congestive heart failure (CHF) and acute pulmonary edema is preload reduction. To accomplish this, the nurse anticipates administering which of the following medications?

The patient is under general anesthesia for a surgical procedure. Because an inhaled anesthetic is being administered, the nurse should be vigilant for which of the following early signs of malignant hyperthermia?

The patient with a T4 spinal cord injury that occurred 4 weeks ago has been prescribed terazosin. The nurse informs the patient this medication is prescribed to prevent which of the following conditions?

The nurse learns that a patient is in neurogenic shock after a high cervical spinal cord injury. Which of the following set of vital signs is most consistent with this condition?

A patient in septic shock suffers from acute kidney injury. Which of the following terms most accurately describes the pathophysiology of this patient’s kidney disease?

The patient with acute kidney injury due to hypovolemic shock has been effectively fluid resuscitated but remains oliguric. Which of the following medications does the nurse administer to prevent fluid volume overload?

A child presents with a fever that has lasted for 4 days. Upon assessment, the nurse notes a strawberry tongue, reddened, painful skin on the palms of the hands and soles of the feet, and a diffuse, maculopapular rash. The rash do not blanch when pressure is applied. The nurse suspects which condition?

The patient is diagnosed with Kawasaki disease. Which of the following tests should the nurse anticipate for this patient to assess for complications of this condition?

The pediatric patient presents with prolonged fever, a red, strawberry tongue, desquamation of the soles and palms, and lymphadenopathy. The nurse anticipates administering which of the following medication(s)? Select all that apply.

The nurse administers intravenous immunoglobulin (IVIG) to a patient with Kawasaki disease. The nurse assesses the patient continuously for which life-threatening complication of IVIG?

The nurse in the emergency department is performing a primary assessment on a patient who has sustained significant burn injuries. Which of the following physical assessments does the nurse include in the primary survey?

The patient in the burn unit is being treated for third-degree burns that extend circumferentially around each arm up to the elbow. Which of the following physical assessments is most important for this patient?

A patient is brought to the emergency department by ambulance immediately after being rescued from a house fire. It is determined he has suffered third-degree burns to 34% of his body. The nurse is ordered to begin fluid resuscitation. The patient weighs 186 pounds. Using the Parkland formula, determine the rate (in mL/hr) the nurse will use to program the pump for fluid infusion during the first 8 hours. Enter your answer as a whole number.

The nurse is administering fluid resuscitation to a patient who sustained fourth-degree burns to 25% of the body and third-degree burns to 15% of the body. The patient weighs 210 pounds. Using the Parkland formula, how many milliliters should the nurse plan for the patient to receive in the first 24 hours of resuscitation?

The provider has instructed the nurse to begin fluid resuscitation of a burn patient using the Parkland formula. The patient’s weight is 84 kg and the total body surface area burned is 32%. The pharmacy provides lactated Ringers (LR) in 1,000 mL bags. How many bags of LR should the nurse request from the pharmacy to ensure the patient can be properly fluid resuscitated? Input your answer using a whole number.

The nurse is instructed to begin fluid resuscitation for the patient with extensive full-thickness burns. Which of the following fluids will the nurse most likely utilize?

The nurse is creating a care plan for a patient receiving fluid resuscitation after sustaining extensive third-degree burns. Which of the following outcomes is most appropriate to use to guide fluid resuscitation in this patient?

The nurse is performing an electrocardiogram on a patient with rhabdomyolysis. The patient asks the nurse what the rationale is for this test, since he is young and has no cardiac history. Which of the following responses by the nurse is most appropriate?

The patient is diagnosed with rhabdomyolysis after suffering from heatstroke while running a marathon. Which of the following interventions will be most helpful in preventing acute kidney injury?

Which of these patients is least likely to develop disseminated intravascular coagulation (DIC)?

A patient with septicemia acutely develops a deep vein thrombosis and pulmonary embolism. No evidence of hemorrhage is noted. Laboratory studies have revealed prolonged clotting times, moderate thrombocytopenia, and an elevated D-dimer level. A diagnosis of disseminated intravascular coagulation is made. Administration of which of the following therapies will be most effective at resolving this patient’s DIC?

A pediatric patient receiving chemotherapy for the treatment of acute myelogenous leukemia is prescribed ondansetron for the prevention of nausea and vomiting. Which condition, if present in the patient’s chart, would prompt the nurse to hold the medication and contact the provider?

A patient receiving chemotherapy has been prescribed ondansetron for nausea and vomiting. Which of the following medications, if already prescribed to the patient, would prompt the nurse to hold the ondansetron and contact the provider?

The patient presents to the emergency department with atrioventricular nodal reentry tachycardia (AVNRT). The provider instructs the nurse to stimulate the patient’s diving reflex. Which action by the nurse is appropriate?