Cardiovascular

Following a motor vehicle accident, the patient is noted to have an estimated blood loss of 500 mL and the blood pressure is normal. The nurse anticipates the provider to diagnose the patient with which class of shock?

The elderly patient is at risk for falls related to urinary incontinence. Which intervention is appropriate?

The patient has a peripherally inserted central catheter (PICC) for the long-term administration of parenteral nutrition, oxacillin, and gentamicin. Which assessment findings, if present in the patient, indicate the patient is experiencing a complication of the PICC line? Select all that apply.

The patient presents to the emergency room complaining that his heart is racing and he feels dizzy. His heart rate is 220 bpm, his blood pressure is 80/40 mmHg, and his capillary refill is 5 seconds. He is diaphoretic and is becoming increasingly lethargic. The nurse anticipates which order first?

The nurse is providing discharge teaching to the patient who has experienced episodes of atrioventricular nodal reentry tachycardia (AVNRT). Which patient drink selection(s), if chosen by the patient, indicate a need for further teaching? Select all that apply.

The patient with a heart rate of 233 bpm has been diagnosed with supraventricular tachycardia on electrocardiogram (ECG). The nurse prepares to administer which medication?

The patient who experiences frequent episodes of atrioventricular nodal reentry tachycardia (AVNRT) that do not cause hemodynamic compromise is being discharged. The nurse is supervising the student nurse providing discharge teaching to the patient. Which method for self-treatment of AVNRT, if taught by the student nurse, would prompt the nurse to intervene immediately?

The patient in the intensive care unit who is intubated and mechanically ventilated abruptly requires a drastically increased fraction of inspired oxygen (FiO2) and is hypoxic, hypotensive, and tachycardic. Which intervention does the nurse perform first?

The 32-year-old patient presents to the emergency department complaining of difficulty breathing, cough, and chills. Vital signs are notable for a temperature of 38.4°C, heart rate 118 bpm, respiratory rate 24, oxygen saturation 87% on room air, and blood pressure of 98/62 mmHg. Upon assessment, the nurse notes nasal flaring, diminished breath sounds in the right upper lobe, and subcostal retractions. Capillary refill time is 4 seconds. The patient admits waking up in a pool of vomit after binge drinking 3 nights ago. Which orders does the nurse anticipate? Select all that apply.

The oncoming nurse learns the patient has a right chest tube for the treatment of a chylothorax. The nurse anticipates which color of drainage in the chest tube chamber?

A nurse is preparing discharge plans. Which patient is most likely to need home health care services?

The family practice nurse is reviewing telephone messages from patients. Which call is to be returned first?

The nurse receives shift report on four patients. In which order does the nurse see the patients? Place the answer options in the correct order.

The nurse is providing education to the patient who is starting warfarin for treatment of a deep vein thrombosis (DVT). Which statements are included in teaching? Select all that apply.

The nurse is planning care for the patient with severe liver disease who has substantial ascites and peripheral edema. Which interventions are included in the care plan? 

The patient complains of heart palpitations. The nurse understands which lab result is responsible for the patient's symptoms?

The nurse is instructing the student nurse on proper sterile technique. Which statements are included in the teaching? Select all that apply.

The nurse is reviewing the chart of the patient scheduled for a cardiac catheterization. Which characteristics, if present in the patient's chart, alert the nurse to an increased risk for cerebrovascular complications due to the procedure? Select all that apply. 

The nurse caring for the child with beta-thalassemia is most concerned about which comorbidity?

The nurse receives report on the patient experiencing thyroid storm. Which symptom does the nurse expect to observe?

The 58-year-old patient asks the nurse if he is at risk of heart disease. Which response by the nurse is appropriate?

During an assessment of the patient who just completed a cross-country flight, the nurse elicits a positive Homan's sign. Based on this finding, the nurse suspects which condition?

The patient is in the post-anesthesia care unit (PACU) following abdominal surgery. Which finding would prompt the nurse to delay discharge from the PACU to a hospital bed?

The nurse is assisting the physician with insertion of a central venous catheter into the patient's left internal jugular vein. Into which position does the nurse place the patient? 

A nurse is caring for a driver in a motor vehicle accident in which the airbags failed to deploy. After being stabilized, the man developed chest pain and becomes hypotensive. The emergency physician suspects cardiac tamponade. The nurse anticipates which treatment for this condition?

The nurse is performing an initial assessment on a 26-year-old patient. The nurse auscultates a high-pitched sound late in systole, like a click. This sound most likely indicates which condition?

The patient is hunched over in the emergency department waiting room, breathing slowly and shallowly. His wife insists he “took something”. The man has bradypnea and marked miosis. Which intoxicant does the nurse suspect?

The nurse is providing medication teaching to the patient who was just prescribed warfarin. Which statements does the nurse include in teaching? Select all that apply. 

Which patient is triaged first in the emergency department? 

The gravida 1 para 1 woman delivered an infant at 41 weeks gestation that weighed 9 lbs. 2 oz. She received oxytocin during labor and forceps were used to assist in the delivery. The nurse is most concerned for which complication?

The patient with angina is experiencing crushing chest pain but the ECG shows no abnormalities. Which lab result indicates the patient is experiencing a non-ST segment elevation myocardial infarction (NSTEMI)? 

The nurse reviews the woman’s complete blood count (CBC) and finds the red blood cell count is 3.9 million cells per microliter. The nurse suspects the patient will be diagnosed with which condition?

The patient with angina and claudication with walking is prescribed isosorbide dinitrate (Isordil). The nurse bases medication teaching on which understanding of the drug's mechanism of action?

The elderly patient is brought to the ER by ambulance for confusion, slurred speech, and right-sided weakness. Vital signs, including body temperature and blood pressure, are normal. As the patient is waiting for an urgent head CT, the nurse performs which test first?

The patient with advanced liver disease is being evaluated for moderate hematemesis, tachycardia, and hypotension. An esophagogastroduodenoscopy (EGD) confirms the patient has esophageal varices. Which is the priority action by the nurse?

The nurse provides education to the pregnant woman about the signs of blood clots due to which cause of increased blood clotting risk during pregnancy?

The nurse notes the fetal heart rate (FHR) monitor is reflecting variable decelerations. Which action does the nurse take first?

The 82-year-old patient presents to the emergency department with chest pain that started four hours ago. Vascular access is a challenge and the nurse is only able to draw enough blood for one test. The nurse sends the sample to the lab for which test?

The patient with human immunodeficiency virus (HIV) presents to the clinic for a follow-up visit. The nurse provides education to the patient about which cardiovascular complication the patient is most likely to experience related to the disease process?

The nurse is preparing to insert a peripherally inserted central catheter (PICC) into the right upper extremity. The goal of the procedure is for the tip to terminate in which location?

The patient with a T4 spinal cord injury has a blood pressure of 160/98 mm Hg. Which interventions does the nurse take? Select all that apply.

Which statement effectively summarizes the effect of the renin-angiotensin-aldosterone system?

The patient with which condition is at risk for obstructive shock?

Which physiologic event causes the functional closure of the foramen ovale after birth?

The 7-day-old neonate born at 32-weeks’ gestation has an axillary temperature of 38.9°C. The nurse notes the infant is lethargic, with pale extremities and flash central capillary refill. Which nursing action is appropriate?

The 23-week gestation neonate is being cared for in a double-walled, heated isolette with ambient humidity set to 85%. The patient is at risk for sepsis due to which organism related to the care environment?

The public health nurse encourages which individuals to receive the hepatitis A vaccine? Select all that apply.

The nurse is providing discharge education to the 48-year-old patient with a third grade reading level about his new prescription for valsartan. Which is the best way for the nurse to assess the patient’s understanding of the teaching?

The nurse is reviewing the chart of the patient scheduled to undergo a magnetic resonance imaging scan (MRI) of the brain. Which disorder present in the patient’s history prompts the nurse to obtain more information from the patient?

The nurse holds the dose of propranolol and contacts the provider for which vital sign?