Chapter 35

The nurse is caring for a client who has had a recent myocardial infarction involving the left ventricle. Which assessment finding is expected?

The nurse is caring for a client with coronary artery disease. What assessment finding does the nurse expect if the client's mean arterial blood pressure decreases below 60 mm Hg?

The nurse is assessing a client following a myocardial infarction. The client is hypotensive. What additional assessment finding does the nurse expect?

The nurse administers a beta blocker to a client after a myocardial infarction. What assessment finding does the nurse expect?

The nurse is assessing clients at a community health center. Which client does the nurse determine is at high risk for cardiovascular disease?

The nurse is obtaining a client's health history. Which illness alerts the nurse to the possibility of abnormal heart valves?

A nurse is performing an admission assessment on an older adult client with multiple chronic diseases. The nurse assesses the heart rate to be 48 beats/min. What does the nurse do first?

The nurse is assessing clients at a clinic. Which activity takes priority?

The nurse is assessing a client in the emergency department. Which client statement alerts the nurse to the occurrence of heart failure?

The nurse is assessing a client newly admitted to the medical unit. Which statement made by the client alerts the nurse to the presence of edema?

When obtaining a client's vital signs, the nurse assesses a blood pressure of 134/88 mm Hg. What is the nurse's best intervention?

The nurse is performing a focused cardiac assessment. What assessment finding should be reported to the health care provider?

A client consistently reports feeling dizzy and lightheaded when moving from a supine position to a sitting position. What nursing assessment takes priority at this time?

The nurse is assessing an older adult client who is experiencing a myocardial infarction. What clinical manifestation does the nurse expect in this client?

A client is newly diagnosed with a heart murmur and asks the nurse to explain what this means. What is the nurse's best response?

A client has returned from a cardiac angiography via the left femoral artery. Two hours after the procedure, the nurse notes that the left pedal pulse is weak. What is the nurse's best action?

The nurse is recovering a client after a left-sided cardiac catheterization. What assessment finding requires immediate intervention?

The nurse is preparing a client for a cardiac catheterization. What assessment is a priority before the procedure?

The client is scheduled for a resting electrocardiography. Which statement by the client indicates a good understanding of the preprocedure teaching?

The nurse is monitoring a client undergoing an exercise electrocardiography (stress test). Which assessment finding necessitates that the test be stopped?

A client who is scheduled for an echocardiography today asks why this test is being performed. What is the nurse's best response?

The nurse is caring for a client who is scheduled for magnetic resonance imaging (MRI) of the heart. The client's history includes a previous myocardial infarction and pacemaker implantation. Which action by the nurse is most appropriate?

The nurse obtains a pulmonary artery pressure reading of 25/12 mm Hg in a client recovering from a myocardial infarction. What is the nurse's first intervention?

The nurse is preparing to measure a client's pulmonary artery wedge pressure (PAWP). In what position will the nurse place the client for the most accurate results?

The nurse is caring for a client with an 80% blockage of the right coronary artery (RCA). While waiting for bypass surgery, what is essential for the nurse to have available?

The nurse is caring for a client with pericarditis. What assessment finding correlates with this disorder?

The nurse is auscultating cardiac tones. Where should the nurse listen to best hear a cardiac murmur related to aortic regurgitation?