Cardiovascular Disorders

Front 1

How is oxygen administered to a client with cardiogenic pulmonary edema

Back 1

A mask rather than nasal cannula

Front 2

The nurse would be most likely to instruct the client with right-sided heart failure to

Back 2

elevate the legs while sitting

Front 3

Some clients with heart failure also have impaired gas exchange and thus might need ______, rather than three large meals

Back 3

small, frequent feedings

Front 4

Why does the nurse recommend reducing or avoiding caffeine with hypertension:

Back 4

Caffeine causes vasoconstriction and increases the heart rate

Front 5

Why is it important for the nurse to implement measures to reduce stress with hypertension:

Back 5

reduce stress decreases the neurotransmitters that causes vasoconstriction of peripheral arterioles

Front 6

reduced stress may assist in reducing ____and ____ to the heart

Back 6

blood volume
resistance

Front 7

What should the nurse assess with the pt. with CHF:

Back 7

JVD
admission weight
Signs of lethargy or confusion
peripheral edema

Front 8

Why is it important for the nurse to advise the pt. to rise slowly from a sitting position:

Back 8

Gradual changes in position provide time for the heart to increase rate of contraction to resupply oxygen to the brain

Front 9

The nurse recommends smoking cessation r/t hypertension because:

Back 9

Nicotine raises the HR, constricts arterioles and reduces the heart's ability to eject blood

Front 10

Clients with acute pulmonary edema experience s/s:

Back 10

dyspnea
orthopnea
cyanosis
tachycardia
wheezing or gurgles
apprehension

Front 11

What is a nursing intervention when assessing clients with HTN:

Back 11

The nurse takes BP in both arms while sitting,standing and lying.

Front 12

What must the nurse consider when administering IV fluids to clients with HTN:

Back 12

Checks the site and progress of infusion Q hr.

Front 13

Why does the nurse instruct the client to avoid Valsalva maneuvers:

Back 13

Client's BP will increase momentarily

Front 14

What is a nursing intervention to ensure that the client is free from injury caused by falls:

Back 14

Nurse monitors postural changes in BP

Front 15

What does the nurse recommend for pts. with hypertension under the MD's guidance:

Back 15

The DASH diet

Front 16

A pt. has dizziness,when he stands up after sleeping also experiences nosebleeds what condition is this

Back 16

postural hypertension

Front 17

Why should nurses monitor pts.with renal or hepatic impairment on ACE inhibitors

Back 17

first dose can cause hypotension with the first 1 to 3 hrs after administration

Front 18

A method of giving large dosages of digoxin ath the beginning of therapy to build up the therapeutic blood levels of the drug

Back 18

digitalization

Front 19

This medication helps reduce the heart's work by decreasing the exertion required to overcome afterload

Back 19

diuretics

Front 20

Fluid that distents the abdomen can cause

Back 20

anorexia,flatuence, and nausea

Front 21

Early symptom of mild hypertension in older adults is

Back 21

dyspnea on exertion

Front 22

Blood coming from the lungs is supplied to the ____ side of the heart and provides blood for ___ circulation

Back 22

left
systemic

Front 23

The chief cause of pulmonary edema is

Back 23

CHF

Front 24

Pressure increases in the lungs causes blood to accumulate in the systemic circulation this is

Back 24

pulmonary edema

Front 25

A client with acute CHF has dyspnea,is in a semi-fowlers position what nursing intervention should be done:

Back 25

administer oxygen

Front 26

What is the most approriate assessment technique for dependent edema:

Back 26

palpating between the foot and ankle for pitting edema

Front 27

Which assessment findings are indicative of fluid deficit:

Back 27

postural hypertension and tachycardia