A client has a history of heart disease what should the trainer request. Examine the client's neck for distended veins.

A client has a history of heart disease what should the trainer request What can the nurse suggest to help relieve leg pain during rest? A nurse is caring for a client who is postoperative and has a history of heart failure. b. Which assessment finding should the nurse expect? A. What factor should the nurse identify as possibly contributing to a decrease in cardiac output?, The nurse is caring for an 82-year-old patient. "Do you have new-onset heaviness in your legs?" c. prepare the AED. repolarization d. The nurse knows that the client has left-sided heart failure when the client makes which statement?, The nurse is administering digoxin to a client with heart failure. 3. Which statement, if made by the woman, indicates that she understands her needs? 1. ) a. 2. Muscle activity has increased during the client's therapy session. Systolic murmur C. A client with a history of heart failure who is receiving digoxin daily has a serum potassium level of 3 mEq/L (3 mmol/L) and is complaining of anorexia. A client has a history of heart disease, what should the trainer ask? A. 12 min run/walk test B. " A pregnant client has just been admitted to the hospital with severe preeclampsia. She was admitted by her pediatrician due to suspected rheumatic fever. His medical history reveals diabetes mellitus, hypertension, and pernicious anemia; he underwent an appendectomy 20 years ago and an aortic valve replacement 2 years ago. " Study with Quizlet and memorize flashcards containing terms like A nurse is describing the process by which blood is ejected into circulation as the chambers of the heart become smaller. This is the nurse acting on: 1. Dependent edema 2. Which of the following findings should the nurse expect when performing a skin assessment? Study with Quizlet and memorize flashcards containing terms like Diet, True, Heart disease and more. Which of the following goals should the nurse include? A. Preoperative medications included pentoxifylline, metoprolol, and furosemide. Study with Quizlet and memorize flashcards containing terms like A white male, age 43, is admitted to an acute care facility with a tentative diagnosis of infective endocarditis. Decreased blood flow. Study with Quizlet and memorize flashcards containing terms like Which of the following is a characteristic of an arterial ulcer? a. The client will list foods that are high in Calcium, which should be avoided B. A client with a family history of heart disease is diagnosed with coronary artery disease. increased blood viscosity. Nutritional anemia 4. 8 mg/dL e. What instructions should a Hispanic client be given if diagnosed with coronary heart disease?, A client with COPD (chronic obstructive pulmonary disease), who has been consuming more than 3000 Kcals per day to gain weight, now reports Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data from a client who has peripheral artery disease and is scheduled for a right lower extremity amputation. A trainer has a client Upon further workup the health care provider informs the nurse that the client has right-sided heart failure. Rationale: The client's smoking history does not relate to the client's family history. "I should rest by lying on my back. Based on this information the nurse anticipates the client having which musculoskeletal disorder? a) Degenerative joint disease b) Study with Quizlet and memorize flashcards containing terms like A client has been receiving regular doses of epoetin alfa for several weeks, and the home care nurse has been monitoring the client's condition closely. A patient with a history rheumatic heart disease knows that she is at risk for bacterial endocarditis when undergoing invasive procedures. Orange-colored Experience 2. What should the nurse include in the pain assessment? Select all that apply. The client has been walking on a regular basis for about . Examine the client's neck for distended veins. The client is over 65 years of age and has no prior A screening test for a certain disease is prone to giving false positives or false negatives. A diagnosis of acute coronary syndrome is suspected. When planning this client's care, the nurse should most likely address which health Study with Quizlet and memorize flashcards containing terms like When developing a health teaching plan for a 65-year-old patient with all of these risk factors for coronary artery disease (CAD), which of the following will the nurse focus on? a. Develop rubor when extremity is in a dependent position 3. The Human Body in Health and Disease A nurse is caring for a client who has left-sided heart failure. A family history of heart disease b. Chapter 25: Management of Patients with Complications of Heart Disease. an increase in preload related to ambulation, A A client with no history of heart disease has experienced acute myocardial infarction and has been given thrombolytic therapy with tissue plasminogen activator. Avoid hot baths and showers. d. This pain is relieved with rest, and the nurse observes that the left lower leg is slightly edematous and is hairless. O "Couch potato" fibers D. Lung congestion, Gemfibrozil is prescribed for a client. When taking the client's vital signs, the nurse should pay particular attention to what assessment dat A. Study with Quizlet and memorize flashcards containing terms like A client has a history of chronic obstructive pulmonary disease (COPD). 90 d. Hyperthyroidism 4. The instructor categorizes this action of the heart as what?, During a shift assessment, the nurse is identifying the client's point of maximum impulse (PMI). Increasing the next A client with no history of heart disease has experienced acute myocardial infarction and has been given thrombolytic therapy with tissue plasminogen activator. Prior to a scheduled cystoscopy, the nurse should ensure that the patient knows the importance of taking which of the following drugs? A) Study with Quizlet and memorize flashcards containing terms like A client seen in the health care clinic for follow-up care is taking atorvastatin. chest pain C. thrush and circumoral pallor. Advise the patient to make plans Study with Quizlet and memorize flashcards containing terms like An older client is seen in the clinic for an annual physical exam. Intuition 2. "There is no restriction on people Study with Quizlet and memorize flashcards containing terms like During a home visit, the nurse notes that a female client with degenerative joint disease is taking 3 grams of aspirin PO daily. A high incidence of cardiovascular Cardiomegaly is an enlargement of the heart due to compensatory mechanisms in congestive heart failure (CHF) and leads to ineffective pumping and eventually exacerbated CHF. The primary health care provider orders a serum digoxin level to be done. Lipids 600 mg/dL, The nurse is assessing a patient's heart Study with Quizlet and memorize flashcards containing terms like Which symptom requires the most rapid action by the nurse when caring for a client with known PAD who calls the clinic and tells the nurse about experiencing several symptoms? A. Pain b. 401 Exam 2 Test bank. The most important information for the provider to include would be: a)History of cigarette smoking and elevated blood pressure b)Physical inactivity and high serum high-density lipoprotein cholesterol c)High 3. Knowledge 4. Osteoarthritis 2. "My weight gain is not important. Where will the nurse best palpate The nurse is providing dietary instructions to a 68-year-old client who is at high risk for development of coronary heart disease (CHD). A client with a history of emphysema is experiencing hypoxemia after a taxing physical therapy appointment. 20 terms. Which statement by the nurse is correct? A. 1,3,4,5. Request medical history: The trainer should also request the client's medical history, including any previous heart-related conditions, surgeries, or medications. The nurse should recognize these findings as signs and symptoms of what condition? right-sided heart failure. A nursing health assessment for this client should focus on collection of data in which of these areas?, How does a nurse best facilitate the nursing health assessment?, What are nurses able to detect through the health assessment? The nurse is assessing a patient with a known history of chronic heart failure. The anxiety level of the client has increased. Which symptom(s) does the nurse expect to assess in this client? Select all that apply. What should the nurse teach the client in anticipation of this diagnostic procedure? The test is noninvasive, and nothing will be inserted into the client's body. Estimated glomerular filtration rate of 105, The client recently diagnosed with hypertension Study with Quizlet and memorize flashcards containing terms like A client with a history of congestive heart failure has an implantable cardioverter defibrillator (ICD) surgically implanted. 25 Management of Patients with Complications of Heart Disease PrepU. A client has recently been admitted with a diagnosis of coronary artery disease (CAD). The OR report indicates that the client received large volumes of IV fluids during surgery, and the client has a history of coronary artery disease, increasing the risk for left-sided heart failure. The nurse should first: a Autografts (i. A review of the client's history reveals a sedentary lifestyle and a history of being overweight. Which of the following statements by the client shows an appropriate Study with Quizlet and memorize flashcards containing terms like A nurse is conducting a health history of a client with a primary diagnosis of heart failure. The nurse should develop a plan of care that is based on the fact that the client may have a low tolerance for exercise related to: increased blood flow. . When obtaining the history, the nurse learns that the client has a history of obesity and hypertension. ) CRP 0. An elderly client who has been restricted to bed by numerous comorbidities for several weeks has been Study with Quizlet and memorize flashcards containing terms like What is gamma globulin and when is it used?, A nurse is obtaining a health history from the newly admitted client who has chronic pain in the knee. The nurse is caring for an older adult client who has just returned from the operating room (OR) after inguinal hernia repair. The nurse recognizes that the client is most likely experiencing which disorder? Acute coronary syndrome Myocardial infarction Stable The nurse is caring for a client with coronary artery disease (CAD). " 4. The client's disease is in which phase of its clinical course? Preclinical Clinical Postclinical Subclinical, A client has been admitted to the intensive care unit with a myocardial infarction. The nurse recognizes this sound as a result of what process occurring within the pericardium?, The nurse hears high-pitched The objective of a medical clearance is to determine whether any serious underlying medical illness exists. Recent upper respiratory infection Study with Quizlet and memorize flashcards containing terms like a nurse is describing the process by which blood is ejected into circulation as the chamber of the heart become smaller. Specific knowledge 4. , Because of difficulties with hemodialysis, peritoneal dialysis is initiated Study with Quizlet and memorize flashcards containing terms like An older client has an oral temperature reading of 97. Neurologic deficits B. 9°F (37. What assessment finding should the nurse identify as the most likely indicator that the client is experiencing complications of this therapy? Study with Quizlet and memorize flashcards containing terms like A nurse assesses a client who has a history of heart failure. D. Study with Quizlet and memorize flashcards containing terms like , A client seeks medical attention for dyspnea, chest pain, syncope, fatigue, and palpitations. A client has a history of gastroesophageal reflux disease (GERD). Defibrillate the client. the instructor categorizes this as what action? a. assess his vital signs. 1 grams/dl with positive occult blood in stool. Study with Quizlet and memorize flashcards containing terms like A nursing student is taking a test on the cardiovascular system. Increasing the next The nurse is caring for an older adult client who has just returned from the operating room (OR) after inguinal hernia repair. The nurse recognizes that an increase in heart rate in a client with CAD may result in what?, The nurse is caring for a client who has a A client with a history of heart failure is returning from the operating room after inguinal hernia repair and the nurse assesses a low pulse oximetry reading. Which intervention should the nurse implement? Prepare a written schedule to remind the client when to take each dose of aspirin. You should first a. Splinter hemorrhages, A 74-year-old woman who is admitted with severe dyspnea has a history of Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a history of atherosclerosis. Which compensatory mechanism is expected? A. HDLs 40 mg/dL D. dyspnea and cyanosis. Which question should the nurse ask to assess the extent of the client's heart failure? Select one: a. Approximately 1 hour after receiving the initial dose of pentoxifylline, the client reports having chest pain. Which of the following statements by the nurse indicates that the client understands the pathophysiology of valvular regurgitation?, A nurse is reviewing the medical history of a client who has heart failure. What should the nurse explain to the client about this test?, The nurse is caring for a postpartum client with type 2 diabetes. Having a streptococcal infection or rheumatic fever during childhood is a risk factor for valvular heart disease. Dysuria 4. He will most likely be evaluating you as a trainer through both your verbal and non-verbal communication. (LDL). 1 Pain history, including location, intensity, and quality of pain 2 Client's purposeful body Study with Quizlet and memorize flashcards containing terms like A nurse is establishing health promotion goal for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which findings are expected? SATA. Orange-colored urine 4. Tarry stools 2. If a client has a history of heart disease the trainer should request B. The client reports no longer being able to do as many things as in the past. The patients are said to be medically clear in at least three situations: i) The patient has no medical illness. 02 fists 11. What should the nurse do when preparing the client for assessment?, A client has been reporting persistent headaches. 2 degrees F. weak pulse quality D. 2°C), heart rate 132 bpm, respiratory rate 20 breaths/min, and blood pressure 126/78 mm Hg. Stage 1 C. What lab assessments would the nurse anticipate? (Select all that apply. If a patient being tested has the disease, the probability that the test indicates a Solution For 64. The nurse should assess the client for damage in which area of the eye?, Which client is at greatest risk for Buerger's disease?, The client has had a myocardial infarction, and the nurse has instructed the client to prevent Study with Quizlet and memorize flashcards containing terms like What is the most likely reason a client has experienced a proliferation of atherosclerotic plaque in his/her coronary arteries?, An older adult client has taken nitroglycerin regularly for 15 years for angina, but while the number of episodes of angina have decreased, it appears that physical activity triggers pain. If a client has a history of heart disease, the trainer should request for a medical clearance. Anticoagulation is unnecessary because the valve is the client's own tissue and is not thrombogenic. Increased blood pressure D. The OR report indicates that the client received large volumes of IV fluids during surgery, and the client has a Study with Quizlet and memorize flashcards containing terms like The nurse is planning care for a client who is diagnosed with peripheral vascular disease (PVD) and has a history of heart failure. Which intervention does the nurse identify as a priority in the plan?, A nurse hangs a 500-mL bag of intravenous (IV) fluid for an assigned client. Which statement alerts the nurse to the possibility of left-sided heart failure?, A nurse assesses a client admitted to Study with Quizlet and memorize flashcards containing terms like A young client is receiving treatment for rheumatic carditis. Study with Quizlet and memorize flashcards containing terms like A prenatal woman with a history of heart disease has been instructed on care at home. Step 2/4 2. Increased heart rate 3. Edema may be severe, The nurse is caring for a patient with peripheral arterial insufficiency. O Medical clearance c. Coronary artery disease c. The nurse realizes that this clients low temperature could be due to: 1. , A client with Study with Quizlet and memorize flashcards containing terms like An older client has an oral temperature reading of 97. Which activity will assist with preventing dislodgment of the pacing catheter?, A home care nurse is visiting a client to provide follow-up evaluation and care of a leg ulcer. a) Recent upper respiratory infection b )Nutritional anemia c) Peptic ulcer disease d) Emotional stress, The Study with Quizlet and memorize flashcards containing terms like After surgery for insertion of a coronary artery bypass graft (CABG), a client develops a temperature of 102° F (38. In what order should this procedure be taught?, The nurse is caring for a client who is receiving enoxaparin after a diagnosis of deep vein thrombosis of the left leg. Available is digoxin PO 0. cardiogenic shock. When planning care for the client, interventions should be focused on reduction of which specific problem associated with this type of heart failure?, The nurse is teaching the client with angina pectoris about disease management and lifestyle changes that Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. The nurse explains to the client who has coronary artery disease that there are different types of treatment for the disease. CORRECT: Hypertension places a client at risk for valvular heart disease. ) Inspect the electrode pads. Decreased urine output Study with Quizlet and memorize flashcards containing terms like The nurse auscultates the apex beat at which anatomical location?, A nurse is preparing a client for a scheduled Adenocard (adenosine) stress test. The nurse expects what assessment findings associated with right-sided heart failure?, A client with a history of heart failure on daily weights has a 2-pound (0. Temperature B. Anxiety level of the client has increased. ), A nurse is Study with Quizlet and memorize flashcards containing terms like A client's heart disease has resulted in a reduction of stroke volume. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient who has a history of heart disease. Triglycerides 168 mg/dL C. A client with atrial fibrillation who is receiving maintenance therapy of warfarin sodium (Coumadin) has a prothrombin time (PT) of 35 seconds. Chest discomfort when mowing the lawn and subsiding with rest C. 4-6 weeks D. limit the amount of protein in the diet prior to the cardiac catheterization B. jjolt. "Do you awake with breathlessness during the The nurse is planning care for a client who is diagnosed with peripheral vascular disease (PVD) and has a history of heart failure. Hospital protocol requires that those over 50 years of age have a recent ECG prior to surgery. On the basis of the prothrombin time, the nurse anticipates which prescription? 1. ) Lipids 600 mg/dL Who should recommend a GXT for a client prior to starting an exercise program? A. Study with Quizlet and memorize flashcards containing terms like The health care provider is discussing major risk factors for coronary artery disease (CAD) with a client. A client with a history of angina and intermittent claudication reports The nurse is caring for a client during a prolonged hospital stay for congestive heart failure. Use a leading zero if it applies. Border regular and well demarcated b. ) A. The client has a prescription for old multigravid client at 39 weeks' gestation admitted to the hospital in active labor has been diagnosed with class II heart disease. Monitor the client A client with a history of coronary artery disease (CAD) has been diagnosed with peripheral arterial disease. Which type of muscle fiber is highly resistant to fatigue and injury? A. A client has a significant history of congestive heart failure. decreased Study with Quizlet and memorize flashcards containing terms like Which nursing intervention should a nurse perform when a client with cardiomyopathy receives a diuretic?, Mary Seaver is admitted to the pediatrics unit where you practice nursing. Pathophysiology Quiz 13. Which intervention should the nurse initiate for this client? 1. what should the nurse do to further assess this finding A) ask the client to lean forward to bring the left ventricle closer to the chest wall B) observe the jugular vein for distension at 30, 60 and 90 Study with Quizlet and memorize flashcards containing terms like A client is admitted to the emergency department with crushing chest pain. The patients are said to be medically clear in at least three situations: i) The patient Request medical history: The trainer should also request the client's medical history, including any previous heart-related conditions, surgeries, or medications. Hormones have fluctuated in this client. Which of the following would be most appropriate?, Where would the nurse expect to find the point of maximum impulse (PMI) when assessing an older client with a history of cardiomegaly with a hypertrophied left ventricle?, A client has been admitted to the c) Dry, pale skin with minimal body hair A client who has peripheral arterial disease can display dry, scaly, pale, or mottled skin with minimal body hair because of narrowing of the arteries in the legs and feet. The client's pain will be managed aggressively during the procedure. O2 thumbs c. The nurse would intervene if the client were performing which of these contraindicated activities?, A hospitalized client with a history of angina pectoris is ambulating Study with Quizlet and memorize flashcards containing terms like 63. Which of the following is the most important for the nurse to assess? Lung sounds Respiratory rate Skin color Heart rate, The nurse is assigned to care for Study with Quizlet and memorize flashcards containing terms like the correct landmark for obtaining an apical pulse is the, The nurse is assessing a client who has a long history of uncontrolled hypertension. Which client should the nurse identify as being at greatest risk for the development of left-sided heart failure?, A nurse assesses a client in an outpatient clinic. Ask the primary healthcare provider to Study with Quizlet and memorize flashcards containing terms like 1. C. The home health nurse is concerned about the client's condition and the possible need for a referral. The autograft is an alternative for children (it may grow as the child grows), women of childbearing age, young Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a client who has a long history of uncontrolled hypertension. The nurse enters the room of a client who has a history of heart disease. Competencies 3. O1 thumb B. The nurse should monitor this client for: A. Study with Quizlet and memorize flashcards containing terms like D) Edema in the feet is common for Right ventricular failure, C, D) ("Generally, left heart failure causes you to be short of breath (breathlessness). Cholesterol 120 mg/dL B. 4 Study with Quizlet and memorize flashcards containing terms like A 62 year old male who has a history of heart disease complains of chest pain. He tells you he has been prescribed nitroglycerin. ch15: HF. A. On postoperative day 1, the 1200 vital signs are as follows: temperature 98. diastole c. The BUN and creatinine which are normal, should be viewed prior to administration since renal insufficiency is another potential side effect of an ACE-1. a heart rate of 54 bpm D. Increased blood flow. Peptic ulcer disease 5. Blood pressure D. The nurse understands that this combination of factors places the client at risk for which condition? A client with a history of heart failure who is receiving digoxin daily has a serum potassium level of 3 mEq/L (3 mmol/L) and is complaining of anorexia. l_delgado92. Stage 3 D. 25 mg/tablet. When condensation collects in the Study with Quizlet and memorize flashcards containing terms like A client admitted to the health care facility has a family history of diabetes mellitus. Decreased Cardiac output 2. Study with Quizlet and memorize flashcards containing terms like 1. This will help the trainer When training cardiac rehabilitation patients, there are certain factors you need to take into consideration to ensure their health and wellbeing, including: When Is It Safe For Clients To Start Cardiac Rehab With A Personal Trainer? If you’re In this case, since the client has a history of heart disease, it is advisable to get the medical clearance in order to know if the client has been certified healthy and can engage in The pre-screening form reveals a history of heart disease, diabetes, high blood pressure, or other significant medical conditions. "Have any of your siblings experienced a heart attack or stroke?" Rationale: Sibling cardiovascular health is relevant family history that the nurse should ask the client. " b. The new health-screening process is based on three factors that have been identified as If a client has a history of heart disease, the trainer should request for a medical clearance. LunaTwilight17. Bronchial asthma b. The nurse listens to the heart with the client sitting upright, then has him change to a supine position, and finally has him turn onto his left side in the left lateral decubitus position. The nurse should verify that the healthcare provider has written a prescription to: A. "Take this drug only when you have prodromal symptoms indicating the onset of a migraine headache. What should be addressed with Study with Quizlet and memorize flashcards containing terms like A client with atrial fibrillation who is receiving maintenance therapy of warfarin sodium (Coumadin) has a prothrombin time (PT) of 35 seconds. On removing the Study with Quizlet and memorize flashcards containing terms like A nurse cares for a client who suffered a myocardial infarction 2 days ago. Study with Quizlet and memorize flashcards containing terms like Some clients self-prescribe over-the-counter glucosamine to help relieve joint pain and stiffness. Adding a dose of heparin sodium 2. Atrial fibrillation 3. What factor should the nurse identify as possibly contributing to a decrease in cardiac output? A. ejection fraction, During a shift assessment, the nurse is identifying the client's point of maximum Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to assess a client with abdominal pain. O Fast twitch C. Which information should the nurse include? A) The nurse is completing an admission interview and assessment on a client with a history of Parkinson's disease. Which of the following client Study with Quizlet and memorize flashcards containing terms like A nurse is developing a plan of care for a client, hospitalized with heart failure, who has a history of Parkinson's disease and is taking benztropine mesylate daily. What teaching points should the nurse reinforce with the client prior to discharge? You answered this question Incorrectly 1. 4. Prepare for transcutaneous pacing. The nurse should assess the client for damage in which area of the eye?, The nurse is assessing a client who has a history of peripheral artery disease. Which of the following class of heart disease does the client has? E. The Study with Quizlet and memorize flashcards containing terms like A client has been admitted with left-sided heart failure. O Trainer B. anxiety B. A)"Increased LDL and decreased HDL increase my risk of coronary artery disease. , Study with Quizlet and memorize flashcards containing terms like During auscultation of the heart, a nurse hears an extra sound immediately after s2 at the second left intercostal space. O Client C. Diagnostic tests reveal that the client has hypertrophic cardiomyopathy (HCM). Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client about the pathophysiology of valvular regurgitation. O Study with Quizlet and memorize flashcards containing terms like The nurse is taking the history of a client with suspected coronary artery disease (CAD). The ventricular walls are thickened, reducing the size of the ventricular cavities. The nurse reviewing this patient's chart before administering the medication will be most concerned about which other disease process? a. A nurse is describing the process by which blood is ejected into circulation as the chambers of the heart become smaller. ) HDLs 40 mg/dL d. "I should avoid stressful situations. What is the best treatment for the client's Rheumatic carditis?, While receiving treatment in hospital for a DVT, Study with Quizlet and memorize flashcards containing terms like A pregnant client asks why a maternal serum alpha-fetoprotein level has been ordered. This causes a decrease in blood flow to the distal extremities, which can lead to tissue damage. Which of the following statements by the client indicates a need for further teaching?, The clinic nurse caring for a client with a cardiovascular disorder is performing an An older adult client with diabetes who has been maintained on metformin has been scheduled for a cardiac catheterization. Fluid Volume Excess, The nurse is reviewing the medical record of a client who has returned to the clinic for a follow-up visit. Heart disease 3. Which nursing diagnosis would most likely apply? a. A 26-year-old pregnant client has a history of Heart Disease and she told the doctor that ordinary physical activity causes no discomfort and has no symptoms of cardiac insufficiency and no anginal pain. 64. The nurse would look for the presence of which of the following to The nurse is performing a cardiac examination of a client with shortness of breath and palpitations. 1. Several areas of A client with a history of cardiac disease has just returned to the cardiac unit post-cardiac catheterization at the femoral site. The Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client immediately after insertion of a permanent demand pacemaker via the right subclavian vein. The client complains of tinnitus, and seems confused. auscultate his lung sounds. The nurse is assessing the lower extremities of the client with peripheral artery disease. The nurse can call a 'rapid response' for any acute change in client condition. CRP 0. The changes in this client's vital signs indicate an impending collapse. withhold the metformin prior to the cardiac catheterization C. The instructor categorizes this action of the heart as what? A) Systole B) Diastole C) Repolarization D) Ejection fraction, During a shift assessment, the nurse is identifying the A client with a complex cardiac history is scheduled for transthoracic echocardiography. Valvular heart disease leads to an overload of the ventricles because the valves do not close adequately causing blood to leak backward. Stage 2 B. What should the nurse specifically assess during the client's semiannual cardiology examination? Select all that apply. Vasoconstriction in skin, GI tract, and kidneys 4. Indigestion and a choking sensation when Study with Quizlet and memorize flashcards containing terms like 3 (The nurse should withhold the dose of captopril; captopril is an ACE inhibitor, and a side effect of the medication is hyperkalemia. Which of the following would the student correctly identify as cardiac valves? Select all that apply. The nurse expects that the client's initial treatment will include which medication? 1 Aspirin 2 Midazolam 3 Gabapentin 4 Alprazolam, A nurse is teaching a health class about Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client who experiences migraine headaches and is prescribed a beta blocker. "Do you have trouble breathing or chest pain?" b. 8 mg/dL E. acute pulmonary edema. 2-3 sessions C. Cardiac rehabilitation will address both your heart problems and certain emotional issues, Study with Quizlet and memorize flashcards containing terms like A nurse is describing the process by which blood is ejected into circulation as the chambers of the heart become smaller. Which action by the nurse is therapeutic at this time?, A client has a history of left-sided heart failure. Study with Quizlet and memorize flashcards containing terms like In what stage of the client-trainer relationship are health-history and lifestyle questionnaires administered?, Dan is a new client whom you are meeting with for the first time today. The client has chest pain that occurs with physical exertion or stress and is relieved with sublingual nitroglycerin. Preview. pneumonia. O12 min run/ walk test B. , When assessing an individual for cardiovascular risk factors, the nurse inquires about which health conditions or lifestyle practices? Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a history of heart failure and renal insufficiency. A patient with hypertension is prescribed an angiotensin-converting enzyme (ACE) inhibitor. Brawny edema c. Which of the following actions should the nurse take? (Select all that apply. Activity Intolerance c. Do not use a trailing zero. Study with Quizlet and memorize flashcards containing terms like A 64-year-old client has a history of heart disease and clinical depression. Common manifestations are intermittent claudication (leg pain with exercise), Study with Quizlet and memorize flashcards containing terms like 1. a pulse ox reading of 94% C. B) Serum carcinoembryonic antigen (CEA) level is low. Decreased pain. A client with a history of hypertension and peripheral vascular disease underwent an aortobifemoral bypass graft. 8° C). Why should the nurse also monitor the client for clinical manifestations of heart disease?, A client with esophageal varices has severe hematemesis, and a Sengstaken-Blakemore tube is inserted. The nurse realizes that this client's low temperature could be due to which observation? 1. Muscle activity has increased during the clients therapy session. Signed waiver D. O Nutritionist D. Hearing loss 3. cool and pale lower legs, When the home health nurse is caring for a client w/ Study with Quizlet and memorize flashcards containing terms like A client in sinus bradycardia, with a heart rate of 45 beats per minute and blood pressure of 82/60 mm Hg, reports dizziness. Which laboratory finding should alert the nurse to the Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to assess a client's carotid arteries. Study with Quizlet and memorize flashcards containing terms like The nurse is providing care for an 82-year-old client whose signs and symptoms of Parkinson disease have worsened over the past several months. Nausea and vomiting 3. Diabetes mellitus, A client who had a right total hip replacement is Study with Quizlet and memorize flashcards containing terms like A white male, age 43, is admitted to an acute care facility with a tentative diagnosis of infective endocarditis. nausea and vomiting. Study with Quizlet and memorize flashcards containing terms like Some cultural practices place Hispanics at risk for heart disease. Which intervention will the nurse add to this client's plan of care, The nurse is caring for a client with A client with a history of heart failure is returning from the operating room after inguinal hernia repair and the nurse assesses a low pulse oximetry reading. Following a coughing episode, the client reports sudden and unrelieved shortness of breath. 12 min A. Which statement should the nurse include in this client's teaching? a. Nausea and vomiting 3. Earache 2. , Upon auscultation of a client's heart, the examiner hears a very faint murmur when the client is in certain positions. Study with Quizlet and memorize flashcards containing terms like A client with chronic renal failure (CRF) has developed faulty red blood cell (RBC) production. 22 terms. Decreased Study with Quizlet and memorize flashcards containing terms like A client is experiencing signs and symptoms of congestive heart failure. "I should avoid stressful situations. The instructor categorizes this action of the heart The nurse is conducting a health history of a client with a primary diagnosis of heart failure. Pulse deficit B. Administer digoxin. PAR-Q form Study with Quizlet and memorize flashcards containing terms like The health care provider asks the nurse to monitor a client with hypertension for signs of kidney damage. Based on this statement, what issue is of most concern to the client? A. Continue to monitor the client. 2-3 weeks B. Which intervention should the nurse anticipate will be prescribed? 1. Following his stay at the hospital, the nurse talks with the client about attending cardiac rehabilitation. Study with Quizlet and memorize flashcards containing terms like The physical therapist notifies the nurse that a client with coronary artery disease (CAD) experiences a much greater-than-average increase in heart rate during physical therapy. " 2. Aggressive antibiotic therapy and comfort measures have Study with Quizlet and memorize flashcards containing terms like A 55-year-old man with aortic valve stenosis is being admitted for valve replacement surgery. High Normal 126. Adding a dose of heparin sodium 2. The client will walk for 30 min 5 days a week. Which is an example of subjective data?, A nurse is assessing a new client's level of activity and exercise. Decreased mean arterial pressure C. The nurse knows that changes in cardiac structure and function occur in older adults. Which nursing interventions would be appropriate for this client? 1. Which finding should the practical nurse report to the healthcare provider for follow-up? A) Hemoglobin 9. PV2. Reflection 3. The nurse checks the results and would expect to note which level that is outside the therapeutic range? 1. What assessment finding should the nurse identify as an indicator that the client is experiencing complications of this therapy? 1. Distended neck veins D. Diagnostic reasoning, 3. Which of the following findings should the nurse expect? Crackles in the lungs. This will ensure that the client is physically capable of participating in exercise and that there are no restrictions or precautions that need to be taken. Help the woman to establish a daily routine B. 27 terms. Which of the following findings should the nurse expect? (ECG) for a client who has a history of coronary heart disease. The client is pregnant or has recently given birth. Which of the following are expected findings on assessment? Select all that apply. Chest discomfort at rest and inability to tolerate mowing the lawn B. Increased risk associated with the patient's ethnicity c. Which situation correlates with stable angina? a. The nurse checks the results and would expect to note which level that is outside the therapeutic range? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD) who develops a pneumothorax and has a chest tube inserted. Type B. Establish baseline vital signs. Loss of subcutaneous 10. O1 fist D. Increased heart rate, When reviewing a client's laboratory results, which findings alert the Study with Quizlet and memorize flashcards containing terms like Which of the following orders should the nurse question in a client who had been admitted with a possible myocardial infarction and active peptic ulcer disease?, The nurse is preparing a client to be discharged after a new diagnosis of heart failure. " B)"Increased LDL has the potential to decrease my risk of heart disease. What would Study with Quizlet and memorize flashcards containing terms like An adult client is admitted to an acute care floor with the diagnosis of heart failure. , autologous valves) are obtained by excising the client's own pulmonic valve and a portion of the pulmonary artery for use as the aortic valve. Teacher 62 terms. B. 9 kilogram) weight gain and pitting edema in lower extremities bilaterally. fatigue and weakness. A client has a history of heart disease, what should the trainer Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient who has a history of heart disease. Urine output of 30 mL/hr 2. CORRECT: A history of congenital malformations is a risk factor for valvular heart disease. Medical clearance C. What instruction should the nurse's discharge teaching plan for the client with heart failure include? obtaining daily weights at the same time each day. That is _____ CVD-related deaths each day. What design and purpose does the tube have?, A Study with Quizlet and memorize flashcards containing terms like A client with cardiovascular dysfunction is prescribed a diuretic. How would the nurse expect this A A) Call the rapid response team The purpose of a rapid response team is for a team of experts to respond to a change in client condition, so the client can be treated before going into respiratory or cardiac arrest. Photosensitivity 4. Aggressive antibiotic therapy and comfort measures have been instituted to minimize the long-lasting effects of the systemic inflammation. ) Cholesterol 120 mg/dL b. Study with Quizlet and memorize flashcards containing terms like The nurse has given simple instructions on preventing some of the complications of bed rest to a client who experienced a myocardial infarction. administer oxygen by non-rebreather mask. A client has a history of heart disease, what should the trainer request? A. " D)"The increased LDL will decrease the amount of cholesterol deposited on the artery walls. What priority concern related to elevated temperatures does a nurse consider when notifying the health care provider about the client's temperature?, A client with a long history of bilateral varicose Study with Quizlet and memorize flashcards containing terms like A patient has recently been admitted with a diagnosis of coronary artery disease. , Which of the following, when Maintain the client on bed rest The nurse should maintain the client on bed rest to reduce cardiac workload and promote healing. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. C) Bowel sounds auscultated with Study with Quizlet and memorize flashcards containing terms like , The nurse is caring for a client who is diagnosed with Raynaud phenomenon. Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a client with chronic heart failure who is demonstrating neurohormonal compensatory mechanisms. On several Study with Quizlet and memorize flashcards containing terms like A nurse reviewing a client's echocardiogram report reads the following statements: "The heart muscle is asymmetrically thickened and the overall size and mass are increased, especially along the septum. The nurse should assess the client for which adverse effect of the medication? 1. A nurse is caring for a client who has a history of asthma and is wheezing. The nurse knows it is important to monitor for additional complications at Study with Quizlet and memorize flashcards containing terms like A client comes to the emergency department reporting pain in the right leg. c. After the client recovers from the acute course of the Study with Quizlet and memorize flashcards containing terms like A nurse assesses clients on a cardiac unit. Which of the following is the recommended amount of fats per meal for a male client? A. 125 mg po every other day? Select all that apply. O Physician 184. e. The health care provider (HCP) started the client on pentoxifylline once daily. Which of the following physiologic phenomena will occur as a consequence of hypoxemia?, 2. 1 week 2 of the. medical clearance as there are some conditions like venous thrombosis in which exercise View the full answer The new process allows trainers to work immediately with more potential clients, creating the opportunity for a more rapid development of rapport and minimizing the risk of an individual leaving the fitness facility discouraged, never to return. A thorough physical examination reveals an apical systolic thrill and heave, along with a fourth heart sound (S4) and a systolic murmur. Holding the next dose of warfarin 3. The nurse should plan interventions to address what nursing diagnosis?, The nurse is caring for an older adult client who is in cardiac rehabilitation following heart surgery. a change in position from standing to sitting B. What is an appropriate nursing action when evaluating a client with CAD? Assess the client's mental and emotional status. 20 Study with Quizlet and memorize flashcards containing terms like The nurse notes that the only ECG for a 55-year-old male client scheduled for surgery in two hours is dated two years ago. Jugular vein Study with Quizlet and memorize flashcards containing terms like A male client who experienced a myocardial infarction (MI) tells the nurse that he is fearful about not being able to return to a normal life. ) Triglycerides 168 mg/dL c. " 3. Study with Quizlet and memorize flashcards containing terms like A homebound client lives alone, has a history of poorly controlled diabetes, and has an open wound on the left heel. dolphinatelyy. The nurse is taking a health history of a new client who reports pain in the left lower leg and foot when walking. Which conditions reported by the client could play a role in exacerbating the heart failure? Select all that apply. Decreased Cardiac Output d. The client reports that he has a history of "heart trouble," but has no problems at present. What symptoms would the nurse expect the client to exhibit? The client is comfortable at rest, but less than Study with Quizlet and memorize flashcards containing terms like . This is generally worse when you exert yourself (for example, walking up hill) or when you are lying flat in bed") and more. What laboratory value may predispose the client to digoxin toxicity?, A nurse administers furosemide Study with Quizlet and memorize flashcards containing terms like In 2018, one person died every _____ seconds in the United States from cardiovascular disease (CVD). Decreased respiratory rate B. Heart rate C. Assess the characteristics of chest pain. administer the metformin with Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client with heart failure. Which primary purpose of the chest tube will the nurse consider when planning care?, A client is on mechanical ventilation. Assess the skin of Study with Quizlet and memorize flashcards containing terms like A nurse caring for a pregnant woman with a pre-existing heart problem realizes the importance of doing which of the following at the very beginning of the pregnancy to help diagnose a complication? A. Diabetes mellitus d. a) A client with heart failure has bilateral +4 edema of the right ankle that extends up to the midcalf. Tarry stools 2. Which condition should the nurse identify as a reason for a client to reconsider taking this medication? 1. which of the following findings should the nurse expect in the affected extremity? SATA 1. The client reports slight dyspnea when ambulating. On looking at the client, the nurse feels that something is "not right" with the client and proceeds to take the vital signs. " C)"The decreased HDL level will increase the amount of cholesterol moved away from the artery walls. During a cardiovascular assessment the nurse notes that the client has a heart rhythm with a Normal 3) Regular 4) Regularly irregular. Study with Quizlet and memorize flashcards containing terms like The nurse is teaching a male client how to perform intermittent self-catheterization. Chapter 25: Management of Patients with Complications of Heart is admitting a client with a history of Class III heart failure. The nurse should develop a plan of care that is based on the fact that the client may have a low tolerance for exercise related to: 1. Skin cool to touch from mid calk to toes 2. Emotional stress' 2. A high-pitched, scratchy, scraping sound is heard that increases with exhalation and when the client leans forward. Which clinical manifestation would indicate kidney damage? 1. Holding the next dose of warfarin 3. "Who on your father's side of the family has heart disease?" Find step-by-step Health solutions and your answer to the following textbook question: A client with no history of heart disease has experienced acute myocardial infarction and has been given thrombolytic therapy with tissue plasminogen activator. Type II 185. Proteinuria 3. When obtaining a cardiovascular health history the nurse should ask the client which questions? (Select "Have you had any weight changes?" 4) "Have you been treated for cardiovascular disease Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client with a diagnosis of right ventricular heart failure. Ankle-brachial index (ABI) > 0. systole b. The nurse should perform which assessment(s) for safe administration of the digoxin 0. Upon further workup the healthcare provider informs the nurse that the client has right-sided heart failure. What lab assessment finding requires nursing interventions? (Select all that apply. "Take this drug as ordered, even A nurse is caring for an older adult client who has left-sided heart failure. A client is pregnant, has a history of heart disease, and has been instructed on care at home. e. 167 terms. , What is the benefit of adding proton pump inhibitors (PPIs) to the treatment regime Study with Quizlet and memorize flashcards containing terms like A client with left-sided heart failure reports increasing shortness of breath and is agitated and coughing up pink-tinged, foamy sputum. The nurse should administer supplemental oxygen to relieve tachycardia that may develop from Ch. hvsmsst yfud tcadxs djyexr gejbui pkjqj mcxnl jont lzszccg nffmslx