care Of Clients With Cardiovascular Disorders
The following questions all about care for the clients with cardiovascular disorders. This will test your knowledge about managing a clients with cardiovascular diseases. The quiz contains 15 questions all related to cardiovascular disorders. If you are now ready to answer, just click the "start quiz" button. Good luck Nurses.
- 1.When teaching the client with myocardial infarction (MI), the nurse explains that the pain is associated with MI is caused by:
- A.
Left ventricular overload.
- B.
Impending circulatory collapse.
- C.
Extracellular electrolyte imbalances.
- D.
Insufficient oxygen reaching the heart muscle.
- 2.Which of the following is an uncontrollable risk factors that has been linked to the development of coronary artery disease (CAD)?
- A.
Exercise
- B.
Obesity
- C.
Gender
- D.
High-cholesterol level
- 3.A client with angina pectoris asks the nurse, "What information does ECG provide?" The nurse would appropriately respond that ECG gives information about the:
- A.
Electrical conduction of the myocardium.
- B.
Oxygenation and perfusion of the heart.
- C.
Contractile status of the ventricles.
- D.
Physical integrity if the muscle.
- 4.How should the nurse instruct the client with angina pectoris to take sublingual nitroglycerine when chest pain occurs?
- A.
Take one tablet every 2 to 5 min until the pain subsides.
- B.
Take one tablet and rest for 10minutes. Call the physician is the pain persists after 10minutes.
- C.
Take one tablet, then an additional tablet every 5 minutes for a total of three tablets. all the physician if pain persists after three tablets.
- D.
Take one tablet. If pain persists after 5 minutes, take two tablets. If pain still persists 5 minutes after, call the physician.
- 5.Proper hand placement for chest compression during CPRis essential to reduce the risk of which of the following complications?
- A.
Gastrointestinal bleeding
- B.
Myocardial infarction
- C.
Emesis
- D.
Rib fracture
- 6.The rescuer understands that the compression-to-ventilation ratio in CPR is:
- A.
5:1
- B.
15:1
- C.
30:2
- D.
15:2
- 7.Which of the following indicates congestive heart failure?
- A.
BUN=15mg./dl
- B.
CVP=7 cm.; H2O
- C.
Serum potassium = 4m Eq/L
- D.
Hourly urine output = 30 to 60 mls.
- 8.The client will undergo left-sided cardiac catheterization. Which of the following should not be included in patient teaching?
- A.
"You will experience warm sensation as the contrast medium is injected."
- B.
"You will receive anesthesia."
- C.
"You will be placed in a tunnel- like device."
- D.
"You have to tell me if you have any allergy to seafoods."
- 9.The type of artificial cardiac pacemaker which provides a specific number of electrical firings per minute is:
- A.
Fixed rate pacemaker
- B.
Demand rate pacemaker
- C.
Temporary pacemaker
- D.
Permanent pacemaker
- 10.Which of the following signs and symptoms would most likely be experienced by a client with right-sided congestive heart failure?
- A.
Dyspnea, crackles, ankle edema
- B.
Engorged neck vein, enlarged liver, weight gain
- C.
Hemoptysis, hypertension, pallor
- D.
Syncope, hemolytic anemia, clubbing of fingers
- 11.The nurse administers digoxin to the client with congestive heart failure. The nurse should first check which of the following?
- A.
Pulse rate
- B.
Apical pulse
- C.
Blood pressure
- D.
Respiratory rate
- 12.Which of the following in NOT a characteristic of chest pain in myocardial infarction (MI)?
- A.
It last for more than 30minutes.
- B.
It radiates to the entire chest, neck and left arm.
- C.
It is relieved by rest.
- D.
It is crushing in character.
- 13.Which of the following may precipitates the chest pain in myocardial infarction?
- A.
Taking a warm bath.
- B.
Having frequent rest period.
- C.
Eating a large meal.
- D.
Avoiding exposure to cold.
- 14.Which of the following results of enzyme studies does not includes the presence of myocardial infarction?
- A.
Elevated Ck-MB
- B.
Elevated SGOT (AST)
- C.
Elevated LDH
- D.
Elevated SGPT (ALT)
- 15.The following interventions should be included in the nursing care plan of the client with MI, EXCEPT:
- A.
Place the client in semi-Fowler's position.
- B.
Administer oxygen by small cannula as ordered.
- C.
Encourage use of bedpan for defecation
- D.
Provide low sodium, low fat and low cholesterol diet.
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