A nurse cares for a client recovering from prosthetic valve replacement surgery. The client asks, Why will I need to take anticoagulants for the rest of my life? How should the nurse respond?
a. The prosthetic valve places you at greater risk for a heart attack.
b. Blood clots form more easily in artificial replacement valves.
c. The vein taken from your leg reduces circulation in the leg.
d. The surgery left a lot of small clots in your heart and lungs.
Question 2A nurse assesses a client with mitral valve stenosis. What clinical manifestation should alert the nurse to the possibility that the client's stenosis has progressed?
a. Oxygen saturation of 92
b. Dyspnea on exertion
c. Muted systolic murmur
d. Upper extremity weakness
Question 3A nurse teaches a client who has a history of heart failure. Which statement should the nurse include in this client's discharge teaching?
a. Avoid drinking more than 3 quarts of liquids each day.
b. Eat six small meals daily instead of three larger meals.
c. When you feel short of breath, take an additional diuretic.
d. Weigh yourself daily while wearing the same amount of clothing.
Question 4A nurse admits a client who is experiencing an exacerbation of heart failure. Which action should the nurse take first?
a. Assess the client's respiratory status.
b. Draw blood to assess the client's serum electrolytes.
c. Administer intravenous furosemide (Lasix).
d. Ask the client about current medications.
Question 5A nurse teaches a client who is prescribed digoxin (Lanoxin) therapy. Which statement should the nurse include in this client's teaching?
a. Avoid taking aspirin or aspirin-containing products.
b. Increase your intake of foods that are high in potassium.
c. Hold this medication if your pulse rate is below 80 beats/min.
d. Do not take this medication within 1 hour of taking an antacid.
Question 6A nurse assesses a client after administering isosorbide mononitrate (Imdur). The client reports a headache. Which action should the nurse take?
a. Initiate oxygen therapy.
b. Hold the next dose of Imdur.
c. Instruct the client to drink water.
d. Administer PRN acetaminophen.
Question 7After administering newly prescribed captopril (Capoten) to a client with heart failure, the nurse implements interventions to decrease complications. Which priority intervention should the nurse implement for this client?
a. Provide food to decrease nausea and aid in absorption.
b. Instruct the client to ask for assistance when rising from bed.
c. Collaborate with unlicensed assistive personnel to bathe the client.
d. Monitor potassium levels and check for symptoms of hypokalemia.
Question 8A nurse is teaching a client with heart failure who has been prescribed enalapril (Vasotec). Which statement should the nurse include in this client's teaching?
a. Avoid using salt substitutes.
b. Take your medication with food.
c. Avoid using aspirin-containing products.
d. Check your pulse daily.
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