Cardiac Nursing Questions (46-50)
Welcome to Cardiac Nursing Questions. Before you begin answering the questions, you may first want to take a peek about the material that will surely help you the pass the NCLEX examination :
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46. The nurse has applied the patch electrodes of an automatic external defibrillator (AED) to the chest of a client who is pulseless. The defibrillator has interpreted the rhythm to the ventricular fibrillation. The nurse then:
a) administers rescue breathing during the defibrillation
b) performs cardiopulmonary resuscitation (CPR) for 1 minute before defibrillating
c) charges the machine and immediately pushes the “discharge” buttons on the console
d) orders any personnel away from the client, charges the machine, and defibrillates through the console
47. The nurse is planning care for a client diagnosed with deep vein thrombosis (DVT) of the left leg who is experiencing severe edema and pain in the affected extremity. Which intervention should the nurse avoid in the care of this client?
a) elevate the left leg
b) apply moist heat to the left leg
c) administer acetaminophen (Tylenol)
d) ambulate in the hall three times per shift
48. The nurse is planning preoperative care for a client scheduled for insertion of an inferior vena cava filter. The nurse questions the physician about withholding which regularly scheduled medication on the day before surgery?
a) docusate sodium (Colace)
b) furisemide (Lasix)
c) potassium chloride (K-Dur)
d) warfarin sodium (Coumadin)
49. A hospitalized client with hypertension has been started on catopril (Capoten). The nurse ensures that the client does which of the following specific to this medication?
a) drinks plenty of water
b) eats foods that are high in potassium
c) takes in sufficient amounts of high-fiber foods
d) moves from a sitting to a standing position slowly
50. A 24-year old female with a family history of heart disease presents to the physician’s office asking to begin oral contraceptive therapy for birth control. The nurse would next inquire whether the client:
a) exercises regularly
b) is currently a smoker
c) eats a low-cholesterol diet
d) has taken oral contraceptives before
Cardiac Nursing Questions
Answers and Rationale
- If the AED advises to defibrillate, the nurse or rescuer orders all persons away from the client, charges the machine, and pushes both of the “discharge” buttons on the console at the same time. The charge is delivered through the patch electrodes, and this method is known as “hands-off” defibrillation, which is safest for the rescuer. The sequence of charges (up to three consecutive attempts at 200, 300, and 360 joules) is similar to that of conventional defibrillation. Option A is contraindicated for the safety of any rescuer. Performing CPR delays the defibrillation attempt.
- Management of the client with DVT who is experiencing severe edema and pain includes bed rest; limb elevation; relief of discomfort with warm moist heat and analgesics as needed; anticoagulant therapy; and monitoring for signs of pulmonary embolism. In current practice, activity restriction may not be ordered if the client is receiving low-molecular-weight heparin; however, some physicians may still prefer bed rest for the client.
- In the preoperative period, the nurse consults with the physician about withholding warfarin sodium to avoid the occurrence of hemorrhage. Docusate sodium is a stool softener, furosemide is a diuretic, and potassium chloride is a supplement.
- Orthostatic hypotension is a concern for clients taking antihypertensive medications. Clients are advised to avoid standing in one position for lengthy amounts of time, to change positions slowly, and to avoid extreme warmth (showers, bath, and weather). Clients are also taught to recognize the symptoms of orthostatic hypotension, including dizziness, light-headedness, weakness, and syncope. Options A, B, and C are not specific to this medication.
- Oral contraceptive use is a risk factor for heart disease, particularly when it is combined with cigarette smoking. Regular exercise and keeping total cholesterol levels less than 200 mg/dL are general measures to decrease cardiovascular risk.
After you reviewed your answers through its rationale, you can proceed to the next set of questions:
Cardiac Nursing Questions (51-55)
or you can go back and start from the beginning: