The nurse assesses a client diagnosed with acute pericarditis. Which assessment would require immediate follow-up?

The nurse is planning care for a two-week-old client who has a congenital heart defect. Which of the following actions is not appropriate?

The nurse is caring for the pediatric client with congenital heart disease. The nurse should monitor the client for which of specific complication?

Which client would be most at risk for developing disseminated intravascular coagulation (DIC)?

The client admitted with full-thickness burns may be developing DIC. Which signs/symptoms would support the diagnosis of DIC?

Which laboratory result would the nurse expect in the client diagnosed with DIC?

What is the earliest clinical manifestation in a client of acute DIC?

Which of the following is contraindicated for a client diagnoses with DIC?

_____ use/abuse during pregnancy causes vasoconstriction and decreased placental perfusion, resulting in maternal and neonatal complications.

When caring for a client with preeclampsia, which action is a priority?:

A client in the triage area who is 19 weeks gestation states that she has not felt her baby move in the past week, and no fetal heart tones are found. While evaluating this client, the nurse identifies her as being at the highest risk for developing which problem?

A primigravida is being monitored in her prenatal clinic for preeclampsia. What finding should concern her nurse?

The labor of a pregnant woman with preeclampsia is going to be induced. Before initiating the Pitocin infusion, the nurse reviews the woman’s latest laboratory test findings, which reveal a platelet count of 90,000, an elevated aspartate transaminase (AST) level, and a falling hematocrit. The nurse notifies the physician because the laboratory results are indicative of:

A pregnant woman has been receiving a magnesium sulfate infusion for treatment of severe preeclampsia for 24 hours. On assessment the nurse finds the following vital signs: temperature of 37.3° C, pulse rate of 88 beats/min, respiratory rate of 10 breaths/min, blood pressure (BP) of 148/90 mm Hg, absent deep tendon reflexes, and no ankle clonus. The client complains, “I’m so thirsty and warm.” The nurse:

A woman with severe preeclampsia has been receiving magnesium sulfate by intravenous infusion for 8 hours. The nurse assesses the woman and documents the following findings: temperature of 37.1° C, pulse rate of 96 beats/min, respiratory rate of 24 breaths/min, blood pressure (BP) of 155/112 mm Hg, 3+ deep tendon reflexes, and no ankle clonus. The nurse calls the physician, anticipating an order for:

The development of MODS is confirmed in a client who has the following symptoms:

The nurse explains that a child with a VSD may display which signs and symptoms?

The finding the nurse would expect when measuring blood pressure on all 4 extremities of a child with coarctation of the aorta is blood pressure that is

Nurses should be aware that HELLP syndrome:

Nurses should be aware that chronic hypertension:

An infant is experiencing dyspnea related to patent ductus arteriosus (PDA). The nurse understands dyspnea occurs because blood is:

Magnesium sulfate is given to women with preeclampsia and eclampsia to:

A patient with pregnancy-induced hypertension is admitted complaining of pounding headache, visual changes, and epigastric pain. Nursing care is based on the knowledge that these signs are an indication of:

The nurse is caring for a child with persistent hypoxia secondary to a cardiac defect. The nurse recognizes that a risk of cerebrovascular accidents (strokes) exists. An important objective to decrease this risk is to:

A nurse assesses an older adult client who has multiple chronic diseases. The client’s heart rate is 48 beats/min. Which action should the nurse take first

Which definition best describes left-sided heart failure?

A client comes to the ED extremely anxious, tachycardia, struggling for air, and with a moist cough productive of frothy, blood-tinged sputum. What is the priority nursing action?

A client is receiving an infusion of nesiritide (Natrecor) for treatment of heart failure. What is the priority nursing assessment while administering this medication?

A nurse is reviewing the ECG of a older client on digoxin therapy and notes the loss of a P wave. This finding can occur in the presence of

A client is prescribed a beta-blocker as adjunct therapy to treatment of heart failure. The nurse recognizes that the action of these medications:

A client has been placed on lisinopril as part of their treatment regimen heart failure. The nurse monitors the client for which electrolyte imbalance for this drug?

A client with a history of hypertension and peripheral vascular disease underwent an aortobifemoral bypass graft. Preoperative medications included pentoxifylline, metoprolol, and furosemide. On postoperative day 1, the 1200 vital signs are: temperature 98.9° F (37.2° C); heart rate 132 bpm; respiratory rate 20 breaths/min; blood pressure 126/78 mm hg. Urine output is 50 to 70 mL/h. The hemoglobin and the hematocrit are stable. The medications have not been prescribed for administration after surgery. Using the SBAR (Situation-Background-Assessment-Recommendation) technique for communication, the nurse contacts the health care provider (HCP) and recommends to:

A client is recovering from coronary artery bypass graft (CABG) surgery. The nurse knows that for several weeks after this procedure, the client is at risk for certain conditions. During discharge preparation, the nurse should advise the client and his family to expect which common symptom that typically resolves spontaneously?

A nurse is assigned a PCT to care for a group of cardiac clients. Which client should the nurse address first?

How should the nurse instruct the client with unstable angina to use sublingual nitroglycerin tablets when chest pain occurs?

A nurse is caring for a client with type 2 diabetes who has had a MI and is reporting nausea, vomiting, dyspnea, and substernal chest pain. Which of the following is the priority intervention?

A client is recovering from coronary artery bypass graft (CABG) surgery and begins to experience chest pain, shortness of breath, and tachycardia. Further assessment reveals a widened QRS complex and an elevated ST segment. Which nursing diagnosis takes highest priority at this time?

A nurse is caring for a primigravida client in the labor and delivery area. Which condition places the client at risk for disseminated intravascular coagulation (DIC)?

A nurse is in charge of the coronary intensive care unit. Which client should the nurse see first?

A client has presented to the emergency department with an acute myocardial infarction (MI). What action by the nurse is best to meet The Joint Commission’s Core Measures outcomes?

The provider requests the nurse start an infusion of an inotropic agent on a client. How does the nurse explain the action of these drugs to the client and spouse?

A client is receiving an infusion of tissue plasminogen activator (t-PA). The nurse assesses the client to be disoriented to person, place, and time. What action by the nurse is best?

A nurse is caring for a 28-week gestation primigravida client in labor and birth area. The client reports that she has not felt fetal movement in over 3 days. Ultrasonography reveals intrauterine fetal demise. Which of the following laboratory finding is indicative of a potentially serious condition?

A nurse assesses a client who is in cardiogenic shock. Which statement by the nurse best indicates an understanding of cardiogenic shock?

A client with shock brought on by hemorrhage has a temperature of 97.6° F (36.4° C), a heart rate of 140 beats/minute, a respiratory rate of 28 breaths/minute, and a blood pressure of 60/30 mm Hg. For this client, the nurse should question which physician order?

Which client would be most at risk for developing disseminated intravascular coagulation (DIC)?

The nurse is teaching a client who is prescribed a calcium channel blocking agent after a percutaneous transluminal coronary angioplasty (PTCA). Which instruction does the nurse include in this client’s teaching?

A client who is scheduled for an echocardiography today asks why this test is being performed. What is the nurse’s best response?

The nurse has completed an assessment on a client with a decreased cardiac output. Which findings should receive the highest priority

A nurse assessing a client who underwent cardiac catheterization finds the client lying flat on the bed. His temperature is 99.8 ° F (37.7 ° C). His blood pressure is 104/68 mm Hg. His pulse rate is 76 beats/minute. The nurse assesses the limb and detects weak pulses in the leg distal to the puncture site. Skin on the leg is cool to the touch. The puncture site is dry, but swollen. What is the most appropriate action for the nurse to take?

A diabetic client has been diagnosed with hypertension, and the physician has prescribed atenolol (Tenormin) a beta-blocker. When performing diabetic discharge teaching it is important for the client to recognize that the addition of atenolol can cause: