Kaplan Cardiovascular B
• One week after discharge from the hospital, a client with heart failure (HF) comes to the
cardiac clinic for a follow-up
... [Show More] visit. which of these statements, if made by the client to the
nurse, indicates an improvement in the client's condition?
o "I only sleep on one pillow" -> a symptom of HF is orthopnea or the inability to
breathe while lying flat; the client's statement that he uses only one pillow to
sleep indicates an improvement in his respiratory function
• The nurse understands that they MOST important factor to maintain adequate
circulations is
o blood volume -> in order to maintain adequate circulation, an adequate
transport medium to carry nutrients and gases throughout the body is needed
• the cardiac nurse instructs a patient scheduled to receive a pacemaker about how the
usual cardiac conduction cycle flows. which of the following should the nurse identify as
the natural pacemaker of the heart?
o Sinoatrial (SA) node-> it is the pacemaker of the heart, usually initiating impulses
(heartbeats) at 60-100 bpm; it is located in the junction of the superior vena cava and the right atrium; it regulates HR, rhythm, and regularly; other components of
the conduction pathway have potential to discharge impulses independently, but
the SA node releases impulses more rapidly and therefore assume control over
the process
• the nurse understands that the purpose of a coronary artery bypass graft (CABG) is to
o insert the graft -> in a bypass procedure, a graft places and anastomosed distally
and proximally to bypass the obstruction
• the nurse understands that the cause of essential hypertension is
o not known-> essential (primary) hypertension accounts for 90-95% of all cases;
hypertension may have no symptoms or HA, dizziness, anginal pain, treatment
includes medication and lifestyle changes
• the nurse understands that intermittent caudation is
o pain caused by walking -> intermittent claudication is pain felt in the calves when
the patient walks and is seen in arterial insufficiency
• a client receiving verapamil in the sustained-release form complains of a HA. which
information should the nurse provide the client?
o this medication often causes HA -> verapamil is a calcium channel blocker that
sometimes cause HA, constipation, fatigue, and dizziness; non-narcotic analgesia
is often prescribed to treat the HA; this side effect to diminish over time
• the nurse is planning discharge teaching for a patient diagnosed with peripheral vascular
disease. it is MOST important for the nurse to
address which of the following?
o the patient smokes heavily. -> smoking is a predisposing factor for arterial
peripheral vascular disease [Show Less]