KAPLAN CARDIOVASCULAR A QUESTIONS
WITH UPDATED ANSWERS
Kaplan Cardiovascular A
• The nurse instructs a patient about hypertension. Which of the
... [Show More] following statements, if
made by the patient to the nurse, indicates teaching is successful?
o "I know that I must see my physician on a regular basis." -> hypertension is a
serious condition that must be constantly monitored.
• Several hours after being admitted to the unit, an IV lidocaine drip is stated for a client
diagnosed with acute MI. the nurse understands which outcome is the purpose of this
medication?
o decrease the myocardial irritability. -> lidocaine, like other antidysrhythmic drugs,
decreases myocardial irritability and decreases myocardial automaticity
• the nurse cares for a patient after a coronary artery bypass graft (CABG). which
observation during the postoperative period MOST concerns to the nurse?
o the heavy chest tube drainage suddenly stops. -> sudden cessation of mediastinal
chest tube drainage after a CABG, especially when the drainage was heavy, is a
hallmark manifestation of cardiac tamponade; in cardiac tamponade blood
and/or fluid collects in the pericardial sac, presses on the heart, and prevents
atria and ventricles from filling adequately; cardiac output is thus reduced;
emergency sternotomy and volume and volume expanders are the treatment of
choice
• the nurse is monitoring a patient receiving treatment for hypertension. which of the
following blood pressure readingsindicatesto the nurse that the treatment is
successful?
o 120/78-> one of the goals of antihypertension therapy is to maintain systole
blood pressure of 120 or below, and a diastolic pressure below 80
• the nurse in the student health service of college is planning a series of brief
presentations on reducing health risks. One of the topics is going to be toxic shock
syndrome (TSS). it is MOST important for the nurse to target which of the following
groups in marketing this program?
o all females-> since TSS is primarily concerned with tampon use and since this is a
college-age campus, all women should be targeted; TSS is a type of distributive
shock resulting from inadequate vascular tone due to staphylococcus aureus
infection; in addition to tampons, various contraceptive devices, postpartum
conditions and non-menstrual vaginal conditions have been associated with TSS;
proper use of tampons, including avoidance of those with super absorbent
properties, is a priority; sudden high fever, vomiting, diarrhea, hypotension, and
rash are initial symptoms of TSS; preventive education is the focus of the primary
care setting
2
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• the nurse caresfor the client 12 hours after artofemoral bypass. it is MOST important for
the nurse to place the client in which position?
o full supine. -> hip must remain straight to prevent bleeding
3
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• the nurse supervises the nursing student caring for the client who has a femoropoliteal
bypass graft in the R leg 12 hours ago. the nurse should intervene if the nursing student
performs which intervention?
o 1. the nursing student places the client in a chair for 30 minutes. -> bending the
hip and knee are contraindicated due to possible thrombusformation
o 4. the nursing student obtains a Doppler evaluation of the client's right leg every
two hours. -> assess hourly
• when a nurse administers dopamine via IV drip, which of the following factors is MOST
important?
o the patient's weight in kg -> dopamine is administered according to mcg/kg/hr.,
administer via pump titrated to a certain dosage
• the nurse performs diet teaching for a client diagnosed with a MI. the nurse determines
that teaching is effective if the client selects which of the following menus?
o sliced turkey, green beans, pear -> these are all low in cholesterol and low in salt;
other meals are high cholesterol and sal [Show Less]