NCLEX Review about Cardiac Nursing (6-10)

NCLEX Review about Cardiac Nursing

6. The client undergone cardiac catheterization. His blanket is soaked with blood. What is the best initial nursing action?

a) notify the physician
b) monitor vital signs
c) assess where the site of bleeding is, and apply pressure on that site
d) transport the client back to the cardiac catheterization laboratory

7. A client with heart disease is on low-fat diet. A nurse evaluates that the client understands the diet if the client states that a food item to avoid is:

a) plums
b) cherries
c) avocado
d) peaches

8. Which of the following best shows effective coping of the client after myocardial infarction?

a) the patient plans to return to work in 2 to 3 days
b) the patient ask her husband to bathe and dress her
c) the patient states that she needs to commit to lifelong lifestyle changes

9. A client complains of chest pain. What should be the nurse,s priority action?

a) check vital signs
b) notify physician
c) let the client lie down and check if the pain is relieved by rest
d) administer sublingual nitroglycerine

10. Which of the following assessment data are the usual manifestations of a client with mitral valve stenosis?

a) dependent edema
b) dyspnea on exertion and fatigue
c) distended neck vein
d) enlarged liver




NCLEX Review about Cardiac Nursing:
ANSWERS AND RATIONALE

6) C
- puncture site for catheter insertion may be in the brachial or femoral vein/artery. In case of bleeding, the initial nursing action is to assess and apply pressure to the site.

7) C

8) D
- the client accepts that a lifestyle change is lifetime. This is to promote health and well-being of the person.
- avocado is high in fats

9) A
- gather additional information about the client's condition first. Next action is to notify the physician. (Assessment is done before implementation).

10) B
- mitral valve stenosis leads to left-sided heart failure. This produces pulmonary manifestations ("left lung"). Left heart affectation results to lung manifestations like dyspnea on exertion.

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