NCLEX Review about Cardiac Nursing (11-15)

NCLEX Review about Cardiac Nursing

11. Which of the following are non-modifiable risk factors for cardiovascular disorders?

a) age and gender
b) obesity and hypertension
c) stress and smoking
d) caffeine and alcohol

12. Which of the following laboratory findings is expected in a patient with myocardial infarction?

a) elevated troponin levels
b) elevated SGPT (ALT) levels
c) elevated LDH 2 levels
d) elevated CK-MM levels

13. Which of the following is a manifestation of negligence when a client with heart disease is in labor

a) the client is in lithotomy position with her feet in stirrups
b) the client's vital signs are monitored closely
c) the client receives oxygen therapy through face mask
d) the client has a patent IV access line

14. The client had undergone cardiac catheterization using femoral artery. Which of the following should be included in the nursing care plan of the client?

a) keep the affected leg immobile and in extended position for few hours
b) apply warm compress at the puncture site
c) allow the client to ambulate once vital signs are stable
d) maintain NPO status until gag reflex returns

15. After cardiac catheterization, the client experiences chest pain. Which of the following is the best initial nursing action?

a) bring the patient back to the cardiac catheterization laboratory
b) administer analgesic
c) take an ECG
d) assist the client to ambulate




NCLEX Review about Cardiac Nursing:
ANSWERS AND RATIONALE

11) A
- age and gender are non-modifiable or unavoidable risk factors for cardiovascular disorders. The other options are modifiable risk factors.

12) A
- elevated troponin levels are the best indicator of M.I. Troponin I of 1.5 mg/ml, Troponin T greater than 0.1 to 0.2 are supportive of MI.

13) A
- lithotomy position increases cardiac workload. The client should be placed in semi-fowler's position to decrease cardiac workload and promote oxygenation.

14) A
- after cardiac catheterization involving femoral artery, the affected leg should be kept immobile and in extended position for few hours. This is to prevent bleeding and to promote adequate circulation in the leg.

15)
- assessment is the first nursing action. ECG may reveal dysrhythmias which cause chest pain after cardiac catheterization. Gather adequate information before implementation.





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