NCLEX Review about Cardiac Nursing (26-30)

NCLEX Review about Cardiac Nursing

26. The client has coronary artery disease (CAD). Which of the following statements when made by the client indicates that he understands the health instructions?

a) I need to avoid carbohydrates
b) I need to avoid working in cold weather
c) I need to avoid exercise
d) I need to avoid fruits

27. A client had a second myocardial infarction episode. The nurse determines the precipitating factor when the client says

a) I use my nicoderm patch, so I can quit smoking
b) I go for a walk in the park, each morning during summer
c) I get tired when I climb a flight of stairs
d) I include fruits and vegetables in my diet

28. The client has been diagnosed to have chronic congestive heart failure (CHF). What is the earliest sign that indicates recurrence of CHF?

a) dyspnea
b) syncopal episode
c) tachycardia
d) elevated blood pressure

29. Which of the following is a prominent signs and symptoms in a client with COA (coarctation of aorta)?

a) elevated BP in both lower extremities
b) diminished femoral pulse
c) cyanosis
d) machinery murmurs

30. Which of the following signs and symptoms indicate pacemaker failure?

a) increased pulse rate
b) decreased pulse rate of 60 beats per minute
c) flushing of the skin
d) elevated body temperature




NCLEX Review about Cardiac Nursing:
ANSWERS AND RATIONALE

26. B
- working in cold weather precipitates coronary artery spasm. This reduces myocardial tissue perfusion and oxygenation. Therefore the client with CAD should avoid working in cold weather.

27) A
- nicotine causes vasoconstriction. Nicoderm patch is contraindicated for clients with history of M.I.

28) A
- dyspnea is the earliest sign that indicates recurrence of CHF

29) B
- coarctation of aorta is characterized by the following signs and symptoms:

• hypertension in the higher extremities
• hypotension in the lower extremities
• diminished pulse in the lower extremities

30) B
- bradycardia is a sign of pacemaker failure. Other signs and symptoms of pacemaker failure are as follows: dizziness, faintness, shortness of breath, prolonged hiccups.





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