NCLEX Review about Cardiac Nursing (31-35)

NCLEX Review about Cardiac Nursing

31. Left-sided congestive heart failure is most often associated with which of the following manifestations?

a) dyspnea
b) distended neck vein
c) hepatomegaly
d) pedal edema

32. A client with chest pain is admitted to the emergency department. He states that his chest pain was not relieved after taking 3 nitroglycerine tablets at home. Which of the following is the best initial nursing action?

a) administer the prescribed analgesic
b) give nitroglycerine sublingually
c) monitor blood pressure
d) monitor ECG

33. After cardiac catheterization, which of the following findings should the nurse report to the physician?

a) pain on the groin when changing positions
b) the client denies tingling sensation in the extremity
c) the client verbalizes that she experienced flushing sensation during the procedure
d) the toenail blanches on compression and pinkish color returns after 1 to 3 seconds

34. After cardiac catheterization that involves femoral artery, which of the following actions by the RN needs intervention by the charge nurse?

a) the RN monitors the client's vital signs
b) the RN applies small ice pack over the puncture site
c) the RN elevates the head of the bed to sitting position as requested by the client
d) the RN immobilizes the affected extremity in extension

35. An elderly client who had suffered a severe heart attack says to the nurse, "I have a living will and my children do not agree with what I have decided. I hope you nurses and doctors will abide by my wishes." Which of these responses by the nurse is best?

a) your wishes are the most important
b) do you expect your children to be here when you have to make decisions?
c) you and your children should really decide together
d) it's always best to reconsider your decisions






NCLEX Review about Cardiac Nursing:
ANSWERS AND RATIONALE

31) A
- left-sided congestive heart failure is characterized by signs and symptoms due to: a. pulmonary edema ("left" - "lung"), b. cellular hypoxia, c. RAAS activation --> hypertension and hypokalemia.
Choices B, C, D are signs and symptoms of right-sided CHF.

32) A
- relief of chest pain is a priority in myocardial infarction. Pain increases cardiac workload and may lead to shock. Morphine sulfate is the drug of choice.

33) A
- pain in the groin after cardiac catheterization may indicate hematoma at the site. This indicates bleeding at the site and compression of blood vessels by the hematoma may occur. his in turn, may cause circulatory impairment in the area.

34) C
- avoid acute hip flexion after cardiac catheterization involving the femoral artery to prevent circulatory impairment. HOB may be elevated only up to 30 deg for the first 6 to 8 hours

35) A
- the client's wishes are primary considerations in living will.



Go to the next page ---> NCLEX Review about Cardiac Nursing (36-40)  

Or go back to NCLEX Review about Cardiac Nursing (1-5) to start the test from the beginning.