Nclex-Rn Practice Questions-Cardiovascular Disorders-Cardiac Inflammatory Diseases
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Question 1 |
The client is diagnosed with pericarditis. Which signs/symptoms should the nurse expect in this client?
A | The client has pulsus paradoxus and night sweats. |
B | Complaints of fatigue and arthralgias. |
C | Constant chest pain and friction rub. |
D | Increased chest pain when ambulating but not at rest. |
Question 2 |
The nurse is assessing the client diagnosed with subacute bacterial endocarditis. Which question should the nurse ask the client during the admission interview to support this diagnosis?
A | “Have you had a sore throat in the last month?” |
B | “Did you have frequent strep throats as a child or young adult?” |
C | “Do you have a family history of heart disease?” |
D | “What prescription medications do you take?” |
Question 3 |
The client diagnosed with endocarditis is complaining of increased dyspnea and nausea. Which intervention should the nurse implement first?
A | Ask Respiratory Therapy to evaluate the client's dyspnea. |
B | Obtain an order for an indwelling urinary catheter. |
C | Auscultate the client's lung sounds and assess the periphery. |
D | Give the client a specimen cup to collect sputum. |
Question 4 |
The client diagnosed with pericarditis complains of pressure in the chest and shortness of breath. The intensive care nurse assesses a decreasing systolic blood pressure and jugular vein distention. Which collaborative intervention should the nurse anticipate for this client?
A | Prepare for a pericardiocentesis. |
B | Send the client for a cardiac catheterization. |
C | Have Respiratory Therapy draw arterial blood gases. |
D | Refer the client to the chaplain for anticipatory grief counseling. |
Question 5 |
The nurse is planning the care of a client diagnosed with acute bacterial endocarditis who has been admitted for intravenous therapy. Which intervention should the nurse include in the plan of care?
A | Limit interruptions to allow for uninterrupted rest and sleep. |
B | Refer the client to inpatient cardiac rehabilitation. |
C | Maintain oxygen via nasal cannula at 2 L/min. |
D | Discuss the need for valve replacement surgery. |
Question 6 |
The client is diagnosed with acute pericarditis. During the shift assessment, the nurse notes muffled heart sounds. Which intervention should the nurse implement?
A | Notify the HCP. |
B | Continue to monitor the client. |
C | Get an order to place the client on telemetry. |
D | Recheck the client in 4 hours. |
Question 7 |
The female client is diagnosed with rheumatic fever and prescribed penicillin, an antibiotic. Which statement indicates the client understands the discharge teaching?
A | “I must take the prescribed antibiotics for 7 days only.” |
B | “I may get a vaginal yeast infection with penicillin.” |
C | “I will have no problems as long as I take my medication.” |
D | “My throat culture was positive for a staph infection.” |
Question 8 |
The client with pericarditis is prescribed a nonsteroidal anti-inflammatory drug (NSAID). Which teaching instruction should the nurse discuss with the client?
A | Explain the importance of keeping a pain diary to show the HCP. |
B | Discuss not driving or operating machinery while taking the medication. |
C | Instruct the client not to take the medication on an empty stomach. |
D | Alternate the medication with acetaminophen (Tylenol) every 8 hours. |
Question 9 |
The client with infective endocarditis is admitted to the medical department. Which HCP's order should be implemented first?
A | Administer the intravenous antibiotic. |
B | Schedule an echocardiogram. |
C | Insert a 20-gauge intravenous catheter. |
D | Bedrest with bathroom privileges. |
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