In order to anticipate problems in a client following a myocardial infarction (MI), the nurse should understand that which type of physiological changes will increase serum glucose levels and free fatty acid production?

While palpating a client’s abdomen, the nurse notes a pulsating abdominal mass. This may indicate which condition?

A client with abdominal aortic aneurysm asks the nurse in which area are abdominal aortic aneurysms most commonly located. The best response by the nurse is:

Which condition is most closely associated with weight gain, nausea, and a decrease in urine output?

Which of the following drug classes should be administered to a client with heart failure to maximize cardiac performance?

The nurse anticipates that a client with right-sided heart failure will exhibit which of the following?

The nurse is aware that a client who has just experienced a myocardial infarction (MI) is most at risk for developing:

What is the class of medications that protects the ischemic myocardium by blocking catecholamines and sympathetic nerve stimulation?

A client who experienced a myocardial infarction (MI) tells the nurse he is fearful of dying. The most appropriate response by the nurse is:

What is the first intervention for the nurse to implement for a client experiencing myocardial infarction (MI)?

A client who is being evaluated for myocardial infarction (MI) asks the nurse which diagnostic tool is most commonly used to determine the location of myocardial damage. The best response by the nurse is:

The nurse is aware that the supplemental medication most frequently ordered in conjunction with furosemide (Lasix) is:

A client with a myocardial infarction asks the nurse why he is receiving morphine. What is the best response by the nurse?

While assessing a client’s heart sounds, the nurse auscultates a murmur at the second left intercostal space along the left sternal border. Which valve is most likely involved?

A nurse on a telemetry unit teaches a client diagnosed with acute coronary syndrome about coronary blood flow. Which of the following statements made by the nurse is correct?

A client describes knifelike chest pain that increases in intensity with inspiration to the nurse. The nurse is aware that the most likely origin of pain is:

Prior to administration of Lanoxin (digoxin), the nurse must obtain the apical pulse. Where does the nurse place the stethoscope?

A client’s electrocardiogram shows ST elevation in leads II, III, and aVF, suggesting occlusion of the right coronary artery. The client asks the nurse what area of the heart this has affected. What is the nurse’s best response?

Medical management of coronary artery disease (CAD) has been discussed with a client. The nurse anticipates that management will include which of the following?

In caring for a client with cardiac problems, the nurse must know that the condition most likely responsible for myocardial infarction (MI) is which of the following?

A client is experiencing signs and symptoms of coronary artery disease. What should be the nurse’s first priority?

Which of the following illnesses, if stated by a client, would indicate that he understands the leading cause of death in the United States?

A nurse is teaching a client about atherosclerosis. The nurse determines further teaching is necessary when the client makes which of the following statements?

A client with no history of cardiovascular disease comes to the ambulatory clinic with flu-like symptoms. The client suddenly complains of chest pain. What is the most important question for the nurse to ask the client?

The heart rhythm of a client who has experienced cardiac arrest and is receiving cardiopulmonary resuscitation (CPR) deteriorates to ventricular fibrillation. What is the most important action of the nurse?

A client’s electrocardiogram (ECG) is showing ST elevation in leads V2,V3, and V4. Which artery is most likely to be occluded?

The nurse auscultates a third heart sound (S3  ) while assessing her client. The nurse is aware that this results from:

The nurse is preparing to assess a client for jugular vein distention. How should the nurse position the head of the client’s bed?

A client’s rhythm strip shows a regular rhythm with atrial and ventricular rates of 70 beats/minute, a PR interval of 0.24 seconds, and a QRS duration of 0.08 seconds. The nurse interprets this rhythm as:

The nurse is reviewing a client’s lab work to determine if a risk for coronary artery disease (CAD) is present. The nurse is most concerned when the results identify which of the following?