Cardiac Disorders NCLEX Questions | Nurselytic

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Cardiac Disorders NCLEX Questions Questions

Extract:


Question 1 of 5

The nurse enters the room of the client diagnosed with congestive heart failure. The client is lying in bed gasping for breath, is cool and clammy, and has buccal cyanosis. Which intervention would the nurse implement first?

Correct Answer: D

Rationale: Gasping, clamminess, and cyanosis indicate acute pulmonary edema. Sitting upright (
D) improves breathing by reducing preload. Sponging (
A), pulse oximetry (
B), and vital signs (
C) are secondary to positioning.

Question 2 of 5

The nurse knows that the client understands how to determine when the nitroglycerin tablets need replacing when the client makes which statement?

Correct Answer: C

Rationale: Fresh nitroglycerin tablets cause a tingling sensation under the tongue; loss of this sensation indicates loss of potency.

Question 3 of 5

Which symptom would the nurse expect to observe if the client is having an allergic reaction to streptokinase (Streptase)?

Correct Answer: A

Rationale: Urticaria (hives) is a common sign of an allergic reaction to streptokinase, a thrombolytic agent.

Question 4 of 5

Because the client is exhibiting signs and symptoms of congestive heart failure (CHF), which position suggested by the nurse is most beneficial for the client at this time?

Correct Answer: D

Rationale: Semi-Fowler's position (30-45 degrees) reduces preload and eases breathing in CHF.

Question 5 of 5

An older adult is scheduled for coronary arteriography during a cardiac catheterization. Which nursing intervention will be essential as she recovers from the diagnostic procedure on the hospital unit?

Correct Answer: D

Rationale: Assessing the arterial puncture site is essential to detect complications like bleeding or hematoma post-coronary arteriography.

Similar Questions

The nurse is transcribing the doctor’s orders for a client with congestive heart failure. The order reads 2.5 mg of Lanoxin daily. Which action should the nurse implement?
If the heart murmur is related to valve damage caused by a childhood infection, the nurse would expect the client to report having had which disease?
The nurse is caring for a client diagnosed with a myocardial infarction who is experiencing chest pain. Which interventions should the nurse implement? Select all that apply.
Which modification used by the nurse is most appropriate when taking the blood pressure of a client who weighs 250 pounds?
The client is admitted to the telemetry unit diagnosed with acute exacerbation of congestive heart failure (CHF). Which signs/symptoms would the nurse expect to find when assessing this client?

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