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This activity contains 10 questions.
A female client is being admitted for valvular heart disease. From the assessment, the nurse learns the client has a predisposition to this disease. Which of the following pieces of information would cause the nurse to come to this conclusion?
Infective endocarditis at the age of 22 years
Diagnosis of cardiomyopathy
Congenital malformation diagnosed upon birth
Rheumatic heart disease at the age of 8 years
A client with subacute infective endocarditis is admitted to the ICU. Which of the following should be included in the plan of care for this client?
Place in reverse isolation.
Place client in respiratory isolation.
Prepare for surgery as soon as possible.
Provide antibiotic therapy as prescribed.
Provide calcium channel blockers as prescribed.
Provide beta blockers as prescribed.
A client is unable to tolerate the medication Prinivil (Lisinopril). Which of the following classifications of medications can be used in the place of this medication?
An elderly client in the ICU is being treated for subacute infective endocarditis. The physician is concerned that she will develop heart failure. Which of the following conditions/disease processes will predispose this client to developing heart failure?
History of transient ischemic attacks
History of pulmonary tuberculosis
Diagnosis of hypertension
Diagnosis of multiple sclerosis
Episodes of gestastional diabetes
Diagnosis of type 2 diabetes mellitus
A client has been diagnosed with Stage A heart failure. Which of the following would be appropriate for this client?
Begin treatment with an ACE inhibitor.
Begin treatment with a calcium channel blocker.
Begin treatment with diuretics.
Evaluate current treatment for type 2 diabetes.
A client with heart failure is telling the nurse that she is allergic to an ACI inhibitor because it "makes her cough." Which of the following would be an appropriate response for the nurse to make to this client?
There are other medications that won't make you cough.
Oh I know. So many clients tell me the same thing.
The cough is really a side effect of the medication, not an allergic response.
That's odd. I've never heard that.
A client has been diagnosed with hypertension. Which of the following should be included in the focused assessment of this client?
Auscultate lung sounds
Measurement of cardiac output
History of total knee replacement
Renal function assessment
An obese client is newly diagnosed with hypertension. Which of the following will most likely be implemented first to help this client?
Instruct in use of thiazide diuretics.
Instruct in ways to increase physical activity.
Instruct in side effects of beta blockers.
Instruct in a diet high in calcium and potassium.
Instruct in the use of an ACI inhibitor.
Instruct in uses for calcium channel blockers.
A newly diagnosed client with hypertension is going home in a few days. What instructions should this client receive prior to being discharged?
Ways to ensure home environment safety
List of medication side effects
Instruct to phone the physician with any weight loss
How to take their own radial pulse
Instruct to stop medication if experiencing a side effect
Reasons to avoid exercise
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A client who had his mitral valve replaced is being discharged to home on Coumadin. What are the diagnostic tests this client will need to assess the effectiveness of the Coumadin?
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