3313_Ch02_007–042 14/03/14 4:44 PM Page 7

Cardiovascular Management

When you do the common things in life in an uncommon

2
way, you will command the attention of the world.
—George Washington Carver

QUESTIONS

1. The nurse on the cardiac unit has received the shift report from the outgoing nurse.
Which client should the nurse assess first?
1. The client who has just been brought to the unit from the emergency department
(ED) with no report of complaints.
2. The client who received pain medication 30 minutes ago for chest pain that was a
level 3 on a 1-to-10 pain scale.
3. The client who had a cardiac catheterization in the morning and has palpable pedal
pulses bilaterally.
4. The client who has been turning on the call light frequently and stating her care has
been neglected.
2. The nurse on the cardiac unit is preparing to administer medications after receiving
the morning change-of-shift report. Which medication should the nurse administer
first?
1. The cardiac glycoside to the client who has an apical pulse of 58.
2. The loop diuretic to a client with a serum K+ level of 3.2 mEq/L.
3. The antidysrhythmic to the client in ventricular fibrillation.
4. The calcium-channel blocker who has a blood pressure of 110/68.
3. Which client should the telemetry nurse assess first after receiving the a.m. shift report?
Copyright © 2014. F. A. Davis Company. All rights reserved.

1. The client diagnosed with deep vein thrombosis who has an edematous right calf.
2. The client diagnosed with mitral valve stenosis who has heart palpitations.
3. The client diagnosed with arterial occlusive disease who has intermittent
claudication.
4. The client diagnosed with congestive heart failure who has pink frothy sputum.
4. The charge nurse is making assignments for clients on a cardiac unit. Which client
should the charge nurse assign to a new graduate nurse?
1. The 44-year-old client diagnosed with a myocardial infarction.
2. The 65-year-old client admitted with unstable angina.
3. The 75-year-old client scheduled for a cardiac catheterization.
4. The 50-year-old client complaining of chest pain.

Hargrove-Huttel, Ray, and Kathryn Cadenhead Colgrove. Prioritization, Delegation, & Management of Care for the NCLEX-RN® Exam, F. A. Davis Company, 2014. ProQuest Ebook 7
Central, http://ebookcentral.proquest.com/lib/uaz/detail.action?docID=1710069.
Created from uaz on 2018-01-13 03:11:19.