NUR 209 Exam 2 (Cardiovascular)| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Fortis Prep U A nurse is assigned to care for a client with a terminal cardiovascular illness. When developing the client's plan of care, which outcome would the nurse identify as most realistic for this client?adaptation to living with limitations maintenance of adequate comfort acceptance of changes in lifestyle recovery from the cardiovascular problem - ANSWER maintenance of adequate comfort Rationale: The realistic outcome for a client with terminal cardiovascular disease is maintenance of adequate comfort and acceptance of impending death.Realistic outcomes for the client with chronic cardiovascular disease focus on helping the client to live within limitations imposed by the disease and to improve acceptance of changes in lifestyle and self-concept. Outcomes pertinent to the client who is admitted with an acute problem focus on recovery from the cardiovascular problem without residual complications.Prep U Upon entering a client's room, the client tells the nurse, "I'm having some really strong pain in my chest." The nurse intervenes immediately, placing the client in which position? 1 / 3
Sitting Standing upright Flat with legs raised 20 to 30 degrees Supine - ANSWER Sitting Explanation:The nurse should make the client comfortable in a sitting position. A supine position inhibits full chest expansion and limits gas exchange in the lung, so this position should be avoided. Since the heart works harder in the supine position than in the upright position, the supine position is not recommended. The hypotensive client is positioned with legs elevated 20 to 30 degrees.Prep U Which of the following is a noninvasive procedure assisting the nurse in cardiovascular care?Electrocardiography Pulmonary artery monitoring Swan-Ganz catheterization Cardiac output determination - ANSWER Electrocardiography
Explanation:Noninvasive heart monitoring involves electrocardiography and
cardiac monitoring. Invasive techniques, such as pulmonary artery monitoring, Swan-Ganz catheterization, cardiac output determination, and cardiac support via an intraaortic balloon pump (IABP), typically are used by trained critical care personnel to provide additional monitoring and support.Prep U 2 / 3
A nurse is teaching a client with heart disease about exercising and signs of overexertion. The nurse determines that additional education is needed if the client
states:
"I should wait at least an hour after eating before exercising." "I need to call the doctor if it feels like my heart is racing." "I need to start my routine with my warm-up exercises." "I should stop exercising if my pulse is below my target zone." - ANSWER "I should stop exercising if my pulse is below my target zone." Explanation:For the client, the goal of the exercise program is to achieve the target heart rate. The client should stop exercising if his pulse rate exceeds his target zone.Prep U A nursing instructor is developing a class presentation about reasons people with cardiovascular problems seek medical care. Which of the following would the instructor include as the most common reason?Lower extremity swelling Persistent cough Chest pain Hypertension - ANSWER Chest pain
Explanation:Although a person with cardiovascular dysfunction may have
hypertension, lower extremity swelling, or cough, pain or discomfort in the chest is the most common reason people with cardiovascular dysfunction seek medical care.Prep U
- / 3