The emergency department nurse is caring for a client with congestive

Exam for RN Cardiovascular NCLEX Exam

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Question 1 of 5.

The emergency department nurse is caring for a client with congestive heart failure who reports dyspnea and a persistent cough. The nurse obtains the client's vital signs and suspects that the client is experiencing which condition? See the image below.

A. Pulmonary embolism

B. Hypovolemic shock

C. Disseminated intravascular coagulation (DIC)

D. Pulmonary edema

Explanation: Dyspnea and persistent cough in CHF suggest pulmonary edema due to fluid backup in the lungs.

Question 2 of 5.

The nurse is caring for a client following a femoral angiography. When developing this client's plan of care, the nurse plans to

A. encourage the client to ambulate within one hour following this procedure.

B. discontinue prescribed intravenous fluids immediately after the procedure

C. assess kidney function via lab testing on the day following the procedure.

D. maintain nothing by mouth (NPO) status for 4 hours following the procedure.

Explanation: Femoral angiography involves contrast dye, which can affect kidney function. Monitoring renal function via lab tests (e.g., creatinine) post-procedure is essential to detect contrast-induced nephropathy.

Question 3 of 5.

The nurse is caring for a client with myocardial infarction (MI), who is receiving tissue plasminogen activator (tPA), the nurse should plan to prioritize which of the following?

A. Observe for neurological changes

B. Monitor for any signs of renal failure

C. Observe for signs of bleeding

D. Check the client's food diary

Explanation: tPA is a thrombolytic that increases bleeding risk. Monitoring for signs of bleeding (e.g., hematoma, gastrointestinal bleeding) is critical.

Question 4 of 5.

The nurse is assessing a client with clinical manifestations of right ventricular heart failure (HF). Which of the following statements by the client would be consistent with this diagnosis?

A. I notice that my feet are always swollen.

B. I can't seem to get rid of this wet cough.

C. I develop shortness of breath after I walk a few feet.

D. My legs start to burn if I walk long distances.

Explanation: Right ventricular heart failure causes systemic venous congestion, leading to peripheral edema, such as swollen feet.

Question 5 of 5.

The nurse is caring for a client who is reporting pain in their left lower leg. How should the nurse assess for the presence of thrombophlebitis?

A. By palpating the skin over the tibia and fibula

B. By documenting daily calf circumference measurements

C. By recording vital signs obtained four times a day

D. By noting difficulty with ambulation

Explanation: Measuring calf circumference detects swelling, a key sign of thrombophlebitis, indicating possible deep vein thrombosis.

Related Questions

Which findings suggest a worsening of the client's condition and warrant follow-up by the nurse for a client presenting with shortness of breath and heart failure? Select all that apply.

For each medication, choose the most likely option for drug classification and mechanism of action for heart failure: Spironolactone, Sacubitril/Valsartan, Dapagliflozin

Which of the following information should the nurse include when teaching a client about congestive heart failure (CHF)? Select all that apply.

Which of the following findings would the nurse expect to observe in a client with peripheral arterial disease (PAD)? Select all that apply.