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An emergency room nurse obtains the health history of a client.Which statement by the client should alert the nurse to the occurrence of heart failure?


A) "I get short of breath when I climb stairs."
B) "I see halos floating around my head."
C) "I have trouble remembering things."
D) "I have lost weight over the past month."

E) C) and D)
F) All of the above

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A nurse assesses a client who is recovering after a left-sided cardiac catheterization.Which assessment finding requires immediate intervention?


A) Urinary output less than intake
B) Bruising at the insertion site
C) Slurred speech and confusion
D) Discomfort in the left leg

E) A) and B)
F) C) and D)

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A nurse prepares a client for a pharmacologic stress echocardiogram.Which actions should the nurse take when preparing this client for the procedure? (Select all that apply.)


A) Assist the provider to place a central venous access device.
B) Prepare for continuous blood pressure and pulse monitoring.
C) Administer the client's prescribed beta blocker.
D) Give the client nothing by mouth 3 to 6 hours before the procedure.
E) Explain to the client that dobutamine will simulate exercise for this examination.

F) B) and C)
G) A) and D)

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An emergency department nurse triages clients who present with chest discomfort.Which client should the nurse plan to assess first?


A) A 42-year-old female who describes her pain as a dull ache with numbness in her fingers
B) A 49-year-old male who reports moderate pain that is worse on inspiration
C) A 53-year-old female who reports substernal pain that radiates to her abdomen
D) A 58-year-old male who describes his pain as intense stabbing that spreads across his chest

E) None of the above
F) A) and B)

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A nurse cares for a client who is recovering from a right-sided heart catheterization.For which complications of this procedure should the nurse assess? (Select all that apply.)


A) Thrombophlebitis
B) Stroke
C) Pulmonary embolism
D) Myocardial infarction
E) Cardiac tamponade

F) A) and B)
G) A) and C)

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A nurse assesses a client after administering a prescribed beta blocker.Which assessment should the nurse expect to find?


A) Blood pressure increased from 98/42 mm Hg to 132/60 mm Hg
B) Respiratory rate decreased from 25 breaths/min to 14 breaths/min
C) Oxygen saturation increased from 88% to 96%
D) Pulse decreased from 100 beats/min to 80 beats/min

E) A) and B)
F) A) and C)

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A nurse assesses a client who had a myocardial infarction and is hypotensive.Which additional assessment finding should the nurse expect?


A) Heart rate of 120 beats/min
B) Cool, clammy skin
C) Oxygen saturation of 90%
D) Respiratory rate of 8 breaths/min

E) A) and B)
F) A) and C)

Correct Answer

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