1.The examination of a patient in a supine position reveals distended jugular veins from the base of the neck to the angle of the jaw. This finding indicates: decreased venous return. increased ce... ntral venous pressure. increased pulmonary artery capillary pressure. left-sided heart failure. - Answer- increased central venous pressure. 2.When caring for a patient who has intermittent claudication, the cardiac-vascular nurse advises the patient to: apply graduated compression stockings before getting out of bed. elevate the legs when sitting. refrain from exercise. walk as tolerated. - Answer- walk as tolerated. 3.The cardiac-vascular nurse reviews recommended activities with a patient who sustained a myocardial infarction. The patient states, "It doesn't really matter what I do or don't do. I will either get better or die." This statement reflects: acceptance of changed health status. an internal locus of control. feelings of loss of control. projection. - Answer- feelings of loss of control. 4.A patient who is in the 10th week of outpatient cardiac rehabilitation continues to exhibit symptoms of depression. When developing a discharge plan, the cardiacvascular nurse includes: a referral for counseling and possible medication. a trial of herbal remedies. alternative therapies, including yoga and massage. comprehensive information about the patient's cardiac status to help reduce his or her anxiety. - Answer- a referral for counseling and possible medication. 5.When reviewing a patient's four-week diet history, the cardiac-vascular nurse identifies a pattern of high-calorie intake on Monday, Wednesday, and Friday nights. The patient states that the patient's spouse recently started taking a night class on those evenings at a local university. The patient's diet history indicates: a disabling family coping behavior. a lack of dietary instruction. a need for cooking classes. an individual coping behavior. - Answer- an individual coping behavior. 6.A patient who underwent a percutaneous, transluminal coronary angioplasty four weeks ago has a subsequent ejection fraction of 30%. The patient returns for a follow-up visit. Examination reveals lungs that are clear to auscultation and slight pedal edema. The patient's medications are digoxin (Lanoxin), furosemide (Lasix), enalapril maleate (Vasotec), and aspirin. The patient reports a 5-lb (2.27-kg) weight gain over the past two days. The cardiac-vascular nurse's initial action is to: document the weight and reassess the patient at the next session. inquire about the patient's medication compliance. notify the patient's physician. review the patient's most recent nuclear scan. - Answer- inquire about the patient's medication compliance. Continues... [Show More]
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