Tag: Clinical-Nursing

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:

Why does the cardiac/vascular nurse encourage a patient with hypertension to adopt a low-sodium diet.

When reviewing a patient’s four-week diet history, a 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 patient has been receiving heparin IV for the last three days. The patient’s most current platelet count is 65,000 X 103/uL; the platelet count on admission was 350,000 X 103/uL. The cardiac/vascular nurse contacts the physician to:

A patient with cardiogenic shock receives a nursing diagnosis of decreased cardiac output. With the appropriate interventions, the anticipated outcome is for the patient to achieve:

During a clinic appointment, a patient states, “I came in because my calcium score was positive on my electron-beam computed tomography scan last week.” In which section of the patient assessment does the cardiac/vascular nurse document this finding?

A patient with negative troponins and stress test results reports recurring chest pain that is similar to the patient’s pain on admission. According to the American Nurses Association’s cardiovascular nursing scope and standards of practice, the cardiac/vascular nurse’s next action is to:

A patient who underwent coronary artery bypass surgery demonstrates effective understanding of discharge teaching by:

A 70-year-old patient with cardiovascular disease attends group classes on disease process, medications, exercise, nutrition, and stress management. To promote optimal and effective learning, the cardiac/vascular nurse uses which teaching strategy?

A patient who is recovering from a myocardial infarction may benefit from meditation, because this technique: