1. A client is sent home with a Holter monitor. The most important information the client should receive from the nurse

a. Keep a record of daily activities

2. A client is scheduled for a cardiac catheterization using a radiopaque dye. Which of the following assessments is most critical before the procedure?

a. Allergy to iodine or shellfish.

3. In developing a standard teaching plan for the outpatient unit where stress testing is performed, the nurse should include information that:

a. The test may cause the client to experience chest pain

4. The diagnostic study that should provide the nurse with the most relevant information related to cardiac perfusion is

a. Thallium 201 scintigoraphy

5. In advising a client with higher levels of HDL in proportion to LDL, an appropriate outcome is that this client:

a. Is less likely to develop CAD

6. Nursing care of a client immediately after a PTCA should include:

a. Encouraging oral fluids for the client

7. A nurse is caring for a client who has had angiography with the entrance site in the left femoral artery. 2 hours after the procedure, the nurse is unable to palpate the left pedal pulse. The priority action at this time would be to:

a. Attempt to locate pulse using a Doppler

8. The client participates in a thallium imaging during exercise. The nuclear camera results obtained 10 minutes later show diffuse uptake of the thallium in all areas of the heart. What does this mean for the nurse?

a. The test shows no myocardial scarring or impairment of myocardial perfusion

9. The CK-MB level is markedly elevated in a client with chest pain 12 hours after admission. The nurse interprets this finding as evidence of:

a. Cellular tissue necrosis

10. CK-MB and troponin levels are ordered for a client. The client asks the nurse for the test. The nurse bases the response on the knowledge that:

a. The presence of myocardial damage occurring several days earlier can be validated best by the troponin level. (P.743 text: often as long as 3 weeks, and it therefore can be used to detect recent myocardial damage)

11. The nurse is about to perform a physical assessment of the distal extremities for a client with Buerger’s disease. What clinical manifestations should the nurse expect to see in this client?

a. Extremities are reddened and distal pulses are diminished

12. A nurse caring for a client who is overweight, HTN, and smokes is newly diagnosed with thromboangitis obliterans (Buerger’s disease). The priority for teaching should focus on:

a. Smoking cessation