CardioVascular

A nurse caring for a client with a central venous catheter (CVC) enters the client's room and notes that the CVC is dislodged and lying in the client's bed linens. The client appears cyanotic and is tachypneic and diaphoretic. Which of the following actions by the nurse are appropriate? Select all that apply.
1. Administer oxygen via non-rebreather mask
2. Apply an occlusive dressing over the insertion site
3. Assist the client to high Fowler position
4. Monitor vital signs and respiratory effort
5. Notify the health care provider

The nurse is teaching a client who is scheduled to have an inferior vena cava filter inserted via the right femoral vein. Which statement by the client requires further teaching?
1. "I need to make all health care providers aware of my filter before I have body scans."
2. "I need to stay active and avoid crossing my legs for extended periods when I get home."
3. "I should call the health care provider if I develop numbness, tingling, and swelling in my right leg."
4. "It is normal to have some chest or back discomfort for a few days after filter placement."

A client comes to the emergency department with severe dyspnea and a cough. Vital signs are temperature 99.2 F (37.3 C), blood pressure 108/70 mm Hg, heart rate 88/min, and respirations 24/min. The client has a history of chronic obstructive pulmonary disease and chronic heart failure. Which diagnostic test will be most useful to the nurse in determining if this is an exacerbation of heart failure?
1. Arterial blood gases (ABGs)
2. B-type natriuretic peptide (BNP)
3. Cardiac enzymes (CK-MB)
4. Chest x-ray

The telemetry nurse is reviewing a client's cardiac rhythm strip. What is the correct interpretation for this strip?
1. Atrial paced rhythm
2. First-degree atrioventricular block with bigeminy
3. Sinus rhythm with premature ventricular contractions
4. Ventricular paced rhythm with failure to sense

The client is scheduled to have a cardiac catheterization. Which of the following findings would cause the nurse to question the safety
of the test proceeding? Select all that apply.
1. Elevated serum C-reactive protein level
2. History of previous allergic reaction to IV contrast
3. Prolonged PR interval on ECG
4. Received metformin today for type 2 diabetes mellitus