LVN Cardiovascular & Respiratory Care 3

Question 1

A patient with DVT is receiving heparin. The LVN's primary monitoring priority is:

Accepted Answer

Bleeding

Answer

Hypertension

Answer

Hyperglycemia

Answer

Muscle cramps

Question 2

Which assessment findings are most consistent with right-sided heart failure?

Accepted Answer

Dependent edema and jugular vein distension

Answer

Pulmonary crackles and pink frothy sputum

Answer

Pink frothy sputum and dyspnea

Answer

Orthopnea and paroxysmal nocturnal dyspnea

Question 3

A patient has a blood pressure of 220/120 mmHg and is symptomatic. The LVN's priority actions are to:

Accepted Answer

Administer prescribed antihypertensive medication and notify the physician

Answer

Encourage deep breathing and relaxation exercises

Answer

Place the patient in Trendelenburg position

Answer

Apply ice packs to the extremities

Question 4

When auscultating a patient's chest, the LVN hears a friction rub. This finding is most consistent with:

Accepted Answer

Pericarditis

Answer

Pneumonia

Answer

Asthma

Answer

Pulmonary edema

Question 5

A patient with chronic heart failure is prescribed furosemide (Lasix). The LVN should monitor which serum electrolyte most closely?

Accepted Answer

Potassium

Answer

Sodium

Answer

Calcium

Answer

Magnesium

Question 6

Which respiratory pattern alternates between cycles of increasing depth, decreasing depth, and apnea, commonly seen in heart failure and CNS disorders?

Accepted Answer

Cheyne-Stokes respiration

Answer

Kussmaul breathing

Answer

Biot's respiration

Answer

Apneustic breathing

Question 7

A patient reports sudden chest pain that worsens with inspiration and is relieved by leaning forward. This presentation is most consistent with:

Accepted Answer

Pericarditis

Answer

Myocardial infarction

Answer

Spontaneous pneumothorax

Answer

Pulmonary embolism