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Question # 36

When counseling a patient with newly diagnosed hypertension about sodium intake, the nurse recommends:

Options:

A.

No restriction on sodium

B.

Aiming for less than 2 300 mg sodium per day (ideally closer to 1 500 mg for many patients), reading food labels, and limiting processed foods

C.

Increasing salt use to improve taste

D.

Focusing only on medication adherence without lifestyle change

Question # 37

A patient post-CABG day 1 has a mediastinal chest tube output of 120 mL in the last hour. The nurse’s most appropriate immediate action is to:

Options:

A.

Increase the suction level on the chest-tube system

B.

Notify the surgical team and prepare for possible return to the operating room while continuing close monitoring of hemodynamics and output

C.

Clamp the chest tube for 15 minutes

D.

Administer a fluid bolus

Question # 38

During routine auscultation the nurse hears a pericardial friction rub that is loudest when the patient leans forward. The patient reports positional chest pain. These findings most strongly support:

Options:

A.

Acute pericarditis

B.

Mitral stenosis

C.

Aortic dissection

D.

Stable angina

Question # 39

A patient with a recent inferior STEMI develops hypotension, clear lung fields, and elevated jugular venous pressure. The nurse prepares for volume administration because these findings most likely indicate:

Options:

A.

Left-ventricular failure with pulmonary congestion

B.

Right-ventricular infarction with preload dependence

C.

Tension pneumothorax

D.

Sepsis

Question # 40

A patient with heart failure asks how to recognize early signs of decompensation at home. The nurse teaches the patient to monitor for:

Options:

A.

Weight gain of 2–3 lb in one day or 5 lb in one week, increasing dyspnea, orthopnea, or swelling, and to contact the provider promptly

B.

Only severe chest pain

C.

Improved appetite and energy

D.

Decreased need for diuretics

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CV-BC Overview

Name Cardiac-Vascular Nursing Certification
Code CV-BC
Vendor Nursing
Certification American Nurses Credentialing Center (ANCC)

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