NURS 640 Exam | 167 Questions and Answers(A+ Solution guide)

The nurse is reviewing the medications prescribed for a client diagnosed with dilated cardiomyopathy. Which of the following medications are commonly prescribed for this disease process? - ACE inhibitor to prevent further dilation of the heart, Beta-blocker to reduce the strain Diuretics Anticoagulants Antiarrhythmics A client is diagnosed with emphysema. For which of the following hematologic disorders should the nurse include in the assessment of this client? - polycythemia caused by an increase in the number of red blood cells in response to a reduced amount of oxygen in the body Inpatient insulin dosing - TDD 50% basal 50% prandial may need to add rapid acting for meal titrate 10-20% until goal met . The nurse is listening to the breath sounds of a patient with severe asthma. Air passing through narrowed bronchioles would produce which of these adventitious sounds? - Wheezes Caused by air squeezed or compressed through passageways narrowed almost to closure by collapsing, swelling, secretions, or tumors, such as with acute asthma or chronic emphysema - Wheezes The nurse has just recorded a positive iliopsoas test on a patient who has abdominal pain. This test is used to confirm a(n): - An inflamed or perforated appendix irritates the iliopsoas muscle, producing pain in the RLQ. S3 heart sound - An auscultated S3 is a sign that increased blood volume remains in the ventricle with each beat and that the heart is beginning to failS4 heart sound - An S4 sound may indicate increased resistance to ventricular filling A client is diagnosed with heart failure. Which of the following diagnostic tests is useful to determine the degree of the failure? - Brain natriuretic peptide is a hormone found in the left ventricle; it is used to help diagnose and grade the severity of heart failure Blood cultures - used to diagnose carditis Sed Rate - used to diagnose pericarditis A nurse is instructing a client regarding medications and substances contraindicated for the client with heart failure. Which of the following would not be contraindicated? - Loop diuretics (e.g., furosemide) are part of the recommended medications for heart failure.