#1 cause of dementia Correct Answers Alzheimer's Disease
2-4 days the drainage turns into what? Correct Answers
serosanguineous drainage
3 most common causes of delirium Correct Answers 1. fecal
compaction
2.uti
3.dehydration
3 reasons for intravenous devices Correct Answers 1.
intravenous feeding (TPN/lipids)
2. Replacing electrolytes ie banana bag
3. Administering medications
4 stages of wound healing Correct Answers 1. hemostasis-
clotting begins
2. inflammation-cardinal signs, WBC show up
3. proliferation-granulation of wound bed
4.maturation-healing almost done
A client has developed uncontrolled atrial fibrillation with a
ventricular rate of 150 beats/min. What manifestation should the
nurse observe for when performing the client's focused
assessment?
a. Flat neck veins
b. Nausea and vomiting
c. Hypotension and dizziness
,d. Clubbed fingertips and headache Correct Answers c.
Hypotension and dizziness
A client taking spironolactone (Aldactone) [potassium-sparing
diuretic] has been taught about the therapy. Which menu
selection indicates that the client understands teaching related to
this medication?
a. Apricots
b. Bananas
c. Fish
d. Strawberries Correct Answers c.
Spironolactone is a potassium-sparing diuretic that could
potentially cause hyperkalemia. Fish is an appropriate dietary
choice, because it is low in potassium. The other foods are high
in potassium.
A client with a first-degree heart block has an electrocardiogram
(ECG) taken during an episode of chest pain. The nurse knows
that which ECG finding would be an indication of first-degree
heart block?
a. Presence of Q waves
b. Tall, peaked T waves
c. Prolonged PR interval
d. Widened QRS complex Correct Answers c. Prolonged PR
interval
A client's blood pressure (BP) is 145/90. According to the
guidelines for determining hypertension, the nurse realizes that
the client's BP is at which stage?
a. Normal
, b. Prehypertension
c. Stage 1 hypertension
d. Stage 2 hypertension Correct Answers c
A client's serum lipids are cholesterol 197
mg/dl, low-density lipoprotein (LDL) 110 mg/dl, and
high-density lipoprotein (HDL) 35 mg/dl. The nurse
knows what about these values?
a. Serum lipids are within desirable values.
b. Cholesterol is within desirable value, but LDL and HDL are
not.
c. Cholesterol is not within desirable value, though LDL and
HDL are.
d. Cholesterol, LDL, and HDL are not within desirable values.
Correct Answers b
A nurse is caring for a client who is taking an angiotensin-
converting enzyme inhibitor and develops a dry, nonproductive
cough. What is the nurse's priority action?
a. Call the health care provider to switch the medication.
b. Assess the client for other symptoms of upper respiratory
infection.
c. Instruct the client to take antitussive medication until the
symptoms subside.
d. Tell the client that the cough will subside in a few days.
Correct Answers a.
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