Exam 2 1135 Questions and Answers 100% CorrectExam 2 1135 Questions and Answers 100% CorrectExam 2 1135 Questions and Answers 100% Correct
A client has been admitted to the cardiac unit, and test results are available. The nurse is writing a plan of care for this client. On what would the nurse ba...
Exam 2 1135 Questions and
Answers 100% Correct
A client has been admitted to the cardiac unit, and test results are available. The
nurse is writing a plan of care for this client. On what would the nurse base
interventions? - ANSWER - Patterns of subjective and objective data
A client has had a head injury affecting the brain stem. What is located in the brain
stem that may affect respiratory function? - ANSWER - respiratory center
After teaching a group of students about age-related changes in the lungs, the
instructor determines that the teaching was successful when the students identify
which of the following as an age-related change? - ANSWER - loss of elasticity
A group of students is reviewing the vertical reference lines of the thorax. They
demonstrate understanding when they identify which line as a reference line for the
posterior thorax? - ANSWER - vertebral line
An older adult client presents at the office of the primary care physician with fatigue
and heart palpitations. These reports support what cardiac-related diagnosis? -
ANSWER - Atrial Fibrillation
An older adult client reports a need to get up during the night to urinate. What
assessment will provide the most relevant information concerning the management
of patient's nocturia? - ANSWER - "Have you made any lifestyle changes because of
this?"
A nurse asks a client to say "ninety-nine" while palpating the posterior thorax. The
nurse is demonstrating effective technique in assessing for what respiratory
characteristic? - ANSWER - Fremitus
A nurse is caring for a client diagnosed with chronic lymphedema. In preparing a
teaching plan for this client, what would be essential for the nurse to address when
considering the psychosocial wellness? - ANSWER - body image
, A nurse is educating a postoperative client on how to use an incentive spirometer.
What is an accurate step that should be included in the education plan? - ANSWER -
When the client cannot inhale anymore, the client should hold his breath and count
to 10.
During a health history, a client tells the nurse that "I can't breathe well at night
when I'm lying down". The client also reports an interrupted sleep pattern caused by
waking up with trouble breathing and a nagging cough. Considering the client's
reports, what medical condition should the nurse's assessment be focused on? -
ANSWER - Heart failure-induced orthopnea
How should the nurse document a normal pulse in the medical record? - ANSWER -
+2/4
In what age group would a nurse expect to assess the most rapid respiratory rate? -
ANSWER - infants
Research has found that there is a dramatic increase in the incidence of peripheral
arterial disease during what time period in a person's life? - ANSWER - 7th and 8th
decades
The arterial blood gases for a client in shock demonstrate increased carbon dioxide
and decreased oxygen. What type of respirations would the nurse expect to assess
based on these findings? - ANSWER - rapid and deep
The nurse is assessing the various lobes of the lungs. The nurse must assess which
lobe anteriorly? - ANSWER - right middle lobe
The nurse is caring for a client who has an elevated cholesterol level. To reduce the
mean total blood cholesterol and low-density lipoprotein (LDL) cholesterol levels,
what diet should the nurse discuss with the client? - ANSWER - Low-fat, low-
cholesterol meals
The nurse performs an admission assessment on an adult client admitted to the ED
with a myocardial infarction. The nurse auscultates a swooshing sound over right
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