Exam (elaborations)
NURS 640 Exam 2 questions with correct answers
- Course
- NURS 630
- Institution
- Maryville University Of St. Louis
NURS 640 Exam 2 questions with correct answers
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NURS 640 Exam 2 questions with correct answersThe 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? Correct Answer-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? Correct Answer-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 Correct Answer-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? Correct Answer-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 Correct Answer-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): Correct Answer-An
inflamed or perforated appendix irritates the iliopsoas muscle, producing
pain in the RLQ.
S3 heart sound Correct Answer-An auscultated S3 is a sign that
increased blood volume remains in the ventricle with each beat and that
the heart is beginning to fail
S4 heart sound Correct Answer-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? Correct
Answer-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 Correct Answer-used to diagnose carditis
Sed Rate Correct Answer-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? Correct Answer-Loop diuretics (e.g.,
furosemide) are part of the recommended medications for heart failure.
Contraindications in HF Correct Answer-Alcohol, metformin, and
pioglitazone (a thiazolidinedione) are contraindicated.
The nurse is determining nursing diagnoses appropriate for a client
demonstrating productive cough with pink frothy sputum, shortness of
breath, and crackles. Which of the following nursing diagnoses is of the
most importance? Correct Answer-Impaired gas exchange
In planning the care for a client diagnosed with heart failure, which of
the following would be an appropriate goal? Correct Answer-Increased
Activity levels
6.The nurse is instructing a client diagnosed with mild heart failure on
dietary modifications. Which of the following client statements indicates
that the instruction has been effective? Correct Answer-Low Salt Diet
A client is undergoing diagnostic testing for infective endocarditis.
Which of the following laboratory tests would be most useful in
diagnosis? Correct Answer-Blood cultures identify the causative
organisms.
, Which of the following would the nurse most likely assess in a client
diagnosed with rightsided heart failure? Correct Answer-An assessment
finding in a client diagnosed with right-sided heart failure is distended
neck veins
Left Sided HF Findings Correct Answer-Oliguria, cough with frothy
blood-tinged sputum, and syncope are all clinical manifestations of left-
sided heart failure.
.Which of the following diagnostic tests is useful to diagnose mitral
valve prolapse? Correct Answer-Transesophageal echocardiography is
useful in the assessment of cardiac murmurs, stenosis, and regurgitation
of all four cardiac valves
A client diagnosed with mitral valve prolapse is experiencing
palpitations. Which of the following should the nurse instruct this client?
Correct Answer-avoid caffeine, alcohol, and tobacco
A client tells the nurse that she had rheumatic heart disease as a child.
For which of the following valvular disorders should this client be
assessed? Correct Answer-Mitral stenosis
A client, recovering from surgery to replace a calcified aortic valve with
a mechanical valve, should be instructed that which of the following
medications will be needed long term? Correct Answer-Anticoagulant
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