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NRSG 3420: EXAM 2 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++ 2024/2025
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NRSG 3420: EXAM 2 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++ 2024/2025 A client with angina has been prescribed nitroglycerin. Before administering the drug, the nurse should inform the client about what potential adverse effects? A) Nervousness or paresthesia B)Throbb...

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  • October 12, 2024
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  • 2024/2025
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NRSG 3420: EXAM 2 QUESTIONS AND ANSWERS WITH

COMPLETE SOLUTIONS VERIFIED GRADED A++ 2024/2025


A client with angina has been prescribed nitroglycerin. Before administering the

drug, the nurse should inform the client about what potential adverse effects?



A) Nervousness or paresthesia

B)Throbbing headache or dizziness

C) Drowsiness or blurred vision

D) Tinnitus or diplopia

Correct response:

Throbbing headache or dizziness




Explanation:

Headache and dizziness commonly occur when nitroglycerin is taken at the beginning

of therapy. Nervousness, paresthesia, drowsiness, blurred vision, tinnitus, and diplopia

do not typically occur as a result of nitroglycerin therapy.



Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-

Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 27:

Management of Patients with Coronary Vascular Disorders, Chart 27-3, p. 759.

,Chapter 27: Management of Patients with Coronary Vascular Disorders - Page 759

The physical therapist notifies the nurse that a client with coronary artery disease

(CAD) experiences a much greater-than-average increase in heart rate during

physical therapy. The nurse recognizes that an increase in heart rate in a client

with CAD may result in what?



A) Development of an atrial-septal defect

B) Myocardial ischemia

C) Formation of a pulmonary embolism

D) Release of potassium ions from cardiac cells

Correct response:

Myocardial ischemia



Explanation:

Unlike other arteries, the coronary arteries are perfused during diastole. An increase in

heart rate shortens diastole and can decrease myocardial perfusion. Clients, particularly

those with CAD, can develop myocardial ischemia. An increase in heart rate will not

usually result in a pulmonary embolism or create electrolyte imbalances. Atrial-septal

defects are congenital.




Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-

,Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 25:

Assessment of Cardiovascular Function, Coronary Arteries, p. 675.



Chapter 25: Assessment of Cardiovascular Function - Page 675

The nurse is providing care for a client with high cholesterol and triglyceride

values. In teaching the client about therapeutic lifestyle changes such as diet and

exercise, the nurse realizes that the desired goal for cholesterol levels is which of

the following?



A) High HDL values and high triglyceride values

B) Absence of detectable total cholesterol levels

C) Elevated blood lipids, fasting glucose less than 100

D) Low LDL values and high HDL values

Correct response:

Low LDL values and high HDL values




Explanation:

The desired goal for cholesterol readings is for a client to have low LDL and high HDL

values. LDL exerts a harmful effect on the coronary vasculature because the small LDL

particles can be easily transported into the vessel lining. In contrast, HDL promotes the

use of total cholesterol by transporting LDL to the liver, where it is excreted. Elevated

triglycerides are also a major risk factor for cardiovascular disease. A goal is also to

, keep triglyceride levels less than 150 mg/dL. All individuals possess detectable levels of

total cholesterol.



Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-

Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 27:

Management of Patients with Coronary Vascular Disorders, Controlling Cholesterol

Abnormalities, p. 753.



Chapter 27: Management of Patients with Coronary Vascular Disorders - Page 753

The health care provider has placed a central venous pressure (CVP) monitoring

line in an acutely ill client so right ventricular function and venous blood return

can be closely monitored. The results show decreased CVP. What does this

indicate?



A) Possible hypovolemia

B) Possible myocardial infarction (MI)

C) Left-sided heart failure

D) Aortic valve regurgitation

Correct response:

Possible hypovolemia




Explanation:

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