Exam (elaborations)
NUR 2502 / NUR2502 Final Exam (Latest 2023 / 2024): Multidimensional Care III / MDC 3 - Rasmussen
- Institution
- Rasmussen College
NUR 2502 Multidimensional Care III / MDC 3 FINAL EXAM - (CARDIOVASCULAR AND HEMATOLOGY)
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NUR 2502 Multidimensional Care III MDC 3 FINAL EXAM (CARDIOVASCULAR AND HEMATOLOGY ) A nurse provides morning care f or a client in the intensive care unit (ICU). Suddenly, the bedside monitor shows ventricular fibrillation and the client becomes unresponsive. After calling for assistance, what action should the nurse take next? a. Begin cardiopulmonary resuscitation b. Prepare for endotracheal intubation c. Provide electrical cardioversion d. Administer intravenous epinephrine A nurse evaluates a client and suspects pericarditis. What indicator is considered the most characteristic symptom of pericarditis? a. Chest pain b. Fatigue c. Orthopnea d. Dyspnea On auscultation, the nurse suspects a diagnosis of mitral valve ste nosis when which of the following is heard? a. Low -pitched, rumbling diastolic murmur at the apex of the heart b. Mitral valve click c. Diastolic murmur at the left sternal border of the heart d. High -pitched blowing sound at the apex Which instruction should a nurse provide a client with a history of rheumatic fever before the client has any dental work done? a. To take aspirin b. To take prophylactic antibiotics c. To take steroids d. To avoid an y kind of activity A client with a mechanical valve replacement asks the nurse, "Why do I have to take antibiotics before getting my teeth cleaned?" What is the nurse's best response? a. "Antibiotics will prevent vegetative growth on your valves." b. "You are at risk of developing an infection in your heart." c. "Your teeth will not bleed as much if you have antibiotics." d. "This procedure may cause your valve to malfunction." The nurse obtains a health history from a client with a prosthetic heart valve and new symptoms of infective en docarditis. Which question by the nurse is most appropriate to ask? a. "Do you have a family history of endocarditis?" b. "Have you recently vacationed outside of the United States?" c. "Have you been to the dentist recently?" d. "Do you live with any domesti cated animals in your home?" A client with aortic stenosis is reluctant to have valve replacement surgery. A nurse is present when the health care provider talks to the client about a treatment that is less invasi ve than surgery which will likely relieve some of the client's symptoms. What treatment option has been discussed? a. Balloon percutaneous valvuloplasty b. Placement of a xenograft valve c. Placement of an autograft valve d. Antibiotic therapy Which nursing intervention should a nurse perform when a client with cardiomyopathy receives a diuretic? a. Allow unrestricted physical activity b. Check regularly for dependent edema c. Administer oxygen d. Maintain bed rest The nurse is auscultating the heart of a client diagnosed with mitral valve prolapse. Which is often the first and only manifestation of mitral valve prolapse? a. Fatigue b. Dizziness c. An extra heart sound d. Syncope Which would the nurse stress as a periodic lifelong necessity for a client managing infective endocarditis? a. Exercise regimen b. Antihypertensive medication c. Potassium replacement d. Antibiotic therapy A nurse is caring for a client with pericarditis and auscultates a pericardial friction rub. What action does the nurse ask the client to do to distinguish a pericardial friction rub from a pleural friction rub? a. The nurse has the client stand during auscultation. b. The nurse asks the client to hold the breath during auscultation. c. The nurse places the client flat for at least 4 minutes. d. There is really no question to ask the client to tell the difference. The nurse is administering medications to a client with pericarditis. What medications will be commonly prescribed to treat pericarditis? Select all that apply. a. Ibuprofen b. Prednisone c. Colchicine d. indomethacin A client is diagnosed with rheumatic endocarditis. What bacterium is the nurse aware causes this inflammatory response? a. Pseudomonas aeruginosa b. Group A, beta -hemolytic streptococcus c. Serratia marcescens d. Staphylococcus aureus A nurse is teaching a client about mitral stenosis. What is the key teaching point regarding the disruption to the normal flow of blood through the heart due to mitral stenosis? a. pulmonary circulation congestion b. atrial hypertrophy c. increased resistance of a narrowed orifice between the left atrium and the left ventricle d. inadequate left and right ventricle filling A client is admitted to the hos pital with possible acute pericarditis and pericardial effusion. The nurse knows to prepare the client for which diagnostic test to confirm the client's diagnosis? a. Cardiac catheterization b. Computed tomography c. Echocardiography d. Chest x -rayThe benefits of buying summaries with Stuvia:
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