what is a type of nursing education program that is conducted in junior and community colleges that nominally 2 years in length?
a. diploma program
b. baccalaureate program
c. associate degree program
d. professional nursing program - correct answer -c
The nurse in a skilled nursing facility...
nur 103- exam 2 2023 with 100% correct answers
what is a type of nursing education program that is conducted in junior and community colleges that nominally 2 years in length?
a. diploma program
b. baccalaureate program
c. associate degree program
d. professional nursing program - correct answer -c
The nurse in a skilled nursing facility is caring for an 80-year-old patient who develops
a productive cough with pink, frothy sputum. Which independent interventions should the nurse
implement immediately? (Select all that apply.)
a. Limit the patient's activity.
b. Administer morphine.
c. Administer lasix.
d. Place the patient in high Fowler position.
e. Weigh the patient daily. - correct answer -ANS: A, D
Acute pulmonary edema (acute left ventricular failure) is a medical emergency that must be treated
promptly. The patient with this condition has severe dyspnea; a cough productive of frothy, pink-tinged
sputum; tachycardia; and moist, bubbling respirations with cyanosis. Nursing interventions for acute
pulmonary edema include placing the patient in high Fowler position to relieve the dyspnea;
administering oxygen, diuretics, morphine, and other prescribed drugs; limiting and monitoring activity;
and assessing cardiopulmonary status. Limiting activity and placing the patient in high Fowler do not
require a physician's order and should be implemented immediately. Acute pulmonary edema is a
medical emergency, and activity necessary to obtain a daily weight is not indicated at this time.
Administering morphine and diuretics are dependent nursing interventions. The nurse is educating a patient about cardiomyopathy. The nurse includes information
that which circumstance(s) may increase risk for cardiomyopathy? (Select all that apply.)
a. Systemic hypertension
b. Chronic excessive alcohol consumption
c. Pregnancy
d. Diabetes
e. Systemic infection - correct answer -ANS: A, B, C, E
Cardiomyopathy is a group of disorders that result in enlargement of the heart and subsequent inefficient
pumping action. Risk factors include systemic hypertension, chronic alcohol consumption, pregnancy,
and certain systemic infections. Diabetes is not considered a risk factor for cardiomyopathy.
Which factor(s) is/are potential causative agents for arrhythmias? (Select all that
apply.)
a. Hyperkalemia
b. Valvular prolapse
c. Infarct damage
d. Properly functioning sinoatrial (SA) node
e. Excess fluid - correct answer -ANS: A, B, C, E
Electrolyte imbalances, especially a high-potassium level, valvular prolapse, heart damage after a heart
attack, and fluid overload are all potential causative factors for abnormal heart rhythms. A properly
functioning SA node results in normal sinus rhythm.
Which statement(s) accurately describe(s) characteristics of normal sinus rhythm
(NSR)? (Select all that apply.)
a. One atrial contraction (P wave)
b. One ventricular contraction (QRS complex)
c. One T wave
d. Heart rate 60 to 100 e. P wave immediately follows the QRS complex - correct answer -ANS: A, B, C, D
The P wave precedes the QRS complex. All other options are seen in NSR.
The nurse is performing an initial assessment on a new patient with suspected right-
sided heart failure. Which finding(s) is/are consistent with the patient's potential diagnosis? (Select
all that apply.)
a. Clammy skin
b. Splenomegaly
c. Abdominal distention
d. Wheezing
e. Dyspnea - correct answer -ANS: B, C, E
Signs and symptoms of right-sided CHF include fatigue, peripheral edema, gastrointestinal congestion
and abdominal distention, ascites with liver congestion, splenomegaly, and dyspnea. Clammy skin and
wheezing are symptoms of left-sided CHF.
The nurse is caring for a 60-year-old African American patient with hypertension. The
patient is obese and a smoker. Which modifiable risk factors place this patient at an increased risk
for heart disease? (Select all that apply.)
a. Age
b. Race
c. Hypertension
d. Obesity
e. Smoking - correct answer -c d e
Modifiable risk factors that increase the patient's risk of heart disease include hypertension, obesity, and
cigarette smoking. The patient could lessen his risk by strictly controlling blood pressure, losing weight
with diet and exercise, and implementing a smoking cessation plan. Age and race are nonmodifiable risk
factors for heart disease.
The home health nurse is caring for a patient with congestive heart failure (CHF).
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