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Exam 1 PCC4 -107 Pages- Questions- Answers- ......With Complete Solutions
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Exam 1 PCC4 -107 Pages- Questions- Answers- ......With Complete Solutions
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Exam 1 PCC4 -107 Pages- Questions- Answers- With ......Complete Solutions
Clotting: 1) Disseminated Intravascular Coagulation (DIC)
Perfusion: 1) Life-threatening dysrhythmias 2) Shock
(Cardiogenic and Septic) OB Perfusion 1) Pregnancy-induced
HTN (PIH)
A pregnant client in the third trimester of pregnancy asks why
an extra heart sound has developed since the last examination.
Which response by the nurse is appropriate?
A) "You will need to have an echocardiogram to determine the
reason for the extra sound."
B) "You are likely experiencing heart failure due to the extra
fluid that accumulates during this time in pregnancy."
C) "You have what is known as a ventricular gallop, and it can
be a normal finding during this trimester of pregnancy."
D) "You have what is known as atrial gallop, and this is cause
for concern."
Answer: C
C) The third heart sound (S3) may be heard in pregnant females
during the third trimester. It is heard after S2 and is termed
a ventricular gallop. When the atrioventricular (AV) valves
open, blood flow into the ventricles may cause vibrations. These
vibrations create the S3 sound during diastole.
The nurse is concerned that a client with an alteration in
perfusion is at risk for inadequate oxygenation. Which
,intervention should the nurse add to the client's plan of care?
A) Encouraging ambulation every 30 minutes
B) Instructing on deep breathing
C) Administering medications appropriate to increase heart rate
D) Positioning to increase blood return
Answer: B
Explanation: A) Encouraging ambulation every 30 minutes
would negatively impact oxygenation. Periods of rest should
occur between activities, and no activity should be too
strenuous.
B) The client is at risk for inadequate oxygenation. The nurse
should consider teaching the client the importance of deep
breathing to increase the amount of oxygen in the body tissues.
C) The nurse should consider medications that would reduce
instead of increase the heart rate.
D) The client should be in the high-Fowler position to improve
oxygenation. Positions to increase blood flow to the heart
include Trendelenburg, which would negatively impact
oxygenation.
An older adult client is diagnosed with cardiomyopathy and a
cardiac dysrhythmia. Which medication would the nurse expect
to be prescribed for this client?
A) Beta blocker
B) Digoxin
C) Nitrate medications
D) Fluids
,Answer: A
Explanation: A) Treatment for cardiomyopathy includes calcium
channel blockers, beta blockers, and antiarrhythmics.
B) Digoxin should be avoided because it increases the force of
contractions.
C) Nitrates should be avoided because they increase blood
pressure.
D) The client should be on a sodium and fluid restriction and not
be encouraged to drink fluids.
The nurse is instructing a client on lifestyle changes to promote
a healthy cardiovascular system. Which information should be
included in this teaching session? Select all that apply.
A) Limit exercise to 15 minutes a day
B) Reduce saturated fats in the diet
C) Avoid cigarette smoking
D) Wear elastic hose
E) Limit fluid intake
Answer: B, C
Explanation: A) Clients should exercise for at least 30 minutes
most days of the week to maintain a healthy cardiovascular
system.
B) Interventions that help promote a healthy cardiovascular
system include reducing saturated fats in the diet.
C) Interventions that would help promote a healthy
, cardiovascular system include avoiding cigarette smoking.
D) Wearing elastic hose is not known to contribute to a healthy
cardiovascular system.
E) Limiting fluid intake is not known to contribute to a healthy
cardiovascular system.
The nurse is preparing to conduct a cardiac assessment for a
pediatric client. Which location will the nurse use when
auscultating the apical pulse?
A) At the fifth intercostal space
B) At the left nipple
C) At the right nipple
D) At the eighth intercostal space
Answer: B
Explanation: A) The apical pulse is not auscultated at the fifth
intercostal space in a pediatric client.
B) When assessing a pediatric client, it may be more beneficial
to auscultate the apical pulse in the area of the left nipple at the
fourth intercostal space.
C) The apical pulse is not auscultated at the right nipple in a
pediatric client.
D) The apical pulse is not auscultated at the eighth intercostal
space in a pediatric client.
The nurse is caring for a client who is scheduled to receive
metoprolol (Lopressor). Which information should the nurse
teach the client about this medication?
A) Expect a rapid heart rate.
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