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NUR257 Exam 2 Questions And Complete Correct Answers.
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A client with a confirmed DVT is being discharged from the ED. Which client statement indicates that the client has received proper nursing instruction and understands how to manage this condition? "I should try not to drink too much during the daytime." "I should lie on my side with my knees ben...

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  • August 15, 2024
  • 44
  • 2024/2025
  • Exam (elaborations)
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NUR257 Exam 2 Questions And
Complete Correct Answers.
A client with a confirmed DVT is being discharged from the ED. Which client statement indicates that the
client has received proper nursing instruction and understands how to manage this condition?

"I should try not to drink too much during the daytime."

"I should lie on my side with my knees bent when sleeping."

"I need to ice my leg every 2 hours for about 20 minutes."

"I need to do my leg exercises five times or more every hour." - Answer "I need to do my leg exercises
five times or more every hour."



A nurse is caring for a client who had an aortic balloon valvuloplasty. The nurse should inspect the
surgical insertion site closely for which complication(s)?

Bleeding and infection

Bleeding and wound dehiscence

Thrombosis and infection

Evisceration - Answer Bleeding and infection



A client who recently had a myocardial infarction develops pericarditis and complains of chest pain rated
6 (on a scale of 0-10) with deep breathing. Which ordered pro re nata medications is most appropriate
for the nurse to administer?

Morphine sulfate 6 mg IVP every 2-4 hours

Fentanyl 2 mg intravenous pyelogram (IVP) every 2-4 hours

Acetaminophen 650 mg PO every 4 hours

Ibuprofen 800 mg PO every 8 hours - Answer Ibuprofen 800 mg PO every 8 hours



The nurse instructs a client recovering from mechanical valve replacement surgery. Which client
statement indicates that teaching has been effective?

"I can play soccer in a week or two."

,"I will not drive until informed by my health care provider."

"I have a low risk of developing an infection in my heart."

"I will not need to take anticoagulant medication every day." - Answer "I will not drive until informed by
my health care provider."



A nurse is caring for a client receiving warfarin therapy following a mechanical valve replacement. The
client had a prothrombin time and International Normalized Ratio (INR) drawn before breakfast. The
laboratory report shows the client's INR reading was 4. What is the nurse's first priority ?

Assess the client for bleeding and notify the health care provider of the results.

Notify the next nurse on afternoon shift to hold the evening dose of warfarin.

Notify the health care provider to request an increase in the warfarin dose.

Be prepared to administer an I.M. vitamin K injection and notify the healthcare provider of the results. -
Answer Assess the client for bleeding and notify the health care provider of the results.



The nurse suspects a client has developed pericarditis after a week of cold-like symptoms. Which of the
client's signs and symptoms indicate pericarditis?

low urine output secondary to left ventricular dysfunction

fever, chest discomfort, and elevated erythrocyte sedimentation rate (ESR)

pitting edema, chest discomfort, and nonspecific ST-segment elevation

lethargy, anorexia, and heart failure - Answer fever, chest discomfort, and elevated erythrocyte
sedimentation rate (ESR)



A client is admitted to the hospital with aortic stenosis. What assessment findings would indicate the
development of left ventricular failure?

Orthopnea, nausea, pedal edema

Distended jugular veins, pedal edema, nausea

Dyspnea, orthopnea, pulmonary edema

Dyspnea, distended jugular veins, orthopnea - Answer Dyspnea, orthopnea, pulmonary edema



Which would the nurse stress as a periodic lifelong necessity for a client managing infective
endocarditis?

Exercise regimen

,Antihypertensive medication

Potassium replacement

Antibiotic therapy - Answer Antibiotic therapy



The nurse is caring for a client who has been diagnosed with aortic stenosis. The client is prescribed
digoxin. What is the rationale for the medication?

left ventricular dysfunction

angina

dyspnea

edema - Answer left ventricular dysfunction



A client is admitted to the hospital with possible acute pericarditis and pericardial effusion. The nurse
knows to prepare the client for which diagnostic test to confirm the client's diagnosis?

Computed tomography

Echocardiography

Chest x-ray

Cardiac catheterization - Answer Echocardiography



A client comes to the clinic reporting fever, chills, and sore throat and is diagnosed with streptococcal
pharyngitis. A nurse knows that early diagnosis and effective treatment is essential to avoid which
preventable disease?

Rheumatic fever

Cardiomyopathy

Pericarditis

Mitral stenosis - Answer Rheumatic fever



The nurse is educating a client about the care related to a new diagnosis of mitral valve prolapse. What
statement made by the client demonstrates understanding of the teaching?

"I will take antibiotics before getting my teeth cleaned."

"I can get my tongue pierced at a store in the shopping mall."

, "I will avoid caffeine, alcohol, and smoking."

"I can get a tattoo at a local parlor." - Answer "I will avoid caffeine, alcohol, and smoking."



A nurse is caring for a client with aortic stenosis whose compensatory mechanisms of the heart have
begun to fail. The nurse will monitor the client carefully for which initial symptoms?

Dizziness, nausea, diarrhea

Exertional dyspnea, orthopnea, pulmonary edema

Syncope, fever, vomiting

Nausea, vomiting, exertional fatigue - Answer Exertional dyspnea, orthopnea, pulmonary edema



The nurse is assessing a client admitted with infective endocarditis. Which manifestation would the
nurse expect to find?

Bruising on the palms of the hands and soles of the feet

Raised red rash on the trunk and face

Involuntary muscle movements of the extremities

Small painful lesions on the pads of the fingers and toes - Answer Small painful lesions on the pads of
the fingers and toes



During assessment of a client admitted for cardiomyopathy, the nurse notes the following symptoms:
dyspnea on exertion, fatigue, fluid retention, and nausea. The initial appropriate nursing diagnosis is
which of the following?

Ineffective airway clearance

Disturbed sensory perception

Decreased cardiac output

Autonomic dysreflexia - Answer Decreased cardiac output



A nurse and a nursing student are performing a physical assessment of a client with pericarditis. The
client has an audible pericardial friction rub on auscultation. When leaving the room, the student asks
the nurse what causes the sound. The nurse's best response is which of the following?

"The layers of the heart become loose from each other and rub together with each heart beat."

"The lung surfaces lose their lubrication and rub against the myocardium with each heart beat."

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