Nur 336 perfusion study guide Questions With Complete
Solutions
A 48-year-old female client having an annual physical asks the
nurse about her risk for developing a myocardial infarction. The
nurse discusses risk factors with the client. Which modifiable
risk factors will the nurse assess to guide the clients teaching
plan? Select all that apply.
A. Older age.
B. Tobacco use.
C. Female.
D. High fat diet.
E. Family history.
F Obesity Correct Answers B. Tobacco use.
D. High-fat diet.
F. Obesity.
A client admitted for heart failure has a priority problem of
hypervolemia related to compromised regulatory mechanisms.
Which assessment result obtained the day after admission is
A. the best indicator that the treatment has been effective?
B. The client has diuresis of 400 mL in 24 hours.
C. The client's blood pressure is 122/84 mm Hg.
D. The client has an apical pulse of 82 beats/min.
E. The client's weight decreases by 2.5 kg. Correct Answers E.
The client's weight decreases by 2.5 kg.
,A client begins therapy with lisinopril (Prinivil, Zestril). What
does the nurse consider at the start of therapy with this
medication?
A. The client's ability to understand medication teaching
B. The risk for hypotension
C. The potential for bradycardia
D. Liver function tests Correct Answers B. The risk for
hypotension
A client is diagnosed with right sided heart failure. Which
assessment findings will the nurse expect the client to have?
Select all that apply.
A. Peripheral edema.
B. Crackles in both lungs.
C. increased abdominal girth.
D. Ascites Correct Answers A. Peripheral edema.
C. Increased abdominal girth.
D. Ascites
A client is prescribed lisinopril (Zestril) for control of
hypertension. What health teaching will the nurse provide to this
patient? Select all that apply.
a. this medication can cause increased potassium levels.
b. it is important to change position slowly when you start this
medication.
c. this medication may cause you to develop a persistent,
nonproductive cough.
,d. To achieve maximum benefit of Zestril, your diet should
include foods high in sodium
e. be sure to monitor your BP regularly while taking this
medication. Correct Answers a. this medication can cause
increased potassium levels.
b. it is important to change position slowly when you start this
medication.
c. this medication may cause you to develop a persistent,
nonproductive cough.
e. be sure to monitor your BP regularly while taking this
medication.
A client recovering from an open reduction of the femur
suddenly feels light-headed, with increased anxiety and
agitation. Which key vital sign differentiates a pulmonary
embolism from early sepsis?
A. Temperature
B. Pulse
C. Respiration
D. Blood pressure Correct Answers A. Temperature
A client started an oral Lopressor (metoprolol), and the client
asks what it is, you tell the client that Lopressor is a:
A. Analgesic
B. Beta Blocker
C. Anticoagulant
D. ACE inhibitor Correct Answers B. Beta Blocker
, A client thought to be at risk for distributive. Shock is given a
drug that constrict blood vessels. What effect does the nurse
expect the drug to have on the client mean arterial pressure
MAP?
A. Increased MAP without a change in vascular volume.
B. Increased MAP by increasing vascular volume.
C. Decreased MAP from widespread capillary leak.
D. Decreased MAP by decreasing vascular volume. Correct
Answers A. Increased MAP without a change in vascular
volume.
A client who has been admitted for the third time this year for
heart failure says, "This isn't worth it anymore. I just want it all
to end." What is the nurse's best response?
A. Calls the family to lift the client's spirits
B. Considers further assessment for depression
C. Sedates the client to decrease myocardial oxygen demand
D. Tells the client that things will get better Correct Answers
B. Considers further assessment for depression
A client who recently had a heart valve replacement is preparing
for discharge. What statement by the client indicates that the
nurse will need to do additional health teaching?
A. I need to brush my teeth, at least twice daily and rinse with
water.
B.I will eat foods that are low in vitamin K, such as potatoes and
iceberg lettuce.
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