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NUR257 Exam 2 Questions and Answers |100% Pass

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NUR257 Exam 2 Questions and Answers |100% Pass 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 day...

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  • October 6, 2024
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NUR257 Exam 2 Questions and Answers
|100% Pass

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?


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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.


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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

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FIRST PUBLISH SEPTEMBER 2024


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

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