Exam (elaborations)
PN 150 TEST 2 CHAPTER 24 PREPU EXAM QUESTIONS AND ANSWERS
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PN 150 TEST 2 CHAPTER 24 PREPU EXAM QUESTIONS AND ANSWERS...
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A patient newly admitted to the telemetry unit is experiencing progressivefatigue, hemoptysis, and dyspnea. Diagnostic testing has revealed that these
signs and symptoms are attributable to pulmonary venous hypertension. What
valvular disorder should the nurse anticipate being diagnosed in this patient?
Mitral stenosis
What is the primary reason that the nurse monitors urine output in the client
with a valvular disorder of the heart?
Renal output reflects the heart's ability to perfuse the renal arteries
The nurse is aware that the following finding is often the earliest indication of
mitral stenosis:
Changes in heart sounds
A client has been prescribed a Class III Antiarrhythmic (potassium channel
blocker). The nurse will educate the client that which specific food item may
not be eaten (or drank) while on this medication.
Citrus juice, especially grapefruit
A client with a history of cardiac valve disorder reports chest pain. Assessment
reveals no emergency but symptomology with angina secondary to mitral valve
prolapse. The nurse instructs the client to lie flat & elevate legs at a 90 degree
angle for 3 to 5 minutes. What physical response does this nursing intervention
facilitate?
changes in blood volume in the heart
Upon auscultation of a client's heart, the examiner hears a very faint murmur
when the client is in certain positions. How would the nurse expect this murmur
to be graded?
, 1
-
Upon auscultation of a client's heart, the examiner hears a very loud murmur.
The examiner removes the stethoscope completely & can still hear the murmur.
How would the nurse expect this murmur to be graded?
6
-
A client has a several-year history of asymptomatic mitral valve regurgitation,
inquires about continuing regular exercise. Which response should the nurse
provide?
Continue exercise until mild symptoms develop
The nurse is caring for a client with aortic stenosis who has just been started on
medication. The nurse has also given the client information about dietary
restrictions related to the condition. Which statement by the client indicates a
need for further instruction?
"I plan to eat a lot of soup because it is inexpensive, it stores well on the shelf &
I can fix it quickly"
The nurse is interviewing a client who presents to the clinic with symptoms of
aortic regurgitation. When taking the client's medical history, the nurse will ask
which question that may be related to the cause of the client's present
symptoms?
"Have you previously taken medication to help you lose weight?"
A client with diagnosed aortic stenosis is exhibiting fatigue, shortness of breath
on exertion, & systolic murmur. Which of the following would the nurse list as
the most concerning nursing diagnosis?
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