Exam (elaborations)
NURS 640 Exam 2 questions with correct answers
- Course
- NURS 630
- Institution
- Maryville University Of St. Louis
NURS 640 Exam 2 questions with correct answers
[Show more]
Content preview
NURS 640 Exam 2 questions with correct answersThe nurse is reviewing the medications prescribed for a client diagnosed
with dilated cardiomyopathy. Which of the following medications are
commonly prescribed for this disease process? Correct Answer-ACE
inhibitor to prevent further dilation of the heart,
Beta-blocker to reduce the strain Diuretics Anticoagulants
Antiarrhythmics
A client is diagnosed with emphysema. For which of the following
hematologic disorders should the nurse include in the assessment of this
client? Correct Answer-polycythemia caused by an increase in the
number of red blood cells in response to a reduced amount of oxygen in
the body
Inpatient insulin dosing Correct Answer-TDD
50% basal
50% prandial
may need to add rapid acting for meal
titrate 10-20% until goal met
. The nurse is listening to the breath sounds of a patient with severe
asthma. Air passing through narrowed bronchioles would produce which
of these adventitious sounds? Correct Answer-Wheezes
,Caused by air squeezed or compressed through passageways narrowed
almost to closure by collapsing, swelling, secretions, or tumors, such as
with acute asthma or chronic emphysema Correct Answer-Wheezes
The nurse has just recorded a positive iliopsoas test on a patient who has
abdominal pain. This test is used to confirm a(n): Correct Answer-An
inflamed or perforated appendix irritates the iliopsoas muscle, producing
pain in the RLQ.
S3 heart sound Correct Answer-An auscultated S3 is a sign that
increased blood volume remains in the ventricle with each beat and that
the heart is beginning to fail
S4 heart sound Correct Answer-An S4 sound may indicate increased
resistance to ventricular filling
A client is diagnosed with heart failure. Which of the following
diagnostic tests is useful to determine the degree of the failure? Correct
Answer-Brain natriuretic peptide is a hormone found in the left
ventricle; it is used to help diagnose and grade the severity of heart
failure
Blood cultures Correct Answer-used to diagnose carditis
Sed Rate Correct Answer-used to diagnose pericarditis
,A nurse is instructing a client regarding medications and substances
contraindicated for the client with heart failure. Which of the following
would not be contraindicated? Correct Answer-Loop diuretics (e.g.,
furosemide) are part of the recommended medications for heart failure.
Contraindications in HF Correct Answer-Alcohol, metformin, and
pioglitazone (a thiazolidinedione) are contraindicated.
The nurse is determining nursing diagnoses appropriate for a client
demonstrating productive cough with pink frothy sputum, shortness of
breath, and crackles. Which of the following nursing diagnoses is of the
most importance? Correct Answer-Impaired gas exchange
In planning the care for a client diagnosed with heart failure, which of
the following would be an appropriate goal? Correct Answer-Increased
Activity levels
6.The nurse is instructing a client diagnosed with mild heart failure on
dietary modifications. Which of the following client statements indicates
that the instruction has been effective? Correct Answer-Low Salt Diet
A client is undergoing diagnostic testing for infective endocarditis.
Which of the following laboratory tests would be most useful in
diagnosis? Correct Answer-Blood cultures identify the causative
organisms.
, Which of the following would the nurse most likely assess in a client
diagnosed with rightsided heart failure? Correct Answer-An assessment
finding in a client diagnosed with right-sided heart failure is distended
neck veins
Left Sided HF Findings Correct Answer-Oliguria, cough with frothy
blood-tinged sputum, and syncope are all clinical manifestations of left-
sided heart failure.
.Which of the following diagnostic tests is useful to diagnose mitral
valve prolapse? Correct Answer-Transesophageal echocardiography is
useful in the assessment of cardiac murmurs, stenosis, and regurgitation
of all four cardiac valves
A client diagnosed with mitral valve prolapse is experiencing
palpitations. Which of the following should the nurse instruct this client?
Correct Answer-avoid caffeine, alcohol, and tobacco
A client tells the nurse that she had rheumatic heart disease as a child.
For which of the following valvular disorders should this client be
assessed? Correct Answer-Mitral stenosis
A client, recovering from surgery to replace a calcified aortic valve with
a mechanical valve, should be instructed that which of the following
medications will be needed long term? Correct Answer-Anticoagulant
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller cracker. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67474 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now