NUR 2502 MULTIDIMENSIONAL CARE 3 EXAM FINAL LATEST VERSION

A nurse is performing discharge teaching for a client who was recently diagnosed with heart failure. Which of the following should be included in the client and family teaching? (Select all that apply) - Low sodium diet Symptoms to report to the provider Medication teaching Fluid restriction Which of the following assessment findings is a priority during blood transfusion? - Chest pain The nurse is caring for a client with mitral regurgitation. Which of the following would the nurse anticipate the client to develop if left untreated? - Left - sided heart failure Which of the following procedures are performed for a client with a pericardial effusion? - Pericardiocentesis Which of the following medications are appropriate for the treatment of heart failure? (Select all that apply) - Digoxin Diuretics Angiotensin - converting enzyme (ACE) inhibitorsA hospitalized client has a platelet count of 58,000 / mm3 (58 x 109 / L). What action by the nurse is best? - Implement fall precautions Which of the following assessment findings are consistent with aortic stenosis? - Harsh systolic crescendo decrescendo murmur While performing an admission assessment for a client, the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which of the following nursing diagnoses should the nurse identify as the priority in the client's care? - Ineffective peripheral tissue perfusion A client is receiving treatment for the diagnosis of hemophilia A. which of the following is the most appropriate to include in the assessment of this client? - Joint pain and bruising Which of the following is a treatment option for a client with infective endocarditis? - antimicrobials A client admitted for sickle cell crisis is distraught after learning her child also has the disease. What response by the nurse is best? - " It's understandable that you are upset about this news. Would you like to talk about what you're feeling? " A nurse in a hematology clinic is working with four clients who have polycythemia vera. Which client should the nurse see first? - Client who reports dyspnea A nurse reviews the arterial blood gas (ABG) values of a client admitted with end - stage kidney disease; PH 7.26; PaCO2 37 mm Hg; PaO2 94 mm Hg and HCO3 15 mEq / L . what do these values indicate? - Metabolic acidosisWhich of the following interventions should be included in the nutrition care plan of the client with atherosclerosis ? - Increase daily intake of vegetables , fruits , and whole grains Which of the following clients is most at risk for developing endocarditis ? - A client who recently had a valve replacement and had dental work recently performed The nurse is caring for a client who presented to the emergency department with pulmonary edema . The client is hypotensive with a pulse oximeter reading of 85 % on room air . Which of the following is a nursing priority ? - Administer oxygen A 65 - year - old male client is brought via EMS to the emergency department with chest pain . He rates the pain as a " 10 " on a scale from 0-10 ; the pain is located mid - sternum and radiates to his left arm . His heart rate is 126 beats / minute and blood pressure are 96/60 mm Hg . A 12 - lead electrocardiogram is performed and reveals ST - segment elevation . Which of the following interventions does the nurse anticipate performing immediately ? ( Select all that apply . ) - Administer oxygen Administer morphine Administer nitroglycerin A nurse is caring for a client who has recently diagnosed with left ventricular heart failure . What is an early sign the client is most likely to report ? - Dyspnea on exertion