ADV Med Surg exam1 Caridiac

30問 • 1年前

問題一覧

21. The nurse is caring for a client who was admitted 45 min ago with a diagnosis of MI. Which of the following findings should the nurse anticipate may occur within the first few hrs after an MI

A. sinus tachycardia with PVC’s

22. The nurse is caring for a client who experienced an acute MI 24 hrs ago. It would be necessary for the nurse to immediately notify the PCP if the client has

B. crackles auscultated to the midline of the lung fields

23. The nurse caring for a group of client’s on the cardiac floor, the nurse should immediately follow up on the client who is

B. being treated for AFIB with an amiodarone drip analysis to have dysarthria (slurred speech)

24. The nurse has received a handoff report for a client who was admitted with chest pain and is receiving Nitro 50mg/250ml D5W at a rate of 10mcg/min, the client weighs 187lbs. The nurse observes that the clients IV pump is set at a rate of 3ml/hr. Which of the following should the nurse take

C. increase the infusion rate to 6ml/hr

25. The nurse in the ER is caring for a client who just had an MI and is receiving a continuous infusion of TPA. It would be most important for the nurse to notify the PCP if the client develops

A. oozing blood at the IV site

26. The nurse is caring for a client who has had chest pain for the past 45 min and has been prescribed the intravenous thrombolytic Tenecteplase. Which of the following questions is the most important for the nurse to ask the client before administering the medication

A. do you currently take blood thinners

27. The nurse working in a rehab is assisting a client who had an MI to increase activity tolerance. Which of the following client symptoms indicates a need to stop the clients current activity

C. systolic bp has decreased from 126/96 to 106/68mmhg

29. The nurse working in the tele step down unit is caring for a client who is scheduled for a cardiac catheterization and an angioplasty. Which of the following lab findings is most important for the nurse to report to the PCP

C. BUN of 26mg/dl bun normal range 6-24

30. The nurse has instructed a client who is scheduled to have a cardiac catheterization. Which of the following client statements would indicate a correct understanding of the teaching

C. this test is performed to help detect problems with my heart valves and chambers

31. The nurse has been made aware of the following client situation. The nurse should initially plan to assess the client

B. had CABG surgery 24 hrs ago and has developed distant muffled heart sounds

32. The nurse is assessing a client who has a suspected aortic dissection. Which of the following findings should the nurse anticipate the client to have

B. sharp pain in the anterior chest

33. The nurse is caring for assigned clients. It would be priority for the nurse to follow up with the PCP of a client who

D. has a suspected thoracic aortic aneurysm and is reporting the development of back pain

34. The nurse is assessing a client who has developed cardiac tamponade. Which of the following findings should the nurse expect to observe

D. (JVD)jugular venous distention with clear lung sounds

35. The nurse has been made aware of the following client situations. The nurse should initially assess the client who

A. has HF and is receiving a continuous infusion of NS and the IV pump is infusing at rate of 250ml/hr

36. The nurse is caring for a client who was recently diagnosed with pericarditis. It would require follow up by the nurse if

B. nurse assessment of the client reveals muffled heart sound and reported fatigue by the client

37. The nurse working in the med surg unit is caring for a client who reports a racing heart and feeling anxious. The client is placed on a heart monitor and displays a heart rhythm indicated below. Which of the following findings should the nurse correlate to this assignment

D. the client takes a daily dose of levothyroxine

38. The nurse is caring for a client who reports dizziness and has a bp of 80/49mmhg and has a cardiac rhythm indicated below. Which of the following actions should the nurse take

C. place the client with the HOB lower than the foot of the bed

39. The nurse came for a client who develops the following dysrhythmia. The nurse should assess which of the following manifestations in the client

B. irregular apical pulse

40. The nurse is caring for a client who develops the cardiac rhythm indicated below. Which of the following actions should the nurse take

A. ask the client if their experiencing palpitations

42. The nurse has provided discharge teaching to a client following the insertion of a permanent pacemaker to the left chest area. Which of the following client statements would indicate a correct understanding of the teaching

A. I will avoid cooking with a microwave oven or around any that are being used

43. The nurse has provided discharge teaching to a client who had a mitral valve replacement with a mechanical prosthetic valve. Which of the following statements by the client would indicate a correct understanding of the teaching

B. I should avoid having invasive dental work performed for 6 months

44. The nurse is providing discharge instructions to a client who had a mitral valve replaced with a biologic porcine valve. Which of the following client statements indicates a need for further teaching

B. I will keep my arm in a sling for 2 wks while the incision heals

45. The nurse has developed a teaching plan for a client who has dilated cardiomyopathy. Which of the following client statements indicates a need for further teaching

A. I will need to take a lipid lowering agent to help control my symptoms

46. The nurse is caring for the following clients. It would be necessary to schedule an interdisciplinary conference for the client who is

A. 42yrs old, is single with 2 teenage children, works as a cashier, and has dilated cardiomyopathy

47.The nurse is caring for a client who has right sided HF and is receiving hemodynamic monitoring which reveals an elevated CVP (Central venous pressure) reading. Which of the following assessments is consistent with this finding

B. jugular venous distention (JVD)

48. The nurse is assessing the following assigned clients. The nurse should immediately notify the PCP about the client who

C. has infective endocarditis and auscultation of a heart murmur that has increased in intensity

49. The nurse is reviewing prescriptions for assigned clients. It requires follow up with PCP if a client

D. is newly diagnosed with infective endocarditis and has been prescribed an anticoagulant

50. The nurse is caring for a client who has infective endocarditis. Which of the following findings indicates the client is having a complication associated with this disease

C. the development of HF

51. The nurse working in the ED is caring for a client who was admitted 30 min ago with substernal chest discomfort, nausea, and diaphoresis. Which of the following findings would be consistent with a diagnosis of an MI

A. an ECG revealing ST elevation

52. The nurse is caring for a client who was admitted from the ED with chest pain. In the ED the client received sublingual nitro with relief of the chest pain, a 12 lead ECG, and ABG. Which of the following should the nurse anticipate the PCP will prescribe

B. echocardiogram

NUR 170 exam 4

V Farris · 50問 · 3年前

NUR 170 exam 4