Chronic EAQ midterms
A client taking multiple medications for hypertension develops a persistent, hacking cough. Which antihypertensive medication class would the nurse identify as a likely cause of the cough
ACE inhibitors
which is the minimum heart rate of a 14 year old
60 BPM
which intervention with the nurse include when developing a plan of care for an older client with dementia
provide consistency in carrying out nursing activities for the client
A client on hospice care is receiving palliative treatment. Which is the goal of palliative care for this client
relieve the clients discomfort
nitroglycerin sublingual tablets are prescribed for a client with a diagnosis of angina. The nurse advises the client to anticipate pain relief will begin within which period of time
1 to 3 minutes
what is the maximum acceptable heart rate of a 16 year old
90 BPM
place the following nursing actions in the correct order for a client with esophageal varices prescribed a blood transfusion
1. check the clients vital signs 2. establish IV access with IV normal saline 3. verify the blood products with another nurse against the clients identification bracelet 4. monitor the clients vital signs and status according to agency policy
which is the average optimal blood pressure of an adolescent
110/65 mm Hg
which finding in older adult client is associated with aging
decrease in height
A registered nurse is teaching a nursing student about when a client with high blood pressure would follow up with the primary healthcare provider. which statement made by the nursing student indicates effective learning
i will advise the client with a blood pressure of 130/80 mm Hg to follow up in a year
A client who is in the advanced stages of illness ask the nurse to contact pastoral services for support. According to the Macmillan model, which is the correct nursing intervention in this situation
immediately involve pastoral services while caring for the client
the weight of a 3 month old infant with tetralogy of Fallot has declined from the 25th percentile to the 5th. which mechanism would the nurse suspect is the reason for this inadequate weight gain
inadequate oxygen perfusion leading to activity intolerance, resulting in diminished energy to nurse
which explanation will the nurse give when a client asks about what causes varicose veins
incompetent valves of superficial veins
why is 15 g of a simple sugar administered when a client with diabetes experiences hypoglycemia
increases blood glucose levels
which dietary choice reflects the recommendations of the Dietary Approaches to Stop Hypertension (DASH) diet.
salmon
which characteristic of adolescence is exemplified by risk taking behavior without fear of consequences
sense of invulnerability
which gerontological assessment findings of the auditory system are related to the inner ear
1. hair cell degeneration 2. reduced blood supply to the cochlea 3. less effective vestibular apparatus in the semicircular canals
which amount is the normal value of the clients inspiratory reserve volume
3 L
which blood glucose levels with the nurse identify as hypoglycemia
68 mg/dL (3.8 mmol/L)
when evaluating fluid loss for a client with burns, which relationship between her clients burned body surface area and fluid loss with the nurse consider
directly proportional
A client does not take their medication regularly and is depressed. Which inference can the nurse make about the clients motivational level
not motivated
when a client with a history of hypertension that is usually successfully treated with medication has a blood pressure of 160/100 mm Hg during a clinic appointment, which action would the nurse take next
question the client about symptoms such as headache or chest pain
which characteristic of a therapeutic milieu would the nurse consider important for a confused older client with socially aggressive behavior
sets limits
which sign in the newborn infant would reflect an Apgar score of 1 in the category of respiration
slow, weak cry
which electrolyte deficiency triggers the secretion of renin
sodium
which mechanism of action explains how glyburide decreases serum glucose levels
stimulates the pancreas to produce insulin
which situation accurately describes hospice care
system of family centered care that allows clients to remain at home in comfort while easing the pains of terminal illness
which client problem with the nurse expect to decrease in response to the administration of serum albumin intravenously to a client with ascites
abdominal girth
which stage is a terminally ill client displaying by gradually moving towards resolution of feelings about impending death according to Kubler-Ross's theory of death and dying
acceptance stage
which mineral deficiency would a nurse suspect in a client who reports tingling in the fingers in around the mouth and exhibit carpopedal spasm and tremors after surgical thyroidectomy
calcium
which action would the nurse take after contacting the primary health care provider of a post surgical client complaining of nausea, fatigue, and a headache during the fourth hour of the infusion of total parenteral nutrition (TPN) instituted via a central venous infusion who has an hourly urine output that is twice the amount of the previous hour
check the serum glucose level
which type of bone tumor occurs most commonly in elderly clients
chondrosarcoma
A beta blocker is prescribed for the client with persistent ventricular tachycardia. Which response indicates that the beta blocker is working effectively
decreased heart rate
which action is the function of a antidiuretic hormone (ADH)
decreases water loss in urine
when an obese client receives a diagnosis of high blood pressure, which topic would be the most important to include in client teaching
effect of weight loss in hypertension
when obtaining a health history from a client recently diagnosed with type 1 diabetes, the nurse would expect the client to report which clinical manifestation
polyuria
which member of the interprofessional team is appropriate for the nurse to ask for support in informing and consoling the family of a terminally ill client who has died
social worker
which action would the nurse take for a withdrawn client who suddenly screams, burst in the tears, and runs from the room to the far end of the hallway
walk to the end of the hallway where the client is standing
The nurse prepares discharge instructions for a client who will take enalapril for hypertension. which instruction would the nurse include in the clients teaching
change to a standing position slowly
The nurse is reviewing the data of clients with pre-hypertension. which client is at risk of stage one hypertension based on the given data
client with increased cardiac output, increased hematocrit, and a BP of 130/89 mm Hg
which statement will the nurse need to consider when developing the teaching plan for a client with type 2 diabetes prescribed an oral hypoglycemic medication
clients taking oral hypoglycemics may subconsciously relax dietary rules to gain a sense of control
The nurse assesses a clients intravenous site. Which clinical finding leads the nurse to conclude that the IV has infiltrated rather than caused inflammation
coolness
which clinical findings leads the nurse to conclude that an IV has infiltrated rather than caused inflammation
coolness
thick mucus gland secretions, elevated sweat electrolytes, meconium ileus, and difficulty maintaining and gaining weight are associated with which autosomal disorder
cystic fibrosis
The primary healthcare provider prescribes an adrenergic agonist to a client with increased intraocular pressure. Which question would the nurse ask client before administering the medication
do you take antidepressants
which action would the nurse take when caring for an older adult with a history of recent memory loss
employ electronic devices that provide alerts
A client with chronic renal failure stops responding to the treatment. On examination, the primary healthcare provider determines that the client is terminally i'll. which is the correct nursing intervention in the situation
encourage the family members to provide palliative care to the client
which assessment findings would help the nurse support the diagnosis of the condition of orthostatic hypotension
fainting weakness light headedness
which hormone would the nurse identify as inhibiting insulin and glucagon secretion
somatostatin
which volume of solution would be prepared when the nurse receives in order to prepare a solution for administering a cleansing enema for an adolescent client
500-750 mL
which korotkoff sound represents the diastolic blood pressure in an adolescent
5th
A client is admitted to the hospital with a long history of uncontrolled hypertension. Which laboratory result will be the most important for the nurse to review
blood urea nitrogen
which activity would the nurse ask an older client to do when testing short term memory
State three random words mentioned earlier in the examination
which question is the most therapeutic to ask the parents of a three-year-old child who has just died
can I be of any help with traditional practices that are important to you
which action would be taken by the nurse who is caring for a client with type 1 diabetes mellitus who has a fingerstick glucose level of 258 mg/dL (14.3 mmol/L) at bedtime and a prescription for sliding scale regular insulin
administer the insulin as prescribed
which hormonal deficiency causes diabetes insipidus in a client
antidiuretic hormone
which action would the nurse perform first when prioritizing care for a hypertensive client
assess for severe headache
A client who is being treated for uncontrolled hypertension develops a nose bleed. After applying pressure to the nose which action would the nurse take next
assess the clients blood pressure
which action will the nurse take when caring for a terminally ill client receiving a morphine drip that exceeds the typical recommended dosage whose spouse tells the nurse that the client is again uncomfortable and needs the morphine increased (the prescription states titrate the morphine to comfort level)
assess the clients pain before increasing the dose of morphine
which action would the nurse take for an older client with Alzheimer's disease who has laid out several outfits on the bed to wear to a recreational session but is still wearing night clothes
help the client select appropriate attire and offer to help the client get dressed
which intervention is most important to assist a couple to cope with their feelings about the husbands terminal illness
helping the couple express to each other their feelings about his terminal illness
which condition would the nurse identify as the likely cause of profound weakness and nervousness in a client that became confused shortly after self administering the morning dose of 10 units of regular insulin and 25 units of NPH insulin after a light breakfast with no additional intake in the three hours since that time
hypoglycemia
in which category of fluids would the nurse classify an intravenous solution of 0.45% sodium chloride
hypotonic
which age related effects on the immune system occurred in the older client
increased autoantibodies
which response would a nurse give to a client who asks " why can't I take the insulin and pills instead of taking shots?" during a teaching session about insulin injections
insulin is destroyed by gastric juices, rendering it ineffective
which action would the nurse take for an older client with Alzheimer's disease who sleeps very little and becomes more disoriented from sleep deprivation
leave a dim light on in the clients room at night
in which component of the nephron does furosemide decrease fluid reabsorption
loop of Henle distal tubes proximal tubes
The nurse is teaching a client newly diagnosed with type one diabetes about self-care. Which is the primary long-term goal
maintaining normoglycemia
which action would the nurse take in a client hospitalized for uncontrolled hypertension and chest pain on a daily diuretic for two days who is potassium level this morning is 2.7 mEq/L (2.7 mmol/L)
notify the healthcare provider that the potassium level is below normal
which information obtained by the nurse about a client would represent risk factors for the clients admission diagnosis of hypertension
occasional cocaine use african american heritage
which cation regulates intercellular osmolarity
potassium
which is the purpose of encouraging active leg and foot exercises for a client who has had hip surgery
prevent clot formation
A client with chronic obstructive pulmonary disease (COPD) has a blood pH of 7.25 and a partial pressure of carbon dioxide (PCO2) of 60 mm Hg. which complication would the nurse suspect the client is experiencing
respiratory acidosis
A client has been placing used insulin needles in a container sealed with heavy duty tape. Where would the nurse tell the client to dispose of the container
the local hazardous waste collection site
A healthcare provider prescribes a diuretic for a client with hypertension. Which mechanism of action explains how diuretics reduce blood pressure
they reduce the circulating blood volume
which response would the nurse give to a client with type 1 diabetes who asks what causes several brown spots on the skin
those brown spots result from small blood vessel damage; the blood contains iron, which leaves a brown spot
The nurse is caring for an older adult who was admitted to the hospital to be treated for dehydration. While the nurse is providing discharge teaching, the client asked what to do about itchy, dry skin. Which response by the nurse is appropriate
use a moisturizer on the skin daily to help reduce itching
which response would be given by a nurse providing discharge teaching to an older adult who was admitted to the hospital to be treated for dehydration when the client asks what to do about itchy dry skin
use a moisturizer on the skin daily to help reduce itching
which consistent approach would the nurse use for a client diagnosed with antisocial personality disorder
warm and firm without being punitive
which characteristic is commonly associated with adolescent depression
having suicidal ideation exhibiting tearfullness avoiding previously enjoyed activities and relationships
a client with supraventricular tachycardia (SVT) has a heart rate of 170 beats/minute. after treatment with diltiazem, which assessment indicates to the nurse that the diltiazem is effective
heart rate of 98 BPM
The parent of an infant with heart failure questions the necessity of weighing the baby every morning. Which would the nurse say that this daily information is important in determining
fluid retention
which initial nursing intervention will the nurse take for an older client with delirium who begins acting out while in the day room
giving the client one simple direction at a time in a firm, low pitched voice
which advice will the nurse give the client to avoid Lipodystrophy when self administering insulin therapy
rotate injection sites
which guideline will the nurse consider when planning care for a hospitalized older client with Alzheimer's disease
routines provide stability for clients with neurocognitive disorders
which guideline would the nurse consider when planning care for a hospitalized older client with Alzheimer's disease
routines provide stability for clients with neurocognitive disorders
An older client with Alzheimer type dementia constantly sleeps in a semi Fowler position in bed. Which area of the clients body would the nurse consider a high risk for developing a pressure injury
sacrum
which hormone aids in regulating intestinal calcium and phosphorus absorption
glucocorticoids
when the client taking a loop diuretic asks the nurse why changing positions slowly is necessary, which responsible the nurse provide
your blood pressure may drop with position changes, leading to dizziness and risk of falling
