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What will the nurse calculate as the appropriate target heart rate for a 30-year-old client when using 60% of the maximum heart rate as the factor?

114 beats per minute

Which of the following client scenarios would be correct for the nurse to identify as a client with secondary hypertension?

A client diagnosed with kidney disease

A total artificial heart (TAH) is an electrically powered pump that circulates blood into the pulmonary artery and the aorta, thus replacing the functions of both the right and left ventricles. What makes it different from an LVAD?

An LVAD only supports a failing left ventricle.

The nurse is discussing cardiac hemodynamics with a nursing student. The nurse explains preload to the student and then asks the student what nursing interventions might cause decreased preload. The student correctly answers which of the following?

Administration of a vasodilating drug (as ordered by a physician)

The nurse is taking the radial pulse of a client with a suspected valvular disorder. The pulse is very strong, with quick, sharp beats followed by a sudden collapse of force. What condition would the nurse suspect in the client?

Aortic regurgitation

Which nursing action would help prevent deep vein thrombosis in a client who has had an orthopedic surgery?

Apply antiembolism stockings

The nurse enters a postoperative client's room and finds that the client is bleeding profusely from the surgical incision. What would be the nurse's most appropriate initial response?

Apply pressure to the surgical site to decrease bleeding.

A patient has been prescribed antihypertensives. After assessment and analysis, the nurse has identified a nursing diagnosis of risk for ineffective health maintenance related to nonadherence to therapeutic regimen. When planning this client's care, what desired outcome should the nurse identify?

Client takes medication as prescribed and reports any adverse effects.

How should the nurse best position a client who has leg ulcers that are venous in origin?

Elevate the client's lower extremities.

Which is the most common cause of esophageal varices?

Portal hypertension

A nurse is caring for a client experiencing dyspnea, dependent edema, hepatomegaly, crackles, and jugular vein distention. What condition should the nurse suspect?

Heart failure

The nurse is reviewing the results of the patient's echocardiogram and observes that the ejection fraction is 35%. The nurse anticipates that the patient will receive treatment for what condition?

Heart failure

The nurse is creating a plan of care for a client with a cardiomyopathy. What priority goal should underlie most of the assessments and interventions that are selected for this client?

Improved cardiac output

The nurse is assessing a client and palpates two enlarged supraclavicular lymph nodes. The nurse asks the client how long these nodes have noticeably enlarged. The client states, "I can't remember. A long time I think. Do I have cancer?" Which of the following is an immediate physiologic response to stress the nurse would expect this client to experience?

Increased blood pressure

A nurse is caring for a client diagnosed with a hemorrhagic stroke. When creating this client's plan of care, what goal should be prioritized?

Maintain and improve cerebral tissue perfusion.

A nurse is caring for a client following an arterial vascular bypass graft in the leg. What should the nurse plan to assess over the next 24 hours?

Peripheral pulses every 15 minutes after surgery

The nursing educator is presenting a case study of an adult client who has abnormal ventricular depolarization. This pathologic change would be most evident in what component of the ECG?

QRS complex

Which of the following is the nurse most correct to recognize as a direct effect of client hypertension?

Renal dysfunction resulting from atherosclerosis

The client asks the nurse about the functions of the kidney. Which should the nurse include when responding to the client? Select all that apply.

Secretion of prostaglandins Regulation of blood pressure Vitamin D synthesis

A client requires a bivalved cast. The nurse identifies which reasons for a bivalved cast? Select all that apply.

Swelling compresses tissue and interferes with circulation. A sharper X-ray image is needed. Painful joints need to be immobilized temporarily for a clien

What should the nurse do to manage the persistent swelling in a client with severe lymphangitis and lymphadenitis?

Teach the client how to apply an elastic sleeve

A client presents to the clinic reporting the inability to grasp objects with her right hand. The client's right arm is cool and has a difference in blood pressure of more than 20 mm Hg compared with her left arm. The nurse should expect that the primary provider may diagnose the woman with what health problem?

Upper extremity arterial occlusive disease

A nurse is admitting a 6-year-old child status post tonsillectomy to the surgical unit. The nurse obtains his weight and places EKG and a pulse oximeter on the client's left finger. His heart rate reads 100 bpm and the pulse oximeter reads 99%. These readings best indicate:

adequate tissue perfusion.

A nurse hears bilateral crackles in a client's lungs. What could be a cause of crackles in the bases of the client's lungs?

pulmonary congestion


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