Perfusion EAQ PP2

A 30-year-old client who is diagnosed with hyperlipidemia and hypertension asks the nurse to explain why treatment is important, stating "I feel fine, so I don't really see the need to make any changes." Which response would the nurse make?

"Both high blood pressure and high cholesterol contribute to development of heart disease."

The student nurse demonstrates correct understanding of anemia related to chronic disease with which statement?

"Red blood cells appear normal in size and color; however, there is a decreased amount produced."

The primary healthcare provider prescribes an adrenergic agonist to a client with increased intraocular pressure. Which question is priority that the nurse should ask the client?

1. "Do you take antidepressants?"

Sildenafil is prescribed for a man w/ erectile dysfunction. Which side effects of this medication would the nurse mention in teaching? Select all that apply.

A. Flushing B. Headache C. Dyspepsia

What client's response during the procedure best indicates that the beta-blocker is working effectively?

C. Decreased heart rate

A client who is receiving a cardiac glycoside, a diuretic, and a vasodilator has been placed on bed rest. The client's apical pulse rate is 44 beats per minute. The nurse concludes that the decreased heart rate most likely is a result of the:

Cardiac glycoside

Which condition can be prevented when a client with chronic kidney disease receives medication to manage anemia?

Chronic fatigue

Which medication is often contraindicated when taking warfarin?

D. Acetylsalicylic acid

When the health care provider prescribes verapamil to be administered intravenously to a 70-year-old client with hypertension, which nursing intervention will be implemented?

Keep the client in bed for an hour after giving the medication.

Which client should the nurse identify as being at greatest risk for a hypertensive disorder of pregnancy?

Obese primigravida

Which instruction would the nurse give an unlicensed assistive personnel (UAP) to perform while caring for a client prescribed captopril? Select all that apply. One, some, or all responses may be correct.

Obtain blood pressure. Measure intake and output . Weigh the client every morning. Notify the nurse if the client has a dry cough. Assist the client to change positions slowly.

After consistently obtaining a blood pressure of 140/76 mm Hg for a client, which stage of hypertension will the nurse document? Normal Elevated Stage 1 Stage 2

Stage 2

Which medication is a beta-adrenergic blocker used to reduce intraocular pressure?

Timolol

a client develops a deep vein thrombophlebitis in her leg after giving birth. Which med would the nurse develop a teaching plan for?

heparin

A nurse is caring for a pregnant client with thrombophlebitis. Which anticoagulant medication may be prescribed? (Select all that apply.)

heparin enoxaparin

When caring for a client with iron-deficiency anemica,, which abnormal laboratory value will the nurse expect?

increased total iron-binding capacity (TIBC)

which information obtained by a nurse about a client would represent risk factors for the clients admission diagnosis of hypertension?

occasional cocaine use African American heritage

which clinical finding would the nurse expect for a client with hypertensive emergency

severe pounding headache

Which instruction would be most beneficial for an aging African-American client with hypertension?

"Have an annual urinalysis."

Which action describes a therapeutic effect of atenolol?

A. Heart rate decreases

A client with hypertension tells the nurse, "I took the blood pressure pills for a few weeks, but I didn't feel any different, so I decided I'd only take them when I feel sick." Which is the best action for the nurse to take?

Ask the client questions to determine the current understanding of high blood pressure.

which laboratory result will be important for the nurse to review when a client is admitted to the hospital with a long history of uncontrolled hypertension?

Blood urea nitrogen

A 3½ -year-old child with severe iron-deficiency anemia is seen by a nurse in the clinic. In addition to weakness and fatigue, what should the nurse expect the child to exhibit?

Increased pulse rate

A nurse is caring for an infant with heart failure. What treatment does the nurse most likely anticipate in the care of this infant?

Medications prescribed for both children and adults

When caring for a client who is hospitalized for an acute myocardial infarction, which prescription by the health care provider would the nurse question?

Rectal suppository as needed for constipation

Which assessment finding indicates a need for the nurse to consult with the health care provider before administering the prescribed metoprolol to a client with stable angina?

Sinus bradycardia, rate 54 on monitor

A client being treated for hypertension reports having a persistent hacking cough what class of antihypertensive should the nurse identify as a possible cause of this response when reviewing the list of medications the client takes?

ace inhibitors

After obtaining client blood pressure of 172/104 mmHg and 164/98 mmHg during a blood pressure screening, which action would the nurse take NEXT? a. provide health teaching about low-sodium diet b. call the paramedics for transport to the hospital c. Suggest ways to decrease the client's stress level d. refer the client to their primary health care provider.

d. refer the client to their primary health care provider.

A 3-year-old child is admitted to the pediatric unit with a hemoglobin level of 6.4 g/dL (64 mmol/L). What should the nurse's priority assessment be?

d. signs of cardiac decompensation

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

A client develops thrombophlebitis in the right calf. Bed rest is prescribed, and an IV of heparin is initiated. What drug action will the nurse include when describing the purpose of this drug to the client?

prevents extension of clot

A pregnant client with a history of hypertension is treated with an angiotensin-converting enzyme inhibitor. Which teratogenic effect of angiotensin-converting enzyme (ACE) inhibitors is the neonate at risk for?

skull hypoplasia

The registered nurse is teaching about monoamine oxidase (MAO) inhibitors to a nursing student. Which statement made by the nursing student indicates the need for further teaching?

"Isocarboxazid is a selective MAO-B inhibitor." "MAO inhibitors are prescribed as adjunct to diphenhydramine."

Which client is suspected of having hypertension based on the given data? 1Decreased Cardiac Output, Normal Peripheral Resistance, Decreased Hematocrit 2Increased CO, Increased PR, Increased Hematocrit 3Decreased CO, Normal PR, Normal Hematocrit 4Normal CO, Increased PR, Normal Hematocrit

2Increased CO, Increased PR, Increased Hematocrit

Which of these clients seen at a health fair will be most at risk for hypertension? 1. 23-year-old white man 2.44-year-old white woman 3.50-year-old Mexican-American woman 4.62-year-old African American man

4.62-year-old African American man

1. The nurse would assess which laboratory value to determine the effectiveness of intravenous heparin?

Activated partial thromboplastin time (aPTT)

Which collaborative and nursing actions would help prevent venous thrombosis in a client during the perioperative period?

Administer subcutaneous heparin injections. Assist the client to don antiembolism stockings. Apply pneumatic compression devices to the legs..

A client who has atrial fibrillation with rapid ventricular response is started on a continuous heparin infusion. Which clinical finding enables the nurse to conclude that the heparin therapy is effective?

An activated partial thromboplastin time (aPTT) is twice the usual value.

Which action would the nurse perform first when prioritizing care for a hypertensive client?

Assess for a severe headache.

A client who is admitted to the emergency department with a blood pressure of 240/150 mm Hg reports severe headache, blurred vision, and swelling of the ankles. Which prescribed action would the nurse take first?

Assess the client's pulse and respirations.

To prevent excessive bruising when administering subcutaneous heparin, what technique will the nurse employ?

Avoid massaging the injection site after the injection

A 78-year-old client comes to the health clinic presenting with fatigue. The client's laboratory results indicate a hematocrit of 32.1% and a hemoglobin of 10.5 g/dL (105 mmol/L). Which is the most appropriate nursing intervention in response to these laboratory results?

Conduct a complete nutritional assessment of the client

A client is admitted to the hospital with a diagnosis of deep vein thrombosis, and intravenous (IV) heparin sodium is prescribed. If the client experiences excessive bleeding, what should the nurse be prepared to administer?

D.Protamine sulfate

Captopril is prescribed for a client. Which effect would the nurse anticipate?

Decreased blood pressure

A nurse is caring for a client with end-stage kidney disease after a kidney transplant. Which finding indicates the transplant is successful?

Decreasing serum creatinine

A client with hypertension has received a prescription for metoprolol (Lopressor). Which information should the nurse include when teaching this client about metoprolol?

Do not abruptly discontinue the medication

The nurse manager is teaching the licensed practical nurse (LPN), the evidenced-based practice regarding the use of saline and the low-dose heparin flush solution for capped angiocatheters. Which statement by the LPN indicates they understood the teaching? Select all that apply.

The use of heparin flushes disappeared in the late 1990s." "The use of high doses of heparin solutions is not recommended in adults."

which angiotensin-converting enzyme inhibitor is appropriate for a client with liver dysfunction?

captopril lisinopril

which instruction would the nurse include when preparing discharge instructions for a client who will take enalapril for hypertension?

change to a standing position slowly

A client comes to the emergency department because of minimal urinary output despite drinking adequate fluid. The client's blood pressure is 190/94 mm Hg. For what additional clinical manifestation associated with this data should the nurse assess the client?

weight gain