Med Surg Review chapter 20-24 quiz questions

Your client is being prepared for echocardiography when he asks you why he needs to have this test. What would be your best response?

"Echocardiography is a way of determining the functioning of the left ventricle of your heart."

The nurse is caring for a client with an exacerbation of COPD and scheduled for pulmonary function studies using a spirometer. Which client statement would the nurse clarify?

"I will breathe in through my mouth and out through my nose."

The nurse is caring for a client who states, "I am really worried about the thoracentesis. I know I won't be able to sleep tonight." Which statement is most helpful to the client at this time?

"Tell me what you are worried about."

The nurse is caring for a client with infective endocarditis. The nurse teaches the client that he will have to take antibiotics periodically for the rest of the client's life. The client wants to know why. What would be the nurse's best answer to the client?

"You will be vulnerable to infective endocarditis for the rest of your life."

The nursing instructor is talking with her junior nursing class about fluid and electrolyte balance. What would the instructor tell her students that the average daily fluid intake for an adult is?

2500ml

The nurse is reviewing lab work for a client whose blood CO2 level is elevated. The nurse is most correct to suspect an impairment of which?

Alveoli

You are preparing a client for emergency thoracic surgery. What would you document in your assessment?

General statement of the client's condition

A young mother brings her 4-year-old in to the pediatric clinic with a mild fever and a red, spotty rash that is beginning to fade. The child's heart rate is rapid, and the rhythm is abnormal. The mother states the child has been healthy until about 3 weeks ago when the child had a sore throat. You suspect rheumatic carditis. What organism causes rheumatic carditis?

Group A beta-hemolytic strep

A client arrived in the emergency department with a sharp object penetrating the diaphragm. When planning nursing care, which nursing diagnosis would the nurse identify as a priority?

Impaired Gas Exchange

A client has had oral anticoagulation ordered. What should you monitor for when your client is taking oral anticoagulation?

Prothrombin time (PT) or international normalized ratio (INR)

You are performing a preoperative assessment on a client who is scheduled for a tonsillectomy. Why would you ask the client about the use of herbal supplements?

They prolong bleeding.

The nurse is caring for a client with a decrease in airway diameter causing airway resistance. The client experiences coughing and mucus production. Upon lung assessment, which adventitious breath sounds are anticipated?

Wheezes

In providing nursing management to a client post-varicose vein surgery, the nurse would include which of the following teaching measures? Select all that apply.

exercise and elastic stockings

A client is admitted to the emergency department with a stab wound and is now presenting dyspnea, tachypnea, and sucking noise heard on inspiration and expiration. The nurse should care for the wound in which manner?

Apply airtight dressing.

A client comes into the emergency department with epistaxis. What intervention should you perform when caring for a client with epistaxis?

Apply direct continuous pressure.

Following a percutaneous transluminal coronary angioplasty (PTCA), which of the following nursing assessments would be considered as primary for this client?

Assess peripheral pulses in affected extremity.

The nurse is caring for a client with cardiac compromise related to mitral valve impairment. Which outcome of the eroding of the mitral valve is most significant?

Heart failure

The home health nurse is monitoring anticoagulant therapy by assessing prothrombin time (PT) laboratory values. Which action, made by the nurse, is the correct response anticipated for a PT level of 21 seconds?

No change is dosage.

A 64-year-old client is brought in to the clinic feeling thirsty with dry, sticky mucous membranes; decreased urine output; fever; a rough tongue; and is lethargic. Serum sodium level is above 145 mEq/L. Should the nurse start salt tablets when caring for this client?

No, sodium intake should be restricted.

You are an ICU nurse caring for a client who was admitted with a diagnosis of smoke inhalation. You know that this client is at increased risk for which of the following?

Acute respiratory distress syndrome

When assessing a client, what sign would you know is an early sign of an impending heart failure?

S3 heart sound

A client is experiencing an irregular heartbeat. The client asks the nurse how a heartbeat occurs. The nurse explains the conduction system of the heart beginning with the sinoatrial node (SA node). Place the conduction sequence of the heart in order beginning with the SA node. Use all options.

-Purkinje fibers -AV node -Atrial cell stimulation -Bundle of His -Bundle Branches

The nurse is caring for a client in a physician's office whose x-ray of the sinus reveals exudate in the maxillary sinus. Which equipment must the nurse have present in the room?

Irrigation equipment

The nurse notes that the client has had a change in mental status. Why would it be important for the nurse to report extremes in the thought process of a client with cardiovascular disorder to the physician?

It may indicate a problem with oxygenation.

You are caring for a client who has been admitted with a possible clotting disorder. The client is complaining of excessive bleeding and bruising without cause. You know that you should take extra care to check for signs of bruising or bleeding in what condition? Group of answer choices

hypocalcemia