nurs 190 midterm.0

Which of the following indicates a normal cardiac output

4 to 8 L per minute

Which of the following represents cardiac output

4 to 8 L per minute

A clinic nurse is performing a physical assessment on a client who has systemic lupus which of the following findings

A dry red rash across the bridge of the nose and on the cheeks

The nurse is triaging clients in an ophthalmology office which client requires immediate intervention by the nurse

Acute glaucoma

Abreu allowed blowing sound is an abnormal finding it is most often associated with the narrowing or stricture of the carotid artery which of the following relates to this finding

Atherosclerotic plaque

A nurse is interpreting the ECG strip of a client who has bradycardia which of the following cardiac components for the nurse identify as the role of the P-wave

Atrial depolarization

A nurse is assessing a client who has COPD the nurse should expect back the clients chest to be which of the following shapes

Barrel

A nurse is teaching a client about following a low cholesterol diet after coronary artery bypass crafting. Which of the following client food choices reflects the clients understanding of these dietary instructions

Beans

The nurse is conducting a cardiovascular focus assessment which question should the nurse asked that reflects behavior

Can you describe your diet

A nurse is assessing a client circulatory system which of the following policies should the nurse avoid assessing bilaterally at the same time

Carotid

A nurse is caring for a client who is unconscious and has a breathing pattern characterized by alternating periods of hyperventilation and apnea. The nurse should document that the client has which of the following respiratory alterations

Cheyenne Stokes respirations

During an elderly clients physical exam the nurse nuts his fingernails are spongy around and wide greater than 170°

Clubbing

The nurse is caring for a client that is using cocaine which initial cardiovascular affect occurs due to the use of the drug

Coronary spasms

A nurse is completing the initial admission assessment in history for a client which of the following is the priority action for the nurse to take

Document the clients allergies in the electronic medical record

It's 72 here in old male client tells the nurse im worried because my eyes are granny and it burned I think I'm going blind what kind of nurse say to this client in response

Dry eyes occur normally with aging

A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure which of the following instruction should the nurse include in the teaching

Exercise at least three times per week

A nurse is providing discharge instructions to a client who develop deep vein Trumbo sis DVT post operatively and is prescribed anticoagulant therapy which of the following instruction should the nurse include

Flexing her knees and feet frequently

A nurse is assessing a client who has left-sided heart failure which of the following findings should the nurse expect

Hacking cough

The nurse is interviewing a client who has recently been diagnosed with atherosclerosis in the coronary arteries which question by the nurse is a priority when determining risk factors for this condition

Have you been diagnosed with rheumatic fever

A nurse in an ophthalmology clinic is interviewing a client who was referred by his primary care provider for suspicion of cataracts. The nurse should expect the client to report

Having a decrease ability to perceive colors

A nurse is reviewing discharge instructions with a client who has Reynaud disease which of the following client statements indicates an understanding of the teaching

I am going to take a stress management class

How does the sympathetic fibers stimulate the heart

Increasing heart rate Increasing force of contraction Dilating the coronary arteries

A client tells the nurse that he is concerned because his provider told him he has a heart murmur how should the nurse explain to murmur

Indicates turbulent blood flow through a valve

The nurse is reviewing the effects of smoking on the cardiovascular system with a client which information should the nurse include in the teaching

Injury to the vessel walls

The nurse educator is teaching a group of nursing students to assess heart sounds which response by the student indicates appropriate understanding of how S2 heart sounds are produced

It results from the closure of the semi lunar valve's

I 70-year-old male client arrives at the outpatient clinic with suspected macular degeneration on subjective data collection the nurse expect the client to report which symptom associated with macular degeneration

Loss of central vision

The nurse is performing a respiratory assessment on her client and hears rhonchi in bilateral lobes which of the best description for this adventitious sounds

Low pitched continuous snoring or rattling

The nurse is caring for a client suspected of having myocardial infarction which assessment findings should the nurse recognize are associated with the condition

Mental confusion Vomiting Diaphoresis

A nurse is teaching a class of older adults about the expected physiologic changes of aging which of following changes

More difficulty seeing due to a greater sensitivity to glare Decreased cough reflex Decreased bladder capacity Dehydration of intravertebral disc's

When the nurse assesses an apical heart sound and those blank it is called tachycardia

More than 100 bpm

A nurse is assessing a client who has Bell's palsy which of the following findings should the nurse expect

Muscle distortion Pain behind the ear Impaired taste

The nurse is preparing to auscultate the Apex of a client right lung which anatomical location should the nurse place the stethoscope

Near right clavicle

The nurse is caring for a client complaining of a painful hot area in the leg the area is red and swollen which of the following action should the nurse perform next

Notify the physician

Which is a modifiable risk factor for primary hypertension

Obesity

One of the main structures of the cardiac conduction system includes the Sino atrial node what is the structure also known ass

Pacemaker

A nurse is caring for a client who has herpes zoster which of the following findings should the nurse expect

Painful lesions following a nerve pathway

The male client weighs 280 pounds what is the best technique on auscultation of the heart and then obese client

Play client in the left lower position and listen at the apex

The nurse is caring for a client who is a long-term smoker and notes clubbing of the fingers which technique should the nurse use to validate this

Play's two of the same finger from each hand together

Well palpating respiratory expansion on a client in the emergency room the nurse notes movement on only one side of the chest what is the most likely indication of this funny

Pneumothorax

The nurse has reviewed the functions of the peripheral vascular system with a client which statement made by the client indicates further teaching is needed

Produces red blood cells that transport oxygen

A nurse in the outpatient clinic is assessing a client who has psoriasis. The nurse should expect which of the following findings

Silvery white scales

Stenosis of the aortic or pulmonary valves will result in which of the following murmur

Systolic murmur

A nurse is instructing a group of caregivers about variations in hearts rate in adults the nurse correctly states that the appropriate term for a heart rate is 105 in an adult is

Tachycardia

The nursing student is asked to demonstrate the Allen test on a fellow student which of the following best describes the Allen test

Test to determine radio artery patency

The nurse is preparing to listen to a client mitral valve which landmark on the clients chest should nurse place the bell of the stethoscope

The Apex fifth intercostal space left mid clavicular line

A nurse is monitoring a client who is on telemetry which of the following findings on the ECG strip should the nurse recognize as a normal sinus rhythm

The P wave falls before the QRS complex

During the cardiac assessment the nurse finds the client has jugular vein distention what does this mean to the nurse

The client could have fluid overload

A nurse is assessing a client who has a wrist restraint applied for which of the following findings should the nurse loosen the restraints

The clients hand is cool and pale

A nurse is auscultating a clients heart sounds and here's an extra heart sound before what should be considered the first heart sound S one. The nurse should document this as what

The fourth heart sound S4

When assessing the heart for Heartsounds the pool Monic valve can be heard at

The left second intercostal space

The nurse is preparing to perform the cover and uncover test on a client which explanation will the nurse provide the client prior to performing the exam

This will test the balance mechanism that keeps your eyes parallel it shakes peripheral vision

A student nurse is reviewing telemetry strips in preparation for an upcoming test what does the QRS and the ECG represent

Ventricular depolarization

A nurse is performing a cardiac assessment on a client and auscultating a s3 sound the nurse should recognize that this sound represents which of the following heart sounds

Ventricular gallop

During a cardiovascular assessment how should the nurse describe a thrill

Vibration that is palpable

The nurses auscultating the bread sounds of a client who has asthma when the client exhales the nurse here is continuous high-pitched squeaking sounds then there should document this as which sound

Wheezes

While performing an admission assessment for a client to nurse the client has varicose veins and ulceration sound lower extremity edema with a report a feeling of heaviness which diagnosis is best

impaired tissue perfusion

The nurse observes splinter hemorrhages on the clients now that's which findings should the nurse expect the findings are associated with

infective endocarditis

Which of the following is a modifiable risk factor for primary hypertension

race

Well auscultating a clients heart sounds the nurse here's turbulence between the swan and S2 heart sounds the nurse should document this finding is which of the following

systolic murmur

The nurse is caring for a client who ask about the functions of the time is spleen and lymph nodes which of the following responses

these organs support immunity