PERFUSION EAQ

Which explanation will the nurse give when a client asks about what causes varicose veins?

"Incompetent valves of superficial veins."

Nitroglycerin sublingual tablets are prescribed for a client with the diagnosis of angina. The nurse advises the client to anticipate pain relief will begin within which period of time?

1 to 3 minutes

Which is the average optimal blood pressure of an adolescent?

110/65 mm Hg

Atenolol 150 mg by mouth is prescribed for a client with hypertension. Each tablet contains 50 mg. How many tablets will the nurse administer? Record your answer using a whole

3

Which amount is the normal value of a client's inspiratory reserve volume?

3.0 L

What is the maximum acceptable heart rate of a 16-year-old?

90

The nurse understands which antihypertensive medication is contraindicated in lactating women?

Atenolol

The nurse applies a cold pack to relieve musculoskeletal pain. Which rationale explains the analgesic properties of cold therapy?

Causing local vasoconstriction, preventing edema and muscle spasms

Which toxic effect would the nurse find in a client who has overdosed on isocarboxazid?

Circulatory collapse

The nurse assesses a client's intravenous (IV) site. Which clinical finding leads the nurse to conclude that the IV has infiltrated, rather than caused inflammation?

Coolness

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 teratogenic effect is seen because of lithium?

Ebstein anomaly

Which Korotkoff sound represents the diastolic blood pressure in an adolescent?

Fifth

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

After a discectomy and fusion surgery, the client wants to attempt walking with assistance for the first time. Upon rising to a standing position, the client reports feeling faint and light headed. Which action would the assisting nurse have the client do upon hearing the client's concern?

Have the client sit on the edge of the bed so the nurse can hold the client upright.

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 beats/minute

A client, transferred to the postanesthesia care unit after a transurethral resection of the prostate (TURP), has an intravenous (IV) line and a urinary retention catheter. During the immediate postoperative period, for which potentially critical complication would the nurse monitor?

Hemorrhage

Which immunoglobulin crosses the placenta?

IgG

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 cytokine stimulates the liver to produce fibrinogen and protein C?

Interleukin-6

Which medication may be used to treat postpartum hemorrhage?

Methylergonovine

Which is involved in the postprocedure nursing care of a child after left-side cardiac catheterization?

Monitoring the insertion site for bleeding

Which is the purpose of encouraging active leg and foot exercises for a client who has had hip surgery?

Prevent clot formation

Which sign in the newborn infant would reflect an Apgar score of 1 in the category of respiration?

Slow, weak cry

Which cardiovascular adverse effect would the nurse associate with the use of clomiphene?

Tachycardia