med surg 2
A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the followingsets of values should the nurse expect?
pH 7.25, HCO3- 19 mEq/L, PaCO2 30 mm Hg
A nurse is assessing a client w. fluid overload which of the following findings should the nurse expect?
Increased HR Increased BP Increased respit rate
A nurse is providing teaching to a client about interventions to reduce the risk of Developing CV disease. Which of the following statements by the client should indicate to the nurse the need for further teaching?
Increasing my intake of foods containing trans fatty acids can lower my risk
A nurse in an outpatient clinic is assessing a middle adult client as a part of a routine physical examination. The clients BP is 142/88 his BMI is 31, and he is a current smoker. The nurse should identify that this client has multiple risk factors for which of the following disorders?
cardiovascular disease
A nurse is assessing a clients circulatory system. Which of the following pulse sites should the nurse avoid assessing bilaterally at the same time?
carotid
A client tells the nurse that he is concerned because his provider told him he has a heart murmur. The nurse should explain to the client that a murmur
is a high-pitched sound due to a narrow valve
A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available isdigoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to thenearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
0.5 tabs
A nurse is admitting a client who has acute heart failure following MI. The nurse recognizes that which of the following prescritions by the provider requires clarification
0.9% normal saline IV at 50mL/HR cont
A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following room assignments should the nurse make for the client?
A room with air exhaust directly to the outdoor environment
While auscultating a clients heart sounds, the nurse hears turbulence between the s1 and s2 heart sounds. The nurse should document this finding as which of the following?
A systolic murmur
A nurse is planning to assign tasks for a group of clients. Which of the following tasks can be assigned to the Assistive personnel
Ambulate an older adult client w hypertension Weigh a client who has heart failure
A nurse is teaching a client who has a new diagnosis of aplastic anemia. Which of the following information should the nurse include in the teaching?
Aplastic anemia results from decreased bone marrow production of RBCs.
when checking a clients cap refill the nurse finds that the color returns in 10 seconds. the nurse should understand that this finding indicates which of the following
Arterial insuffenciency
A nurse is assessing a clients radial pulse and determines that the pulse is irregular. Which of the actions should the nurse take
Assess the apical pulse for a full minute
A nurse is assessing a clients radial pulse and determines that the pulse is irregular. Which of the following actions should the nurse take?
Assess the apical pulse for a full minute
A nurse is assessing a child who has aortic stenosis. Which of the following findings should the nurse expect?
Bradycardia weak pulses murmur hypotension
Nurse is assessing a client who had a left cardiac angiography, where would the nurse assess?
Distal pedal pulses
a nurse is teaching a middle aged client about hypertension. Which of the following information should the nurse include in the teaching
Diuretics are the first type of medication to control hypertension
A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?
Family history
A home health nurse is making a home visit to a client who takes a daily diuretic for HF.. Which of the following manifestations should the nurse identify as indicating the client is hypokalemic?
Fatigue
A nurse is teaching an older adult client who is postoperative following insertion of a permanent pacemaker. The nurse should instruct the client to notify the provider about which of the following manifestations?
Fatigue
A nurse is caring for an older adult client who has left-sided heart failure. Which of the following assessment findings should the nurse expect?
Frothy sputum
if a patient is suffering from Right side heart failure which symptoms should the nurse expect? SATA
Hepatomegalia Ascites JVD
A nurse is giving a presentation to a community group about preventing atherosclerosis. Which of the following should the nurse include as a modifiable risk factor for this disorder?
Hypercholesterolemia Hypertension Obesity Smoking
A nurse is caring for a client 1 day postop who has developed atelectasis. Which manifestations is an expected finding for this condition?
Hypoxemia
A nurse is providing teaching to a client about interventions to reduce the risk of developing cardiovascular disease. Which of the following statements by the client should indicate to the nurse the need for further teaching?
Increasing my intake of foods containing trans-fatty acids can lower my risk
A client tells the nurse tht he is concerned bc his provider told him her has a heart murmur. The nurse should explain to the client that a murmur
Indicates turbulent blood flow through a valve.
A nurse is assessing an older adult client who is receiving digoxin. The nurse should recognize which of the following findings as a manifestation of dig toxicity?
LAck of appetite (anorexia)
A nurse is caring for a client who recently had surgery for insertion of a permanent pacemaker. Which of the following prescriptions should the nurse clarify?
MRI of the chest
A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide. Which of the following instructions should the nurse include?
Maintain a diet with potassium rich foods
A nurse is measuring a client for knee high antiembolic stockings to help prevent venous stasis. Which of the follwing actions should the nurse take?
Measure from the heal to the popliteal space
a nurse in an emergency department is assessing a client who is having a suspected acute MI. Which of the following manifestations should the nurse expect to find for a client experiencing an acute MI
Nausea Tachycardia Diaphoresis
A nurse is reviewing BP classifications with a group of nurses at an in service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?
Obstructive sleep apnea (OSA)
A nurse on a med surg unit is caring for a client who reports pain in the jaw, back and shoulder w/ SOB and nausea. Which of the following actions is a priority?
Obtain Stat EKG
A nurse is caring for a client who has peripheral vascular disease and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?
Obtain a pair of slipper-socks for the client.
A nurse is teaching a client who has a new prescription for transdermal nitro to treat MI. Which of the following instructions should the nurse include in the teaching
Place patch in the AM
A nurse is reviewing the serum lab findings for a client who has hypertension and is prescribed hydrochlorothiazide. Which of the following findings should the nurse report to the provider?
Potassium of 2.3
A nurse is caring for a client who has valvular heart disease and is at risk for developing left sided HF. Which of the following manifestations should alert the nurse the client is developing this condition?
Shortness of breath
Nurse is assessing a client who is receiving one unit of packed RBCs to treat intraoperative blood loss. the client reports chills and back pain and the clients BP is 80/64. Which of the following actions should the nurse take first?
Stop the infusion of blood
A nurse is teaching a client who has angina pectoris about starting therapy with SL nitro tablets the nurse should include which of the following instructions regarding how to take the medication?
Take one tab at the first indication of chest pain
a nurse is reviewing the health history for a client who has angina pectoris and a prescription for hydrochloride PO 40 mg twice a day. Which of the following findings in the history should report to provider?
The client has a history of bronchial asthma
A nurse is caring for four clients who have drainage tubes. Which of the following clients should the nurse recognize as being at risk for hypokalemia?
The client who has a nasogastric (NG) tube to suction
a nurse is auscultating a clients heart sounds and hears an extra heart should before what should be considered the first heart should S1. The nurse should document this finding as which of the following heart sounds?
The fourth heart sound (S4)
A nurse is assessing a clients CV system. To palpate for unexpected pulsations in the pulmonic area, at which anatomical location should the nurse place her fingers?
The left second intercostal space
A nurse is teaching the partner of a client who had an acute MI about the reason blood was drawn from the client. which of the following statements should the nurse make regarding cardiac enzymes studies?
These tests help determine the degree of damage to the heart tissues
A nurse in the ER is caring for a client who reports chest pressure and SOB. Which of the following lab test should the nurse anticipate the provider to prescribe?
Troponin I
A nurse is caring for a client who has a new diagnosis of essential hypertension. The nurse should monitor the client for which of the following findings that is consistent with this diagnosis?
Vertigo
a nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous iv for 5 days. The provider prescribes warfarin PO wo discontinuing the heparin. The client asks the nurse why both anticoags are necessary. The nurse should state:
Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level
a nurse is teaching the partner of a client who had an acute MI about why blood was drawn from the client. Which of the following statements should the nurse make about enzyme studies?
these tests help determine the degree of damage to the heart tissues
