Nur210: Exam 2 Study Questions Online ATI

A nurse is caring for a client 5 days following a myocardial infarction (MI). the client has a sudden onset of shortness of breath. The nurse notes that the client appears air hungry and is coughing frothy, pink sputum. When auscultating the client's breath sounds, the nurse expects to hear which of the following bilateral sounds? A. Crackles B. Wheezes C. Rhonchi D. Friction Rub

A. Crackles

A nurse is teaching a newly licensed nurse about caring for a client who has a new left arteriovenous fistula. Which of the following statements should the nurse make? "Check the fistula site daily for a vibration." "Instruct the client to restrict movement of his left arm." "Avoid taking blood pressure on the client's left arm." "Instruct the client to sleep on his left side."

"Avoid taking blood pressure on the client's left arm."

A nurse is teaching a client who is preoperative for a cystoscopy. Which of the following statements should the nurse make? "You will need to keep the sutures clean after this procedure." "You will be placed on your left side for this procedure." "Expect to be on bed rest for 24 hours after this procedure." "Expect to have pink-tinged urine after this procedure."

"Expect to have pink-tinged urine after this procedure."

A nurse is teaching a client about the prostate-specific antigen (PSA) test. Which of the following statements should the nurse make? "You should fast for 8 hours after the PSA test." "Annual PSA screening should begin at age 40." "Expected PSA values will decrease as you get older." "You should not ejaculate for 24 hours prior to the PSA test."

"You should not ejaculate for 24 hours prior to the PSA test."

A nurse is providing teaching to a client who has a history of urinary tract infections (UTIs). Which of the following statements should indicate to the nurse the need for additional teaching? "I will empty my bladder every 4 hours." "I will drink 2 liters of fluids per day." "I will use a vaginal douche daily." "I will wear cotton underwear."

"I will use a vaginal douche daily."

A nurse is teaching a client who has acute pyelonephritis. Which of the following instructions should the nurse include in the teaching? "You should complete the entire cycle of antibiotic therapy." "You should maintain complete bed rest until manifestations decrease." "You should drink 1,000 milliliters of fluid per day." "You should avoid using NSAIDs for pain."

"You should complete the entire cycle of antibiotic therapy."

A nurse is teaching a client who is preoperative for a renal biopsy. Which of the following statements should the nurse make? "You will be NPO for 8 hours following the procedure." "An allergy to shellfish is a contraindication to this procedure." "You will need to be on bed rest following the procedure." "A creatinine clearance is needed prior to the procedure."

"You will need to be on bed rest following the procedure."

A health care professional is caring for a patient who is about to begin using transdermal nitroglycerin (Nitro-Dur) to treat angina pectoris. When talking with the patient about the drug, the health care professional should include which of the following instructions? (Select all that apply.) - Apply a new patch at the onset of anginal pain. - Apply the patch to dry skin and cover the area with plastic wrap. - Apply the patch to a hairless area and rotate sites. - Apply a new patch each morning - Remove patches for 10 to 12 hr daily.

- Apply the patch to a hairless area and rotate sites. - Apply a new patch each morning - Remove patches for 10 to 12 hr daily.

A health care professional is caring for a pateint who is about to begin aliskiren (Tekturna) therapy to treat hypertension. The health care professional should monitor the patient for which of the following adverse effects of the drug? (Select all that apply.) - Hyperkalemia - Throat swelling - Constipation - Cough - Joint pain

- Hyperkalemia - Throat swelling - Cough

A nurse assess a client who has fluid volume excess. Which of the following manifestations indicate fluid volume excess? Select all that apply A. Jugular vein distension B. decreased hematocrit C. postural hypotension D. increased heart rate E. fever

A. Jugular vein distension B. a decreased hematocrit D. an increased heart rate

A health care professional should question the use of dobutamine for a patient who is receiving which of the following types of drugs? (Select all that apply.) - ACE inhibitor - Monoamine oxidase inhibitor - General anesthetic - Tricyclic antidepressant - Beta blocker

- Monoamine oxidase inhibitor - General anesthetic - Tricyclic antidepressant - Beta blocker

A health care professional is caring for a patient who is about to begin captopril (Capoten) therapy to treat hypertension. When talking with the patient about taking the drug, the health care professional should tell her to report which of the following adverse effects because they can indicate a need to stop drug therapy? (Select all that apply.) - Rash - Distorted taste - Swelling of the tongue - Photosensitivity - Dry cough

- Rash - Distorted taste - Swelling of the tongue - Dry cough

A health care professional is caring for a patient who is about to begin taking gemfibrozil (Lopid) to treat hypercholesterolemia. Which of the following instructions should the health care professional include when talking with the patient about the drug? (Select all that apply.) - Take the drug with food. - Report any new intolerance to fried foods. - Report muscle tenderness. - Expect periodic liver function testing. - Take the drug once a day.

- Report any new intolerance to fried foods. - Report muscle tenderness. - Expect periodic liver function testing.

A nurse administered a transfusion of fresh frozen plasma (FFP) to a client. Four hours later, the client has repeat laboratory work drawn. which value should the nurse analyze to evaluate the client's response to the transfusion? A. Prothrombin time B. WBC count C. platelet count D. hematocrit

A. Prothrombin time

A nurse is caring for a client following a vein ligation and stripping for varicose veins. Following this surgery, the nurse should know to place the client in which positions? A. Supine with the legs elevated at a 15 deg. angle B. Flat with the knew gatch engaged C. In a semi-Fowler's position with the knees flexed at a 45 deg. angle D. Flat with a sequential compression device (SCD) on both legs

A. Supine with the legs elevated at a 15 degree angle

A nurse is caring for a client admitted with a suspected dissecting aortic aneurysm. The nurse should monitor the client for which of the following? A. Back pain B. Bradycardia C. lower extremity weakness D. Hypertension

A. Back pain

A health care professional should question the use of milrinone (Primacor) for a patient who currently has which of the following? A) Acute myocardial infarction B) Peripheral vascular disease C) Ulcerative colitis D) Ventricular tachycardia

A) Acute myocardial infarction

A health care professional is caring for a patient who is about to begin taking losartan (Cozaar) to treat hypertension. The health care professional should tell the patient to report which of the following indication of an adverse reaction to the drug? A) Facial edema B) Sleepiness C) Peripheral edema D) Constipation

A) Facial edema

When talking with a patient about taking amiodarone (Cordarone) to treat atrial fibrillation, which of the following should the health care professional tell the patient to avoid? A) Grapefruit juice B) Milk C) Foods high in Vitamin K D) NSAIDs

A) Grapefruit juice

A health care professional is reviewing the history of a patient who is about to begin furosemide (Lasix) therapy to treat hypertension. Which of the following drugs that the patient takes should alert the health care professional to take further action? A) Lithium (Lithobid) for bipolar disorder B) Phenytoin (Dilantin) for a seizure disorder C) Erythromycin (Erythrocin) for bronchitis D) Warfarin (Coumadin) to prevent blood clots

A) Lithium (Lithobid) for bipolar disorder

While talking with a patient about drug therapy options for hypertension, the provider notes that the patient also has some manifestations of depression that require treatment. Which of the following antihypertensive drugs is inappropriate for the patient?

A) Reserpine B) Captopril (Capoten) C) Hydralazine D) Eplerenone (Inspra) A) Reserpine

A nurse realizes that a client whose blood type is B positive is being transfused with a unit of O negative fresh frozen plasma (FFP). Which of the following is an appropriate nursing action to take? A. continue to monitor the client for manifestations of a transfusion reaction B. remove the unit of plasma immediately and start an IV infusion of normal saline solution C. discontinue the transfusion and repeat the type and crossmatch D. prepare to administer a dose of benadryl iv

A. continue to monitor

A client reports to a nurse that she is using several herbal and dietary supplements including flaxseed oil. The nurse recognizes that the health benefit of this supplement is to provide increased dietary. A. omega-3 fatty acids B. anti-oxidants C. vitamins A, D, K D. beta-carotene

A. omega-3 fatty acids

A nurse is caring for a client with CHF whose EKG shows a flattening of the T wave. Which of the following laboratory results should the nurse anticipate with the EKG change? A. potassium 2.8 mEq/L B. digitalis level of 2 ng/mL C. hemoglobin of 9.8 g D. serum calcium 8.0 mg

A. potassium 2.8 mEq/L

A health care professional is caring for a patient who is about to begin taking ethacrynic acid (Edecrin) to treat heart failure. The health care professional should tell the patient to report which of the following indications of a potentially serious adverse reaction? A) Shortness of breath B) Hearing Loss C) Swelling in the legs D) Blurred vision

B) Hearing Loss

When talking with a patient about taking clonidine (Catapres) to treat hypertension, the health care professional should explain that discontinuing clonidine therapy abruptly can result in which of the following adverse effects? A) Constipation B) Hypertension C) Drowsiness D) Dry mouth

B) Hypertension

A health care professional is caring for a patient who is about to begin taking simvastatin (Zocor) to treat hypercholesterolemia. The health care professional should tell the patient to report which of the following indications of a serious adverse reaction that could warrant stopping drug therapy? A) Bronchoconstriction B) Muscle pain C) Lip numbness D) Somnolence

B) Muscle Pain

A provider is considering the various drug therapy options for treating a patient's cardiac dysrhythmia. He should be aware that which of the following antidysrhythmic drugs is appropriate only for short-term use because of its severe adverse effects with long-term use? A) Quinidine B) Procainamide C) Nitroglycerin D) Verapamil (Calan)

B) Procainamide

A health care professional is caring for a patient who is taking spironolactone (Aldactone) to treat hypertension. Which of the laboratory values should alert the health care professional to take further action? A) Serum sodium level of 140 mEq/L B) Serum potassium level of 5.2 mEq/L C) Serum chloride level of 100 mEq/L D) Serum magnesium level of 1.9 mEq/L

B) Serum potassium level of 5.2 mEq/L

A nurse is caring for a client on telemetry who has an irregular radial pulse. The progress notes say that the client has had atrial flutter. Which EKG pattern does the nurse recognize as corresponding to atrial flutter? A. P waves occurring at 0.16 seconds before each QRS complex B. an atrial rate of 300, with 80 QRS complex per min C. ventricular rate of 82 with an atrial rate of 80 D. an irregular ventricular rate of 125 with a wide QRS pattern

B. An atrial rate of 300, and 80 QRS complex per min

A nurse is caring for a client with a history of congestive heart failure at risk for development of fluid volume excess. The nurse realizes that a late manifestation of fluid overload is which of the following? A. Weight gain of 1 kg (2.2 lb) in 1 day B. Pitting Edema of +3 C. Urine output of 20 mL/hr D. BP of 170/84 mm hg

B. Pitting Edema of +3

A nurse is preparing to transfuse a unit of blood to a client. the nurse must verify which factor? A. clients birth date B. expiration date and time C. color of the blood D. donor identification number

B. expiration date and time

A PTCA dilates an obstructed coronary artery. A catheter with an inflatable balloon tip is inserted into the obstructed coronary artery. The balloon is inflated, compressing atherosclerotic plaque against the coronary artery wall, resulting in dilation of the artery A nurse is caring for a client with dyspnea who is diagnosed with having CHF related to mitral stenosis. The nurse is aware the cause of dyspnea is due to which of the following? A. increased intra-aortic pressure B. fluid accumulation in the lungs C. decreased systemic venous return D. constriction of pulmonary arteries

B. fluid accumulation in the lungs

A nurse is caring for a client with hemophilia who has an active bleed in a joint. The appropriate nursing intervention when providing care to this client is which of the following? A. obtain blood samples for platelet functioning B. prepare for replacement of the missing factor C. provide passive ROM D. place the bleeding joint in the dependent position

B. prepare for replacement of the missing factor

A nurse is caring for a client diagnosed with complete heart block who has a demand pacemaker inserted. The pacer is set for 72 beats/min. Which EKG pattern indicates to the nurse a failure to capture? A. QRS complexes occurring at a rate of 73 beats/min, and no sharp spikes B. sharp spikes at 72/min QRS complexes at 50 beats/min C. P waves at a rate of 78/min; QRS complexes at 72 beats/min D. QRS complexes at a rate of 100 beats/in

B. sharp spikes at 72/min; QRS complexes at 50 beats/min

A nurse is caring for a postoperative client who requires 1 unit of blood b/c of a hemorrhage that occurred during surgery. Within 30 min of hanging the unit of blood, the client develops itching and hives. Which of the following actions should the nurse take first? A. obtain a urine specimen B. stop the infusion of blood c. notify the lab D. notify the provider

B. stop the infusion of blood

A nurse is teaching a client about urinary tract infections (UTIs). Which of the following manifestations should the nurse include? Weight gain Back pain Vaginal discharge Muscle cramps

Back pain

A nurse is assessing a client who is 1 week postoperative following a living donor kidney transplant. Which of the following findings should indicate to the nurse that the client is experiencing acute kidney rejection? Blood pressure 160/90 mm Hg Creatinine 0.8 mg/dL Sodium 137 mg/dL Urinary output 100 mL/hr

Blood pressure 160/90 mm Hg

A health care professional is caring for a patient who has moderate to severe hypertension and is about to begin hydralazine therapy. The health care professional should monitor the patient for which of the following severe adverse reactions to the drug? A) A flu-like syndrome B) Extrapyramidal symptoms C) A lupus-like syndrome D) Hypertensive crisis

C) A lupus-like syndrome

When talking with a patient about taking eplerenone (Inspra) to treat hypertension, the health care professional should include which of the following instructions? A) Avoid drinking grapefruit juice. B) Use sunscreen and protective clothing. C) Avoid the use of salt substitutes. D) Stop taking the drug if dizziness occurs.

C) Avoid the use of salt substitutes.

A patient who is taking digoxin (Lanoxin) develops ECG changes and other manifestations that indicate severe digoxin toxicity. Which of he following drugs should the health care professional have available to treat this complication? A) Acetylcysteine (Acetadote) B) Flumazenil (Mazicon) C) Fab antibody fragments (Digibind) D) Deferoxamine (Desferal)

C) Fab antibody fragments (Digibind)

A health care professional is assessing a patient following the administration of nifedipine (Procardia). Recognizing the adverse effects of nifedipine, the health care professional should be prepared to administer which of the following drugs? A) Prazosin (Minipress) B) Doxazosin (Cardura) C) Propranolol (Inderal) D) Enalapril (Vasotec)

C) Propranolol (Inderal)

A health care professional should question the use of nifedipine (Procardia) for a patient who has a history of which of the following? A) Bradycardia B) Liver disease C) Unstable angina pectoris D) Second-degree AV block

C) Unstable Angina Pectoris

A nurse is instructing a client after a myocardial infarction about lifestyle changes. A client returns for a follow up visit to the cardiac clinic after hospitalization for an acute myocardial infarction. Which statement made by the client indicates that additional teaching is needed? A. "I should no longer eat foods high in saturated fat" B. "Before taking my medication, I will count my radial pulse rate." C. I will exercise once a week fro an hour at the health club." D. "After eating, I will reset before resuming my daily routine."

C. "I Will exercise once a week for an hour at the health club."

A nurse is caring for a client who wants to know when the therapeutic results of epoetin alfa (Epogen, Procrit) will take effect. The nurse bases her response on the knowledge that epoetin alfa will improve hemoglobin and hematocrit levels in which of the following time frames? A. 24 hr B. 3-4 days C. 2-4 weeks D. 2 months

C. 2-4 weeks

A nurse is caring for a client experiencing an acute angina attack. The nurse should monitor the client for which of the following? A. bradycardia B. transient diastolic murmur C. Pulsus paradoxus C. transient abnormal PMI (point of maximal impulse)

C. Transient abnormal PMI

A nurse is caring for a client with pericarditis. Which of the following manifestations should the nurse expect to find on assessment? A. Bradycardia with ST-segment depression B. relief of chest pain with deep inspiration C. dyspnea with a rapid respiratory rate D. chest pain that increases with sitting upright

C. dyspnea with a rapid respiratory rate

A nurse is caring for a client with pernicious anemia. The nurse should know that to treat this condition, the client will require which of the following? A. ferrous sulfate supplementation B. increased dietary intake of folic acid C. monthly injections of vitamin B12 D. blood transfusion

C. monthly injections of vitamin B12

A nurse is caring for a client with a cardiac contusion. The nurse understands that blunt chest trauma commonly results in damage to which of the following? A. left atrium B. left ventricle C. right ventricle D. right atrium

C. right ventricle

A nurse is assessing a client in the clinic with a history of arteriosclerosis obliterans. When assessing the client's lower extremities and ankles, the nurse will expect to observe which manifestation of this condition? A. pitting edema B. areas of reddish, brown pigmentation C. thin, shiny skin with minimal body hair D. sunburned appearance with desquamation

C. thin, shiny skin with minimal body hair

A nurse is caring for a client who had a MI 24 hr ago. At this time, it is essential for the nurse to look for which of the following? A. Sepsis B. Pericarditis C. Ventricular dysrhythmias C. pulmonary emboli

C. ventricular dysrhythmias

A nurse is providing dietary teaching a client who has late-stage chronic kidney disease (CKD). Which of the following nutrients should the nurse instruct the client to increase in her diet? Calcium Phosphorous Potassium Sodium

Calcium

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse notes that the client's dialysate output is less than the input, and his abdomen is distended. Which of the following actions should the nurse take? Insert an indwelling urinary catheter. Administer pain medication to the client. Change the client's position. Place the drainage bag above the client's abdomen.

Change the client's position.

A nurse is caring for a client who is in the oliguric-anuric stage of acute kidney injury. The client reports diarrhea, a dull headache, palpitations, and muscle tingling and weakness. Which of the following actions should the nurse take first? Administer an analgesic to the client. Check the client's electrolyte values. Measure the client's weight. Restrict the client's protein intake.

Check the client's electrolyte values.

A health care professional is caring for a patient who is about to begin taking propranolol (Inderal) to treat a tachydysrhythmia. The health care professional should caution the patient about taking which of the following type of over-the-counter drugs? A) Antihistamines B) Potassium supplements C) NSAIDs D) Antacids

D) Antacids

A health care professional is about to administer atenolol (Tenormin) to a patient who has hypertension. Which of the following assessments should the health care professional perform prior to giving the patient the drug? A) Respiratory rate B) Level of consciousness C) Serum glucose D) Apical pulse

D) Apical Pulse

A patient who takes carvedilol (Coreg) for hypertension is about to begin taking an oral antidiabetes drug to manage newly diagnosed type 2 diabetes mellitus. The health care professional should make sure the primary care provider is aware that the patient is at increased risk for which of the following if she takes both drugs? A) Hyperglycemia B) Bradycardia C) Hypotension D) Hypoglycemia

D) Hypoglycemia

A health care professional is caring for a patient who is about to begin taking verapamil (Calan) to treat atrial fibrillation. The health care professional should tell the patient to avoid grapefruit juice while taking verapamil because it can cause _______. A) tachycardia B) Dehydration C) Diarrhea D) Hypotension

D) Hypotension

A health care professional is caring for a patient who has a glomerular filtration rate of 10 mL/min and a reduced urine output. The health care professional should question the use of hydrochlorothiazide for the patient because of which of the following characteristics of the drug? A) The drug can cause hypoglycemia in patients who have a low urine output. B) The drug does not reduce blood pressure for patients who have a low urine output. C) The drug can increase the risk of pulmonary edema for patients who have renal insufficiency. D) The drug does not promote diuresis for patients who have renal insufficiency.

D) The drug does not promote diuresis for patients who have renal insufficiency.

A nurse is caring for a client with suspected hypovolemic shock. Which solution is appropriate for the nurse to administer in this circumstance? A. 0.45% sodium chloride B. Dextrose 5% in 0.9% sodium chloride C. Dextrose 10% in water D. 0.9% sodium chloride

D. 0.9% sodium chloride

A nurse is caring for a client whose abdominal aortic aneurysm is extending The manifestations that the nurse should expect to observe include which of the following? A. Sternal chest pain B. decreased heart rate and palpitations C. elevated BP D. back and abdominal pain

D. Back and abdominal pain

A nurse is caring for an adult client with sickle cell disease who has a history of having received many transfusions. The nurse realizes that b/c of his history, the client is at risk for which of the following? A. hypokalemia B. lead poisoning C. hypercalcemia D. iron toxicity

D. Iron toxicity

A nurse is caring for a client with right sided congestive heart failure (CHF). The nurse knows that a manifestation of right sided CHF is which of the following? A. Decreased capillary refill B. Dyspnea C. Orthopnea D. Peripheral edema

D. Peripheral Edema

A nurse is caring for a client diagnosed with angina pectoris and is scheduled to undergo a PTCA. the nurse explains to the client that PTCA is used to do which of the following? A. repair a heart valve that is stenosed B. bypass a blocked coronary artery C. repair an aneurysm in the left venttricle D. Dilate an obstructed coronary artery

D. dilate an obstructed coronary artery

A nurse is caring for a client with aplastic anemia. The nurse expects the client to have which of the following symptoms? A. headaches, paresthesias, and dizziness B. macrocytosis, low levels of vitamin B12, and shortness of breath C. vascular occlusions, fatigue, and joint pain D. pancytopenia, fatigue, and pale mucous membranes

D. pancytopenia, fatigue, and pale mucous membranes

A nurse is assessing a client who is postoperative following a transurethral resection of the prostate (TURP). After the nurse discontinues the client's urinary catheter, which of the following findings should the nurse report to the provider? Pink-tinged urine Report of burning upon urination Stress incontinence Decreased urine output

Decreased urine output

A nurse is monitoring a client who is undergoing extracorporeal shockwave lithotripsy (ESWL). The nurse should identify that which of the following findings is the priority? Dysrhythmias Pink-tinged urine Bruising on the flank area Stone fragments in the urine

Dysrhythmias

A nurse is assessing a client who was brought to the emergency department following a motor-vehicle crash. The nurse should recognize that which of the following findings is a manifestation of bladder trauma? Stress incontinence Hematuria Pyuria Fever

Hematuria

A nurse is teaching a client who has chronic kidney disease (CKD). Which of the following instructions should the nurse include? Limit fluid intake. Limit caloric intake. Eat a diet high in phosphorus. Eat a diet high in protein.

Limit fluid intake.

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following adverse effects? Diarrhea Increased serum albumin Hypoglycemia Peritonitis

Peritonitis

A nurse is teaching a newly licensed nurse about collecting a 24-hr urine specimen for creatinine clearance. Which of the following instructions should the nurse include? Include the first voided specimen at the start of the collection period. Discard the last voided specimen at the end of the collection period. Place signs in the bathroom as a reminder about the test in progress. Instruct the client to increase exercise during the 24-hr period.

Place signs in the bathroom as a reminder about the test in progress.

A nurse is assessing a client who is receiving continuous ambulatory peritoneal dialysis. Which of the following findings should the nurse report to the provider? WBC 6,000/mm3 Potassium 3.0 mEq/L Clear, pale yellow drainage Report of abdominal fullness

Potassium 3.0 mEq/L

A nurse is caring for a client who has a diagnosis of renal calculi and reports severe flank pain. Which of the following is the priority nursing action? Relieve the client's pain. Encourage the client to increase fluid intake. Monitor the client's I&O. Strain the client's urine.

Relieve the client's pain.