Perfusion and protection quiz

A nurse is caring for a client who has heart failure, and a prescription for digoxin. Which of the following statements by the client indicates an adverse effect of the medication?

"I feel nauseated and have no appetite."

A nurse is providing discharge instructions for a client who has congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective?

"I plan to slow down if I am tired the day after exercising."

A nurse in a clinic is caring for a client who has a prescription for digoxin. Which of the following statements indicates the client is experiencing digoxin toxicity?

"My vision seems yellow."

A nurse is preparing to administer digoxin to a six month old infant. Prior to administering the dose, the nurse measures the apical heart rate the nurse should withhold the dose of the infants apical heart rate is less than what rate?

90

A clinic nurse is performing a physical assessment on a client who is lupus. Which of the following findings should the nurse expect?

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

While osculating a clients heart sounds, the nurse hears turbulence between the S1 and S2 heart sounds. The nurse should document this fighting as which of the following?

A systolic murmur

Nurse is caring for a client who received an injection of penicillin G procaine. The client begins to experience, dyspnea and tongue swelling. Which of the following actions should the nurse perform first?

Administer epinephrine subcutaneously

A nurse is caring for a client who the cardio pulmonary arrest. The nurse anticipates the ER team will administer which of the following medication's if the clients restored rhythm is symptomatic bradycardia?

Atropine

A nurse is caring for an eight-year-old child who has acute rheumatic fever. Which of the following assessments is the nurses priority immediately after admission?

Ausculating the rate and characteristics of the child's heart sounds

Nurse is caring for a client to his HIV. Which of the following lab values is a nurses priority?

CD4-T cell count 180

A nurse is caring for a client who has had an MI upon his first visit to cardiac rehab, he tells the nurse that he doesn't understand why he needs to be there because there's nothing more to do, as the damage is done. Which of the following is the correct nursing response?

Cardiac rehab, cannot under the damage to your heart, but can help you get back to your previous level of activity safely

Nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?

Check the clients vital signs

A nurse is reviewing lab values for a client who has lupus. Which of the following values should give the nurse the best indication of the clients renal function?

Creatinine

A nurse is caring for a client to develop a ventricular fibrillation rhythm. The client is unresponsive, pulse, and apneic. Which of the following actions is a nurses priority?

Defibrilation

A nurse is providing teaching to a client to his rheumatoid arthritis and a new prescription for a methotrexate. Which of the following instructions should the nurse include?

Do not drink alcohol Report unexplained bruising Avoid people who have infections

A nurse is preparing to administer a transfusion of red blood cells to a client who has heart failure period for which of the following manifestations to the nurse monitor to prevent fluid volume overload?

Dyspnea, jugular vein distention, confusion

A nurse is caring for an older adult client who has a rheumatoid arthritis and is taking aspirin 650 mg every four hours. Which of the following diagnostic test should the nurse monitor to evaluate the effectiveness of this medication?

ESR

A nurse is caring for a client to report heart palpitations. An ECG confirms the client is experiencing VT. The nurse should anticipate the need for taking which of the following actions?

Elective cardioversion

A nurse in a cardiac care unit is caring for a client with acute right sided heart failure. Which of the following findings should the nurse expect?

Elevated central venous pressure (CVP)

A nurse is teaching a client who has a new diagnosis of lupus. The nurse's should recognize the need for further teaching when the client identifies tidies which of the following as a factor that can exacerbate it?

Exercise

A nurse is assessing a client for early manifestations of rheumatoid arthritis. Which of the following changes is an early manifestation of RA?

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

A nurse is caring for a client who his heart failure and a potassium level of 2.4. The nurse should identify which of the following medication's as the caused the clients low potassium level?

Furosemide

A nurse is assessing a client prior to administering a Talal. Which of the following findings should prompt the nurse to withhold the medication?

HR 46

The nurse and the provider office is assessing a client to reports dyspnea and fatigue. Physical assessment reveals tachycardia and weak, peripheral pulses. The nurse should recognize these findings as manifestations of which of the following conditions?

Heart failure

A nurse remains with a client to observe for an adverse reaction after initiating a transfusion of packed red blood cells. The client becomes apprehensive and tachycardic, reporting headache, and low back pain. The nurse should recognize that these feelings indicate which of the following transfusion reactions?

Hemolytic

A nurse is assessing a client who his right ventricular failure. Which of the following findings is to the nurse expect?

Hepatomegaly

A nurse in the ICU is caring for a client who has heart failure and it's receiving a dobutamine drip. The nurse should identify that which of the following findings indicates that the medication is effective?

Increased urine output

A nurse in the emergency room is caring for a client who presents with manifestations that indicate a myocardial infarction. Which of the following prescriptions should the nurse take first?

Initiate oxygen therapy

A nurse had a provider office receives a phone call from a client to report nausea and unrelieved chest pain after taking a nitroglycerin tablet five minutes ago. Which of the following is an appropriate response by the nurse?

Instruct client to call 911

A nurse is assessing a client who has a fib. Which of the filling pulse characteristics should the nurse expect?

Irregular

A nurse in a providers office is assessing a client who has aids. The nurse notes that the client has multiple and widespread raised, purpleish, brown skin lesions. The nurse should recognize that these findings indicate which of the following conditions?

Kaposi's sarcoma

A nurse in a providers office is assessing a client to his rheumatoid arthritis. Which of the following findings is a late manifestation of this condition?

Knuckle deformity

A nurse is collecting a med history from a client who is scheduled to have a cardiac catheterization. Which of the following medication's taken by the client interacts with contrast, material and places the client at risk for acute kidney injury?

Metformin

A nurse and a providers office is assessing a client who reports occasional atypical, chest, pain, palpitations, and exercise and tolerance. On oscillation, the nurse notes, a systolic click. The nurse should recognize this finding as a manifestation of which of the following conditions?

Mitral valve prolapse

A nurse in an ER is planning care for a client who is having an acute MI. The nurse should plan to admin which of the following meds after the initial phase to manage the clients pain and anxiety?

Morphine

A nurse and an ED 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 admitting a client who has acute heart failure following an MI. The nurse recognizes that which of the following prescriptions by the provider requires clarification?

Normal saline IV at 50 mL/hr continuous

A nurse on a medical surgical unit is caring for a client who reports pain in the jaw, back, and shoulder, and shortness of breath and nausea. Which of the following actions should the nurse take?

Obtain an EKG

A nurse is assessing a toddler who is heart failure. Which of the following findings should the nurse expect?

Orthopnea

A nurse is reviewing laboratory, values of a client who has a fib and is taking warfarin. For which of the following results should the nurse notify the provider?

PT 45 seconds

A nurse is planning to administer digoxin to a client to his heart failure. Which of the following lab values is the priority for the nurse to review prior to administering the medication?

Potassium

A nurse is assessing a client to a systemic lupus erythematous. which of the following findings is the highest priority for the nurse to report to the provider?

Presence of peripheral edema.

A nurse is teaching a client who is rheumatoid arthritis about self-care strategies for managing the disease. Which of the following activities should the nurse include in the teaching?

Press water from a sponge rather than ringing

A nurse in a coronary care unit is admitting a client who had CPR following cardiac arrest. The client is receiving lidocaine IV at 2 mg a minute. When the client asked the nurse why he's receiving that medication, the nurse should explain that it is which of the following actions?

Prevents dysrhythmias

A nurse is due to a client who has rheumatoid arthritis what in increasing physical rest as part of her treatment plan. Which of the following outcomes of this intervention should the nurse document as a goal for the client?

Reduced joint stress

A nurse is caring for a client who is prescribed diphenhydramine relieve pruitus. The client asked how he can minimize the daytime sedation is experiencing. Which of the following responses should the nurse give?

Take most of the daily dose at bedtime

A nurse is caring for a client who is a fib and is receiving heparin. Which of the following findings is the nurses priority?

The client experiences, sudden weakness of one arm and leg

A nurse is providing discharge, teaching to a client who has an implantable cardioverter defibrillator. Which of the following information should the nurse include

The client should hold his cell phone on the opposite side of the ICD.

A nurse is teaching the partner of a client who had an acute MI about the reason, but was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzyme studies?

These test helped to determine the degree of damage to the heart tissues

A nurse in the emergency department is caring for a client who reports chest pressure and shortness of breath. Which of the following lab test should the nurse anticipate the provider to prescribe?

Troponin

A nurse is caring for a client who came to the ED reporting chest pain. The provider suspects an MI. While waiting for the troponin levels report, the client asks what this blood test will show. Which of the following explanations should the nurse provide the client?

Troponin is a myocardial muscle protein that appears in the bloodstream when there is damage to the heart

The nurse is performing discharge teaching for a client who is lupus. Which of the following instructions should the nurse include?

Use mild protein shampoo to wash your hair

A nurse is providing discharge teaching to a client who has lupus. Which of the following instructions should the nurse include?

Was the hair with a mild protein shampoo

A nurse is talking with a client who has to come to the clinic for HIV testing. The nurse should explain that, after the lab has the ELISA results, it will use which of the following test to confirm the diagnosis?

Western blot analysis

A nurse is assessing a client who is to have IV urography. Which of the following data should indicate to the nurse that this procedure is contraindicated for this client?

allergy to shellfish

A nurse is assessing an older adult client who is receiving digoxin. The nurse should recognize that which of the following findings is a manifestation of digoxin toxicity?

anorexia

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

hacking cough

A nurse is teaching a client who has a new prescription for bumetanide. Which of the following instructions should the nurse include in the teaching?

report changes in hearing

A nurse is caring for a client who has a delayed hypersensitivity reaction. The nurse should expect which of the following manifestations?

tissue damage at the site