Adaptive Quiz 4
Atenolol 150 mg by mouth is prescribed for a client with hypertension. Each tablet contains 50 mg. How many tablets should the nurse administer? Record your answer using a whole number. ____________tablet(s)
3
What is the normal value of inspiratory reserve volume?
3.0L
A nurse is assessing a group of clients. Which client is considered at the highest risk for a dissecting aneurysm?
65 year old male with uncontrolled hypertension
A client is admitted for hypertension, and serum electrolyte studies have yielded abnormal results. The scheduled workup includes a scan for an aldosteronoma. What gland is affected in aldosteronoma?
Adrenal Cortex
What client response indicates to the nurse that a vasodilator medication is effective?
Blood pressure changes from 154/90 to 126/72
A nurse administers a parenteral preparation of potassium slowly and cautiously to avoid which complication?
Cardiac arrest
A nurse assesses the lungs of a client and auscultates soft, crackling, bubbling breath sounds that are more obvious on inspiration. This assessment should be documented as what?
Crackles
A client with an inferior myocardial infarction has a heart rate of 120 beats per minute. Which goal achievements are priority?
Decrease the workload on the heart and promote maximum coronary artery filling
What is the priority goal for a client with asthma who is being discharged from the hospital with prescriptions for inhaled bronchodilators?
Demonstrates the use of a metered-dose inhaler
What are the primary causes of adrenal insufficiency? Select all that apply.
Hemorrhage Tuberculosis Acquired immune deficiency syndrome
Which type of breathing pattern alteration is manifested with hypercarbia?
Hypoventilation
A serious train accident occurs in the community. At the scene of the accident, a triage nurse is identifying and labeling victims according to triage acuity principles. With what color tag should the nurse label a client who is experiencing respiratory distress?
Red
A 5-year-old child is admitted to the pediatric intensive care unit with a diagnosis of acute asthma. A blood sample is obtained to measure the child's arterial blood gases. What finding does the nurse expect?
Increased carbon dioxide level
A client with asthma is being taught how to use a peak flow meter to monitor how well the asthma is being controlled. What should the nurse instruct the client to do?
Inhale completely and then blow out as hard and as fast as possible through the mouthpiece.
A client is taking furosemide and digoxin for heart failure. Why does the nurse advise the client to drink a glass of orange juice every day?
Maintaining potassium levels
A client with peripheral arterial insufficiency tells the nurse that walking sometimes results in severe pain in the calf muscles. Which information should the nurse share with the client?
This is called intermittent claudication
The nurse is providing postprocedure care to a client who had a cardiac catheterization. The client begins to manifest signs and symptoms associated with embolization. Which action should the nurse take?
Notify the primary healthcare provider immediately
A client arrives in the emergency department with multiple crushing wounds of the chest, abdomen, and legs. Which are the priority nursing assessments?
Quality of respirations and presence of pulses
A client presenting to the emergency department with chest pain and dizziness is found to be having a myocardial infarction and subsequently suffers cardiac arrest. The healthcare team is able to successfully resuscitate the client. Lab work shows that the client now is acidotic. How does the nurse interpret the cause of the acidosis?
The decreased tissue perfusion caused lactic acid production
A school-aged child who has cystic fibrosis complains to the nurse about having to undergo chest physiotherapy and wonders why it is necessary. How does the nurse explain the primary purpose of chest physiotherapy in terms the child can understand?
it mobilizes secretions.