cardiac perfusion prepu questions- semester 3 unit 2
A group of nursing students are preparing a presentation depicting the fetal circulation. The instructor determines the presentation is successful when the students correctly illustrate which route for the ductus arteriosus?
the pulmonary artery to the aorta
a client in a clinic setting has just been diagnosed with HTN. When the client asks what the end goal is for treatment, what is the nurse's best response?
to prevent complications/death by achieving and maintaining a blood pressure of 140/90 or less
a client with sepsis begins having labored breathing, confusion, and lethargy. What complication should the nurse assess for in this client?
Acute respiratory distress syndrome (ARDS)
a client with a history of angina and intermittent claudication reports pain in both legs with a need to stop & rest after ambulating down the hall. Which statement by nurse BEST addresses this concern?
"The pain is probably related to inadequately oxygenated blood getting through the arteries into the muscles of your legs."
the nurse receives a lab report indicating the client's magnesium level is 5.2 mEq/L. What symptoms is the client at risk to experience? Select all that apply.
-headache -hypotension -irregular heartbeat
A client is diagnosed with myocardial infarction. Which data collection findings indicate that the client has developed left-sided heart failure? Select all that apply.
-orthopnea -cough -crackles
A client is receiving IV heparin for the treatment of thrombophlebitis. Which lab value should the nurse monitor throughout heparin therapy?
-partial thromboplastin time (PTT) -platelet cot
the nurse knows that systolic hypertension is characterized by systolic pressure of ____ mm Hg or higher
140
what is the term for the ability of the cardiac muscle to shorten in response to an electrical impulse?
contractility
a client with hypertrophic cardiomyopathy (HCM) is experiencing dyspnea, chest pain, syncope, fatigue, and palpitations and has an apical systolic thrill and heave, fourth heart sound (S4), and systolic murmur. Which nursing diagnosis should the nurse use to guide this client's care?
decreased cardiac ouput
A client who is newly diagnosed with hypertension is going to be starting antihypertension medicine. What is one of the main things the client and the client's spouse should watch for?
dizziness
The nurse is describing fetal circulation to new parents and how the circulation changes after birth. The nurse describes a structure that allows the pulmonary circulation to be bypassed, but that shortly after birth, this structure should close. Which structure is the nurse describing?
ductus arteriosus
Which consideration is a priority when caring for a mother with strong contractions 1 minute apart?
fetal heart rate in relation to contractions.
a nurse does an initial assessment on a newborn and notes a pulsation over the anterior fontanelle that corresponds with the newborn's heart rate. How would the nurse interpret this?
it is normal to feel pulsations that correlate with the newborn's heart rate over the anterior fontanelle.
A client is talking with the nurse about unsightly varicose veins and their discomfort. What information should the nurse provide to the client?
keep the legs elevated when sitting or lying down
a systolic blood pressure of 135 mm Hg would be classified as
prehypertension
a client who is taking estrogen therapy calls the clinic and tells the nurse that she is experiencing sudden, sharp chest pain. The nurse suspects the client is experiencing what adverse reaction related to estrogen therapy?
pulmonary embolism
a client is being discharged following a pelvic surgery. What would be included in the patient care instructions to prevent the development of a pulmonary embolus?
tense and relax muscles in the lower extremities
