Cardiovascular, Hematologic, and Lymphatic Systems

A potassium level of 3.0 mEq/L (3.0 mmol/L) is indicative of hypokalemia,

3.5-5.0 mmol/L).

Where would you expect to find dull sound when performing percussion?

liver

Which group of clients would the nurse anticipate to have the highest incidence of non-Hodgkin lymphomas?

older adults

The nurse would observe a client for which side effects when administering androgen therapy? androgen is male developmental steroids

baldness, acne gynecomastia

Fat-forming ketoacids occur

diabetes

Signs of worsening heart failure include

fatigue, weakness, and difficulty breathing when lying flat (orthopnea). Other manifestations include pitting edema, weight gain, and a dry, hacking cough.

Which procedural description would the nurse provide the parents of an infant who has a cardiac catheterization scheduled?

"A catheter will be inserted into a blood vessel in your baby's groin and then threaded to the heart to confirm an anatomic abnormality."

Which action would the nurse take after having difficulty in palpating the pedal pulse of a client with venous insufficiency?

A Doppler uses sound waves so that the pulse can be heard.

The mean arterial pressure (MAP) for a client who has a blood pressure of 180/95 mm Hg is _____ mm Hg. Record answer as a whole number.

A blood pressure of 180/95 mm Hg is an MAP of 123, calculated by (systolic blood pressure + 2 x diastolic pressure) / 3. you need below 60 to work perfussily

fat emoblism

A disruption to blood supply caused by fat globules in a blood vessel.

When caring for a client with an infection caused by group A beta-hemolytic streptococci, the nurse will monitor for which complication?

group A beta-hemolytic streptococci sometimes interact with antigens in the heart's valves, causing damage and symptoms of rheumatic heart disease;

Which of these clients seen at a health fair will be most at risk for hypertension?

African Americans have the highest risk for hypertension; before the age of 45, men are at higher risk than women

Which client finding would the nurse document as a pulse deficit?

Apical pulse 86 and radial pulse 78 indicating pulse deficit of 8 (apical should be higher)

The nurse is assessing the needs of a client who just learned that a tumor is malignant and has metastasized to several organs and that the illness is terminal. Which behavior would the nurse expect the client to exhibit during the initial stage of grieving?

Asking for a second opinion

To ensure accuracy when assessing a client's blood pressure, how would the nurse prevent a parallax error?

Read the manometer at eye level

When a client who is taking a diuretic has been instructed to eat foods high in potassium, which fruit would the nurse suggest?

Cantaloupe

The nurse is caring for a 9-month-old infant with gluten-induced enteropathy. Which common term for this disorder would the nurse use when discussing the infant's diagnosis with the parents?

Celiac disease

in which order do the events of antidiuretic hormone (ADH) secretion stimulated by plasma osmolarity occur?

Decrease in extracellular fluid increases the plasma osmolarity. This increased plasma osmolarity activates the osmoreceptors. These osmoreceptors stimulate the release of ADH. The water is reabsorbed from the renal tubules and urine becomes more concentrated when ADH is released.

Which education would the nurse provide the parents of an infant about the cause of galactosemia?

Error in carbohydrate metabolism

Which treatment would the nurse anticipate for an infant admitted with bronchiolitis caused by respiratory syncytial virus (RSV)?

Humidified cool air and adequate hydration

Based on an electrocardiogram (ECG), a client is suspected to have hypokalemia. Which test will be used to confirm hypokalemia?

Hypokalemia is suspected when the T wave on an ECG tracing is depressed or flattened; a serum potassium level less than 3.5 mEq/L indicates hypokalemi

blood glucose level is within the normal range of 70 to 100 mg/dL

if they have 90 its normal

Which element excessively accumulates in the blood to precipitate the signs and symptoms associated with a diabetic coma?

Ketones as a result of rapid fat breakdown, causing acidosis

Which are the characteristics of reactions associated with immunizations for a 2-month-old infant?

Local or systemic and usually mild redness

Which education would the nurse provide parents about the side effects of the Haemophilus influenzae (Hib) vaccine?

Low-grade feve

The nurse confirms that a 9-month-old infant's immunization schedule is up to date. Which immunization will the infant receive at 15 months of age?

Measles, mumps, and rubella (MMR)

Which factor is the strongest predictor of illness in a childcare setting?

Number of unrelated children in a room

When a client is diagnosed with Hodgkin disease, which lymph nodes would the nurse expect to be affected first? l

Painless enlargement of the cervical lymph nodes often is the first sign lymphoma, which is a blood cancer that starts in the lymphatic system. The lymphatic system helps the immune system get rid of waste and fight infections

Which information would the nurse provide to a client taking dulaglutide?

Perform self-injection weekly

Which hormone is released from the pancreas?

Somatostatin is a hormone produced by the pancreas that inhibits the release of insulin and glucagon.

A client has an open reduction and internal fixation (ORIF) of a fractured hip. The nurse monitors this client for signs and symptoms of a fat embolism. Which client assessment finding reflects this complication?

Tachycardia and petechiae over the ches

Which organ has only beta-1 receptors?

The heart has only beta-1 receptors, which increase heart rate and contractility. The liver has only alpha receptors. The bladder and pancreas have both alpha and beta receptors.

Which physiological process causes temperature elevation after a client has had a myocardial infarction? - BLOOD CLOT BLOCKS BLOOD FLOW

Tissue necrosis and inflammation

When a client with angina is scheduled to have a cardiac catheterization, which explanation would the nurse give about the purpose of the procedure?

To visualize the disease process in the coronary arteries

A hemoglobin of 14.1 (141 mmol/L) is within normal values.

White blood cell level of 9200 cells/mm3 is within the normal range of 4000 to 11,000 cells/mm3 (4 to 11 × 109/L).

Cardiac arrest causes decreased tissue perfusion, which results in

anaerobic metabolism and lactic acid production

In what order does normal cardiac conduction occur through the heart?

right atria called the sinus or sinoatrial node. The impulse quickly reaches the AV node located in the area called the AV junction, between the atria and the ventricles. Here the impulse is slowed to allow time for ventricular filling during relaxation or ventricular diastole. The electrical impulse then is conducted rapidly through the bundle of His to the ventricles via the left and right bundle branches. The bundle branches divide into smaller and smaller branches, finally terminating in tiny fibers called Purkinje fibers that reach the myocardial muscle cells or myocytes.

Early ambulation after a hip arthroplasty is important. How should you transfer the patient out of bed

try to allow them to walk so they wont get blood clots

When teaching a client with atrial fibrillation about a new prescription for warfarin, the nurse will include information about which vitamin?

vitamin K-dependent clotting factors,