Perfusion PrepU
Which of the following is a key diagnostic indicator of heart failure? A. BUN B. Creatinine C. BNP D. CBC
C
A client has been admitted to the hospital with a diagnosis of severe preeclampsia. Which nursing intervention is the priority? A. Confine the client to bed rest in a darkened room. B. Administer oxygen by face mask. C. Keep the client on her side so that secretions can drain from her mouth. D. Check for vaginal bleeding every 15 minutes.
A
A client has been diagnosed with heart failure. One of the main overall objectives of management of heart failure is which of the following? A. Reduce the workload on the heart. B. Help the client walk briskly on a treadmill at 4 to 5 miles an hour. C. Eliminate all sodium and fat from the diet. D. Achieve a blood pressure of 120/80.
A
A client hospitalized for treatment of hypertension is being prepared for discharge. Which teaching topic should the nurse should be sure to cover? A. Maintaining a low-potassium diet B. Skipping a medication dose if dizziness occurs C. Maintaining a low-sodium diet D. Receiving I.V. antihypertensive medications
A
A client with chronic heart failure is receiving digoxin, 0.25 mg by mouth daily, and furosemide, 20 mg by mouth twice daily. The nurse instructs the client to notify the physician if nausea, vomiting, diarrhea, or abdominal cramps occur because these signs and symptoms may signal digoxin toxicity. Digoxin toxicity may also cause: A. visual disturbances B. taste and smell alterations C. dry mouth and urine retention D. nocturia and sleep disturbances.
A
A nurse is assessing the skin of a 12-year-old with suspected right ventricular heart failure. Where should the nurse expect to note edema in this child? A. Lower extremities B. Face C. Presacral region D. Hands
A
A woman is being closely monitored and treated for severe preeclampsia with magnesium sulfate. Which finding would alert the nurse to the development of magnesium toxicity in this client? A. diminished reflexes B. elevated liver enzymes C. seizures D. serum magnesium level of 6.5 mEq/L
A
During a routine prenatal visit, a client is found to have proteinuria and a blood pressure rise to 140/90 mm Hg. The nurse recognizes that the client has which condition? A. mild preeclampsia B. gestational hypertension C. severe preeclampsia D. eclampsia
A
The client has had hypertension for 20 years. The nurse should assess the client for? A. Renal insufficiency and failure B. Valvular heart disease C. Endocarditis D. Peptic ulcer disease
A
The nurse identifies which of the following symptoms as a characteristic of right-sided heart failure? A. Jugular vein distention (JVD) B. Dyspnea C. Pulmonary crackles D. Cough
A
When the nurse observes that the patient has increased difficulty breathing when lying flat, the nurse records that the patient is demonstrating A. orthopnea B. dyspnea on exertion C. hyperpnea D. paroxysmal nocturnal dyspnea.
A
Which of the following is an important assessment parameter for the patient diagnosed with congestive heart failure? A. Distended veins B. Crepitus C. Excess tears D. Photosensitivity
A
A school nurse finds a 10-year-old's blood pressure is over the 95th percentile. The nurse advises the parent to seek medical attention for the child. What outcome would the nurse expect? A. The child will probably need surgery. B. The child will need the blood pressure checked two more times. C. Advise the child go to the emergency room. D. This is a normal result for a child this age.
B
The nurse is preparing to administer digoxin to a client with heart failure. The nurse obtains an apical pulse rate for 1 minute and determines a rate of 52 beats/minute. What is the first action by the nurse? A. Administer the medication and inform the charge nurse about the rate. B. Withhold the medication and notify the physician of the heart rate. C. Administer atropine to speed the heart rate and then administer the digoxin. D. Administer the medications and then notify the physician.
B
Which ethnic group is more likely to develop severe hypertension? A. Asian B. African C. European D. Native American/First Nations
B
A client in her 20th week of gestation develops HELLP syndrome. What are features of HELLP syndrome? Select all that apply. A. hyperthermia B. hemolysis C. elevated liver enzymes D. leukocytosis E. low platelet count
B C E
A child with heart disease is receiving digoxin and a diuretic. Which laboratory test result would be most important for the nurse to monitor? A. Serum sodium level B. Erythrocyte sedimentation rate C. Serum potassium level D. Oxygen saturation level
C
A nurse is caring for a client with left-sided heart failure. To reduce fluid volume excess, the nurse should anticipate using: A. antiembolism stockings B. oxygen C. diuretics D. anticoagulants
C
The nurse's discharge teaching plan for the client with heart failure should emphasize the importance of: A. maintaining a high-fiber diet B. walking 2 miles (3.2 km) every day C. obtaining daily weights at the same time each day D. remaining sedentary for most of the day
C
A female client who is 32 years of age has been diagnosed with stage 1 hypertension. The client's height is 5 feet 5 inches (165 cm), and her weight is recorded as 125 pounds (56.6 kg); she reports that she frequently eats at "fast food" restaurants and enjoys a glass of wine to relax on weekends. In developing a teaching plan for this client, the nurse should address which topic? A. potential use of nitroprusside B. adverse effects of alcohol C. decreasing dietary caloric intake D. low-sodium food choices
D
A woman has been diagnosed as having gestational hypertension. Which symptom for this condition is the most typical? A. increased perspiration B. weight loss C. susceptibility to infection D. blood pressure elevation
D
The nurse is assessing the heart rate of a healthy 6-month-old. In which range should the nurse expect the infant's heart rate? A. 60 to 68 bpm B. 70 to 80 bpm C. 80 to 105 bpm D. 90 to 160 bpm
D
The nurse is caring for a client with heart failure. What procedure should the nurse prepare the client for in order to determine the ejection fraction to measure the efficiency of the heart as a pump? A. Echocardiogram B. A pulmonary arteriography C. A chest radiograph D. Electrocardiogram
D
The plan of care for a client with hypertension taking propranolol hydrochloride should include: A. instructing the client to discontinue the drug if nausea occurs B. monitoring blood pressure every week and adjusting the medication dose accordingly C. measuring partial thromboplastin time weekly to evaluate blood clotting status D. instructing the client to notify the health care provider of irregular or slowed pulse rate
D
