Evolve-Hematology

A client with a history of hypertension develops dyspnea on exertion. What does the nurse conclude is the most likely cause of the client's dyspnea? 1 Cor pulmonale 2 Left heart failure 3 Bronchial spasms 4 Right ventricular failure

2

A client with hypertensive heart disease, who had an acute episode of heart failure, is to be discharged on a regimen of metoprolol (Toprol-XL) and digoxin (Lanoxin). The nurse expects that metoprolol, when administered with digoxin, may: 1 Produce headaches 2 Precipitate bradycardia 3 Increase blood pressure 4 Stimulate nodal conduction

2

A nurse is advising a client about the risks associated with failing to seek treatment for acute pharyngitis caused by beta-hemolytic streptococcus. For what health problem is the client at risk? 1 Asthma 2 Anemia 3 Endocarditis 4 Reye syndrome

3

A 75-year-old female client tells the nurse that she read about a vitamin that may be related to aging because of its relationship to the structure of cell walls. The nurse determines that the client is probably referring to: 1 Vitamin E 2 Vitamin A 3 Vitamin C 4 Vitamin B1

1

A nurse is assessing a client with the diagnosis of primary hypertension. What clinical finding does the nurse identify as an indicator of primary hypertension? 1 Mild but persistent depression 2 Transient temporary memory loss 3 Occipital headache in the morning 4 Cardiac palpitation during periods of stress

3

A client has a tentative diagnosis of Hodgkin disease. The nurse recalls that the diagnosis is confirmed by a: 1 Bone scan 2 Lymph node biopsy 3 Computed tomography (CT) scan 4 Radioactive iodine (131I) uptake study

2

The nurse is caring for a client that is admitted with the diagnosis of mild chronic heart failure. The nurse expects to hear what lung sounds? 1 Stridor 2 Crackles 3 Wheezes 4 Friction rubs

2

A client is admitted to the hospital with a long history of hypertension. The nurse should assess the client for which complication? 1 Cataracts 2 Esophagitis 3 Kidney failure 4 Diabetes mellitus

3

A client's cardiac monitor shows a PQRST wave for each beat and indicates a rate of 120 beats per minute. The rhythm is regular. The nurse concludes that the client is experiencing: 1 Atrial fibrillation 2 Sinus tachycardia 3 Ventricular fibrillation 4 First-degree atrioventricular block

3

A nurse concludes that the simvastatin (Zocor) being administered to a client is effective. A decrease in what clinical finding supports this conclusion? 1 International normalized ratio (INR) 2 Heart rate 3 Triglycerides 4 Blood pressure

3

During a routine physical examination, an abdominal aortic aneurysm is diagnosed. The client immediately is admitted to the hospital, and surgery is scheduled for the next morning. Which clinical finding should the nurse expect when performing an assessment of this client? 1 Severe radiating abdominal pain 2 Pattern of visible peristaltic waves 3 Palpable pulsating abdominal mass 4 Cyanosis with other symptoms of shock

3

A nurse is conducting cholesterol screening for a manufacturing corporation during a health fair. A 50-year-old man who is 6 feet tall and weighs 293 pounds puts out his cigarette and asks the nurse how to modify his risk factors for coronary artery disease. On which risk factors should the nurse help the client focus? (Select all that apply.) 1 Age 2 Height 3 Weight 4 Smoking 5 Family history

3 & 4

A client takes isosorbide dinitrate (Isordil) daily. The client states, "I would like to start taking sildenafil (Viagra) for erectile dysfunction. I was told I can't take sildenafil and isosorbide dinitrate at the same time." The nurse explains that taking both of these medications concurrently may result in severe: 1 Nausea 2 Tachypnea 3 Constipation 4 Hypotension

4

A client with a history of hypertension comes to the emergency department with double vision and a blood pressure of 260/120 mm Hg. The health care provider prescribes a sodium nitroprusside (Nitropress) infusion. The nurse recalls that sodium nitroprusside decreases blood pressure by: 1 Decreasing the heart rate 2 Increasing cardiac output 3 Increasing peripheral resistance 4 Relaxing arterial smooth muscles

4

The nurse understands that shock associated with a ruptured abdominal aneurysm is called: 1 Vasogenic shock 2 Neurogenic shock 3 Cardiogenic shock 4 Hypovolemic shock

4

After sustaining multiple internal injuries when hit by a motor vehicle, a client has a sudden drop in blood pressure to 80/60 mm Hg. What does the nurse determine probably caused this response? 1 Reduction in circulating blood volume. 2 Diminished vasomotor stimulation to arterial walls. 3 Vasodilation resulting from diminished vasoconstrictor tone. 4 Cardiac decompensation resulting from electrolyte imbalance.

1

A 28-year-old woman fractured her left tibia and fibula one week ago and has a cast in place. She is taking acetaminophen (Tylenol) with codeine for pain and an oral contraceptive. She began experiencing left calf pain 3 days ago and began having shortness of breath and chest pain 15 minutes ago. When the shortness of breath and chest pain increase, she calls the emergency department and communicates this information to the triage nurse. What is the nurse's best response? 1 "Give me your name and address. I am sending an ambulance to your home. You need emergency care." 2 "It sounds as if your cast may be constricting the blood flow in your leg. You probably need a new cast." 3 "It sounds like you are having an allergic response to the medication. Can you drive yourself to the hospital?" 4 "You are experiencing a pulmonary embolism. You need to come to the emergency department now for care."

1

A client had an open reduction and internal fixation of the head of the femur. In the postanesthesia care unit the client's vital signs remained stable for one hour, with a blood pressure (BP) 130/78 mm Hg, pulse (P) 68, and respiration (R) 16. One hour after returning to the postsurgical unit, the client's vital signs are BP 100/60 mm Hg, P 74, and R 22, and the client is restless. What should the nurse do first? 1 Check the dressing on the incision 2 Increase the intravenous flow rate 3 Elevate the head of the client's bed 4 Continue the monitoring of the client's vital signs

1

A client is recovering from a myocardial infarction. Before developing the client's teaching plan, it is important for the nurse to: 1 Identify the learning needs of the client 2 Determine the nursing goals for the client 3 Evaluate the community resources available to the client 4 Explore the use of group teaching for the client

1

A client is suspected of having thrombophlebitis of the left lower extremity. For what clinical finding should the nurse assess the client? 1 Edema of the left leg 2 Mobility of the left leg 3 Positive left-sided Babinski reflex 4 Presence of left arterial peripheral pulse

1

A client with mild chronic heart failure is to be discharged with prescriptions for daily oral doses of an antidysrhythmic, potassium chloride (Slow-K) 40 mEq, docusate sodium (Colace) 100 mg, and furosemide (Lasix) 40 mg twice a day. The client reports having no family members who can help after discharge. What should the nurse help this client identify? 1 Support systems that can assist the client at home 2 Potential nursing homes in which the client can recuperate 3 Agencies that can help the client regain activities of daily living 4 Ways that the client can develop relationships with neighbors

1

A client with rheumatoid arthritis has been taking a steroid medication for the past year. For which complication of prolonged use of this medication should the nurse assess the client? 1 Decreased white blood cells 2 Increased C-reactive protein 3 Increased sedimentation rate 4 Decreased serum glucose levels

1

A homosexual client is diagnosed with human immunodeficiency virus (HIV). The primary nurse informed the nursing team that the client wept when told of the diagnosis. A health care team member responded by saying, "I don't feel sorry for people like that. My philosophy is that you made your bed and now you can sleep in it." What is the basis of the team member's comment? 1 Values and beliefs about sexual lifestyles. 2 Anger and mistrust of homosexuals in general. 3 Discomfort with people who are unable to control their emotions. 4 Hostility over having to care for someone with a sexually related infection.

1

What is the most objective way that a nurse can assess the extent of edema in a client? 1 Weighing the client 2 Monitoring the intake and output 3 Performing the Trendelenburg test 4 Assessing the extent of pitting edema

1

When assessing a client with the diagnosis of left ventricular failure, the nurse expects to identify: 1 Crushing chest pain 2 Dyspnea on exertion 3 Jugular vein distention 4 Extensive peripheral edema

2

To prevent excessive bruising when administering subcutaneous heparin, the nurse should: 1 Administer the injection via the Z-track technique 2 Inject the drug into the vastus lateralus muscle in the thigh 3 Avoid massaging the injection site after the injection 4 Use 2 mL of sterile normal saline to dilute the heparin

3

While receiving a blood transfusion, a client develops flank pain, chills, fever, and hematuria. What type of transfusion reaction does the nurse conclude that the client probably is experiencing? 1 Allergic 2 Pyrogenic 3 Hemolytic 4 Anaphylactic

3

A client's blood pressure increases dramatically 6 hours after a femoral-popliteal bypass graft. Which concern motivates the nurse to inform the health care provider? 1 Hypertension may cause the graft to occlude. 2 Hypervolemia may be the cause of the hypertension. 3 Extremely high blood pressure may cause a brain attack. 4 Rapidly increasing blood pressure may rupture the graft.

4

The nurse is planning nutritional education for a client with lower extremity arterial disease (LEAD). What diet modifications should the nurse include? 1 Decreasing both fluid and sodium intake 2 Increasing both calcium and potassium intake 3 . Increasing both vitamin E and refined grain intake 4 Decreasing both cholesterol and saturated fat intake

4