Quizbowl ex3

A cardiac patient's resistance to left ventricular filling has caused blood to back up into the patient's circulatory system. What health problem is likely to result? a)Acute pulmonary edema b)Right-sided HF c)Right atrial hypertrophy d)Left-sided HF

a)Acute pulmonary edema

uThe nurse is performing a physical assessment on a client suspected of having heart failure. The presence of what sound would signal the possibility of impending heart failure? a)An S3 heart sound b)Pleural friction rub c)Faint breath sounds d)A heart murmur

a)An S3 heart sound

A patient with HF has met with his primary care provider and begun treatment with an angiotensin-converting enzyme (ACE) inhibitor. When the patient begins treatment, the nurse should prioritize what assessment? a)Blood pressure. b)Level of consciousness (LOC). c)Assessment for nausea. d)Oxygen saturation.

a)Blood pressure.

Which of the following heart muscle diseases is unrelated to other cardiovascular disease? a)Cardiomyopathy b)Coronary artery disease c)Myocardial infarction d)Pericardial effusion

a)Cardiomyopathy

uA nurse has taken on the care of a client who had a coronary artery stent placed yesterday. When reviewing the client's daily medication administration record, the nurse should anticipate administering what drug? a)Clopidogrel b)Dipyridamole c)Acetaminophen d)Ibuprofen

a)Clopidogrel

A client is brought by ambulance to the ED after suffering what the family thinks is a stroke. The nurse caring for this client is aware that an absolute contraindication for thrombolytic therapy is what? a)Evidence of hemorrhagic stroke b)Blood pressure of ³180/110 mm Hg c)Evidence of stroke evolution d)Previous thrombolytic therapy within the past 12 months

a)Evidence of hemorrhagic stroke

When discussing angina pectoris secondary to atherosclerotic disease with a client, the client asks why he tends to experience chest pain when he exerts himself. The nurse should describe which of the following phenomena? a)Exercise increases the heart's oxygen demands. b)Exercise causes vasoconstriction of the coronary arteries. c)Exercise shunts blood flow from the heart to the mesenteric area. d)Exercise increases the metabolism of cardiac medications.

a)Exercise increases the heart's oxygen demands.

Which of the following nursing interventions related to impaired swallowing to be taught to the client with myasthenia gravis and the client's family members is the most important? a)Matching the food's consistency to the client's ability to swallow enhances safety b)Teach caregivers the Heimlich maneuver c)Administer pyridostigmine 30 minutes before the meal d)Schedule meals just prior to rest periods

a)Matching the food's consistency to the client's ability to swallow enhances safety

When conducting discharge teaching, the nurse advises a patient with myasthenia gravis to: a)Perform physically demanding activities early in the day b)Anticipate the need for daily plasmapheresis treatments c)Do frequent weight-bearing exercise to prevent muscle atrophy d)Protect the extremities from injury due to poor sensory perception

a)Perform physically demanding activities early in the day

To encourage adequate nutritional intake for a female client with Alzheimer's disease, the nurse should: a)Stay with the client and encourage him to eat. b)Help the client fill out his menu. c)Give the client privacy during meals. d)Fill out the menu for the client.

a)Stay with the client and encourage him to eat.

Which drugs would the nurse expect to be included in those prescribed for patients with a mechanical valve replacement? a)Oral nitrates b)Anticoagulants c)Atrial anti-dysrhythmics d)β-adrenergic blocking agents

b)Anticoagulants

A 22-year-old client with quadriplegia is apprehensive and flushed, with a blood pressure of 210/100 and a heart rate of 50 bpm. Which of the following nursing interventions should be done first? a)Place the client flat in bed b)Assess patency of the indwelling urinary catheter c)Give one SL nitroglycerin tablet d)Raise the head of the bed immediately to 90 degrees

b)Assess patency of the indwelling urinary catheter

A 74-year-old female presents to the ER with complaints of dyspnea, persistent cough, and unable to sleep at night due to difficulty breathing. On assessment, you note crackles throughout the lung fields, respiratory rate of 28, and an oxygen saturation of 88% on room air. Which of the following lab results confirm your suspicions of heart failure? a)K+ 5.6 mEq/L b)BNP 966 pg/mL c)BUN 9 mg/dL d)Troponin <0.02 ng/mL

b)BNP 966 pg/mL

Following a generalized seizure, the nurse can expect the client to: a)Be unable to move the extremities b)Be drowsy and prone to sleep c)Remember events before the seizure d)Have a drop in blood pressure

b)Be drowsy and prone to sleep

A client with an occluded coronary artery is admitted and has an emergency percutaneous transluminal coronary angioplasty (PTCA). The client is admitted to the cardiac critical care unit after the PTCA. The complications for which the nurse should monitor the client include which of the following? a)Peripheral edema b)Bleeding at insertion site c)Left ventricular hypertrophy d)Pulmonary edema

b)Bleeding at insertion site

A client has returned to the cardiac care unit after having a permanent pacemaker implantation. For which potential complication should the nurse most closely assess this client? a)Chest pain b)Bleeding at the implantation site c)Malignant hyperthermia d)Bradycardia

b)Bleeding at the implantation site

The client diagnosed with Parkinson's disease (PD) is being admitted with a fever and patchy infiltrates in the lung fields on the chest x-ray. Which clinical manifestations of PD would explain these assessment data? a)Masklike facies and shuffling gait b)Difficulty swallowing and immobility c)Pill rolling of fingers and flat affect d)Lack of arm swing and bradykinesia

b)Difficulty swallowing and immobility

A brain (B-type) natriuretic peptide (BNP) sample has been drawn from an older adult patient who has been experienced vital fatigue and shortness of breath. This test will allow the care team to investigate the possibility of what diagnosis? a)Pleurisy b)Heart failure c)Valve dysfunction d)Cardiomyopathy

b)Heart failure

The nurse is caring for a client who is scheduled to undergo mechanical valve replacement. Client education should include which of the following? a)Use of client-controlled analgesia b)Long-term anticoagulant therapy c)Steroid therapy d)Use of IV diuretics

b)Long-term anticoagulant therapy

When providing care for a patient with ALS, the nurse recognizes what as one of the most distressing problems experienced by the patient? a)Painful spasticity of the face and extremities b)Retention of cognitive function with total degeneration of motor function c)Uncontrollable writhing and twisting movements of the face, limbs, and body d)Knowledge that there is a 50% chance the disease has been passed to any offspring

b)Retention of cognitive function with total degeneration of motor function

The nurse is caring for a client who is believed to have just experienced an MI. What change on an ECG most strongly suggests to the nurse that ischemia is occurring? a)P wave inversion b)T wave inversion c)Q wave changes with no change in ST or T wave d)P wave enlargement

b)T wave inversion

A clinician is providing education to a patient with a recent diagnosis of a transient ischemic attack (TIA). Which of the statements by the patient indicates that the patient understands the information? a)"Because TIAs don't cause permanent damage, I do not need to worry if I have another one." b)"TIAs are usually caused by large bleeds in the brain that resolve on their own." c)"It is important for you to seek medical attention immediately if you experience these symptoms again because they could mean that you are having a stroke." d)"Transient ischemic attacks (TIAs) are often caused by small bleeds in the brain that resolve on their own."

c)"It is important for you to seek medical attention immediately if you experience these symptoms again because they could mean that you are having a stroke."

A client presents to the clinic complaining of intermittent chest pain on exertion, which is eventually attributed to angina. The nurse should inform the client that angina is most often attributable to what cause? a)Decreased cardiac output b)Infarction of the myocardium c)Coronary arteriosclerosis d)Decreased cardiac contractility

c)Coronary arteriosclerosis

The nurse is assessing a client who is known to have right-sided heart failure. What assessment finding is most consistent with this client's diagnosis? a)Pulmonary edema b)Dry cough c)Distended neck veins d)Orthopnea

c)Distended neck veins

When teaching a patient with a seizure disorder about the medication regimen, what is it most important for the nurse to emphasize? a)The patient should increase the dosage of the medication if stress is increased. b)Most over-the-counter and prescription drugs are safe to take with antiseizure drugs. c)Non-compliance or stopping the medication abruptly may increase the intensity and frequency of seizures. d)If gingival hypertrophy occurs, the drug should be stopped and the health care provider notified.

c)Non-compliance or stopping the medication abruptly may increase the intensity and frequency of seizures.

A community health nurse is presenting an educational event and is addressing several health problems, including rheumatic heart disease. What should the nurse describe as the most effective way to prevent rheumatic heart disease? a)Smoking cessation b)Adhering closely to the recommended child immunization schedule c)Recognizing and promptly treating streptococcal infections d)Prophylactic use of calcium channel blockers in high-risk populations

c)Recognizing and promptly treating streptococcal infections

During care of a patient in myasthenic crisis, maintenance of what is the nurse's first priority for the patient? a)Mobility b)Nutrition c)Respiratory function d)Verbal communication

c)Respiratory function

A client diagnosed with transient ischemic attacks (TIAs) is scheduled for a carotid endarterectomy. The nurse explains that this procedure will be done for what purpose? a)To decrease cerebral edema b)To prevent seizure activity that is common following a TIA c)To remove atherosclerotic plaques blocking cerebral flow d)To determine the cause of the TIA

c)To remove atherosclerotic plaques blocking cerebral flow

While working in the ICU, you are assigned to care for a patient with a seizure disorder. Which of these nursing actions will you implement first if the patient has a seizure? a)Place the patient on a non-rebreather mask will the oxygen at 15 L/minute. b)Administer lorazepam (Ativan) 1 mg IV. c)Turn the patient to the side and protect airway. d)Assess level of consciousness during and immediately after the seizure.

c)Turn the patient to the side and protect airway.

You're providing diet discharge teaching to a patient with a history of heart failure. Which of the following statements made by the patient represents they understood the diet teaching? a)"I will limit my sodium intake to 5-6 grams a day." b)"I will be sure to incorporate canned vegetables and fish into my diet." c)"I'm glad I can still eat sandwiches because I love bologna and cheese sandwiches." d)"I will limit my consumption of frozen meals."

d)"I will limit my consumption of frozen meals."

A health care provider is conducting a community education class on stroke prevention. The teaching plan for this class will include which of these instructions? a)"Foods high in saturated fats can be consumed in moderate amounts." b)"There is no correlation between diabetes and risk of stroke." c)"There is no known link between risk of stroke and regular exercise." d)"It is important to maintain a healthy weight and to control your blood pressure."

d)"It is important to maintain a healthy weight and to control your blood pressure."

You are conducting an assessment of a patient's abdomen and you find a pulsating abdominal mass. Which of the following should be your next action? a)Ask the patient to perform a Valsalva maneuver b)Obtain a bladder scan c)Measure the abdominal circumference d)Assess femoral pulses

d)Assess femoral pulses

An older adult client has been diagnosed with aortic regurgitation. What change in blood flow should the nurse expect to see on this client's echocardiogram? a)Obstruction of blood from the left atrium to left ventricle b)Blood to flow back from the left atrium to the left ventricle c)Obstruction of blood flow from the left ventricle d)Blood to flow back from the aorta to the left ventricle

d)Blood to flow back from the aorta to the left ventricle

The nurse is caring for a client who has been diagnosed with an elevated cholesterol level. The nurse is aware that plaque on the inner lumen of arteries is composed chiefly of what? a)High-density cholesterol b)Lipoproteins c)White blood cells d)Lipids and fibrous tissue

d)Lipids and fibrous tissue

A client brought by ambulance to the emergency department after taking an overdose of barbiturates is comatose. The nurse should assess the client for: a)Kidney failure. b)Cerebrovascular accident. c)Status epilepticus. d)Respiratory failure.

d)Respiratory failure.

The health care provider is assessing a patient who is recovering from a stroke. Which of these problems should receive priority for this patient? a)Risk for altered coping b)Impaired communication c)Impaired mobility d)Risk for aspiration

d)Risk for aspiration

What is an effect of valvular regurgitation? a)It causes a pressure gradient difference across an open valve. b)A pericardial friction rub is heard on the right sternal border of the chest. c)It leads to decreased flow of blood and hypertrophy of the preceding chamber. d)There is a backward flow of blood and volume overload in the preceding chamber.

d)There is a backward flow of blood and volume overload in the preceding chamber.

The nurse is caring for a client who has had a biventricular pacemaker implanted. When planning the client's care, the nurse should recognize what goal of this intervention? a)Resynchronization b)Defibrillation c)Angioplasty d)Ablation

a)Resynchronization

Acute pulmonary edema caused by heart failure is usually a result of damage to which of the following areas of the heart? a) Left atrium b) Right atrium c) Left ventricle d) Right ventricle

c) Left ventricle