Quizzes 1&2 with exam 1 from when we've been virtual

gram to milligram

1gx1,000mg=1.000mg

A nurse is admitting a client who has acute heart failure following myocardial infarction. The nurse recognizes that which of the following prescriptions by the provider required clarification?

0.9% normal saline IV at 50ml/hr. continuous

A nurse is caring for a client who is on cardiac monitor the monitor displays shown below... which action should the nurse take first?

Assess airway breathing level of consciousness

A nurse is caring for a client who has a cardiopulmonary arrest. The nurse anticipates the emergency response team will administer which of the following medications?

Atropine

A nurse is caring for a client suspected of having acute respiratory distress syndrome (ARDS) . What is the most likely diagnostic test ordered in early stages of this disease to differentiate the patient's symptom's from those of a cardiac etiology?

Brain natriuretic peptide (BNP) level

A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpations and shortness of breath. Which of the following assessments should indicate to the nurse that the client may have developed atrial fibrillation?

Different apical an radial pulses

Which of the following actions is first priority of care for patient exhibiting signs and symptoms of coronary artery disease?

Enhance myocardial oxygenation Enhancing myocardial oxygenation is always the first priority when a client exhibits signs or symptoms of cardiac compromise. Without adequate oxygenation, the myocardium suffers damage.

A nurse is preparing to administer verapamil by IV bolus to a client who is having a cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this medication?

Hypotension

A nurse is reinforcing teaching with a client regarding reduction of risk factors for coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching?

I must stop smoking I should limit my intake on fast foods I need to monitor my weight

A nurse is teaching a client who is obese and has obstructive sleep apnea how to decrease sleep apnea how to decrease the # of nightly apneic episodes. Which of the following shows understanding?

If I could lose 50 lbs., I might stop having so many apneic episodes.

A nurse is providing teaching to a client who is postoperative following coronary artery bypass graft (CABG) surgery and is receiving opioid medications to manage discomfort. Aside from managing pain, which of the following desired effects of medications should the nurse identify as most important for the client's recovery?

It facilitates the client's deep breathing.

The client at risk for ARDS has become cyanotic and diaphoretic. Which is the nurse's priority assessment?

Measuring pulse oximetry

nurse is suctioning the endotracheal tube of a client who is on a ventilator. The client's heart rate increases from 86/min to 110/min and becomes irregular. Which of the following actions should the nurse take?

Perform pre-oxygenation prior to suctioning

a client is planning to perform nasotracheal suction for a client who has COPD and an artificial airway. Which of the following actions should the nurse take

Preoxygenate the client with 100% oxygen for up to 3 min

A client is admitted to the emergency room with respiratory rate of 7/min Arterial blood gases reveal the following values. pH 7.22 PaCo2 68 Bicarb 26

Respiratory acidosis

A nurse is assessing a client who is recovering from thoracentesis. Which assessment findings would alert the nurse to a potential pneumothorax?

Tachypnea Pain with respirations

A nurse is caring for a client who just had a flexible bronchoscopy. Which of the following nursing action sis appropriate?

Withhold food and liquids until the clients gag reflex returns

A nurse is caring for a client who has valvular heart disease and is at risk for developing left sided heart failure. Which of the following manifestations should alert the nurse the client is developing this condition?

breathlessness

a nurse is providing discharge teaching to a client who has a new prescription for home oxygen therapy via a nasal cannula. which of the following should the nurse include in the teaching ( select all of the following)

check the cannula position on a regular basis- check the top of the ears for skin breakdown- post "no smoking" signs in a prominent location in the home

A nurse is monitoring an older adult client immediately following a bronchoscopy. The nurses priority is to monitor the client for which of the following?

confirming gag reflex

A nurse is caring for a client who has a disposable three chamber chest tube in place Which of the following findungs shiuld indicate to the nurse that the client is experiencing a complication?

continous bubbling in the water chamber

which observation of a client's chest tube setup indicates to the nurse a leak is present in the system?

continuous bubbling in the water seal chamber

A nurse is teaching a client who is postoperative following the insertion of a pacemaker. Which of the following instructions should the nurse include?

count your pulse for 1 minute each morning do not wear tight clothing over the insertion site

A patient who experiencing a myocardial infarction is being monitored via cardiac telemetry. the nurse notes sudden onset of this strip on monitor and immediately takes which action?

cpr call code d-fib (pt is in v-fib)

When administering medication to the patient with suspected mi the nurse understands that morphine has which of the following beneficial effects?

decreases preload decreases pain decreases afterload decreases anxiety

a nurse is caring for a client who has pericarditis and reports feeling new onset of palpitations and shortness of breath. Which of the following assessments should indicate to the nurse that the cleint may have developed atrial fibrillation?

different apical and radial pulses

A nurse is interpreting the ECG strip of a client who has sinus tachycardia which of the following cardiac components should the nurse identify as the role of the qrs complex

the depolarization of the right and left ventricles .

A nurse is assessing a patient who has a test tube. For which manifestation would the nurse immediately intervene?

tracheal deviation sudden onset of shortness of breath drainage greater than 70 ml/hr disconnection at Y site

no P wave is present in the sawtooth pattern looks like scribble up and down

ventricular fibrillation

A patient with a suspected pulmonary embolus is brought to the emergency department. She complains of shortness of breath, and chest pain. Which other signs and symptoms would support this diagnosis?

low grade fever tachycardia blood tinged sputum

A nurse in a providers office is assessing a client. The nurse should identify that which of the following are manifestations of pulmonary tuberculosis?

night sweats low grade fever blood in sputum

Which factors or conditions are major risk factors for venous thromboembolism (VTE) leading to pulmonary embolism (PE)? SATA

obesity pregnancy smoking prolonged immobility central venous catheters

A pt in acute respiratory failure is classified as having ventilatory failure the nurse understands that which finding is a potential cause of ventilatory failure?

opioid analgesic overdose

A nurse is caring for a client who is experiencing respiratory distress. Which of the following early manifestations of hypoxemia should the nurse recognize?

pale skin elevated blood pressure

A nurse is teaching a client who has a new diagnoses of atrial fibrillation. The nurse should instruct the client to monitor for which of the following complications?

pulmonary embolism (due to blood pooling and thrombus formation)

A client is admitted to the emergency department with a respiratory rate of 7/min arterial blood gas reveal following values pH 7.22 PaCo2 68

respiratory acidosis

A nurse is caring for a client who has an acute respiratory failure. The nurse should monitor the client for which of the the following manifestations of this condition?

severe dyspnea decreased level of consciousness (hypoxia) headache hypotension

A nurse is admitting a client who requires droplet precautions due to influenza. Which of the following actions should the nurse take?

wear a mask when providing care to the cleint

What are the main findings in a cardiopulmonary arrest?

Absence of breathing absence of pulse unconsciousness

A nurse is preparing to suction a client who has a tracheostomy. Identify the sequence of actions that nurse should take. Place them in the order of performance.

Adjust the suction Don sterile gloves. Check the function of the suction catheter. Hyperoxygenate the client. Insert the catheter without suction. Apply intermittent suction while rotating the catheter .Check for secretion clearance.

A nurse is caring for a female client in the emergency department who reports shortness of breath and pain in the lung area. She states that she started taking birth control pills 3 weeks ago and that she smokes. Her heart rate is 100/min, respiratory rate 40/min, and blood pressure 140/80 mmHg, HCO₃ mEq/L, and SaO₂ 86%. Which of the following is the priority nursing intervention?

Administer oxygen via face mask

A nurse is developing a plam of care for a client who has a new ileal conduit. The nurse should include that the client is at risk for which of the following?

Anxiety disturbed body image impaired skin integrity infection

A nurse is planning care for a client who has severe acute respiratory distress system (SARS). Which of the following actions should be included in the plan of care for the client?

B) Provide supplemental oxygen D) Administer of bronchodilators E) Maintain ventilatory support

A nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following interventions should the nurse take to reduce the risk for ventilator associated pneumonia?

Rinse the client's mouth with an antimicrobial every 4 hours

A nurse is monitoring a client following thoracentesis. The nurse should identify which of the following manifestations as a complication and contact the provider immediately?

increased heart rate

A nurse is caring for a client who is 12 hour post operative and has a chest tube to a disposable water seal drainage system with suction. The nurse should intervene for which of the following observations?

Continuous bubbling in the WATER SEAL CHAMBER

A nurse is caring for a client who develops a ventricular fibrillation rhythm . The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurses priority?

Defibrillation

A nurse is caring for a client who has ineffective endocarditis. Which of the following manifestations is the priority for the nurse to report to the provider?

Dyspnea

A nurse is caring for a client who reports heart palpations an ecg confirms the client is experiencing vt the nurse should anticipate the need for taking which action

Elective cardioversion

A nurse is teaching a client who is obese and has obstructive sleep apnea how to decrease the numbers of apneic episodes.

If I could lose lose 50 lbs it will help lower my episodes

A nurse is assessing a client who has fluid volume overload. Which of the following findings should the nurse expect?

increased heart rate increased blood pressure increased respiratory rate

A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?

Metformin )can result in lactic acidosis)

A nurse in an emergency department is assessing a client who is having a suspected acute myocardial infarction )MI). The nurse should plan to administer which of the following medications after the initial acute phase to manage the client's pain and anxiety?

Morphine

A nurse in an emergency department is assessing a client who is having a suspected myocardial infarction. Whcih of the following manifestations should the nurse expect to find for a client experiencing an acute MI?

Nausea tachycardia diaphoresis

A nurse is interpreting a client's ECG strip. Which of the following components of the ECG should the nurse examine to determine the time it takes for ventricular depolarization and repolarization?

QT interval

A nurse is adhering to standard precautions while caring for a group of clients. For which of the following tasks should the nurse wear protective eye equipment?

irrigating a client's abdominal wound suctioning a client's new tracheostomy tube

A nurse is caring for a client who has a chest tube connected to a closed chest water seal drainage system. When the nurse palpates the area around the chest tube insertion site, what is she checking for?

Subcutaneous emphysema

A nurse is assessing a client who had a left femoral angiography. Identify where the nurse will palpate to assess the most distal pulse on the affected side.

The left pedal pulse

a nurse in an emergency department is caring for a client who reports chest pain and shortness of breath which of the following lab tests should the nurse anticipate the provider to prescribe?

Troponin I

A nurse on a cardiac unit is reviewing the laboratory findings of a client who has a diagnosis of myocardial infarction (MI) and reports that his dyspnea began2 weeks ago. Which of the following cardiac enzymes would confirm the MI occurred 14 days ago?

Troponin T

A nurse is caring for a client who develops an airway obstruction from a foreign body but remains conscious. Which of the following actions should the nurse take first?

abdominal thrust maneuver

A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?

abnormally prominent U wave

A nurse is preparing to suction a client e ho has a tracheostomy. Identify the sequence of actions that the nurse should take. place them in order of performance

adjust suction don sterile gloves check the function of the suction catheter hydrogenate the client insert catheter without suction apply intermittent suction while rotating the catheter check for secretion clearance

looks like normal sinus rhythm but that's not an option

atrial fibrillation

A nurse is caring for a client who is receiving positive pressure mechanical ventilation which of the following interventions should the nurse implement to prevent complication?

elevate head of bed 30 degree administer pantoprazole as prescribe reposition the endotracheal tube to the opposite side of the mouth daily

A nurse is developing a plan of care for a client who is postop. Which of the following interventions should the nurse include in the plan to prevent pulmonary complications?

encourage the use of an incentive spirometer