114 EXAM 3
A client asks the nurse if systolic heart failure will affect any other body function. What body system response correlates with systolic heart failure (HF)? A. decrease in renal perfusion B. increased blood volume ejected from ventricle C. vasodilation of skin D. dehydration
A
A client is already being treated for hypertension. The doctor is concerned about the potential for heart failure, and has the client return for regular check-ups. What does hypertension have to do with heart failure? A. Hypertension causes the heart's chambers to enlarge and weaken. B. Hypertension causes the heart's chambers to shrink. C. Heart failure occurs when blood pressures drops. D. Hypertension in older males regularly leads to heart failure.
A
A nurse is assessing a client's right lower leg, which is wrapped with an elastic bandage. Which signs and symptoms suggest circulatory impairment? A. Numbness, cool skin temperature, and pallor B. Swelling, warm skin temperature, and drainage C. Numbness, warm skin temperature, and redness D. Redness, cool skin temperature, and swelling
A
A patient with a diagnosis of deep vein thrombosis (DVT) is being treated with unfractionated heparin, which is being administered intravenously. The nurse who is providing care for this patient should consequently prioritize what assessments? A. Assessing the patient for internal or external hemorrhage B. Monitoring the patient's intake and output, and assessing for signs of fluid volume deficit C. Assessing the patient for adventitious lung sounds and assessing SaO2 levels D. Assessing the patient's pain levels
A
The clinical manifestations of cardiogenic shock reflect the pathophysiology of heart failure (HF). By applying this correlation, the nurse notes that the degree of shock is proportional to which of the following? A. Left ventricular function B. Right ventricular function C. Left atrial function D. Right atrial function
A
The nurse is caring for an older adult client who has come to the clinic for a yearly physical. When assessing the client, the nurse notes the blood pressure (BP) is 140/93. The nurse knows that in older clients what happens that may elevate the systolic BP? A. Loss of arterial elasticity B. Decrease in blood volume C. Increase in calcium intake D. Decrease in cardiac output
A
A client has just been diagnosed with prehypertension. What would the nurse instruct this client to do to restore his blood pressure below hypertensive levels? A. Increase iodine intake. B. Decrease sodium intake. C. Increase fluid intake. D. Avoid over-the-counter decongestants.
B
Mr. Faulkner is a 69-year-old man who has enjoyed generally good health for his entire adult life. As a result, he has been surprised to receive a new diagnosis of hypertension after a series of visits to his primary care provider. The nurse who is working with Mr. Faulkner should recognize which of the following aspects of aging and hypertension? A. The diagnostic criteria for hypertension in adults over 65 differ from those for younger adults. B. The incidence and prevalence of hypertension increase with age. C. Blood pressure remains stable throughout adulthood but tends to be assessed more often by health care providers of older adults. D. Older adults are less vulnerable to the pathophysiological effects of hypertension than are younger adults.
B
The nurse is caring for a client who is prescribed medication for the treatment of hypertension. The nurse recognizes that which medication conserves potassium? A. Furosemide B. Spironolactone C. Chlorothiazide D. Chlorthalidone
B
Which of the following assessment results is considered a major risk factor for PAD? A. LDL of 100 mg/dL B. BP of 160/110 mm Hg C. Cholesterol of 200 mg/dL D. Triglyceride level of 150 mg/dL
B
Which term describes high blood pressure from an identified cause, such as renal disease? A. Primary hypertension B. Secondary hypertension C. Rebound hypertension D. Hypertensive emergency
B
When caring for a patient with leg ulcers, the positioning of the legs depends on whether the patient's ulcer is arterial or venous in origin. How should the nurse position a patient who has leg ulcers that are venous in origin? A. Keep the patient's legs flat without the knees raised. B. Keep the patient's knees at a 45-degree angle. C. Elevate the patient's lower extremities. D. Hang the patient's legs over the side of the bed
C
A client with heart failure must be monitored closely after starting diuretic therapy. What is the best indicator for the nurse to monitor? A. fluid intake and output. B. urine specific gravity. C. vital signs. D. weight.
D
The nurse is preparing to administer furosemide to a client with severe heart failure. What lab study should be of most concern for this client while taking furosemide? A. BNP of 100 B. Sodium level of 135 C. Hemoglobin of 12 D. Potassium level of 3.1
D
The nursing instructor is teaching their clinical group how to assess a client for congestive heart failure. How would the instructor teach the students to assess a client with congestive heart failure for nocturnal dyspnea? A. By collecting the client's urine output B. By observing the client's diet during the day C. By measuring the client's abdominal girth D. By questioning how many pillows the client normally uses for sleep
D
The staff educator is talking to a group of new emergency department nurses about hypertensive crises. The nurse educator is aware that hypertensive urgency differs from hypertensive emergency in what way? A. The patient's blood pressure (BP) is always higher in a hypertensive emergency. B. Close hemodynamic monitoring is required during treatment of hypertensive emergencies. C. Hypertensive urgency is treated with rest and tranquilizers to lower BP. D. Hypertensive emergencies are associated with evidence of target organ damage.
D
