Exam 3 practice questions

c

A nurse is reviewing laboratory values for a client diagnosed with hyperlipidemia 6 months ago. Which results indicate that the client has been following his therapeutic regimen? a. Total cholesterol level increases from 250 mg/dl to 275 mg/dl (6.48 mmol/L to 7.12 mmol/L). b. Low density lipoproteins (LDL) increase from 180 mg/dl (4.66 mmol/L to 190 mg/dl (4.92 mmol/L). c. High density lipoproteins (HDL) increase from 25 mg/dl (0.65 mmol/L) to 40 mg/dl (1.03 mmol/L). d. Triglycerides increase from 225 mg/dl (5.83 mmol/L) to 250 mg/dl (6.47 mmol/L).

b

A young adult has been diagnosed with hypertrophic cardiomyopathy. The nurse should further assess the client for: a. angina. b. fatigue and shortness of breath. c. abdominal pain. d. hypertension.

d

Sam Johnson calls the office and tells you he forgot to take his digoxin (lanoxin) yesterday and asks if he should take twice as much today to make up for the mixed dose. Your best response is: a. "How could you forget to take your medicine?" b. "Yes, take two tablets today and get back on your regular schedule tomorrow." c. "Check your pulse and if it is below 60 beats per minute, you should only take today's dose of Digoxin." d. "Take only today's dose. Digoxin is one of those drugs that can cause problems when you take too much."

e

When assessing a client with heart failure, the nurse should report which findings to the health care provider (HCP)? Select all that apply. a. bibasilar crackles b. blood pressure 108/62 mm Hg, heart rate 88 beats per minute c. O2 saturation 94% on room air d. 2-pound (0.9- Kg) weight gain in 5 days e. urine output 20 mL/hr

d

Which client is at greatest risk for coronary artery disease? a. A 32-year-old female with mitral valve prolapse who quit smoking 10 years ago b. A 43-year-old male with a family history of CAD and cholesterol level of 158 (8.8 mmol/L) c. A 56-year-old male with an HDL of 60 (3.3 mmol/L) who takes atorvastatin d. A 65-year-old female who is obese with an LDL of 188 (10.4 mmol/L)

a

Which of the following orders would the nurse anticipate initially in a client admitted with unrelieved chest pain? a. Troponin level now b. Morphine sulfate 4 mg intramuscularly as needed for chest pain c. Electrocardiogram in 72 hours d. Computerized tomography scan of chest e. Cardiac diet f. Bed rest

a

Which of the following outcome is desired when a client with arterial insufficiency has poor tissue perfusion in the extremities? a. Extremities warm to touch. b. Improved respiratory status. c. Increased muscle pain with activity. d. Lungs clear to auscultation.

d

Which of the following represents the functional impairment of the myocardium caused by myocardial infarction? a. Altered left ventricular compliance b. Decreased cardiac contractility with abnormal wall movement c. Decreased stroke volume d. All of the above

e

An obese male client with history of heart failure is prescribed a beta blocker. All of the following is important to teach regarding home drug therapy EXCEPT: a. "Take you medication at the same time daily." b. "Contact the health care provider if you have difficulty getting or maintaining an erection." c. "Weigh yourself weekly with the same amount of clothes on as the previous time." d. "Change positions between sitting to standing carefully." e. "Check your pulse for a full minute before administering your

d

Atherosclerosis raises the systolic blood pressure by: a. Increasing arterial distensibility and vessel lumen radius or diameter. b. Increasing arterial distensibility and decreasing vessel lumen radius or diameter. c. Decreasing arterial distensibility and increasing vessel lumen radius or diameter d. Decreasing arterial distensibility and vessel lumen radius or diameter.

b

A client takes hydrochlorothiazide (HCTZ) for treatment of hypertension. The nurse should instruct the client to report which effects? a. muscle twitching b. muscle weakness d. confusion e. insomnia

d

3. The nurse is evaluating the cardiac function of a client with history of left ventricular hypertrophy and new diltiazem administration. Which client statement does NOT indicate adequate cardiac functioning? a. "I am sleeping well in the second floor bedroom." b. "My blood pressure has been consistently in the 130/70 range." c. "I am completing all of my activities of daily living independently." d. "In the morning, I notice 2 plus edema in my ankles."

c

One of the reasons to use a cardio-selective beta blocker like atenolol (Tenormin) for patients with MI is to: a. Reduce oxygen supply. b. Increase heart rate. c. Reduce oxygen demand. d. Increase cardiac contractility

b

A nurse is checking laboratory values on a client who has crackles in the lower lobes, 2+ pitting edema, and dyspnea with minimal exertion. Which laboratory value does the nurse expect to be abnormal? a. Potassium b. B-type natriuretic peptide (BNP) c. C-reactive protein (CRP) d. Platelet count

a

A nurse is teaching a client with hypertension about the newly prescribed captopril. Which of the following statements indicate that teaching has been successful? a. "I will contact the doctor is I notice any swelling around my lips." b. "I will take aspirin for headaches." c. "I will take my medicine every day with food. d. "I need to remember to take this medication with food."

a

Fluid retention as a hemodynamic response to myocardial infarction: a. Increases preload b. Decreases preload c. Increases contractility d. Decreases contractility

b

The nurse is conducting a health history on a client with peripheral vascular problems. Which statements would NOT suggest increasing problems with the peripheral vascular circulation? a. Increased pain in the legs at rest and a chronic ulceration on the right heel b. The client states he has mild chest pain that is relieved with rest. c. Acute lower leg pain and swelling to the left calf over the past 24 hours d. The client tells the nurse his feet are cold a lot and they are swelling more often.

d

The nurse is reviewing the electrocardiogram of a client who has elevated ST segments. Which is the nurse's best action? a. Document the finding in the medical record b. Determine whether the rhythm is irregular, coinciding with inspiration and expiration c. Teach the client about risks for coronary artery disease d. Notify the healthcare provider

a

What is the nurse's priority action for a client experiencing dyspnea, dependent edema, hepatomegaly, crackles, and jugular vein distention? a. Reposition the client so his lower legs dangle off the bed. b. Apply supplemental oxygen at 4 L/min. c. Administer furosemide 40 mg IV as ordered. d. Notify the attending physician.