H&I FINAL

You are working in cardiac telemetry unit and are providing patient education regarding the importance of taking all prescribed cardiac medication. The patient appears annoyed with the new medication and states, "Well I am already taking aspirin and metoprolol. I dont understand how furosemide will help my heart." How would you describe the benefit of this medication? A. "This medication is a diuretic which will reduce blood volume and the workload of the heart" B. "This medication is an anticoagulant which will help to prevent blood clotting" C. "This is a vasopressor which will decrease the diameter of blood vessels." D. "This medication is an antidysrhythmic which will correct irregular electrical impulses of the heart."

A. "This medication is a diuretic which will reduce blood volume and the workload of the heart"

Which symptom should the nurse teach the client with unstable angina to report immediately to the health care provider (HCP)? A. A change in the pattern of the chest pain B. Pain during sexual activity C. Pain during an argument D. Pain during or after physical exertion

A. A change in the pattern of the chest pain

What position should the nurse use for the client with venous insufficiency to enhance blood supply? A. Supine with legs elevated B. Prone with head turned to the right side C. Fowler's position with legs dependent D. Semi-fowlers position with legs neutral

A. Supine with legs elevated

The nurse is caring for a client that is experiencing increasing shortness of breath. The client is pale and slight cicumoral cyanosis is developing. Which laboratory test best measures the adequacy of tissue oxygenation? A. arterial blood gas B. red blood cell C. hemoglobin D. pulmonary function test

A. arterial blood gas

The nurse assesses a child after heart surgery to correct tetralogy of Fallot. Which finding would the nurse report to the provider as an indication that the client has low cardiac output? A. Bounding pulses and mottled skin B. Altered level of consciousness and thready pulse C. Capillary refill of 2 seconds and blood pressure of 96/67 mmHg D. Extremities warm to touch and pale skin

B. Altered level of consciousness and thready pulse

The client has been managing angina episodes with nitroglycerin. Which finding indicates that the therapeutic effect of the drug has been achieved? A. Decreased blood pressure B. Decreased chest pain C. Increased blood pressure D. Decreased heart rate

B. Decreased chest pain

A client tell the nurse is experiencing dyspnea. Which action by the nurse is most appropriate? A. Placing client in Trendenlenburg position B. Placing the client in high Fowler's position C. Placing the client in Sim's Position D. Placing the client in the supine position

B. Placing the client in high Fowler's position

Perfusion is best defined as: A. The movement of oxygen through the respiratory tract into the alveoli and the diffusion of oxygen from the lungs into the blood B. The movement of oxygen and nutrients into and metabolic wastes out of the cell C. The process of regulating the pH, bicarbonate concentration and partial pressure of carbon dioxide in body fluids D. The biochemical processes occurring in the body cells that are necessary to produce growth, generate energy, and maintain life

B. The movement of oxygen and nutrients into and metabolic wastes out of the cell

A client is scheduled for a treadmill stress test. Prior to the stress test, the nurse reviews the results of the laboratory reports. The nurse should report which elevated lab result to the health care provider prior to the stress test? A. Cholesterol B. Troponin C. Prothrombin time D. Erythrocyte sedimentation rate

B. Troponin

A client comes to the emergency department reporting severe substernal chest pain radiating down the left arm. The client is admitted to the coronary care unit with a diagnosis of myocardial infarction (MI). Which should the nurse do first when the client is admitted to the coronary care unit ? A. Obtain health history B. Auscultate heart sounds C. Begin telemetry monitoring D. Evaluate the client's pain

C. Begin telemetry monitoring

The client is caring for a patient with asthma. The nurse should conduct a focused assessment to detect: A. Increased forced expiratory volume B. Normal breath sounds C. Inspiratory and expiratory wheezing D. Morning headaches

C. Inspiratory and expiratory wheezing

The nurse is assessing a 4-month old client. For what finding will the nurse take immediate action? A. Respiratory rate between 30 to 35 breaths/minute B. Abdominal wall rising with inspiration C. Intercostal retractions on inspiration D. Temperature is 99.4 F

C. Intercostal retractions on inspiration

The nurse is caring for an infant with RSV and monitoring for signs an symptoms of respiratory distress. Which one of the following is an early sign of respiratory distress? A. Wheezing B. Cyanosis C. Restlessness D. Mild retractions

C. Restlessness Restlessness is an early sign of distress.

Which of the following clients should the nurse assess first? A. The client with chronic obstructive pulmonary disease in a tripod position B. The client with audible wheezing throughout the lung fields C. The client who is a child with stridor and nasal flaring D. The client with rhonchi

C. The client who is a child with stridor and nasal flaring

A client experiencing an acute panic attach develops respiratory alkalosis. Vital signs are as follows; respiratory rate 46, heart rate 110, blood pressure 162/90, and temp of 98.6. Which action will the nurse implement first to help improve respiratory alkalosis? A. Apply oxygen via nasal cannula B. Administer albuterol inhaler C. Administer sodium bicarbonate intravenously D. Instruct the client to breathe into a paper bag

D. Instruct the client to breathe into a paper bag

A female client who is 32 years of age has been diagnosed with stage 1 hypertension. The client's heigh is 5 ft 5 inches and her weight is recorded as 125 pounds; she reports that she frequently eats at "fast food" restaurants and enjoys a glass of wine to relax on weekends. In developing a teaching plan for this client, the nurse should address which topic? A. Potential use of nitroglycerin B. Adverse effects of alcohol C. Decreasing calorie intake D. Low sodium food choices

D. Low sodium food choices

A healthcare provider has entered orders for a client with chronic obstructive pulmonary disease (COPD). Which order should the nurse question ? A. Oxygen via nasal canula at 2L/Min B. Head of the bed 30-45 degrees C. Albuterol nebulizer treatments every 4 hours as needed D. Oxygen increased to 3L min if oxygen saturation is less than 94% on room air

D. Oxygen increased to 3L min if oxygen saturation is less than 94% on room air

An adolescent who is immobilized in a cast to stabilize a recent fractured femur suddenly develops chest pain, dyspnea, diaphoresis, and tachycardia. The nurse should further assess the client for what condition? A. Atelectasis B. Pneumonia C. Pulmonary edema D. Pulmonary emboli

D. Pulmonary emboli

Tetralogy of Fallot is a combination of which four cardiac defects? A. Pulmonary stenosis, right ventricular hypertrophy, atrial septal defect, and overriding of the aorta B. Left ventricular hypertrophy, atrial septal defect, ventricular septal defect, and aortic stenosis C. Right ventricular hypertrophy, patent ductus arterioles, transposition of the great vessels, and ventricular septal defects D. Ventricular septal defect, pulmonary stenosis, overriding of the aorta, and right ventricular hypertrophy

D. Ventricular septal defect, pulmonary stenosis, overriding of the aorta, and right ventricular hypertrophy

A client is admitted to a healthcare facility for treatment of chronic obstructive pulmonary disease. Which nursing diagnosis is most important for this client? A. activity intolerance related to shortness of breath B. anxiety related to difficulty breathing C. risk for infection related to retained secretions D. impaired gas exchange related to airflow obstruction

D. impaired gas exchange related to airflow obstruction