NSG 3037 - Med-Surg Final Study Guide.Exam-1,Exam-2,Exam-3,Exam-4
EXAM 1
Chapter 32: Nursing Assessment: Cardiovascular System
2. When reviewing the 12-lead electrocardiograph (ECG) for a
healthy 79-year-old patient who is having an annual physical
examination, what will be of most concern to ...
Chapter 32: Nursing Assessment: Cardiovascular System
2.When reviewing the 12-lead electrocardiograph (ECG) for a
healthy 79-year-old patient who is having an annual physical
examination, what will be of most concern to the nurse?
d. The heart rate (HR) is 42 beats/minute.
The resting HR does not change with aging, so the decrease in HR
requires further investigation.
9.The nurse teaches the patient being evaluated for rhythm
disturbances with a Holter monitor to
d. keep a diary of daily activities while the monitor is worn.
11.The nurse has received the laboratory results for a patient who
developed chest pain 4 hours ago and may be having a myocardial
infarction. The most important laboratory result to review will be
c. troponins T and I.
20. A transesophageal echocardiogram (TEE) is ordered for a patient
with possible endocarditis. Which action included in the standard
TEE orders will the nurse need to accomplish first?
b. Place the patient on NPO status.
22.The nurse is reviewing the laboratory results for newly admitted
patients on the cardiovascular unit. Which patient laboratory result
is most important to communicate as soon as possible to the health
care provider?
c. Patient with increase in troponin T and troponin I level
Chapter 33: Nursing Management: Hypertension
2.The nurse obtains the following information from a patient newly
diagnosed with prehypertension. Which finding is most important to
address with the patient?
, b. No regular aerobic exercise
3.Which action should the nurse take when administering the initial
dose of oral labetalol (Normodyne) to a patient with hypertension?
c. Ask the patient to request assistance when getting out of bed.
4.After the nurse teaches the patient with stage 1 hypertension
about diet modifications that should be implemented, which diet
choice indicates that the teaching has been effective?
d. The patient has a glass of low-fat milk with each meal.
5.A patient has just been diagnosed with hypertension and has been
started on captopril (Capoten). Which information is important to
include when teaching the patient about this medication?
d. Change position slowly to help prevent dizziness and falls.
7.A 56-year-old patient who has no previous history of hypertension
or other health problems suddenly develops a blood pressure (BP) of
198/110 mm Hg. After reconfirming the BP, it is appropriate for the
nurse to tell the patient that
d. diagnosis of a possible cause, treatment, and ongoing
monitoring will be needed.
9. The nurse has just finished teaching a hypertensive patient about
the newly prescribed ramipril (Altace). Which patient statement
indicates that more teaching is needed?
a. A little swelling around my lips and face is okay.
13.Which information should the nurse include when teaching a
patient with newly diagnosed hypertension?
d. Hypertension is usually asymptomatic until target organ damage occ
, A patient with a history of hypertension treated with a diuretic
16.
and an angiotensin-converting enzyme (ACE) inhibitor arrives in the
emergency department complaining of a severe headache and
nausea and has a blood pressure (BP) of 238/118 mm Hg. Which
question should the nurse ask first?
b. Have you been consistently taking your medications?
17.The nurse is assessing a patient who has been admitted to the
intensive care unit (ICU) with a hypertensive emergency. Which
finding is most important to report to the health care provider?
b. The patient cannot move the left arm and leg when asked to do so.
18. A patient with hypertension who has just started taking atenolol
(Tenormin) returns to the health clinic after 2 weeks for a follow-up
visit. The blood pressure (BP) is unchanged from the previous visit.
Which action should the nurse take first?
b. Question the patient about whether the medication is actually being
20.The charge nurse observes a new registered nurse (RN) doing
discharge teaching for a patient with hypertension who has a new
prescription for enalapril (Vasotec). The charge nurse will need to
intervene if the new RN tells the patient to
a. increase the dietary intake of high-potassium foods.
22. Which nursing action should the nurse take first in order to
assist a patient with newly diagnosed stage 1 hypertension in
making needed dietary changes?
a. Collect a detailed diet history.
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