NUR1211: Evolve: Cardiovascular, Blood, and Lymphatic System Exam Questions with correct Answers. Scored 100%
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Course
NUR 1211
Institution
NUR 1211
A nurse has administered sublingual nitroglycerine. Which parameter should the nurse use to determine
the effectiveness of sublingual nitroglycerin?
1
Relief of anginal pain
2
Improved cardiac output
3
Decreased blood pressure
4
Dilation of superficial blood vessels - 1
Relief of an...
NUR1211: Evolve: Cardiovascular, Blood, and Lymphatic System Exam Questions with correct Answers. Scored 100% A nurse has administered sublingual nitroglycerine. Which parameter should the nurse use to determine the effectiveness of sublingual nitroglycerin? 1 Relief of anginal pain 2 Improved cardiac output 3 Decreased blood pressure 4 Dilation of superficial blood vessels - ✓✓1 Relief of anginal pain What should a nurse do to decrease or control the sensory and cognitive disturbances that can occur after a client has open -heart surgery? 1 Restrict family visits 2 Withhold analgesic medications 3 Plan for maximum periods of rest 4 Keep the room light on most of the time - ✓✓3 Plan for maximum periods of rest A nurse is taking the blood pressure of a client with hypertension. The first sound is heard at 140 mm Hg, the second sound is a swishing sound heard at 130 mm Hg, a tapping sound is heard at 100 mm Hg, a muffled sound is heard at 90 mm Hg, and the sound d isappears at 72 mm Hg. When recording just the systolic and diastolic readings, what is the diastolic pressure? 1 72 mm Hg 2 90 mm Hg 3 100 mm Hg 4 130 mm Hg - ✓✓1 72 mm Hg A client is diagnosed with heart failure and is admitted for medical management. Which statement made by the client may indicate worsening heart failure? 1 "I am unable to run a mile now." 2 "I wake up at night short of breath." 3 "My shoes seem larger lately." 4 "My wife says I snore very loudly." - ✓✓2 "I wake up at night short of breath." Increased shortness of breath is often an indicator of fluid overload in the heart failure client A client hospitalized for heart failure is receiving digoxin (Lanoxin) and will continue taking the drug after discharge. What should be included in the plan of care for the next few days? 1 Monitoring vital signs and encouraging a vigorous aerobic exercise program. 2 Taking the apical pulse before drug administration and teaching the client how to count the pulse. 3 Contacting Social Services for a home health nursing consultation. 4 Providing written material on the adverse effects of the medication. - ✓✓2 Taking the apical pulse before drug administration and teaching the client how to count the pulse. What should the nurse expect the health care provider to prescribe if a client exhibits clinical indicators of warfarin (Coumadin) overdose? 1 Heparin 2 Vitamin K 3 Iron dextran (Imferon) 4 Protamine sulfate - ✓✓2 Vitamin K A male client with aortic stenosis is scheduled for a valve replacement in two days. He tells the nurse, "I told my wife all she needs to know if I don't make it." What response is most therapeutic? 1 "Men your age do very well." 2 "You are worried about dying." 3 "I know you are concerned, but your surgeon is excellent." 4 "I'll get you a sleeping pill tonight because I know you will need it." - ✓✓2 "You are worried about dying." A client who is suspected of having had a silent myocardial infarction has an electrocardiogram (ECG) prescribed by the health care provider. While the nurse prepares the client for this procedure, the client asks, "Why was this test prescribed?" The best reply by the nurse is, "This test will: 1 Detect your heart sounds." 2 Reflect any heart damage." 3 Help us change your heart's rhythm." 4 Tell us how much stress your heart can tolerate." - ✓✓2 Reflect any heart damage." When assessing a client with heart failure, the nurse asks when the client most notices an increase in symptoms. Which activity should the nurse expect will cause the client the greatest distress? 1 Getting up from bed in the morning 2 Walking to visit the next -door neighbor 3 Climbing a flight of stairs to the bedroom 4 Leaving the table immediately after a meal - ✓✓3 Climbing a flight of stairs to the bedroom
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