Nur 233 Exam 3 Tophat Practice Questions and Correct Answers
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Course
NUR 233
Institution
NUR 233
A patient who has undergone femoral to popliteal bypass graft surgery returns to your unit. Which assessments should be performed during the initial postoperative period? Assess pulse of affected extremity every 15 minutes.
The client with arterial occlusive disease has been taking 325 mg of aspir...
Nur 233 Exam 3 Tophat Practice
Questions and Correct Answers
A patient who has undergone femoral to popliteal bypass graft surgery returns to your
unit. Which assessments should be performed during the initial postoperative period?
✅Assess pulse of affected extremity every 15 minutes.
The client with arterial occlusive disease has been taking 325 mg of aspirin daily for one
month. The client tells the nurse, "I have been having a lot of stomach pain." Which
priority intervention should the nurse implement? ✅Encourage the client to take the
medication with food.
The nurse is preparing to administer a calcium channel blocker, a loop diuretic, and a
beta-blocker to a client diagnosed with hypertension. Which intervention should the
nurse implement first? ✅Check the client's blood pressure.
A patient with primary hypertension complains of dizziness with ambulation. The patient
is currently on Lopressor (metoprolol). The nurse assesses orthostatic hypotension.
When teaching this patient about risks associated with postural hypotension, what
should the emphasis be placed on? ✅Rising slowly from a lying or sitting position
An exercise program is prescribed for the client with hypertension. Which intervention
would be most likely to assist the client in maintaining an exercise program?
✅Tailoring a program to the client's needs and abilities.
Which order from the health care provider will the nurse implement first for a patient
who has vomited 1200 mL of blood?
A. Give an IV H2 receptor antagonist
B. Draw blood for typing and crossmatching
C. Administer 1000 mL of lactated Ringer's solution.
D. Insert a nasogastric (NG) tube and connect to suction. ✅C: Administer 1000mL of
lactated Ringer's solution
A patient who has been NPO during treatment for nausea and vomiting caused by
gastric irritation is to start oral intake. Which of these should the nurse offer to the
patient?
A. A glass of orange juice
B. A dish of green jello
C. A cup of coffee with cream
D. A bowl of chicken soup ✅B: A dish of green jello
, The nurse working in the heart failure clinic will know that teaching for a 74-year-old
patient with newly diagnosed heart failure has been effective when the patient
A. weighs himself twice a week.
B. tells the home care nurse that Hydrodiuril (hydrochlorothiazide) is taken daily at
bedtime
C. calls the clinic when the weight increases from 124 to 130 pounds in a week.
D. says that the Nitro-Bid (nitroglycerine ointment) will be used for any chest pain that
develops. ✅C: Calls clinic when weight increases from 124 to 130 pounds in a week
When educating the client with hypertension, the nurse instructs the client to do which
of the following?
A. Have regular eye exams.
B. Take antihypertensive medications when blood pressure is elevated
C. Monitor blood pressure annually.
D. Avoid foods high in concentrated sugar ✅A- have regular eye exams
Which information is most important for the nurse to include when teaching a patient
with newly diagnosed hypertension?
A. Most people are able to control BP through dietary changes
B. Annual BP checks are needed to monitor treatment effectiveness.
C. Increasing physical activity alone controls blood pressure for most people
D. Hypertension is usually asymptomatic until target organ damage occurs. ✅D -
hypertension is usually asymptomatic until target organ damage occurs
A patient with primary hypertension complains of dizziness with ambulation. The patient
is currently on Lopressor (metoprolol). The nurse assesses orthostatic hypotension.
When teaching this patient about risks associated with postural hypotension, what
should the emphasis be placed on?
A. Rising slowly from a lying or sitting position
B. Increasing fluids to maintain blood volume
C. Stopping medication if dizziness persists
D. Taking medication at night to decrease its effect on ambulation ✅A - Rising slowly
from a lying or sitting position
One of the most important assessments a nurse needs to make before administering
metoprolol (Lopressor) for hypertension is to check the
A. potassium level
B. mental status.
C. heart rate.
D. urine output. ✅C - heart rate
A nurse is caring for a client who had a bowel resection and formation of a colostomy
for colon cancer. The client is 24 hours post-surgery. During an assessment of the
client, the nurse notes no stool in the colostomy bag. A review of the client's medical
record indicates that, since surgery, there has not been stool in the bag. Considering
this information, the nurse should
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