100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
NRSG 3420: EXAM 2 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++ 2024/2025 $10.99   Add to cart
Quickly navigate to
Preview
  2.  
  3. NRSG 3420
  4.  
  5. NRSG 3420

Exam (elaborations)

NRSG 3420: EXAM 2 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++ 2024/2025
 4 views  0 purchase
  • Course
  • NRSG 3420
  • Institution
  • NRSG 3420

NRSG 3420: EXAM 2 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++ 2024/2025 A client with angina has been prescribed nitroglycerin. Before administering the drug, the nurse should inform the client about what potential adverse effects? A) Nervousness or paresthesia B)Throbb...

[Show more]

Preview 4 out of 70  pages

Document information

  • October 12, 2024
  • 70
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nrsg 3420 exam 2 questions and answers with compl

Written for

  • NRSG 3420
All documents for this subject (21)

Seller

avatar-seller
NurseAdvocate

Reviews received

Content preview

NRSG 3420: EXAM 2 QUESTIONS AND ANSWERS WITH

COMPLETE SOLUTIONS VERIFIED GRADED A++ 2024/2025


A client with angina has been prescribed nitroglycerin. Before administering the

drug, the nurse should inform the client about what potential adverse effects?



A) Nervousness or paresthesia

B)Throbbing headache or dizziness

C) Drowsiness or blurred vision

D) Tinnitus or diplopia

Correct response:

Throbbing headache or dizziness




Explanation:

Headache and dizziness commonly occur when nitroglycerin is taken at the beginning

of therapy. Nervousness, paresthesia, drowsiness, blurred vision, tinnitus, and diplopia

do not typically occur as a result of nitroglycerin therapy.



Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-

Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 27:

Management of Patients with Coronary Vascular Disorders, Chart 27-3, p. 759.

,Chapter 27: Management of Patients with Coronary Vascular Disorders - Page 759

The physical therapist notifies the nurse that a client with coronary artery disease

(CAD) experiences a much greater-than-average increase in heart rate during

physical therapy. The nurse recognizes that an increase in heart rate in a client

with CAD may result in what?



A) Development of an atrial-septal defect

B) Myocardial ischemia

C) Formation of a pulmonary embolism

D) Release of potassium ions from cardiac cells

Correct response:

Myocardial ischemia



Explanation:

Unlike other arteries, the coronary arteries are perfused during diastole. An increase in

heart rate shortens diastole and can decrease myocardial perfusion. Clients, particularly

those with CAD, can develop myocardial ischemia. An increase in heart rate will not

usually result in a pulmonary embolism or create electrolyte imbalances. Atrial-septal

defects are congenital.




Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-

,Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 25:

Assessment of Cardiovascular Function, Coronary Arteries, p. 675.



Chapter 25: Assessment of Cardiovascular Function - Page 675

The nurse is providing care for a client with high cholesterol and triglyceride

values. In teaching the client about therapeutic lifestyle changes such as diet and

exercise, the nurse realizes that the desired goal for cholesterol levels is which of

the following?



A) High HDL values and high triglyceride values

B) Absence of detectable total cholesterol levels

C) Elevated blood lipids, fasting glucose less than 100

D) Low LDL values and high HDL values

Correct response:

Low LDL values and high HDL values




Explanation:

The desired goal for cholesterol readings is for a client to have low LDL and high HDL

values. LDL exerts a harmful effect on the coronary vasculature because the small LDL

particles can be easily transported into the vessel lining. In contrast, HDL promotes the

use of total cholesterol by transporting LDL to the liver, where it is excreted. Elevated

triglycerides are also a major risk factor for cardiovascular disease. A goal is also to

, keep triglyceride levels less than 150 mg/dL. All individuals possess detectable levels of

total cholesterol.



Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-

Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 27:

Management of Patients with Coronary Vascular Disorders, Controlling Cholesterol

Abnormalities, p. 753.



Chapter 27: Management of Patients with Coronary Vascular Disorders - Page 753

The health care provider has placed a central venous pressure (CVP) monitoring

line in an acutely ill client so right ventricular function and venous blood return

can be closely monitored. The results show decreased CVP. What does this

indicate?



A) Possible hypovolemia

B) Possible myocardial infarction (MI)

C) Left-sided heart failure

D) Aortic valve regurgitation

Correct response:

Possible hypovolemia




Explanation:

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller NurseAdvocate. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $10.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

82871 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$10.99
  • (0)
  Add to cart