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NUR 257 ( LATEST 2024 / 2025 ) EXAM 6 | COMPLETE ANSWERS 100% CORRECT $16.99   Add to cart

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NUR 257 ( LATEST 2024 / 2025 ) EXAM 6 | COMPLETE ANSWERS 100% CORRECT

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NUR 257 ( LATEST 2024 / 2025 ) EXAM 6 | COMPLETE ANSWERS 100% CORRECT

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  • October 21, 2024
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  • 2024/2025
  • Exam (elaborations)
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  • NUR 257 Exa
  • NUR 257 Exa
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NUR 257 Exam 6
1. A client with a confirmed DVT is being discharged from the ED. Which client statement
indicates that the client has received proper nursing instruction and understands how to manage
this condition?
"I should try not to drink too much during the daytime."
"I should lie on my side with my knees bent when sleeping."
"I need to ice my leg every 2 hoursfor about 20 minutes."
"I need to do my leg exercises five times or more every hour."

Answer

"I need to do my leg exercises five times or more every hour."



2. A nurse is caring for a client who had an aortic balloon valvuloplasty. The nurse should
inspect the surgical insertion site closely for which complication(s)?
Bleeding and infection
Bleeding and wound dehiscence
Thrombosis and infection
Evisceration

Answer

Bleeding and infection



3. A client who recently had a myocardial infarction develops pericarditis and complains of
chest pain rated 6 (on a scale of 0-10) with deep breathing. Which ordered pro re nata
medications is most appropriate for the nurse to administer?
Morphine sulfate 6 mg IVP every 2-4 hours
Fentanyl 2 mg intravenous pyelogram (IVP) every 2-4 hours
Acetaminophen 650 mg PO every4 hours
Ibuprofen 800 mg PO every 8 hours

Answer

Ibuprofen 800 mg PO every 8 hours
4. The nurse instructs a client recovering from mechanical valve replacement surgery. Which
client statement indicates that teaching has been effective?
"I can play soccer in a week or two."
"I will not drive until informed by my health care provider."

,"I have a low risk of developing aninfection in my heart."
"I will not need to take anticoagulant medication every day."

Answer

"I will not drive until informed by my health care provider."



5. A nurse is caring for a client receiving warfarin therapy following a mechanical valve
replacement. The client had a prothrombin time and International Normalized Ratio (INR)
drawn before breakfast. The laboratory report shows the client's INR reading was 4. What is the
nurse's first priority ?
Assess the client for bleeding and notify the health care provider of the results.
Notify the next nurseon afternoon shift to hold the evening dose of warfarin.
Notify the health care provider to request an increase in the warfarin dose.
Be prepared to administer an I.M. vitamin K injection and notify the healthcare
provider of the results.

Answer

Assess the client for bleeding and notify the health care provider of the results.



6. The nurse suspects a client has developed pericarditis after a week of cold-like symptoms.
Which of the client's signs and symptoms indicate peri- carditis?
low urine output secondary to left ventricular dysfunction
fever, chest discomfort, and elevated erythrocyte sedimentation rate (ESR)
pitting edema, chestdiscomfort, and nonspecific
ST-segment elevation lethargy, anorexia, and heart failure

Answer

fever, chest discomfort, and elevated erythrocyte sedimentation rate (ESR)
7. A client is admitted to the hospital with aortic stenosis. What assessment findings would
indicate the development of left ventricular failure?
Orthopnea, nausea, pedal edema
Distended jugular veins, pedal edema, nausea
Dyspnea, orthopnea, pulmonary edema
Dyspnea, distended jugular veins, orthopnea

Answer

Dyspnea, orthopnea, pulmonary edema

,8. Which would the nurse stress as a periodic lifelong necessity for a client managing infective
endocarditis?
Exercise regimen
Antihypertensive medication
Potassium replacement
Antibiotic therapy

Answer

Antibiotic therapy



9. The nurse is caring for a client who has been diagnosed with aortic stenosis. The client is
prescribed digoxin. What is the rationale for the medication?
left ventricular dysfunction
angina
dyspnea
edema

Answer

left ventricular dysfunction



10. A client is admitted to the hospital with possible acute pericarditis and pericardial effusion.
The nurse knows to prepare the client for which diagnostic test to confirm the client's diagnosis?
Computed tomography

Echocardiography Chest x-ray

Cardiac catheterization


Answer

Echocardiography

, 11. A client comes to the clinic reporting fever, chills, and sore throat and is diagnosed with
streptococcal pharyngitis. A nurse knows that early diagnosis and effective treatment is essential
to avoid which preventable disease?

Rheumatic fever
Cardiomyopathy
Pericarditis
Mitral stenosis

Answer

Rheumatic fever



12. The nurse is educating a client about the care related to a new diagnosis of mitral valve
prolapse. What statement made by the client demonstrates understanding of the teaching?
"I will take antibiotics before getting my teeth cleaned."
"I can get my tongue pierced at a store in the shopping mall."
"I will avoid caffeine, alcohol, andsmoking."
"I can get a tattoo at a local parlor."

Answer

"I will avoid caffeine, alcohol, and smoking."



13. A nurse is caring for a client with aortic stenosis whose compensatory mechanisms of the
heart have begun to fail. The nurse will monitor the client carefully for which initial
symptoms?
Dizziness, nausea, diarrhea
Exertional dyspnea, orthopnea, pulmonary edema
Syncope, fever, vomiting
Nausea, vomiting, exertional fatigue

Answer

Exertional dyspnea, orthopnea, pulmonary edema
14. The nurse is assessing a client admitted with infective endocarditis. Which
manifestationwould the nurse expect to find?
Bruising on the palms of the hands and soles of the feet
Raised red rash on the trunk and face
Involuntary muscle movements of the extremities

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