MEDICAL-SURGICAL CARDIOVASCULAR AND HEMATOLOGY QUIZ (GRADED A) Questions and Answers | TOP SCORE
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Medical surgical
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Mcdowell Technical Community College
MEDICAL-SURGICAL CARDIOVASCULAR AND HEMATOLOGY QUIZ A nurse is caring for a client with aplastic anemia. The nurse expects the client to have which of the following symptoms? A. Headaches, paresthes ias, and dizziness B. Macrocytosis, low levels of vitamin B12, and shortness of breath C. Vascular o...
a nurse is caring for a client with aplastic anemia the nurse expects the client to have which of the following symptoms
a nurse is caring for a client experiencing an acute angina attack the nur
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MEDICAL-SURGICAL
CARDIOVASCULAR AND HEMATOLOGY QUIZ
A nurse is caring for a client with aplastic anemia. The nurse expects the client to have which of
the following symptoms?
A. Headaches, paresthesias, and dizziness
B. Macrocytosis, low levels of vitamin B12, and shortness of breath
C. Vascular occlusions, fatigue and joint pain
D. Pancytopenia, fatigue, and joint pain
D. Pancytopenia, fatigue, and joint pain
Dyspnea on exertion may also be present. in aplastic anemia, all three major blood components
(RBCs, WBCs, platelets) are reduced. Manifestations usually develop gradually
A nurse is caring for a client diagnosed with complete heart block who has a demand pacemaker
inserted. the pacer is set for 72 bpm. Which EKG pattern indicates to the nurse a failure to
capture?
A. QRS complexes occurring at a rate of 73 bpm, and no sharp spikes
B. Sharp spikes at 72 bpm; QRS complexes at 50bpm
C. P waves at a rate of 78 bpm; QRS complexes at 72 bpm
D. QRS complexes at a rate of 100 bpm
B. Sharp spikes at 72 bpm; QRS complexes at 50bpm
The pacemaker is firing at the set rate, but the heart rate is only beating 50 times in a minute.
This may be due to poor positioning of the pacer electrode and is referred to as lack of capture
A nurse is caring for a postop client who requires 1 unit of blood because of a hemorrhage that
occurred during surgery. Within 30 minutes of hanging the unit of blood, the client develops
itching and hives. Which of the following actions should the nurse take first?
A. Obtain a urine specimen
B. Stop the infusion of blood
C. Notify the laboratory
D. Notify the provider
B. Stop the infusion of blood
These are manifestations of an allergic reaction to the transfusion, and this is the proper first
response to symptoms of any type of blood reaction. If a client shows manifestations of an
allergic response (to blood or medication), the exposure must be stopped immediately.
A nurse is caring for a client experiencing an acute angina attack. The nurse should monitor the
client for which of the following?
A. Bradycardia
B. Transient diastolic murmur
C. Pulsus paradoxus
D. Transient abnormal PMI (point of maximal impulse)
D. Transient abnormal PMI (point of maximal impulse)
Because of the change in compliance of the left ventricle, the PMI may be abnormal during the
acute attack
This study source was downloaded by 100000845689434 from CourseHero.com on 05 -03-2022 07:48:26 GMT -05:00
, A nurse is caring for a client 5 days following an MI. The client has sudden onset of shortness of
breath. The nurse notes that the client appear air hungry and is coughing frothy, pink sputum.
When auscultating the client's breath sounds, the nurse expects to hear which of the following
bilateral sounds?
A. Crackles
B. Wheezes
C. Rhonchi
D. Friction rub
A. Crackles
A client who had a recent MI is at risk for CHF. Crackles are breath sounds caused by the
movement of air through airways partially or intermittently occluded with fluid and are
associated with CHF and frothy sputum.
A nurse is instructing a client after an MI about lifestyle changes. A client returns for a follow up
visit to the cardiac clinic after hospitalization for an acute MI. Which statement made by the
client indicates that additional teaching is needed?
A. "I should no longer eat foods high in saturated fat"
B. "Before taking my medication, I will count my radial pulse rate"
C. "I will exercise once a week for an hour at the health club"
D. "After eating, I will rest before resuming my daily routine"
C. "I will exercise once a week for an hour at the health club"
Exercise is most effective if done at least three times a week for a minimum of 20 minutes
A nurse is caring for a client whose AAA is extending. The manifestations that the nurse should
expect to observe include which of the following?
A. Sternal chest pain
B. Decreased heart rate and palpitations
C. Elevated blood pressure
D. Back and abdominal pain
D. Back and abdominal pain
AAA involves a widening, stretching or ballooning of the aorta. Back and abdominal pain
indicate that the aneurysm is extending downward and pressing on lumbar spinal nerve roots
causing pain
A nurse is caring for a client with hemophilia who has an active bleed in a joint. The appropriate
nursing intervention when providing care to this client is which of the following?
A. Obtain blood samples for platelet functioning
B. Prepare for replacement of the missing factor
C. Provide passive range of motion
D. Place the bleeding joint in the dependent position
B. Prepare for replacement of the missing factor
Hemophilia is a hereditary bleeding disorder in which it takes a long time for the blood to clot
and abnormal bleeding occurs. It is caused by a deficiency in a clotting factor.
A nurse is caring for an adult client with sickle cell disease who has a history of having received
many transfusions. The nurse realizes that because of this history, the client is at risk for which of
This study source was downloaded by 100000845689434 from CourseHero.com on 05 -03-2022 07:48:26 GMT -05:00
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