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NUR 376 Exam #2 Questions With Complete Solutions
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NUR 376 Exam #2 Questions With Complete Solutions
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NUR 376 Exam #2 QuestionsWith Complete Solutions
A 1-minute electrocardiogram (ECG) tracing of a client with a
regular heart rate reveals 25 small, square boxes within an RR
interval. The nurse correctly identifies the client heart rate as:
Correct Answers 60 bpm
***A client's HR can be obtained from the electrocardiogram
(ECG) tracing by several methods. A 1-minute strip contains
300 large boxes and 1500 small boxes. Therefore, an easy and
accurate method of determining heart rate with a regular rhythm
is to count the number of small boxes within an RR interval and
divide by 1,500. In this instance, 1,500/25 = 60.
A 28-year-old client presents to the emergency department,
stating severe restlessness and anxiety. Upon assessment, the
client's heart rate is 118 bpm and regular, the client's pupils are
dilated, and the client appears excitable. Which action should
the nurse take next? Correct Answers Question the client about
alcohol and illicit drug use.
A 35-year-old client has been diagnosed with hypertension. The
client is a stock broker, smokes daily, and has diabetes. During a
follow-up appointment, the client states that regular visits to the
doctor just to check blood pressure (BP) are cumbersome and
time consuming. As the nurse, which aspect of client teaching
would you recommend? Correct Answers Purchasing a self-
monitoring BP cuff
,A 66-year-old client presents to the emergency department
reporting severe headache and mild nausea for the past 6 hours.
Upon assessment, the client's BP is 210/120 mm Hg. The client
has a history of hypertension and takes 1.0 mg clonidine twice
daily. Which question is most important for the nurse to ask the
client next? Correct Answers "Have you taken your prescribed
clonidine today?"
A client admitted to the medical-surgical unit with a venous
thromboembolism (VTE) is started on enoxaparin and warfarin.
The client asks the nurse why two medications are needed.
Which response by the nurse is accurate? Correct Answers
"The Enoxaparin will work immediately, but the warfarin takes
several day to achieve its full affect."
A client has an irregular heart rate of around 100 beats/minute
and a significant pulse deficit. What component of the client's
history would produce such symptoms? Correct Answers atrial
fibrillation
A client has just received a diagnosis of hypertension after the
completion of diagnostics. What can the client do to decrease
the consequences of hypertension? Select all that apply. Correct
Answers Lose weight, Manage stress effectively.
A client has severe coronary artery disease (CAD) and
hypertension. Which medication order should the nurse consult
with the health care provider about that is contraindicated for a
client with severe CAD? Correct Answers clonidine
,A client in a clinic setting has just been diagnosed with
hypertension. When the client asks what the end goal is for
treatment, what is the nurse's best response? Correct Answers
To prevent complications/death by achieving and maintaining a
blood pressure of 140/90 or less
A client in the emergency department states, "I have always
taken a morning walk, but lately my leg cramps and hurts after
just a few minutes of walking. The pain goes away after I stop
walking, though." Based on this statement, which priority
assessment should the nurse complete? Correct Answers
Attempt to palpate the dorsal is pedis and posterior tibial pulses
A client informs the nurse, "I can't adhere to the dietary sodium
decrease that is required for the treatment of my hypertension."
What can the nurse educate the client about regarding this
statement? Correct Answers It takes 2 to 3 months for the taste
buds to adapt to changes in salt intake.
A client is being seen at the clinic for a routine physical when
the nurse notes the client's BP is 150/97. The client is considered
to be healthy, well-nourished young adult. What type of
hypertension does this client have? Correct Answers Essential
(primary)
A client is being seen at the clinic on a monthly basis for
assessment of blood pressure. The client has been checking
blood pressure at home as well and has reported a systolic
pressure of 158 and a diastolic pressure of 64. What does the
nurse suspect this client is experiencing? Correct Answers
Isolated systolic hypertension
, A client is diagnosed with a dysrhythmia at a slower rate than
60bpm. What type of dysrhythmia does the client have?
A. atrial bradycardia
B. heart block
C. none
D. sinus bradycardia Correct Answers D. sinus bradycardia
A client is diagnosed with peripheral arterial disease. Review of
the client's chart shows an ankle-brachial index (ABI) on the
right of 0.45. This indicates that the right foot has which of the
following? Correct Answers moderate to severe arterial
insufficiency
A client is hospitalized for repair of an abdominal aortic
aneurysm. The nurse must be alert for signs and symptoms of
aneurysm rupture and thus looks for which of the following?
Correct Answers Constant, intense back pain and falling blood
pressure
A client is receiving enoxaparin and warfarin therapy for a
venous thromboembolism (VTE). Which laboratory value
indicates that anticoagulation is adequate and enoxaparin can be
discontinued? Correct Answers International normalized ratio
(INR) is 2.5.
A client is taking 50 mg of oral spironolactone twice a day to
assist with blood pressure control. While the nurse is performing
the morning assessment, the client reports nausea, general
muscle cramps, and weakness. The ECG strip shows a peaked,
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