Exam (elaborations)
module 16 perfusion questions and answers
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Exam of 7 pages for the course Perfusion at Perfusion (module 16 perfusion)
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module 16 perfusion1) What will the nurse most likely assess in a client with right heart failure?
A) Leg cramps
B) Indigestion
C) Reduced circulation to the pulmonary structures
D) Reduced urine output - answer Answer: C
2) The nurse is concerned that a client with an alteration in perfusion is at risk for
inadequate oxygenation. What should the nurse consider when planning for this client's
potential health problem?
A) Cluster activities.
B) Instruct on deep breathing.
C) Medications appropriate to increase heart rate
D) Positioning to increase blood return - answer Answer: B
3) An older client is diagnosed with cardiomyopathy and a cardiac dysrhythmia. What
would the nurse expect to be indicated for this client?
A) Beta blocker
B) Digoxin
C) Nitrate medications
D) Fluids - answerAnswer: A
4) A client is admitted with complaints of lower extremity edema and occasional
shortness of breath. Which electrocardiogram finding supports that the client is at risk
for an alteration in perfusion?
A) P wave smooth and round
B) Absent U wave
C) PR interval 0.30 seconds
D) ST segment isoelectric - answerAnswer: C
5) The nurse is instructing a client on lifestyle changes to prevent the onset of heart
disease. What should be included in this teaching?
Select all that apply.
A) Limit exercise to 15 minutes a day.
B) Reduce saturated fats in the diet.
C) Avoid cigarette smoking.
D) Wear elastic hose.
E) Limit fluid intake. - answerAnswer: B, C
6) An elderly female client complains of fatigue, nausea, intermittent chest discomfort,
and not sleeping well. What should the nurse suspect this client is experiencing?
, A) Pancreatic disease
B) Cardiac disease
C) Normal changes of aging
D) Signs of anemia - answerAnswer: B
7) A client is prescribed metoprolol for a heart disorder. What should the nurse teach
the client about this medication?
A) Expect a rapid heart rate.
B) Change positions slowly.
C) Reduce protein intake.
D) Increase fluids. - answerAnswer: B
8) The nurse instructor is teaching a group of student nurses regarding the various
layers of the heart. Which statements will the nurse include?
Select all that apply.
A) "The endocardium covers the entire heart and great vessels."
B) "The endocardium is the muscular layer of the heart that contracts during each
heartbeat."
C) "The outermost layer of the heart is the epicardium."
D) "The myocardium consists of myofibril cells."
E) "The myocardium has four layers." - answerAnswer: C, D
9) A client's stroke volume (SV) is 85mL/beat and the heart rate (HR) is 71 beats per
minute. What is the client's cardiac output (CO) rounded to the nearest whole number? -
answerAnswer: 6 Liters (L)
10) A nurse is performing an assessment on a client diagnosed with aortic stenosis. The
nurse will hear the client's murmur best at:
A) Right sternal border, second intercostal space.
B) Left sternal border, second intercostal space.
C) Right sternal border, third intercostal space.
D) Left sternal border, third to fifth intercostal space. - answerAnswer: A
11) The nurse is caring for a client with hypertension. The nurse understands that the
client's blood pressure is determined by all the following factors except:
A) Pumping action of the heart.
B) Peripheral vascular resistance.
C) Heart rate.
D) Blood volume. - answerAnswer: C
1) An older client is diagnosed with dilated cardiomyopathy. What will the nurse most
likely assess in this client?
Select all that apply.
A) Fatigue
B) Lower extremity edema
C) Syncope
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