Exam (elaborations)
Perfusion EAQ Questions and Answers Latest Updated 2024
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Exam of 12 pages for the course Perfusion at Perfusion (Perfusion EAQ)
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Perfusion EAQA nurse is preparing to teach a client to apply a nitroglycerin patch as prophylaxis for
angina. Which instruction should the nurse include in the teaching plan?
1
Apply the patch on a distal extremity.
2
Remove a previous patch before applying the next one.
3
Massage the area gently after applying the patch to the skin.
4
Apply a warm compress to the site before attaching the patch. - answer Remove a
previous patch before applying the next one
Removing the previous patch before applying the next patch ensures that the client
receives just the prescribed dose. Ideally, a patch should be removed after 12 to 14
hours to avoid the development of tolerance. The patch should be rotated among hair-
free and scar-free sites; acceptable sites include chest, upper abdomen, proximal
anterior thigh, or upper arm. The patch should be gently pressed against the skin to
ensure adherence; it should not be massaged. Applying a warm compress to the site
before attaching the patch is unnecessary and can result in an excessive absorption of
the medication.
Which cardiovascular adverse effect is associated with the use of clomiphene?
1
Ischemia
2
Chest pain
3
Tachycardia
4
Hypertension - answerTachycardia
Clomiphene is used to induce ovulation. Tachycardia is reported with the use of
clomiphene. Ischemia and hypertension are not associated with clomiphene. Chest pain
may occur with the use of clomiphene as a rare adverse effect.
A client has a pulse deficit. Which documentation by the nurse supports this finding?
1
Blood pressure of 130/70 mm Hg indicating pulse deficit of 60.
2
Capillary refill greater than 3 seconds indicating pulse deficit.
, 3
Apical pulse 86 and radial pulse 78 indicating pulse deficit of 8.
4
Radial pulse 80 and pedal pulse 70 indicating pulse deficit of 10. - answerApical pulse
86 and radial pulse 78 indicating pulse deficit of 8.
The apical rate is more rapid than the radial rate when a pulse deficit exists. An apical
pulse of 86 with a radial pulse of 78 is a pulse deficit of 8. A blood pressure of 130/70
mm Hg is a pulse pressure of 60. Capillary refill greater than 3 seconds indicates
circulation is sluggish. Radial pulse of 80 and a pedal pulse of 70 do not indicate a pulse
deficit; a pulse deficit is the difference between the apical and peripheral pulses.
Knee-length elastic support stockings are prescribed for a client with varicose veins.
What should the nurse teach the client about the elastic stockings?
1
The stockings should reach the middle of the knee.
2
The stockings should be applied before getting out of bed.
3
The stockings should be applied at the first sign of discomfort.
4
The stockings may be substituted with loose elastic bandages. - answerThe stockings
should be applied before getting out of bed.
To prevent distention of the veins, the stockings should be applied before the legs are
placed in a dependent position. Knee-high stockings should end 2 inches (5 cm) below
the knee to avoid popliteal pressure, which limits venous return. The stockings should
be used preventatively before the discomfort associated with venous pressure and
edema occurs. The stockings apply uniform pressure; loose elastic bandages may slip,
creating uneven, ineffective pressure. Edema also may result.
What is the average diastolic pressure recorded in a 16 year old? Record your answer
using a whole number. ________________ mm Hg - answer75
nurse is taking the blood pressure of a client with hypertension. The first sound is heard
at 140 mm Hg; the second sound is a swishing sound heard at 130 mm Hg; a tapping
sound is heard at 100 mm Hg; a muffled sound is heard at 90 mm Hg; the sound
disappears at 72 mm Hg. When recording just the systolic and diastolic readings, what
is the diastolic pressure?
1
72 mm Hg
2
90 mm Hg
3
100 mm Hg
4
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