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Perfusion Review Questions and Answers 100% Solved
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Perfusion Review Questions
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Perfusion Review QuestionsA client with cardiovascular disease has a new onset of lethargy. Assessment data
includes a blood pH of 7.31 and a respiratory rate of 8 breaths per minute. What should
the nurse do to help this client? - answer Measure urine output and review medications
for analgesics provided
Low pH indicates an acid-base imbalance and low residue a rate indicates that the
client is retaining carbon dioxide.
The nurse observes unlicensed assistive personnel measuring a clients blood pressure
and is concerned that the reading is erroneously high. Which factors could have
resulted in an erroneously high reading? - answer Blood-pressure cuff was wrapped to
loosely, blood pressure was assessed while client was eating, and clients arm was
unsupported.
Using a blood pressure cuff that is too wide and having the clients arm above the level
of the heart will cause blood pressure reading to be low.
The client is experiencing chest pain. What aggravating factors for this client should the
nurse assess? - answerDoes the chest pain change with activity? And does the chest
pain change with breathing?
Aggravating factors for chest pain focus on activity, breathing, and temperature.
While waiting for morning report, the nurse is called to help in the room of the client with
an alteration in perfusion. Which actions can the nurse perform independently? -
answerMeasure peripheral blood pressure, explain why the client is on a no added salt
diet, measure urine output, and assess radial pulse.
Independent nursing actions are those that can be provided without the need for
healthcare provider prescription or order.
The nurse is preparing teaching material for a client newly diagnosed with coronary
artery disease. What should the nurse include when explaining the disease process to
the client? - answerHeart rate controls the flow of blood through these vessels. The
coronary vessels supply oxygen and nutrients to the heart muscle. and aortic pressure
controls the flow of blood through these vessels.
A client is newly admitted with chest tubes. Which type of intervention is the priority
when providing nursing care to this client? - answerOutputs
, The results of diagnostic tests indicate that a client with coronary artery disease has
cardiomyopathy. Which clinical manifestations should the nurse expect to assess in this
client? - answerThe tea, lower extremity edema, and shortness of breath when walking.
While conducting a physical assessment, the nurse here's an additional heart sound
immediately after the second sound. How should the nurse document this assessment
finding? - answerVentricular Gallop
A third heart sound after the second is called a ventricular gallon. A friction rub can be
heard at any time. The fourth heart sound is heard immediately before the first sound
and is called an atrial Gallup. More information is needed to determine if the extra
sound is a diastolic murmur
Which heart murmurs are intensified with inspiration? - answerTricuspid stenosis,
pulmonary stenosis, pulmonic regurgitation and tricuspid regurgitation
Aortic regurgitation is intensified with expiration
Why are pregnant woman prone to getting supine hypertension? - answerEnlarging
uterus pressing on vena cava
Which health problems can develop from coronary artery disease? - answerMyocardial
infarction, angina, coronary artery spasms
Hypertension and hyperlipidemia can contribute to development of CAD
Which are non modifiable risk factors for the development of cardiac disorders? -
answerAge, race, and gender
How is the concept of perfusion related to the concept of cognition? - answerHypoxemia
can affect the mental state
What can be done to ensure comfort durning the physical assessment of the
cardiovascular system? - answerEnsure adequate draping, warm the stethoscope,
assist with position changes
Normal systolic BP for a 3 yo? - answer80+(3•3)= 80+6= 86
Which are skills used to provide care to a client with an alteration in perfusion? -
answerInterpret electrocardiogram tracing, measure peripheral blood pressure, assess
peripheral pulses, and apply elastic compression stockings
Which drug classifications are considered antihypertensives? - answerDiuretics,
angiotensin II receptor blockers, angiotensin-converting enzyme inhibitors
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