Exam 1 NURS107 Questions With Complete Solutions
A client arrives at the ED with an exacerbation of left-sided
heart failure and reports shortness of breath. Which is the
priority nursing intervention?
A. Administer angiotensin-converting enzyme inhibitors
B. Administer angiotensin II receptor blockers
C. Assess oxygen saturation
D. Administer diuretics Correct Answers C (29)
A client diagnosed with pulmonary edema has a PaCO2 of 72
mm Hg and an oxygen saturation of 84%. What method of
oxygen delivery would best meet the needs of this client?
A. Oxygen cannula at 6 L/minute
B. Face mask with nonrebreather
C. Intubation and mechanical ventilation
D. Venturi mask at 35% Correct Answers C (29)
A client has a myocardial infarction in the left ventricle and
develops crackles bilaterally; 3-pillow orthopnea; an S3 heart
sound; and a cough with pink, frothy sputum. The nurse obtains
a pulse oximetry reading of 88%. What do these signs and
symptoms indicate for this client?
A. The development of cor pulmonale
B. The development of chronic obstructive pulmonary disease
(COPD)
C. The development of left-sided heart failure
D. The development of right-sided heart failure Correct Answers
C (29)
, A client has been prescribed furosemide 80 mg twice daily. The
asymptomatic client begins to have rare premature ventricular
contractions followed by runs of bigeminy with stable signs.
What action will the nurse perform next?
A. Notify the health care provider.
B. Check the client's potassium level.
C. Administer potassium.
D. Calculate the client's intake and output. Correct Answers B
(29)
A client has had an echocardiogram to measure ejection fraction.
The nurse explains that ejection fraction is the percentage of
blood the left ventricle ejects upon contraction. What is the
typical percentage of blood a healthy heart ejects?
A. 40%
B. 45%
C. 50%
D. 55% Correct Answers D (29)
A client who has developed congestive heart failure must learn
to make dietary adaptations. The client should avoid:
A. dried peas.
B. canned peas.
C. ready-to-eat cereals.
D. angel food cake. Correct Answers B (29)
A client with acute pericarditis is exhibiting distended jugular
veins, tachycardia, tachypnea, and muffled heart sounds. The
nurse recognizes these as symptoms of what occurrence?
A client arrives at the ED with an exacerbation of left-sided
heart failure and reports shortness of breath. Which is the
priority nursing intervention?
A. Administer angiotensin-converting enzyme inhibitors
B. Administer angiotensin II receptor blockers
C. Assess oxygen saturation
D. Administer diuretics Correct Answers C (29)
A client diagnosed with pulmonary edema has a PaCO2 of 72
mm Hg and an oxygen saturation of 84%. What method of
oxygen delivery would best meet the needs of this client?
A. Oxygen cannula at 6 L/minute
B. Face mask with nonrebreather
C. Intubation and mechanical ventilation
D. Venturi mask at 35% Correct Answers C (29)
A client has a myocardial infarction in the left ventricle and
develops crackles bilaterally; 3-pillow orthopnea; an S3 heart
sound; and a cough with pink, frothy sputum. The nurse obtains
a pulse oximetry reading of 88%. What do these signs and
symptoms indicate for this client?
A. The development of cor pulmonale
B. The development of chronic obstructive pulmonary disease
(COPD)
C. The development of left-sided heart failure
D. The development of right-sided heart failure Correct Answers
C (29)
, A client has been prescribed furosemide 80 mg twice daily. The
asymptomatic client begins to have rare premature ventricular
contractions followed by runs of bigeminy with stable signs.
What action will the nurse perform next?
A. Notify the health care provider.
B. Check the client's potassium level.
C. Administer potassium.
D. Calculate the client's intake and output. Correct Answers B
(29)
A client has had an echocardiogram to measure ejection fraction.
The nurse explains that ejection fraction is the percentage of
blood the left ventricle ejects upon contraction. What is the
typical percentage of blood a healthy heart ejects?
A. 40%
B. 45%
C. 50%
D. 55% Correct Answers D (29)
A client who has developed congestive heart failure must learn
to make dietary adaptations. The client should avoid:
A. dried peas.
B. canned peas.
C. ready-to-eat cereals.
D. angel food cake. Correct Answers B (29)
A client with acute pericarditis is exhibiting distended jugular
veins, tachycardia, tachypnea, and muffled heart sounds. The
nurse recognizes these as symptoms of what occurrence?
