WITH COMPLETE SOLUTIONS GRADED A+
◉ Beta adrenergic blockers cause?
A. Tachycardia
B. Bradycardia
C. Hypertension
D. Tachypnea Answer: B. Bradycardia
◉ A nurse is contributing to the plan of care for an older adult client
who is at risk for osteoporosis. Which of the following interventions
should the nurse include to prevent bone loss? Answer: Encourage
weight-bearing exercises
◉ A nurse is reinforcing discharge teaching to prevent dumping
syndrome for a client following a partial gastrectomy for ulcers.
Which of the following information should the nurse include in the
teaching? Answer: Avoid liquids at meal times
◉ A nurse is collecting data on a client who is scheduled for a
cardiac catheterization. Which of the following laboratory levels
should review prior to the procedure? Answer: BUN
,◉ A nurse is caring for a client who is at risk for developing pressure
ulcers. Which of the following actions should the nurse take?
Answer: Position pillows between the bony prominences.
◉ A nurse is caring for a client who has meningococcal pneumonia.
Which of the following personal protective equipment should the
nurse use? Answer: Mask
◉ A nurse is caring for a client following cardiac catheterization.
Which of the following is an appropriate nursing action?
a. Monitor pedal pulses every 15 min.
b. Perform passive range of motion to the affected extremity.
c. Ambulate the client when he is awake and alert.
d. Keep the client in high-Fowler's position for 6 hr. Answer: a.
Monitor pedal pulses every 15 min.
◉ a nurse is collect data from a client who has right sided heart
failure. which of the following findings should the nurse expect?
a. frothy sputum
b. dyspnea.
c. orthopnea
d. peripheral edema Answer: d. peripheral edema
,◉ A nurse is collecting data from a client who has an acute
myocardial infarction (MI). Which of the following clinical
manifestations should the nurse expect to find? (Select all that
apply.)
a. Orthopnea
b. Headache
c. Nausea
d. Tachycardia
e. Diaphoresis Answer: Nausea
Tachycardia
Diaphoresis
◉ A client asks a nurse, "Why am I taking nitroglycerin?" Which of
the following is the best response by the nurse?
a. "Nitroglycerin relieves nausea and prevents vomiting which could
lead to aspiration."
b. "Nitroglycerin decreases chest pain by dissolving blood clots that
are occluding the arteries."
c. "Nitroglycerin acts as a bronchodilator to open small airways and
decrease shortness of breath."
, d. "Nitroglycerin dilates cardiac blood vessels to deliver more oxygen
to the heart." Answer: "Nitroglycerin dilates cardiac blood vessels to
deliver more oxygen to the heart."
◉ A client comes to the emergency department via ambulance to
report severe radiating chest pain and shortness of breath. The
client appears restless, frightened, and slightly cyanotic. The
provider prescribes oxygen by nasal cannula at 4 L/min stat, cardiac
enzyme levels, IV fluids, and a 12-lead ECG. Which of the following
actions should the nurse assisting with this client's care take first?
a. Attach the leads for a 12-lead ECG.
b. Obtain the blood sample.
c. Initiate oxygen therapy.
d. Insert the IV catheter. Answer: c. Initiate oxygen therapy.
◉ A nurse is caring for a client who has a serum potassium level of
5.5 mEq/L. The provider prescribes polystyrene sulfonate
(Kayexalate). If this medication is effective, the nurse should expect
which of the following corrections on the client's ECG?
a. Reduction of T-wave amplitude
b. Reduction of P-wave duration