NURS 310 Final Exam – Questions With
Comprehensive Solutions
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Terms in this set (115)
Which topics will the nurse plan to daily weight, sx of worsening HF, how to read for Na
include in discharge teaching for a content
client who has been admitted with
heart failure? Select all that apply
The nurse is reviewing the laboratory LDL 170 mg/dl
results for a client with an elevated
cholesterol level who is taking
atorvastatin. Which result is most
important to discuss with the health
care providers?
A client who has just arrived in the Troponin 1 Level
emergency department reports
substernal and left arm discomfort
that has been going on for about 3
hours. Which laboratory test will be
MOST useful in determining whether
the nurse should anticipate
implementing the acute coronary
syndrome standard protocol?
The emergency department nurse is Administer sublingual NTG after checking VS
caring for a client who was just
admitted with left anterior chest pain,
possible acute myocardial
infarction(MI). Which action will the
nurse take FIRST?
,The nurse is caring for a hospitalized Potassium level
client with heart failure who is
receiving captopril and
spironolactone. Which laboratory
value will be MOST important to
monitor?
At 10:00 AM, a hospitalized client Put client on NPO status
receives a new order for
transesophageal echocardiography
(TEE) as soon as possible. Which
action will the nurse take FIRST?
During a home visit to an 88-year-old vision that is becoming fuzzy
client who is taking digoxin
0.25mg/day to treat heart failure and
atrial fibrillation, the nurse obtains this
assessment information. Which finding
is MOST important to communicate to
the health care provider?
The nurse is preparing to administer Warfarin 2.5 mg PO
the following medications to a client
with multiple health problems who
have been hospitalized with deep vein
thrombosis. Which medication is
MOST important to double-check
based on the laboratory result every
day?
A client seen in the clinic with B-type natriuretic peptide
shortness of breath and fatigue is
being evaluated for a possible
diagnosis of heart failure. Which
laboratory result will be MOST useful
to monitor?
Signs of right -sided heart failure signs of fluid retention
include
, Signs of left-heart failure include a low cardiac output
Impaired blood flow to the extremities peripheral vascular disease
is caused by which of the following
common disorders?
A nurse in a long-term care facility is deep vein thrombosis
caring for an 83-year-old woman who
has a history of heart failure and
peripheral arterial disease (PAD). At
present, the client is unable to stand
or ambulate due to pain in the lower
extremity. Based on his medical
history, the nurse should implement
measures to prioritize the prevention
of what complications?
The nurse enters the room of the assist the patient to an upright position
patient diagnosed with CHF. The
patient is lying in bed gasping for
breath, is cool and clammy, and has
buccal cyanosis. Which intervention
would the nurse implement FIRST to
immediately relieve the symptoms. ?
You receive a morning report on your hold the dose of lasix and notify the physician about
patient with CHF and are told that you the potassium level
are to administer Lasix 40 mg IV to
your patient at 0800 and 1800. The
morning labs have just been received
and they are: Sodium 148, BNP 600,
Potassium 3.0, Creat 1.2 and BUN 10.
The night RN reports bilateral pitting
edema of +3. Which of the following
nursing interventions is PRIORITY?
Comprehensive Solutions
Save
Terms in this set (115)
Which topics will the nurse plan to daily weight, sx of worsening HF, how to read for Na
include in discharge teaching for a content
client who has been admitted with
heart failure? Select all that apply
The nurse is reviewing the laboratory LDL 170 mg/dl
results for a client with an elevated
cholesterol level who is taking
atorvastatin. Which result is most
important to discuss with the health
care providers?
A client who has just arrived in the Troponin 1 Level
emergency department reports
substernal and left arm discomfort
that has been going on for about 3
hours. Which laboratory test will be
MOST useful in determining whether
the nurse should anticipate
implementing the acute coronary
syndrome standard protocol?
The emergency department nurse is Administer sublingual NTG after checking VS
caring for a client who was just
admitted with left anterior chest pain,
possible acute myocardial
infarction(MI). Which action will the
nurse take FIRST?
,The nurse is caring for a hospitalized Potassium level
client with heart failure who is
receiving captopril and
spironolactone. Which laboratory
value will be MOST important to
monitor?
At 10:00 AM, a hospitalized client Put client on NPO status
receives a new order for
transesophageal echocardiography
(TEE) as soon as possible. Which
action will the nurse take FIRST?
During a home visit to an 88-year-old vision that is becoming fuzzy
client who is taking digoxin
0.25mg/day to treat heart failure and
atrial fibrillation, the nurse obtains this
assessment information. Which finding
is MOST important to communicate to
the health care provider?
The nurse is preparing to administer Warfarin 2.5 mg PO
the following medications to a client
with multiple health problems who
have been hospitalized with deep vein
thrombosis. Which medication is
MOST important to double-check
based on the laboratory result every
day?
A client seen in the clinic with B-type natriuretic peptide
shortness of breath and fatigue is
being evaluated for a possible
diagnosis of heart failure. Which
laboratory result will be MOST useful
to monitor?
Signs of right -sided heart failure signs of fluid retention
include
, Signs of left-heart failure include a low cardiac output
Impaired blood flow to the extremities peripheral vascular disease
is caused by which of the following
common disorders?
A nurse in a long-term care facility is deep vein thrombosis
caring for an 83-year-old woman who
has a history of heart failure and
peripheral arterial disease (PAD). At
present, the client is unable to stand
or ambulate due to pain in the lower
extremity. Based on his medical
history, the nurse should implement
measures to prioritize the prevention
of what complications?
The nurse enters the room of the assist the patient to an upright position
patient diagnosed with CHF. The
patient is lying in bed gasping for
breath, is cool and clammy, and has
buccal cyanosis. Which intervention
would the nurse implement FIRST to
immediately relieve the symptoms. ?
You receive a morning report on your hold the dose of lasix and notify the physician about
patient with CHF and are told that you the potassium level
are to administer Lasix 40 mg IV to
your patient at 0800 and 1800. The
morning labs have just been received
and they are: Sodium 148, BNP 600,
Potassium 3.0, Creat 1.2 and BUN 10.
The night RN reports bilateral pitting
edema of +3. Which of the following
nursing interventions is PRIORITY?
