NUR 257 Chronic Exam 2 Actual Verified Exam
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The nurse suspects a client has developed pericarditis
after a week of cold-like symptoms. Which of the client's
signs and symptoms indicate pericarditis?
low urine output secondary to left ventricular dysfunction
fever, chest discomfort, and elevated erythrocyte
sedimentation rate (ESR)
pitting edema, chest discomfort, and nonspecific ST-
segment elevation
lethargy, anorexia, and heart failure - Answer-fever, chest
discomfort, and elevated erythrocyte sedimentation rate
(ESR)
A client is admitted to the hospital with aortic stenosis.
What assessment findings would indicate the development
of left ventricular failure?
Orthopnea, nausea, pedal edema
Distended jugular veins, pedal edema, nausea
Dyspnea, orthopnea, pulmonary edema
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Dyspnea, distended jugular veins, orthopnea - Answer-
Dyspnea, orthopnea, pulmonary edema
Which would the nurse stress as a periodic lifelong
necessity for a client managing infective endocarditis?
Exercise regimen
Antihypertensive medication
Potassium replacement
Antibiotic therapy - Answer-Antibiotic therapy
The nurse is caring for a client who has been diagnosed
with aortic stenosis. The client is prescribed digoxin. What
is the rationale for the medication?
left ventricular dysfunction
angina
dyspnea
edema - Answer-left ventricular dysfunction
A client is admitted to the hospital with possible acute
pericarditis and pericardial effusion. The nurse knows to
prepare the client for which diagnostic test to confirm the
client's diagnosis?
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Computed tomography
Echocardiography
Chest x-ray
Cardiac catheterization - Answer-Echocardiography
A client comes to the clinic reporting fever, chills, and sore
throat and is diagnosed with streptococcal pharyngitis. A
nurse knows that early diagnosis and effective treatment is
essential to avoid which preventable disease?
Rheumatic fever
Cardiomyopathy
Pericarditis
Mitral stenosis - Answer-Rheumatic fever
The nurse is educating a client about the care related to a
new diagnosis of mitral valve prolapse. What statement
made by the client demonstrates understanding of the
teaching?
"I will take antibiotics before getting my teeth cleaned."
"I can get my tongue pierced at a store in the shopping
mall."
"I will avoid caffeine, alcohol, and smoking."
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"I can get a tattoo at a local parlor." - Answer-"I will avoid
caffeine, alcohol, and smoking."
A client with a confirmed DVT is being discharged from the
ED. Which client statement indicates that the client has
received proper nursing instruction and understands how
to manage this condition?
"I should try not to drink too much during the daytime."
"I should lie on my side with my knees bent when
sleeping."
"I need to ice my leg every 2 hours for about 20 minutes."
"I need to do my leg exercises five times or more every
hour." - Answer-"I need to do my leg exercises five times
or more every hour."
A nurse is caring for a client who had an aortic balloon
valvuloplasty. The nurse should inspect the surgical
insertion site closely for which complication(s)?
Bleeding and infection
Bleeding and wound dehiscence
Thrombosis and infection
Evisceration - Answer-Bleeding and infection