TJC RNSG 2331 EXAM 02 QUESTIONS WITH
CORRECT ANSWERS
Most organ damage that occurs from HTN is related to - ANSWER
atherosclerotic changes in vessels that supply the organs
Teaching to include dietary sources of potassium is indicated for the
hypertensive patient taking:
enalapril, labetalol, spironolactone, or hydrochlorothiazide? - ANSWER
hydrochlorothiazide
When teaching a client for whom clonidine (Catapres) has been ordered, the
nurse stresses that - ANSWER the drug should never be stopped abruptly
While obtaining patient histories, the nurse identifies that the patient with the
highest risk for CAD is:
-->an African American man, 65, with obesity and BP of 160/85.
-->a white man, 54, who is a smoker and has a stressful lifestyle.
-->an Asian woman, 45, with a cholesterol level of 240 mg/dL and a BP of 130/75.
-->a white woman, 72, with a BP of 172/100 and who is physically inactive. -
ANSWER -------a white woman, 72, with a BP of 172/100 and who is physically
inactive
This type of angina is usually precipitated by exertion - ANSWER chronic stable
angina
This type of angina is unpredictable and unrelieved by rest - ANSWER Unstable
angina
This type of angina is characterized by progressive severity - ANSWER Unstable
angina
This type of angina usually occurs in response to coronary artery spasm -
ANSWER Prinzmetal's angina
This type of angina occurs with same pattern of onset, duration, and intensity -
ANSWER chronic stable angina
When teaching the patient with angina about taking nitroglycerin tablets the
nurse instructs the patient
---to take the table with large amount of water so it will dissolve right away;
, ---to lie or sit and place one tablet under the tongue when chest pain occurs;
---that if one tablet does not relieve the pain in 15 minutes, the patient should go
to the hospital;
---that if the tablet causes dizziness and a HA, the medication should be stopped
and the doctor notified. - ANSWER --->to lie or sit and place one tablet under the
tongue when chest pain occurs
During treatment with tissue plasminogen activator (tPA) for a patient with a
STEMI (ST elevated myocardial infarction), the nurse is most concerned on
finding
--oozing of blood from the IV site
--a decrease in the responsiveness of the patient
--BP of 102/60 with a HR of 78
--the presence of intermittent accelerated idioventricular dysrhythmias -
ANSWER a decrease in the responsiveness of the patient
The nurse is administering a dose of digoxin (Lanoxin) to a patient with heart
failure (HF). The nurse would become concerned with the possibility of digitalis
toxicity if the patient reported which of the following symptoms?
A) Muscle aches
B) Constipation
C) Pounding headache
D) Anorexia and nausea - ANSWER anorexia and nausea
Anorexia, nausea, vomiting, blurred or yellow vision, and cardiac dysrhythmias
are all signs of digitalis toxicity. The nurse would become concerned and notify
the prescriber if the patient exhibited any of these symptoms.
The nurse is preparing to administer digoxin to a patient with HF. In preparation,
lab results are reviewed with the following findings: sodium 139 mEq/L,
potassium 3.0 mEq/L, chloride 103 mEq/L, and glucose 106 mg/dl. The nurse
should do which of the following at this time?
A) Withhold the daily dose until the following day.
B) Withhold the dose and report the potassium level.
C) Give the digoxin with a salty snack, such as crackers.
D) Give the digoxin with extra fluids to dilute the sodium level. - ANSWER
withhold the dose and report the potassium level
The normal potassium level is 3.5 to 5.0 mEq/L. The patient is hypokalemic,
which makes the patient more prone to digoxin toxicity. For this reason, the
nurse should withhold the dose and report the potassium level. The physician
may order the digoxin to be given once the potassium level has been treated and
rises to within normal range.
The nurse is caring for a patient newly diagnosed with heart failure. The patient
is to receive a first dose of digoxin (Lanoxin) 0.125 mg IV push. An ampule
CORRECT ANSWERS
Most organ damage that occurs from HTN is related to - ANSWER
atherosclerotic changes in vessels that supply the organs
Teaching to include dietary sources of potassium is indicated for the
hypertensive patient taking:
enalapril, labetalol, spironolactone, or hydrochlorothiazide? - ANSWER
hydrochlorothiazide
When teaching a client for whom clonidine (Catapres) has been ordered, the
nurse stresses that - ANSWER the drug should never be stopped abruptly
While obtaining patient histories, the nurse identifies that the patient with the
highest risk for CAD is:
-->an African American man, 65, with obesity and BP of 160/85.
-->a white man, 54, who is a smoker and has a stressful lifestyle.
-->an Asian woman, 45, with a cholesterol level of 240 mg/dL and a BP of 130/75.
-->a white woman, 72, with a BP of 172/100 and who is physically inactive. -
ANSWER -------a white woman, 72, with a BP of 172/100 and who is physically
inactive
This type of angina is usually precipitated by exertion - ANSWER chronic stable
angina
This type of angina is unpredictable and unrelieved by rest - ANSWER Unstable
angina
This type of angina is characterized by progressive severity - ANSWER Unstable
angina
This type of angina usually occurs in response to coronary artery spasm -
ANSWER Prinzmetal's angina
This type of angina occurs with same pattern of onset, duration, and intensity -
ANSWER chronic stable angina
When teaching the patient with angina about taking nitroglycerin tablets the
nurse instructs the patient
---to take the table with large amount of water so it will dissolve right away;
, ---to lie or sit and place one tablet under the tongue when chest pain occurs;
---that if one tablet does not relieve the pain in 15 minutes, the patient should go
to the hospital;
---that if the tablet causes dizziness and a HA, the medication should be stopped
and the doctor notified. - ANSWER --->to lie or sit and place one tablet under the
tongue when chest pain occurs
During treatment with tissue plasminogen activator (tPA) for a patient with a
STEMI (ST elevated myocardial infarction), the nurse is most concerned on
finding
--oozing of blood from the IV site
--a decrease in the responsiveness of the patient
--BP of 102/60 with a HR of 78
--the presence of intermittent accelerated idioventricular dysrhythmias -
ANSWER a decrease in the responsiveness of the patient
The nurse is administering a dose of digoxin (Lanoxin) to a patient with heart
failure (HF). The nurse would become concerned with the possibility of digitalis
toxicity if the patient reported which of the following symptoms?
A) Muscle aches
B) Constipation
C) Pounding headache
D) Anorexia and nausea - ANSWER anorexia and nausea
Anorexia, nausea, vomiting, blurred or yellow vision, and cardiac dysrhythmias
are all signs of digitalis toxicity. The nurse would become concerned and notify
the prescriber if the patient exhibited any of these symptoms.
The nurse is preparing to administer digoxin to a patient with HF. In preparation,
lab results are reviewed with the following findings: sodium 139 mEq/L,
potassium 3.0 mEq/L, chloride 103 mEq/L, and glucose 106 mg/dl. The nurse
should do which of the following at this time?
A) Withhold the daily dose until the following day.
B) Withhold the dose and report the potassium level.
C) Give the digoxin with a salty snack, such as crackers.
D) Give the digoxin with extra fluids to dilute the sodium level. - ANSWER
withhold the dose and report the potassium level
The normal potassium level is 3.5 to 5.0 mEq/L. The patient is hypokalemic,
which makes the patient more prone to digoxin toxicity. For this reason, the
nurse should withhold the dose and report the potassium level. The physician
may order the digoxin to be given once the potassium level has been treated and
rises to within normal range.
The nurse is caring for a patient newly diagnosed with heart failure. The patient
is to receive a first dose of digoxin (Lanoxin) 0.125 mg IV push. An ampule
