Chapter 27 medsurge nursing questions with complete answers

Question 1 See full question 30s A nurse is evaluating a client who had a myocardial infarction (MI) 7 days earlier. Which outcome indicates that the client is responding favorably to therapy? You Selected: • The client demonstrates ability to tolerate more activity without chest pain. Correct response: • The client demonstrates ability to tolerate more activity without chest pain. Explanation: Reference: • Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of MedicalSurgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 27: Management of Patients with Coronary Vascular Disorders, Cardiac Rehabilitation, p. 766. Chapter 27: Management of Patients with Coronary Vascular Disorders - Page 766 Add a Note Bookmark this Question What's this? Question 2 See full question 29s A client with an acute myocardial infarction is receiving nitroglycerin by continuous I.V. infusion. Which client statement indicates that this drug is producing its therapeutic effect? You Selected: • "My chest pain is decreasing." Correct response: • "My chest pain is decreasing." Explanation: Reference: • Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of MedicalSurgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 27: Management of Patients with Coronary Vascular Disorders, Chart 27-8, p. 766. Chapter 27: Management of Patients with Coronary Vascular Disorders - Page 766 Add a Note Bookmark this Question What's this? Question 3 See full question 13s A nurse is teaching a client who receives nitrates for the relief of chest pain. Which instruction should the nurse emphasize? You Selected: • Lie down or sit in a chair for 5 to 10 minutes after taking the drug. Correct response: • Lie down or sit in a chair for 5 to 10 minutes after taking the drug. Explanation: Reference: • Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of MedicalSurgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 27: Management of Patients with Coronary Vascular Disorders, Nitroglycerin, p. 759. Chapter 27: Management of Patients with Coronary Vascular Disorders - Page 759 Add a Note Bookmark this Question What's this? Question 4 See full question 16s A client in the emergency department reports squeezing substernal pain that radiates to the left shoulder and jaw. The client also complains of nausea, diaphoresis, and shortness of breath. What is the nurse's priority action? You Selected: • Administer oxygen, attach a cardiac monitor, take vital signs, and administer sublingual nitroglycerin. Correct response: • Administer oxygen, attach a cardiac monitor, take vital signs, and administer sublingual nitroglycerin. Explanation: Reference: • Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of MedicalSurgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 27: Management of Patients with Coronary Vascular Disorders, Chart 27-7, p. 765. Chapter 27: Management of Patients with Coronary Vascular Disorders - Page 765 Add a Note Bookmark this Question What's this? Question 5 See full question 21s A nurse is caring for a client who had a three-vessel coronary bypass graft 4 days earlier. The client's cholesterol profile is as follows: total cholesterol 265 mg/dl, lowdensity lipoprotein (LDL) 139 mg/dl, and high-density lipoprotein (HDL) 32 mg/dl. The client asks the nurse how to lower his cholesterol. What is the best response by the nurse? You Selected: • The nurse will ask the dietitian to talk with the client about modifying the diet. Correct response: • The nurse will ask the dietitian to talk with the client about modifying the diet. Explanation: Reference: • Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of MedicalSurgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 27: Management of Patients with Coronary Vascular Disorders, Dietary Measures, p. 754. Chapter 27: Management of Patients with Coronary Vascular Disorders - Page 754 Add a Note Bookmark this Question What's this? Question 6 See full question 13s A client reports chest pain and heavy breathing when exercising or when stressed. Which is a priority nursing intervention for the client diagnosed with coronary artery disease? You Selected: • Assess chest pain and administer prescribed drugs and oxygen Correct response: • Assess chest pain and administer prescribed drugs and oxygen Explanation: Reference: • Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of MedicalSurgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 27: Management of Patients with Coronary Vascular Disorders, p. 761. Chapter 27: Management of Patients with Coronary Vascular Disorders - Page 761 Add a Note Bookmark this Question What's this? Question 7 See full question 20s When the postcardiac surgical patient demonstrates vasodilation, hypotension, hyporeflexia, slow gastrointestinal motility (hypoactive bowel sounds), lethargy, and respiratory depression, the nurse suspects which electrolyte imbalance? You Selected: • Hypokalemia Correct response: • Hypermagnesemia