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Exam (elaborations) nursing

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Chapter 38: Circulation Test Bank
Questions



A patient diagnosed with hypertension is taking an angiotensin-converting enzyme (ACE)
inhibitor. When planning care, which of the following outcomes would be appropriate for the
patient?



1) BP will be lower than 135/85 mm Hg on all occasions.

2) BP will be normal after 2 to 3 weeks on medication.

3) Patient will not experience dizziness on rising.

4) Urine output will increase to at least 50 mL/hr

1) BP will be lower than 135/85 mm Hg on all occasions.




You are preparing the nursing care plan for a middle-aged patient admitted to the intensive
care unit for an acute myocardial infarction (heart attack). His symptoms include tachycardia,
palpitations, anxiety, jugular vein distention, and fatigue. Which of the following nursing
diagnoses is most appropriate?



1) Decreased Cardiac Output

2) Impaired Tissue Perfusion

3) Impaired Cardiac Contractility

4) Impaired Activity Tolerance

, 1) Decreased Cardiac Output




You are to connect a patient to a cardiac monitor. Which of the following actions should you
take to ensure an accurate electrocardiogram tracing?



1) Select electrode placement sites over bony prominences.

2) Apply the electrodes immediately after cleansing the skin, before the alcohol evaporates.

3) Before applying the electrodes, rub the placement sites with gauze until the skin reddens.

4) Ensure that the gel on the back of the electrodes is dry.

3) Before applying the electrodes, rub the placement sites with gauze until the skin reddens.




Chronic stress may lead directly to cardiovascular disease because of the repeated release of
which of the following?



1) Histamine

2) Catecholamines

3) Cortisol

4) Protease

2) Catecholamines

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