MED SURG EXAM 2 NURSING QUESTIONS AND ANSWERS

A client with a known history of heart failure (aka congestive heart failure) states she has gained 7 pounds this week. In assessing the situation, it would be most important for the nurse to Examine the client’s legs and sacral area. Immediately administer furosemide (Lasix). Auscultate the lungs for a pericardial friction rub. Weigh the patient and compare it with the patient's baseline. Question 2 1 / 1 pts A client returns from a cardiac catheterization procedure with a bandage over the right groin. An unlicensed personnel assigned to the client reports that the client’s right foot is cool to the touch. The most important action the nurse should do is: Check the foot every 15 minutes Call the provider and report the findings. Loosen the bandage Compare it to the temperature of the opposite foot and compare pedal pulses. Question 3 1 / 1 pts Your patient has just returned from the cardiac catheterization laboratory. Which post-procedure assessment parameter will assure a large amount of blood loss will not go undetected afterward? Determination of the respiratory rate. Frequency assessment of the femoral vein access site. MED SURG EXAM 2 NURSING QUESTIONS AND ANSWERS Assessment for equal pedal pulses. The ability to move all extremities Question 4 1 / 1 pts The nurse knows that when assessing a client suspected of having a myocardial infarction it is most important to ask to which of the following? “Have you had a lot of stress lately?” “How long ago did the symptoms start?” “Have you ever had similar symptoms in the past?” “What medications are you currently taking?” Question 5 1 / 1 pts Prior to administering morphine IV push to a client with chest pain, the nurse should notify the doctor that giving IV morphine is not within the scope of a register nurse’s practice. check the blood pressure. do a neurological assessment. evaluate the 12 lead EKG. IncorrectQuestion 6 0 / 1 pts A client has chest pain rated at an 8 on a scale from 1-10. The 12-lead EKG reveals ST elevation in the inferior leads and elevated troponin levels. Which two interventions below will help reduce myocardial oxygen demand and deter the infarction from further growing? Admiinster 324mg of aspirin. Keep the patient from exerting himself. Place the patient on oxygen 2L/m by nasal cannula Administration of morphine, intravenously. IncorrectQuestion 7 0 / 1 pts A client with chest pain 10/10 and a blood pressure of 137/91 is prescribed intravenous nitroglycerin drip at 10 micrograms per minute. After 10 minutes the patient has a headache, feels a little dizzy and has a blood pressure of 111/68. Which order below would the nurse anticipate from the doctor? Administer another aspirin 324mg Place the patient in the Trendelunberg position. Perform a complete neurological assessment. Lower the nitroglycerin drip to 5 micrograms/min. Question 8 1 / 1 pts You're caring for a patient who is experiencing an anterior wall myocardial infarction. Which history finding below would exclude her from thrombolytic therapy? The patient had surgery earlier in the week. The patient has a history of atrial fibrillation The chest pain started while the patient was asleep. The chest pain started five hours ago. Question 9 1 / 1 pts The nurse is caring for a client who has become unresponsive, the blood pressure is 80/40mmHg and SpO2 is 90% on 50% face mask and has a respiratory rate of 18. The nurse should: begin chest compressions. ventilate the client with a bag mask device. remove the family from the room. call the rapid response team. Question 10 1 / 1 pts The patient returns to your unit after a successful elective cardioversion. Which two below are not a goals of cardioversion? That the patient regain consciousness. That the patient convert to a sinus rhythm That emboli are flushed out of the left ventricle. That the procedure is performed without shocking a member of the healthcare team.