Perfusion & Gas Exchange (Answered)
The nurse is explaining to a student nurse about impaired central perfusion. The
nurse knows the student understands this problem when the student makes
which statement?
A: "Central perfusion is monitored only by the physician."
B: "Central perfusion involves the entire body."
C: "Central perfusion is decreased with hypertension."
D: "Central perfusion is toxic to the cardiac system."
B: "Central perfusion involves the entire body."
A patient diagnosed with hypertension asks the nurse how this disease could
have happened to them. What is the nurse's best response?
A: "Hypertension happens to everyone sooner or later. Don't be concerned about
it."
B: "Hypertension can happen from eating a poor diet, so change what you are
eating."
C: "Hypertension can happen from arterial changes that block the blood flow."
D: "Hypertension happens when people do not exercise, so you should walk
every day."
C: "Hypertension can happen from arterial changes that block the blood flow."
The patient asks the nurse to explain the function of the sinoatrial node in the
heart. What is the nurse's best response?
A: "It stimulates the heart to beat in a normal rhythm."
B: "It protects the heart from atherosclerotic changes."
C: "It provides the heart with oxygenated blood."
D: "It protects the heart from infection."
A: "It stimulates the heart to beat in a normal rhythm."
The patient is brought to the emergency department after a motor vehicle
accident. The patient is diagnosed with internal bleeding. What is the priority of
care for this patient?
A: Mental alertness
B: Perfusion
C: Pain
D: Reaction to medications
B: Perfusion
A patient's serum electrolytes are being monitored. The nurse notices that the
potassium level is low. What should the nurse monitor for in this patient?
A: Tissue ischemia
B: Brain malformations
,C: Intestinal blockage
D: Cardiac dysrhythmia
D: Cardiac dysrhythmia
A nurse is explaining the concept of perfusion to a student nurse. The nurse
knows the student understands the concept of perfusion when the student makes
which statement?
A: "Perfusion is a normal function of the body, and I don't have to be concerned
about it."
B: "Perfusion is monitored by the physician."
C: "Perfusion is monitored by vital signs and capillary refill."
D: "Perfusion varies as a person ages, so I would expect changes in the body."
C: "Perfusion is monitored by vital signs and capillary refill."
The nurse is conducting a patient assessment. The patient tells the nurse that he
has smoked two packs of cigarettes per day for 27 years. The nurse may find
which data upon assessment?
A: Elevated blood pressure
B: Bounding pedal pulses
C: Night blindness
D: Reflux disease
A: Elevated blood pressure
The nurse is assessing a female patient at the neighborhood clinic. The patient
reports "feeling tired all the time." The nurse knows that fatigue may be an
underlying symptom of which condition?
A: Ischemia
B: Pneumonia
C: Myocardial infarction
D: Peptic ulcer disease
C: Myocardial infarction
The nurse is assessing the sleep patterns of a patient when the patient reports he
has trouble sleeping when lying flat. Which is the best response by the nurse?
A: Open a window to let fresh air into the room.
B: Use nasal strips to assist with breathing.
C: Sleep in a side-lying position.
D: Use pillows to prop yourself up while sleeping.
D: Use pillows to prop yourself up while sleeping
A patient is experiencing periods of confusion, and the family is concerned. The
patient's son asks the nurse for an explanation and recommendation. Which is
the best response by the nurse?
A: "Your father may be having mini-strokes; I will notify his physician."
B: "Your father is just confused about some things since he is in the hospital."
, C: "The confusion will pass. Your father just has to get up and move around."
D: "Talk with your father about past events, and that will help with the confusion."
A: "Your father may be having mini-strokes; I will notify his physician."
A patient is questioning the nurse about circulation and perfusion. Which is the
best response by the nurse?
A: "Perfusion assists the body by preventing clots and increasing stamina."
B: "Perfusion assists the cell by delivering oxygen and removing waste
products."
C: "Perfusion assists the heart by increasing the cardiac output."
D: "Perfusion assists the brain by increasing mental alertness."
B: "Perfusion assists the cell by delivering oxygen and removing waste products."
What is the purpose of including exercise and activity in a cardiac rehabilitation
program? (Select all that apply.)
A: Increase cardiac output
B: Increase serum lipids
C: Increase blood pressure
D: Increase blood flow through the arteries
E: Increase muscle mass
F: Increase flexibility
A: Increase cardiac output
D: Increase blood flow through the arteries
E: Increase muscle mass
The nurse provides discharge teaching to a client who has received prescriptions
for digoxin, furosemide, and a 2-g sodium diet. Which statement from the client
indicates that further teaching is needed?
A: "I must check my pulse every day."
B: "I can gradually increase my exercise as long as I take rest periods."
C: "I should call my health care provider if I have difficulty breathing when I am
lying flat."
D: "I can use a little table salt on my food as long as I do not use it when cooking
food."
D: "I can use a little table salt on my food as long as I do not use it when cooking food."
Which action would the nurse take before developing the teaching plan for a
client who has had a myocardial infarction?
A: Identify the learning needs of the client.
B: Determine the nursing goals for the client.
C: Explore the use of group teaching for the client.
D: Evaluate the community resources available to the client.
A: Identify the learning needs of the client
After the nurse has completed discharge teaching for a client who has had a
myocardial infarction, which client statement indicates that more teaching is
needed?
The nurse is explaining to a student nurse about impaired central perfusion. The
nurse knows the student understands this problem when the student makes
which statement?
A: "Central perfusion is monitored only by the physician."
B: "Central perfusion involves the entire body."
C: "Central perfusion is decreased with hypertension."
D: "Central perfusion is toxic to the cardiac system."
B: "Central perfusion involves the entire body."
A patient diagnosed with hypertension asks the nurse how this disease could
have happened to them. What is the nurse's best response?
A: "Hypertension happens to everyone sooner or later. Don't be concerned about
it."
B: "Hypertension can happen from eating a poor diet, so change what you are
eating."
C: "Hypertension can happen from arterial changes that block the blood flow."
D: "Hypertension happens when people do not exercise, so you should walk
every day."
C: "Hypertension can happen from arterial changes that block the blood flow."
The patient asks the nurse to explain the function of the sinoatrial node in the
heart. What is the nurse's best response?
A: "It stimulates the heart to beat in a normal rhythm."
B: "It protects the heart from atherosclerotic changes."
C: "It provides the heart with oxygenated blood."
D: "It protects the heart from infection."
A: "It stimulates the heart to beat in a normal rhythm."
The patient is brought to the emergency department after a motor vehicle
accident. The patient is diagnosed with internal bleeding. What is the priority of
care for this patient?
A: Mental alertness
B: Perfusion
C: Pain
D: Reaction to medications
B: Perfusion
A patient's serum electrolytes are being monitored. The nurse notices that the
potassium level is low. What should the nurse monitor for in this patient?
A: Tissue ischemia
B: Brain malformations
,C: Intestinal blockage
D: Cardiac dysrhythmia
D: Cardiac dysrhythmia
A nurse is explaining the concept of perfusion to a student nurse. The nurse
knows the student understands the concept of perfusion when the student makes
which statement?
A: "Perfusion is a normal function of the body, and I don't have to be concerned
about it."
B: "Perfusion is monitored by the physician."
C: "Perfusion is monitored by vital signs and capillary refill."
D: "Perfusion varies as a person ages, so I would expect changes in the body."
C: "Perfusion is monitored by vital signs and capillary refill."
The nurse is conducting a patient assessment. The patient tells the nurse that he
has smoked two packs of cigarettes per day for 27 years. The nurse may find
which data upon assessment?
A: Elevated blood pressure
B: Bounding pedal pulses
C: Night blindness
D: Reflux disease
A: Elevated blood pressure
The nurse is assessing a female patient at the neighborhood clinic. The patient
reports "feeling tired all the time." The nurse knows that fatigue may be an
underlying symptom of which condition?
A: Ischemia
B: Pneumonia
C: Myocardial infarction
D: Peptic ulcer disease
C: Myocardial infarction
The nurse is assessing the sleep patterns of a patient when the patient reports he
has trouble sleeping when lying flat. Which is the best response by the nurse?
A: Open a window to let fresh air into the room.
B: Use nasal strips to assist with breathing.
C: Sleep in a side-lying position.
D: Use pillows to prop yourself up while sleeping.
D: Use pillows to prop yourself up while sleeping
A patient is experiencing periods of confusion, and the family is concerned. The
patient's son asks the nurse for an explanation and recommendation. Which is
the best response by the nurse?
A: "Your father may be having mini-strokes; I will notify his physician."
B: "Your father is just confused about some things since he is in the hospital."
, C: "The confusion will pass. Your father just has to get up and move around."
D: "Talk with your father about past events, and that will help with the confusion."
A: "Your father may be having mini-strokes; I will notify his physician."
A patient is questioning the nurse about circulation and perfusion. Which is the
best response by the nurse?
A: "Perfusion assists the body by preventing clots and increasing stamina."
B: "Perfusion assists the cell by delivering oxygen and removing waste
products."
C: "Perfusion assists the heart by increasing the cardiac output."
D: "Perfusion assists the brain by increasing mental alertness."
B: "Perfusion assists the cell by delivering oxygen and removing waste products."
What is the purpose of including exercise and activity in a cardiac rehabilitation
program? (Select all that apply.)
A: Increase cardiac output
B: Increase serum lipids
C: Increase blood pressure
D: Increase blood flow through the arteries
E: Increase muscle mass
F: Increase flexibility
A: Increase cardiac output
D: Increase blood flow through the arteries
E: Increase muscle mass
The nurse provides discharge teaching to a client who has received prescriptions
for digoxin, furosemide, and a 2-g sodium diet. Which statement from the client
indicates that further teaching is needed?
A: "I must check my pulse every day."
B: "I can gradually increase my exercise as long as I take rest periods."
C: "I should call my health care provider if I have difficulty breathing when I am
lying flat."
D: "I can use a little table salt on my food as long as I do not use it when cooking
food."
D: "I can use a little table salt on my food as long as I do not use it when cooking food."
Which action would the nurse take before developing the teaching plan for a
client who has had a myocardial infarction?
A: Identify the learning needs of the client.
B: Determine the nursing goals for the client.
C: Explore the use of group teaching for the client.
D: Evaluate the community resources available to the client.
A: Identify the learning needs of the client
After the nurse has completed discharge teaching for a client who has had a
myocardial infarction, which client statement indicates that more teaching is
needed?
