2024)
The nurse is caring for an 80-year old client with
progressive fatigue, shortness of breath, and headaches.
What assessment question will the nurse ask? Select all
that apply. - correct answers✅"What medications do
you routinely take?"
"Could you tell me about your dietary habits?"
The nurse is caring for a client with bleeding gums that
reports increased fever, fatigue, malaise, and "chills."
What is the priority nursing intervention? - correct
answers✅Review laboratory data and prepare to obtain
blood cultures
A client is being transitioned from IV heparin to oral
warfarin. Which laboratory finding does the nurse identify
confirming that warfarin treatment is effective? - correct
answers✅International normalized ratio (INR) of 2.5
The nurse understands that patients with which
dysrhythmia constitute the largest group of those
hospitalized with dysrhythmias? - correct
answers✅Atrial fibrillation
On a telemetry monitor, the nurse observes that a
patient's heart rhythm is sustained ventricular
,Exam 2 Chapter Questions(Latest Exam
2024)
tachycardia (VT). Upon assessment, the patient is alert
and oriented with no reports of chest pain, but expresses
feeling slightly short of breath. His blood pressure is
108/70. What is the nurse's first action? - correct
answers✅Administration of IV amiodarone (Cordarone)
and dextrose
A client admitted to a telemetry unit with a new diagnosis
of atrial fibrillation (AF) tells the nurse, "I feel fine, there's
nothing wrong with me." Which nursing response is
appropriate? - correct answers✅"AF can cause clots to
form from irregular blood flow in the heart."
Identify appropriate interventions for a patient
experiencing inadequate oxygenation and tissue
perfusion as a result of coronary artery disease. (Select
all that apply.) - correct answers✅Notify the physician
Maintain or initiate an IV line
Apply oxygen via nasal cannula
Administer nitroglycerin sublingually
, Exam 2 Chapter Questions(Latest Exam
2024)
A patient presents to the ED and is diagnosed with an
acute MI. The patient's spouse asks what type of damage
has been caused by the "heart attack." What is the
appropriate nursing response? - correct answers✅"A
heart attack evolves over several hours. We won't know
the extent of the damage immediately."
You are contributing to the assessment of a client with
chest pain. Which symptoms would be most indicative of
an myocardia infarction (MI)? Select all that apply. -
correct answers✅Chest pain associated with ECG
changes
Chest pain relieved only by opioids
Chest pain associated with shortness of breath
A 48-year old female asks about her chance of developing
an MI. You discuss risk factors with her. Which modifiable
risk factors will you assess to guide the client's teaching
plan? Select all that apply. - correct answers✅Smoking
Obesity
Diet