Test Bank for Advanced Practice Nursing in the Care of Older Adults 2nd Edition by Malone - Ch. 1-19, 9780803666610, with Rationales 2

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PN HESI VERSION 2 - v v v v




v Test Bank for AppliedPathophysiology for the A
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dvanced Practice Nurse 1st Edition v v v v




1) The LPN/LVN is preparing to ambulate a postoperative client after ca
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rdiac surgery. The nurse plans to do which to enable the client to besttole
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rate the ambulation?
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1. Provide the client with a walker. v v v v v


2. Remove the telemetry equipment. v v v


3. Encourage the client to cough and deep breathe. v v v v v v v


4. Premedicate the client with an analgesic before ambulating. v v v v v v v




Correct Answer: 4. Premedicate the client with an analgesic beforeambulatin
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g.



2) A client is wearing a continuous cardiac monitor, which begins toa
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larm at the nurse's station. The nurse sees no electrocardiographic co
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mplexes on the screen. The nurse should do which first?
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1. Call a code blue. v v v


2. Call the health care provider.
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3. Check the client status and lead placement.
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4. Press the recorder button on the ECG console.
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Correct Answer: 3. Check the client status and lead placement.
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3) The LPN/LVN in a medical unit is caring for a client with heart failure. T
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he client suddenly develops extreme dyspnea, tachycardia, and lung
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crackles, and the nurse suspects pulmonary edema. The nurse immediat
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ely notifies the registered nurse and expects which interventions to be pr
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escribed? Select all that apply.v v v v




1. Administering oxygen v


2. Inserting a Foley catheter v v v


3. Administering furosemide (Lasix) v v


4. Administering morphine sulfate intravenously v v v


5. Transporting the client to the coronary care unit v v v v v v v


6. Placing the client in a low-Fowler's side-lying position
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Correct Answer: v


1. Administering oxygen v


2. Inserting a Foley catheter v v v


3. Administering furosemide (Lasix) v v




4) The nurse is monitoring a client following cardioversion. Whichobse
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rvations should be of highest priority to the nurse?
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1. Blood pressure v


2. Status of airway v v


3. Oxygen flow rate v v


4. Level of consciousness
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Correct Answer: 2. Status of airway
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5) The nurse is assisting in caring for the client immediately after ins
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ertion of a permanent demand pacemaker via the right subclavian vein
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. The nurse prevents dislodgement of the pacing catheter by implem
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enting which intervention?
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1. Limiting movement and abduction of the left arm
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2. Limiting movement and abduction of the right arm
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3. Assisting the client to get out of bed and ambulate with a walker 4.H
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aving the physical therapist do active range of motion to the right arm
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Correct Answer: 2. Limiting movement and abduction of the right arm
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6) A client diagnosed with thrombophlebitis 1 day ago suddenly compl
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ains of chest pain and shortness of breath, and the client is visiblyanxious.
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vThe LPN/LVN understands that a life-
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threatening complication of this condition is which?
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1. Pneumonia
2. Pulmonary edema v


3. Pulmonary embolism v


4. Myocardial infarction v




Correct Answer: 3. Pulmonary embolism
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7) A 24-year- v


old man seeks medical attention for complaints of claudication in the arc
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h of the foot. The nurse also notes superficial thrombophlebitis of the lo
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wer leg. The nurse should check the client forwhich next?
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1. Smoking history v


2. Recent exposure to allergens
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3. History of recent insect bites
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4. Familial tendency toward peripheral vascular disease
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Correct Answer: 1. Smoking history
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8) The nurse has reinforced instructions to the client with Raynaud's d
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isease about self-management of the disease process. The nurse
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determines that the client needs further teaching if the client stateswhich?
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1. "Smoking cessation is very important."
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2. "Moving to a warmer climate should help."
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3. "Sources of caffeine should be eliminated from the diet."
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4. "Taking nifedipine (Procardia) as prescribed
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will decrease vesselspasm."
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Correct Answer: 2. "Moving to a warmer climate should help."
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9) A client with myocardial infarction suddenly becomes tachycardic, s
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hows signs of air hunger, and begins coughing frothy, pink-
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tinged sputum. The nurse listens to breath sounds, expecting to hear w
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hich breath sounds bilaterally?
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1. Rhonchi
2. Crackles
3. Wheezes
4. Diminished breath sounds v v v




Correct Answer: 2. Crackles
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10) The LPN/LVN is collecting data on a client with a diagnosis of right-
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sided heart failure. The nurse should expect to note which specific charact
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eristic of this condition?
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