NEWEST ACTUAL EXAM COMPREHENSIVE P P P P
QUESTIONS AND VERIFIED ANSWERS GRA P P P P
DED A+ | 100% PASS | 2024 UPDATE! P P P P P P P
When teaching a patient why spironolactone (Aldactone) and furosemide
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(Lasix) are prescribed together, the nurse bases teaching onthe knowledg
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e that:
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1. Moderate doses of two different types of diuretics are more effectiveth
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an a large dose of one type
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2. This combination promotes diuresis but decreases the risk ofh
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ypokalemia
3. This combination prevents dehydration and hypovolemia
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4. Using two drugs increases osmolality of plasma and the glomerular filtr
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ation rate - P P
✔✔✔ Correct Answer > 2.This combination promotesdiuresis but decr
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eases the risk of hypokalemia
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Spironolactone is a potassium- P P P
sparing diuretic; furosemide is a potassium-
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loosing diuretic. Giving these together minimizes electrolyteimbalance.
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,A 45-year-
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old male client with leg ulcers and arterial insufficiency is admitted to the
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hospital. The nurse understands that leg ulcers of thisnature are usually ca
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used by: P
1.Decreased arterial blood flow secondary to vasoconstriction2.Decrea P P P P P P P
sed arterial blood flow leading to hyperemia 3.Atherosclerotic obstructi
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on of the arteries
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4.Trauma to the lower extremities - P P P P P
✔✔✔ Correct Answer > 1.Decreased arterial blood flow secondary to va
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soconstriction
Decreased arterial flow is a result of vasospasm. The etiology is unknown.
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It is more problematic in colder climates or when the personis under stress
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. Hyperemia occurs when the vasospasm is relieved.
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Following a treadmill test and cardiac catheterization, the client is found t
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o have coronary artery disease, which is inoperative. He is referred to the
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cardiac rehabilitation unit. During his first visit to the unit he says that he d
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oesn't understand why he needs to be there because there is nothing that
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can be done to make him better. The bestnursing response is:
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1. "Cardiac rehabilitation is not a cure but can help restore you to manyof
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your former activities."P P
2. "Here we teach you to gradually change your lifestyle toac
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commodate your heart disease." P P P
3. "You are probably right but we can gradually increase your activitiesso
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that you can live a more active life."
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, 4. "Do you feel that you will have to make some changes in your lifeno
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w?" - ✔✔✔ Correct Answer > 1.
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Such a response does not have false hope to the client but is positivean
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d realistic. The answer tells the client what cardiac rehabilitation isand
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does not dwell upon his negativity about it.
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To evaluate a client's condition following cardiac catheterization, thenurs
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e will palpate the pulse:
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1.In all extremities 2.A
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t the insertion site
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3. Distal to the catheter insertion P P P P
4. Above the catheter insertion - P P P P
✔✔✔ Correct Answer > 3. Distal tothe catheter insertion
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Palpating pulses distal to the insertion site is important to evaluate forthro
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mbophlebitis and vessel occlusion. They should be bilateral and strong. P P P P P P P P P
A client's physician orders nuclear cardiography and makes an appointme
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nt for a thallium scan. The purpose of injecting radioisotopeinto the blood
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stream is to detect: P P P
1.Normal vs. abnormal tissue 2. P P P P
Damage in areas of the heart3. P P P P P P
Ventricular function P