Sensory/Perceptual/Cardiovascular/Vascular Health
Questions With Complete Solutions
A client tells the nurse that he is concerned because his provider
told him he has a heart murmur due to endocarditis. The nurse
should explain to the client that a murmur
A) is a high pitch sound due to a narrowing valve
B) an extra sound due to blood entering an inflexible chamber
C) means that there is some inflammation around the heart
D) indication of turbulent blood flow through a valve Correct
Answers D) indication of turbulent blood flow through a valve
Turbulent blood flow through a valve generate a murmur,
possibly due to malfunctioning valve, increased blood flow, or
some type of defect in the structures of or around the heart
A home health nurse is assessing an older adult client in the
home who has decreased vision due to a history of glaucoma.
Which of the following findings should the nurse identify as a
safety risk?
A) electrical cords that are placed along the walls
B) scattered rugs that are present in the kitchen
C) handrails are present in the kitchen
,D) a microwave for cooking Correct Answers B) scattered rugs
that are present in the kitchen
Scattered rugs in the kitchen are a safety hazard. The client
could trip on one of the rugs and fall due to the impaired vision
A nurse at an Ophthalmic G clinic is providing teaching to a
client who has an open angle glaucoma and a new prescription
for timolol eye drops. Which of the following instruction should
the nurse provide?
A) the medication is to be applied when the client is expressing
our pain
B) the medication will be used into the client in ocular pressure
return to normal
C) the medication should be applied on a regular schedule for
the rest of the clients life
D) the medication is to be used for approximately 10 days
following a gradual tapering off Correct Answers C) the
medication should be applied on a regular schedule for the rest
of the clients life
Medications prescribed for open angle glaucoma are intended to
enhance adequate outflow, or decrease its production, or both.
The client must continue to use the eyedrops or an on
interrupted basis for life to maintain intraocular pressure at an
acceptable level
,A nurse in a cardiac care unit is caring for a client with acute
right sided heart failure due to myocarditis. Which of the
following findings should the nurse expect?
A) decreased brain natriuretic peptide(BNP)
B) elevated center venous pressure (CVP)
C) increased pulmonary artery wedge pressure (PAWP)
D) decreased specific gravity Correct Answers B) elevated
center venous pressure (CVP)
CVP is a measurement of the pressure in the right atria or
ventricle at the end of diastole. An elevated CVP is an indication
of heart failure
A nurse is assessing a client who has left-sided heart failure due
to myocarditis. Which of the following findings should the nurse
expect?
A) jugular vein distention
B) abdominal distention
C) dependent edema
D) hacking cough Correct Answers D) hacking cough
, A hacking cough is a manifestation of left-sided heart failure
that occurs due to pulmonary congestion
A nurse is assessing a client who is ineffective endocarditis
which of the following findings should the nurse as a priority to
report to the provider?
A) splinter hemorrhages to the nails
B) dyspnea
C) fever
D) cluster of the petechiae in the mouth Correct Answers B)
dyspnea
The client who has ineffective endocarditis and develops
dyspnea, tachycardia, or a cough might be developing heart
failure or experiencing pulmonary emboli, two complications of
the infection
A nurse is assessing a teenager who has heart failure following a
severe endocarditis infection. Which of the following findings
should the nurse expect?
A) weight loss
B) increased urine output
C) bradycardia