NUR.213 - TEST 2 SAUNDERS PERFUSION QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED
The nurse is performing an assessment on a client with a diagnosis of
left-sided heart failure. Which assessment component would elicit
specific information regarding the client's left-sided heart function?
1.
Listening to lung sounds
2.
Palpating for organomegaly
3.
Assessing for jugular vein distention
4.
Assessing for peripheral and sacral edema Ans✓✓✓Listening to lung
sounds
The client with heart failure may present with different symptoms,
depending on whether the right or the left side of the heart is failing.
Peripheral and sacral edema, jugular vein distention, and organomegaly
all are manifestations of problems with right-sided heart function. Lung
sounds constitute an accurate indicator of left-sided heart function.
,The nurse in the medical unit is assigned to provide discharge teaching
to a client with a diagnosis of angina pectoris. The nurse is discussing
lifestyle changes that are needed to minimize the effects of the disease
process. The client continually changes the subject during the teaching
session. The nurse interprets that this client's behavior is most likely
related to which problem?
1.
Anxiety related to the need to make lifestyle changes
2.
Boredom resulting from having already learned the material
3.
An attempt to ignore or deny the need to make lifestyle changes
4.
Lack of understanding of the material provided at the teaching session
and embarrassment about asking questions Ans✓✓✓An attempt to
ignore or deny the need to make lifestyle changes
Denial is a defense mechanism that allows the client to minimize a threat
that may be manifested by refusal to discuss what has happened. Denial
is a common early reaction associated with chest discomfort, angina, or
myocardial infarction (MI). Anxiety usually is manifested by symptoms
, of sympathetic nervous system arousal. No data are provided in the
question that would lead the nurse to interpret the client's behavior as
boredom or as either understanding or not understanding the material
provided at the teaching session.
The nurse is caring for a client with a diagnosis of myocardial infarction
(MI) and is assisting the client in completing the diet menu. Which
beverage should the nurse instruct the client to select from the menu?
1.
Tea
2.
Cola
3.
Coffee
4.
Raspberry juice Ans✓✓✓Raspberry juice
A client with a diagnosis of MI should not consume caffeinated
beverages. Caffeinated products can produce a vasoconstrictive effect,
leading to further cardiac ischemia. Coffee, tea, and cola all contain
caffeine and need to be avoided in the client with MI.
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED
The nurse is performing an assessment on a client with a diagnosis of
left-sided heart failure. Which assessment component would elicit
specific information regarding the client's left-sided heart function?
1.
Listening to lung sounds
2.
Palpating for organomegaly
3.
Assessing for jugular vein distention
4.
Assessing for peripheral and sacral edema Ans✓✓✓Listening to lung
sounds
The client with heart failure may present with different symptoms,
depending on whether the right or the left side of the heart is failing.
Peripheral and sacral edema, jugular vein distention, and organomegaly
all are manifestations of problems with right-sided heart function. Lung
sounds constitute an accurate indicator of left-sided heart function.
,The nurse in the medical unit is assigned to provide discharge teaching
to a client with a diagnosis of angina pectoris. The nurse is discussing
lifestyle changes that are needed to minimize the effects of the disease
process. The client continually changes the subject during the teaching
session. The nurse interprets that this client's behavior is most likely
related to which problem?
1.
Anxiety related to the need to make lifestyle changes
2.
Boredom resulting from having already learned the material
3.
An attempt to ignore or deny the need to make lifestyle changes
4.
Lack of understanding of the material provided at the teaching session
and embarrassment about asking questions Ans✓✓✓An attempt to
ignore or deny the need to make lifestyle changes
Denial is a defense mechanism that allows the client to minimize a threat
that may be manifested by refusal to discuss what has happened. Denial
is a common early reaction associated with chest discomfort, angina, or
myocardial infarction (MI). Anxiety usually is manifested by symptoms
, of sympathetic nervous system arousal. No data are provided in the
question that would lead the nurse to interpret the client's behavior as
boredom or as either understanding or not understanding the material
provided at the teaching session.
The nurse is caring for a client with a diagnosis of myocardial infarction
(MI) and is assisting the client in completing the diet menu. Which
beverage should the nurse instruct the client to select from the menu?
1.
Tea
2.
Cola
3.
Coffee
4.
Raspberry juice Ans✓✓✓Raspberry juice
A client with a diagnosis of MI should not consume caffeinated
beverages. Caffeinated products can produce a vasoconstrictive effect,
leading to further cardiac ischemia. Coffee, tea, and cola all contain
caffeine and need to be avoided in the client with MI.
