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Exam (elaborations)

Nurs 3661 Exam 1 Questions With 100% Correct Answers

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NURS 3661 EXAM 1 QUESTIONS WITH 100% CORRECT ANSWERS

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The nurse is providing discharge education to a patient diagnosed with HF. What
should the nurse teach
this patient to do to assess her fluid balance in the home setting?


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Monitor her weight daily




The triage nurse in the ED is assessing a patient with chronic HF who has presented
with worsening
symptoms. In reviewing the patients medical history, what is a potential primary cause
of the patients
heart failure?


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, Atherosclerosis




The clinic nurse is caring for a 57-year-old client who reports experiencing leg pain
whenever she walks several blocks. The patient has type 1 diabetes and has smoked a
pack of cigarettes every day for the past 40 years. The physician diagnoses
intermittent claudication. The nurse should provide what instruction about long-term
care to the client?


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Be sure to practice meticulous foot care.




A student nurse is taking care of an elderly patient with hypertension during a clinical
experience. The instructor asks the student about the relationships between BP and
age. What would be the best answer by the student?


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Structural and functional changes in the cardiovascular system that occur
with age contribute to increases in blood pressure.




A patient has been brought to the emergency department by paramedics after being
found unconscious. The patients Medic Alert bracelet indicates that the patient has
type 1 diabetes and the patients blood glucose is 22 mg/dL (1.2 mmol/L). The nurse
should anticipate what intervention?


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, IV administration of 50% dextrose in water




A nurse in the CCU is caring for a patient with HF who has developed an intracardiac
thrombus. This
creates a high risk for what sequela?


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Stroke




The triage nurse in the ED is assessing a patient who has presented with complaint of
pain and swelling in her right lower leg. The patients pain became much worse last
night and appeared along with fever, chills, and sweating. The patient states, I hit my
leg on the car door 4 or 5 days ago and it has been sore ever since. The patient has a
history of chronic venous insufficiency. What intervention should the nurse anticipate
for this patient?


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Antibiotics to treat cellulitis




A patient has been living with type 2 diabetes for several years, and the nurse realizes
that the patient is likely to have minimal contact with the health care system. In order
to ensure that the patient maintains adequate blood sugar control over the long term,
the nurse should recommend which of the following?


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, Participation in a support group for persons with diabetes




While assisting with the surgical removal of an adrenal tumor, the OR nurse is aware
that the patients
vital signs may change upon manipulation of the tumor. What vital sign changes would
the nurse expect
to see?


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Hypertension and heart rate changes




A patient with primary hypertension comes to the clinic complaining of a gradual
onset of blurry vision and decreased visual acuity over the past several weeks. The
nurse is aware that these symptoms could be indicative of what?


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Retinal blood vessel damage




A patient with a diagnosis of HF is started on a beta-blocker. What is the nurses
priority role during
gradual increases in the patients dose?


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