2
Adult Health 3 Exam 2 with precise detailed answers || || || || || || || ||
We admit a client in heart failure with jugular vein distension when they are lying flat in
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bed, what is the first thing you would do? - ✔✔Sit them up at least 45 degrees and reassess
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We are doing discharge teaching for a client with angina and they are being sent home with
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a new prescription for nitroglycerine tablets. We tell them that immediately after taking the
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medication, they might experience dizziness and a throbbing headache. What should the
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nurse instruct them to do? - ✔✔Lay down after taking the medication
|| || || || || || || || || || ||
(Orthostatic hypotension) client education sit or lie down if experiencing dizziness or
|| || || || || || || || || || || ||
faintness
client should avoid sudden changes of position and rise slowly
|| || || || || || || || ||
Advise clients not to stop taking long acting nitroglycerin abruptly and follow the providers
|| || || || || || || || || || || || || ||
instruction
Advise clients who have angina to record pain frequency intensity duration and location.
|| || || || || || || || || || || || ||
Notify provider if attacks increase in frequency, intensity, and or duration. Do not crush or
|| || || || || || || || || || || || || || ||
chew oral nitroglycerin or isosorbide tablets
|| || || || ||
Which of the four patients are you going to go assess first?
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A) Chronic angina who is reporting new onset of chest pain that is unrelieved by rest
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B) Heart failure patient who has bilateral 4+ peripheral edema
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C) Endocarditis that has a temp of 101.8
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D) Aortic valve stenosis who experienced syncope one hour ago - ✔✔Chronic angina who is
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reporting new onset of chest pain that is unrelieved by rest
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Angina pectoris is a warning sign of an impending acute MI.
|| || || || || || || || || ||
We are doing teaching to a patient who had an M.I. 10 days ago and they are in cardiac
|| || || || || || || || || || || || || || || || || || ||
rehab, we want to teach them about self monitoring activity and when to stop exercising.
|| || || || || || || || || || || || || || ||
, 2
What are we going to tell him? - ✔✔If you are feeling palpitations, dyspnea, etc is a warning
|| || || || || || || || || || || || || || || || ||
sign to stop and rest
|| || || || ||
We are planning an education conference and we are talking about older adults and the
|| || || || || || || || || || || || || || ||
relationship between their blood pressure and their age. What happens to blood pressure as
|| || || || || || || || || || || || || ||
you age? - ✔✔Increases due to structural change associated with age
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What is we walked into a room and saw an EKG that is a wavy line and is unresponsive.
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What do you do first? - ✔✔Check for a pulse
|| || || || || || || || ||
Assessing rhythm of a patient with CHF remotely and observe for v-fib. Which labs are
|| || || || || || || || || || || || || || ||
priority to relay to doctor? (select all that apply)
|| || || || || || || ||
A) Serum Mag 0.7
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B) Potassium (K) of 5.0
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C) Sodium (NA) 130
|| || ||
D) Potassium (K) 6.0 - ✔✔Serum Mag 0.7
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Serum Potassium K of 6.0 (ECG changes)
|| || || || || || ||
Tall peaked T waves
|| || ||
Prolonged PR interval || ||
ST segment depression
|| ||
Widening QRS ||
Loss of P wave || || ||
Ventricular fibrillation ||
Ventricular standstill ||
Caring for a patient with an M.I. 12 hours ago. Being monitored on remote tele. While
|| || || || || || || || || || || || || || || ||
reviewing the pts tele strip you note an absence of P waves, irregular rhythm, rate greater
|| || || || || || || || || || || || || || || ||
Adult Health 3 Exam 2 with precise detailed answers || || || || || || || ||
We admit a client in heart failure with jugular vein distension when they are lying flat in
|| || || || || || || || || || || || || || || || ||
bed, what is the first thing you would do? - ✔✔Sit them up at least 45 degrees and reassess
|| || || || || || || || || || || || || || || || || ||
We are doing discharge teaching for a client with angina and they are being sent home with
|| || || || || || || || || || || || || || || || ||
a new prescription for nitroglycerine tablets. We tell them that immediately after taking the
|| || || || || || || || || || || || || ||
medication, they might experience dizziness and a throbbing headache. What should the
|| || || || || || || || || || || ||
nurse instruct them to do? - ✔✔Lay down after taking the medication
|| || || || || || || || || || ||
(Orthostatic hypotension) client education sit or lie down if experiencing dizziness or
|| || || || || || || || || || || ||
faintness
client should avoid sudden changes of position and rise slowly
|| || || || || || || || ||
Advise clients not to stop taking long acting nitroglycerin abruptly and follow the providers
|| || || || || || || || || || || || || ||
instruction
Advise clients who have angina to record pain frequency intensity duration and location.
|| || || || || || || || || || || || ||
Notify provider if attacks increase in frequency, intensity, and or duration. Do not crush or
|| || || || || || || || || || || || || || ||
chew oral nitroglycerin or isosorbide tablets
|| || || || ||
Which of the four patients are you going to go assess first?
|| || || || || || || || || || ||
A) Chronic angina who is reporting new onset of chest pain that is unrelieved by rest
|| || || || || || || || || || || || || || ||
B) Heart failure patient who has bilateral 4+ peripheral edema
|| || || || || || || || || ||
C) Endocarditis that has a temp of 101.8
|| || || || || || ||
D) Aortic valve stenosis who experienced syncope one hour ago - ✔✔Chronic angina who is
|| || || || || || || || || || || || || ||
reporting new onset of chest pain that is unrelieved by rest
|| || || || || || || || || || ||
Angina pectoris is a warning sign of an impending acute MI.
|| || || || || || || || || ||
We are doing teaching to a patient who had an M.I. 10 days ago and they are in cardiac
|| || || || || || || || || || || || || || || || || || ||
rehab, we want to teach them about self monitoring activity and when to stop exercising.
|| || || || || || || || || || || || || || ||
, 2
What are we going to tell him? - ✔✔If you are feeling palpitations, dyspnea, etc is a warning
|| || || || || || || || || || || || || || || || ||
sign to stop and rest
|| || || || ||
We are planning an education conference and we are talking about older adults and the
|| || || || || || || || || || || || || || ||
relationship between their blood pressure and their age. What happens to blood pressure as
|| || || || || || || || || || || || || ||
you age? - ✔✔Increases due to structural change associated with age
|| || || || || || || || || ||
What is we walked into a room and saw an EKG that is a wavy line and is unresponsive.
|| || || || || || || || || || || || || || || || || || ||
What do you do first? - ✔✔Check for a pulse
|| || || || || || || || ||
Assessing rhythm of a patient with CHF remotely and observe for v-fib. Which labs are
|| || || || || || || || || || || || || || ||
priority to relay to doctor? (select all that apply)
|| || || || || || || ||
A) Serum Mag 0.7
|| || ||
B) Potassium (K) of 5.0
|| || || ||
C) Sodium (NA) 130
|| || ||
D) Potassium (K) 6.0 - ✔✔Serum Mag 0.7
|| || || || || || ||
Serum Potassium K of 6.0 (ECG changes)
|| || || || || || ||
Tall peaked T waves
|| || ||
Prolonged PR interval || ||
ST segment depression
|| ||
Widening QRS ||
Loss of P wave || || ||
Ventricular fibrillation ||
Ventricular standstill ||
Caring for a patient with an M.I. 12 hours ago. Being monitored on remote tele. While
|| || || || || || || || || || || || || || || ||
reviewing the pts tele strip you note an absence of P waves, irregular rhythm, rate greater
|| || || || || || || || || || || || || || || ||
