Exam (elaborations)

NUR2571 Module 5 Quiz latest 2018

Question Question 1 A client is taking triamterene-hydrochlorothiazide (Dyazide) and furosemide (Lasix). What assessment finding requires action by the nurse? a. Cough b. Headache c. Pulse of 62 beats/min d. Potassium of 2.9 mEq/L Question 2 The nurse is teaching a client with pneumonia ways to clear secretions. Which intervention is the most effective? a. Administering an antitussive medication b. Administering an antiemetic medication c. Increasing fluids to 2 L/day if tolerated d. Having the client cough and deep breathe hourly Question 3 The nurse is caring for a client with newly diagnosed hypertension. What statement by the client indicates adequate understanding of his or her diet restrictions? a. "I will give my canned soups to the food pantry." b. "I’m going to miss my evening glass of wine." c. "I will mostly use salt substitutes for flavoring." d. “I can have regular coffee only in the morning.” Question 4 What information about nutrition does the nurse teach a client with chronic obstructive pulmonary disease (COPD)? (Select all that apply.) a. "Avoid drinking fluids just before and during meals." b. "Rest before meals if you have dyspnea." c. "Have about six small meals a day." d. "Practice diaphragmatic breathing against resistance four times daily." e. "Eat high-fiber foods to promote gastric emptying." f. "Eat dry foods rather than wet foods, which are heavier." g. “Increase carbohydrate intake for energy.” Question 5 A client with systolic dysfunction has an ejection fraction of 38%. The nurse assesses for which physiologic change? a. Increase in stroke volume b. Decrease in tissue perfusion c. Increase in oxygen saturation d. Decrease in arterial vasoconstriction Question 6 The nurse is assessing a client who reports claudication after walking a distance of one block. The nurse notes a painful ulcer on the fourth toe of the client’s right foot. What condition do these findings correlate with? a. Diabetic foot ulceration b. Peripheral arterial disease c. Peripheral venous disease d. Deep vein thrombosis Question 7 The nurse is caring for four clients with asthma. Which client does the nurse assess first? a. Client with a barrel chest and clubbed fingernails b. Client with an SaO2 level of 92% at rest c. Client whose expiratory phase is longer than the inspiratory phase d. Client whose heart rate is 120 beats/min Question 8 The nurse is assisting the hospitalized client with his food selections for breakfast. The client is on a low-cholesterol diet. What recommendations are most appropriate for this client? a. Cheese omelet, skim milk, whole wheat toast, coffee b. Skim milk, oatmeal, banana, orange juice, coffee c. Whole wheat French toast, a side of bacon, coffee d. Blueberry muffin, orange juice, decaffeinated coffee Question 9 Which statement indicates that the client understands teaching about the use of long-acting beta2 agonist medications? a. "I will not have to take this medication every day." b. "I will take this medication when I have an asthma attack." c. "I will take this medication daily to pre-vent an acute attack." d. “I will eventually be able to stop using this medication.” Question 10 The nurse is assessing clients on a cardiac unit. Which client does the nurse assess most carefully for developing left-sided heart failure? a. Middle-aged woman with aortic stenosis b. Middle-aged man with pulmonary hyper-tension c. Older woman who smokes cigarettes daily d. Older man who has had a myocardial in-farction