NUR445 Exam 2 NUR 445 Module 3 - Cardiovascular
Disorders Exam 2 Questions and Answers
Which patient requires immediate intervention by the nurse to decrease the risk for developing adeep
vein thrombosis (DVT)?
The patient who is immobile because of a fractured hip
3 multiple choice options
Which prescription is the most important to decrease the risk of deep vein thrombus in a patientafter
surgery?
Ambulate every 2 to 4 hours
3 multiple choice options
A patient diagnosed with a pulmonary embolism has a reduction in arterial oxygen saturationlevel and
dyspnea. Which is the priority nursing diagnosis for this patient?
Impaired Gas Exchange
3 multiple choice options
The patient is receiving heparin therapy for deep vein thrombosis. Which activated
partialthromboplastin time (aPTT) indicates to the nurse that anticoagulation is adequate?
The patient's aPPT is twice the control value.
3 multiple choice options
The nurse is planning care for a newly admitted patient diagnosed with pulmonary embolism. In
preparing to implement prescribed anticoagulant therapy, it is important that the nurse recognize which
information regarding this therapy?
Heparin and warfarin (Coumadin) are usually initiated at the same time.
,3 multiple choice options
The nurse provides care to a patient who is prescribed thrombolytic therapy to treat deep
veinthrombosis (DVT). Which patient information is an absolute contraindication to this therapy
necessitating the nurse to question the medication current prescription?
Motor vehicle crash 1 month ago
3 multiple choice options
The nurse has instructed a patient recovering from a pulmonary embolism on long-term anticoagulant
therapy. Which patient statement indicates that instruction has been effective?
"I need to use a soft toothbrush and an electric razor and avoid injuries."
3 multiple choice options
In the patient with acute respiratory failure, the nurse interprets which set of arterial blood gases as
respiratory acidosis with hypoxemia?
pH 7.30, PaCO2 55 mm Hg, HCO3- 22 mEq/L, PaO2 66 mm Hg
3 multiple choice options
Which arterial blood gas (ABG) results does the nurse recognize as most indicative of impending
respiratory failure?
PaCO2 48 mm Hg; PaO2 60 mm Hg
3 multiple choice options
The nurse monitors for which clinical manifestations in the patient experiencing intermediate
respiratory failure?
Lethargy
, 3 multiple choice options
In triaging patients in the emergency department, the nurse prioritizes the patient with which clinical
manifestations?
Cyanosis and decreased level of consciousness
3 multiple choice options
In the patient admitted with acute respiratory distress syndrome (ARDS), what is the cause of the
impaired gas exchange?
Increased capillary permeability
3 multiple choice options
A patient admitted with smoke inhalation injuries develops clinical manifestations of acute respiratory
distress syndrome (ARDS). The nurse prepares to implement which healthcare provider prescription?
Intubation and mechanical ventilation
3 multiple choice options
The nurse provides care for a patient requiring mechanical ventilation. When the nurse enters theroom
at the beginning of the shift, the patient's monitor displays a heart rate of 64 and oxygensaturation of
88%. Which nursing action is the priority?
Assessing the patient for airway obstruction
3 multiple choice options
Which assessment finding alerts the nurse to the possibility that the intrathoracic pressure in
amechanically ventilated patient is too high?
Decreased respiratory effort
Disorders Exam 2 Questions and Answers
Which patient requires immediate intervention by the nurse to decrease the risk for developing adeep
vein thrombosis (DVT)?
The patient who is immobile because of a fractured hip
3 multiple choice options
Which prescription is the most important to decrease the risk of deep vein thrombus in a patientafter
surgery?
Ambulate every 2 to 4 hours
3 multiple choice options
A patient diagnosed with a pulmonary embolism has a reduction in arterial oxygen saturationlevel and
dyspnea. Which is the priority nursing diagnosis for this patient?
Impaired Gas Exchange
3 multiple choice options
The patient is receiving heparin therapy for deep vein thrombosis. Which activated
partialthromboplastin time (aPTT) indicates to the nurse that anticoagulation is adequate?
The patient's aPPT is twice the control value.
3 multiple choice options
The nurse is planning care for a newly admitted patient diagnosed with pulmonary embolism. In
preparing to implement prescribed anticoagulant therapy, it is important that the nurse recognize which
information regarding this therapy?
Heparin and warfarin (Coumadin) are usually initiated at the same time.
,3 multiple choice options
The nurse provides care to a patient who is prescribed thrombolytic therapy to treat deep
veinthrombosis (DVT). Which patient information is an absolute contraindication to this therapy
necessitating the nurse to question the medication current prescription?
Motor vehicle crash 1 month ago
3 multiple choice options
The nurse has instructed a patient recovering from a pulmonary embolism on long-term anticoagulant
therapy. Which patient statement indicates that instruction has been effective?
"I need to use a soft toothbrush and an electric razor and avoid injuries."
3 multiple choice options
In the patient with acute respiratory failure, the nurse interprets which set of arterial blood gases as
respiratory acidosis with hypoxemia?
pH 7.30, PaCO2 55 mm Hg, HCO3- 22 mEq/L, PaO2 66 mm Hg
3 multiple choice options
Which arterial blood gas (ABG) results does the nurse recognize as most indicative of impending
respiratory failure?
PaCO2 48 mm Hg; PaO2 60 mm Hg
3 multiple choice options
The nurse monitors for which clinical manifestations in the patient experiencing intermediate
respiratory failure?
Lethargy
, 3 multiple choice options
In triaging patients in the emergency department, the nurse prioritizes the patient with which clinical
manifestations?
Cyanosis and decreased level of consciousness
3 multiple choice options
In the patient admitted with acute respiratory distress syndrome (ARDS), what is the cause of the
impaired gas exchange?
Increased capillary permeability
3 multiple choice options
A patient admitted with smoke inhalation injuries develops clinical manifestations of acute respiratory
distress syndrome (ARDS). The nurse prepares to implement which healthcare provider prescription?
Intubation and mechanical ventilation
3 multiple choice options
The nurse provides care for a patient requiring mechanical ventilation. When the nurse enters theroom
at the beginning of the shift, the patient's monitor displays a heart rate of 64 and oxygensaturation of
88%. Which nursing action is the priority?
Assessing the patient for airway obstruction
3 multiple choice options
Which assessment finding alerts the nurse to the possibility that the intrathoracic pressure in
amechanically ventilated patient is too high?
Decreased respiratory effort
