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NUR.213 - TEST 2 SAUNDERS PERFUSION EXAM WITH 100% CORRECT ANSWERS 2025

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NUR.213 - TEST 2 SAUNDERS PERFUSION EXAM WITH 100% CORRECT ANSWERS 2025

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NUR.213 - TEST 2 SAUNDERS
PERFUSION EXAM WITH 100%
CORRECT ANSWERS 2025


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 correct answers >>
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 correct
answers >> 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 correct answers >> 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.

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