NUR 2502 MDC3 MULTIDIMENSIONAL CARE 3 FINAL EXAM RASMUSSEN COLLEGE

Which of the following is a priority nursing intervention for a client in atrial fibrillation with a rate of 180 beats per minute? a. Apply oxygen b. Administer anticoagulants c. Administer medications to slow the rate d. Monitor urine output - c. Administer medications to slow the rate A nurse is caring for a client who was recently diagnosed with left ventricular heart failure. What is an early sign the client is most likely to report? a. Nocturia b. Weight gain c. Swollen legs d. Nocturnal coughing - d. Nocturnal coughing A nurse is performing discharge teaching for a patient who was recently diagnosed with heart failure. Which of the following should be included in the patient and family teaching? (SATA) a. Medication teaching b. Low sodium diet c. Fluid restriction d. Daily weights e. what their S/S are for CHF - *a. Medication teaching *b. Low sodium diet *c. Fluid restriction *d. Daily weights *e. what their S/S are for CHF Which of the following would be a sign of improvement in heart failure symptoms after an exacerbation? a. Weight gain of 3 lb in a week b. Excessive awakening at night to urinate c. Decreased swelling in the feet, ankles, or hands d. Decrease in exercise tolerance - c. Decreased swelling in the feet, ankles, or hands A 56-year-old female presented to the emergency department with complaints of fatigue and dyspnea on exertion. Physical assessment reveals jugular vein distention, pitting edema of the lower extremities, and irregular heart rhythm. Which of the following tests would you anticipate to be ordered as priority? a. B-type natriuretic peptide b. Complete blood count c. Complete metabolic panel d. Arterial blood gas - a. B-type natriuretic peptide The nurse is caring for a 65-year-old female who presented to the emergency department with shortness of breath and chest discomfort. The client has not been feeling well for the past few days and complains of a productive cough of blood-tinged sputum. Laboratory tests reveal an elevated BNP, and chest x-ray reveals pulmonary congestion. Based on the assessment findings, which of the following diagnosis are consistent with these findings? a. Heart failure (left-sided) b. Pulmonary embolism c. Heart failure (right-sided) d. Lung cancer - a. Heart failure (left-sided) The nurse educates the client on which of the following tests as the best tool for diagnosing heart failure? a. Echocardiography b. Pulmonary artery catheter c. Radionuclide studies d. Multigated angiographic (MUGA) scan - a. Echocardiography A client presents with pink, frothy sputum. What is the most appropriate nursing action? a. Hold the next routine dose of diuretic b. Assess respiratory status c. Insert an IV line d. Insert a nasogastric tube - b. Assess respiratory status