module 4 Pearson DSM: The Concept of Perfusion
A 70-year-old patient states that they exercise daily and notice that they now must rest for longer periods between
activities.
How should the nurse respond? - ANS -"Your heart rate increases with the activities, but it takes longer to return to your
normal rate than it did when you were younger. This results in your needing longer rest periods between activities."
\A 70-year-old patient states that they exercise daily and notice that they now must rest for longer periods between
activities.
Which factor is most likely causing this response? - ANS -Decreased cardiac output resulting in longer period of
tachycardia
\A 78-year-old patient is prescribed an adrenergic antagonist, metoprolol, for hypertension.
What should the nurse teach the patient about this medication? - ANS -Change positions slowly to prevent potential for
orthostatic hypotension.
\A newborn is admitted to the NICU with cardiac anomalies that result in decreased cardiac output. The infant is being
monitored to determine if surgical intervention is needed to maintain an adequate tissue perfusion.
For which clinical manifestation should the nurse monitor the patient? - ANS -Delayed capillary refill
\A patient has been taking a statin medication for about 4 weeks when they are seen for a follow-up appointment. The
patient mentions that when they drink wine with dinner, they tend to feel "funny."
How should the nurse respond to the patient? - ANS -"You should stop drinking alcohol altogether while taking this
medicine; this was something we should have discussed when you went home with the prescription."
\A patient is seen in the emergency department complaining of chest pain.
Which question is the nurse most likely to ask immediately upon seeing the patient in triage? - ANS -"Where is your chest
pain located?"
\During a home visit, the nurse evaluates the self-care ability of a patient recovering from deep vein thrombosis (DVT).
Which observation indicates that additional teaching is required to the patient? - ANS -The patient has removed the
compression stockings.
A 70-year-old patient states that they exercise daily and notice that they now must rest for longer periods between
activities.
How should the nurse respond? - ANS -"Your heart rate increases with the activities, but it takes longer to return to your
normal rate than it did when you were younger. This results in your needing longer rest periods between activities."
\A 70-year-old patient states that they exercise daily and notice that they now must rest for longer periods between
activities.
Which factor is most likely causing this response? - ANS -Decreased cardiac output resulting in longer period of
tachycardia
\A 78-year-old patient is prescribed an adrenergic antagonist, metoprolol, for hypertension.
What should the nurse teach the patient about this medication? - ANS -Change positions slowly to prevent potential for
orthostatic hypotension.
\A newborn is admitted to the NICU with cardiac anomalies that result in decreased cardiac output. The infant is being
monitored to determine if surgical intervention is needed to maintain an adequate tissue perfusion.
For which clinical manifestation should the nurse monitor the patient? - ANS -Delayed capillary refill
\A patient has been taking a statin medication for about 4 weeks when they are seen for a follow-up appointment. The
patient mentions that when they drink wine with dinner, they tend to feel "funny."
How should the nurse respond to the patient? - ANS -"You should stop drinking alcohol altogether while taking this
medicine; this was something we should have discussed when you went home with the prescription."
\A patient is seen in the emergency department complaining of chest pain.
Which question is the nurse most likely to ask immediately upon seeing the patient in triage? - ANS -"Where is your chest
pain located?"
\During a home visit, the nurse evaluates the self-care ability of a patient recovering from deep vein thrombosis (DVT).
Which observation indicates that additional teaching is required to the patient? - ANS -The patient has removed the
compression stockings.
