PN2 EXAM 2_Study Guide questions and answers

Kahoots Risk factors for the development of pneumonia include which of the following?  advanced age and immobility Which of these presenting complaints is associated with the client who has pneumonia?  a high fever with sudden onset Which tests confirm a diagnosis of TB?  chest X-ray and sputum culture Pharmacological treatment of active TB consists of:  a 6-month regime of isoniazid, rifampin, and pyrazinamide Which of the following factors may cause an episode of extrinsic asthma?  food additives Which asthma patient would the nurse assess first?  A 27-year-old patient with a heart rate of 120 beats/min Which patient with COPD would the nurse assess first?  A 52-year-old in a tripod position using accessory muscles to breathe A patient has been diagnosed with tuberculosis (TB). What action by the nurse takes highest priority?  Educating the patient on adherence to the med regimen What outcome demonstrates that goals for a pneumonia patient type have been met?  Antibiotics started before admission A pt. is being discharged on long-term therapy for (TB). What referral by the nurse is most appropriate?  Visiting nurses for directly observed therapy The nurse has a positive PPD during the last testing cycle for tb Which of the following is indicated for this nurse?  Pharmacological treatment A client is being treated for exacerbation of copd. Which of the following nursing interventions should be done?  Initiate oxygen at 1 L/min via nasal cannula Which of the following medications should the client be instructed not to use during an acute asthma attack?  Serevent The client should be aware that albuterol may cause:  nervousness What is the MOST common source of chemical pneumonia?  inhalation of irritating substances What is the main goal for the treatment of a client with pneumonia?  clearing of exudate from the airway and adequate oxygenation If a client has a positive skin test for tuberculosis (TB), the nurse knows this result indicates that the client:  has been infected with and has formed antibodies against tuberculosis Which of these terms describes an asthma attack that persists and does not respond to treatment?  status asthmaticus The sac that surrounds and protects the heart is called the:  Pericardium When listening to heart sounds, the valve closures that heard at the base of the heart are:  Aortic and pulmonic The pacemaker:  SA Node Pt. getting up multiple times at night with dib. What might you ask?  Do you have any history of problems with your heart?” Baby sleeps right after feeding and anything strenuous. What should you ask?  Presence of dyspnea or diaphoresis when sucking What does a swooshing blowing sound indicate?  Blood flow turbulence During an assessment of a healthy adult, where would the nurse palpate the apical impulse?  Fifth left intercostal space at the midclavicular line Major blood supply to arm:  Brachial Where to palpate dorsalis pedis.  Lateral to the extensor tendon of the great toe Which vein(s) is(are) responsible for most of the venous return in the arm?  Superficial Which of these people are highest at risk for venous disease?  Person who has been on bed rest for 4 days Pain that comes when walking and stops with rest.  Claudication Pain that gets worse with elevation and better when dangling the legs.  Problems related to arterial insufficiency What kind of pulse would you assess with hyperthyroidism?  Bounding What skin might look like with venous stasis.  Brownish discoloration to the skin of the lower leg What bruits represent:  Occur with turbulent blood flow, possible occlusion The nurse sees that the patient has dilated, tortuous veins in her lower legs and is pregnant:  Varicose veins What does a doppler sound like?  Swishing whooshing Fingers turn red, white and blue:  Reynaud phenomena What does a 2+ pulse mean?  Normal What is essential hypertension?  “It is hypertension that has no cause" Which nonpharmacologic comfort measure should the nurse implement for pericarditis?  Provide a pillow for client to lean forward on What to teach a heart failure patient about energy conservation:  Gather all supplies before doing a task Which question should the nurse ask to assess the extent of the client’s heart failure when a pt. has a hx of HF?  “Are you able to walk upstairs without fatigue?” Which assessment finding should the nurse expect to find with pericarditis?  Friction rub at the left lower sternal border Which infection control precautions should the nurse use for infective endocarditis?  Standard Precautions A nurse admits a client who is experiencing an exacerbation of heart failure. Which action should the nurse take first?  Assess the client’s respiratory status Which statement by the client alerts the nurse to the possibility of right-sided heart failure?  My shoes fit really tight lately Best meal for high cholesterol:  Baked chicken breast, broccoli, tomatoes A nursing student is caring for a pt with an abdominal aneurysm. What action by the student requires the RN to intervene?  Palpates the abdomen in four quadrants A nurse is caring for a client with a (DVT). What nursing assessment indicates a priority outcome has been met:  Oxygen saturation of 98% A client has a deep vein thrombosis (DVT). What comfort measure does the nurse delegate to the UAP  Apply a warm moist pack. A patient has peripheral arterial disease (PAD). What statement by the patient shows need for further teaching?  I can use a heating pad on my legs if it’s set on low Which finding is most concerning for a patient with Atherosclerosis?  Triglycerides: 198 mg/dL How can a pt get rheumatic heart disease?  streptococcal infection Nursing interventions for a client in the acute stage of bacterial endocarditis?  Administration of analgesics as needed The client with a recent diagnosis of cardiomyopathy asks the nurse, “What contributed to my getting this illness:  unknown cause The nurse assesses the foot of a pt that has become suddenly cold, painful, and pulseless. What should he/she do next? (if you’ve already assessed you not gonna assess again!)  Call the physician During a routine physical examination, a client reports recent occipital headaches, blurred vision, fatigue?  Hypertension Name this rhythm:  A-Fib Quizzes 1. Following an acute myocardial infarction, a previously healthy 63-yr-old develops clinical manifestations of heart failure. The nurse anticipates discharge teaching will include information about Angiotensin- converting enzyme (ACE) inhibitors 2. A nurse admits a patient who is experiencing an exacerbation of heart failure. What action would the nurse take first? Assess the patient's respiratory status 3. A nurse assesses a patient after administering isosorbide mononitrate (Imdur). The patient reports a headache. What action would the nurse take? Administer PRN acetaminophen 4. A nurse assesses a patient in an outpatient clinic. Which statement alerts the nurse to the possibility of left-sided heart failure? "I must stop halfway up the stairs to catch my breath." 5. A nurse assesses patients on a cardiac unit. Which patient would the nurse identify as being at greatest risk for the development of left-sided heart failure? A 36-year-old woman with aortic stenosis 6. The nurse has just finished teaching a hypertensive patient about the newly prescribed drug, ramipril (Altace). Which patient statement indicates that more teaching is needed? "I can expect some swelling around my lips and face." 7. The nurse is caring for a patient who is receiving IV furosemide (Lasix) and morphine for the treatment of acute decompensated heart failure (ADHF) with severe orthopnea. Which clinical finding is the best indicator that the treatment has been effective? Reduced dyspnea with the head of bed at 30 degrees 8. A nurse is caring for a patient with a deep vein thrombosis (DVT). What nursing assessment indicates that a priority outcome has been met? Oxygen saturation of 98% 9. The nurse is evaluating a 3-day diet history with a patient who has an elevated lipid panel. What meal selection indicates that the patient is managing this condition well with diet? Baked chicken breast, broccoli, tomatoes 10. The nurse is reviewing the lipid panel of a male patient who has atherosclerosis. Which finding is most concerning? Triglycerides: 198 mg/dL 11. A nurse is teaching a patient with heart failure who has been prescribed enalapril (Vasotec). Which statement would the nurse include in this patient's teaching? "Avoid using salt substitutes." 12. The nurse obtains the following information from a patient newly diagnosed with prehypertension. Which finding is most important to address with the patient? No regular physical exercise 13. The nurse plans discharge teaching for a patient with chronic heart failure who has prescriptions for digoxin (Lanoxin) and hydrochlorothiazide. Appropriate instructions for the patient include notify the health care provider if nausea develops