NUR 114 review test questions with accurate correct answers

A client is admitted to the coronary care unit following temporary pacemaker placement, which of the following nursing actions should the nurse use to promote safety. SATA A. Wear gloves when handling pacemaker leads B.Verify use of 3 pronged grounding plugs C.minimizes clients shoulder movement D.keep lead wires taut when moving client E.additional batteries should be kept in nursing cart - correct answers A. Wear gloves when handling pacemaker leads B.Verify use of 3 pronged grounding plugs C.minimizes clients shoulder movement A nurse is admitting a client who has a complete heart block as demonstrated by EKG. The clients pulse is 34/min, BP 83/48and he is lethargic, and unable to complete sentences. which of the following should the nurse do first. A.cleanse clients skin with soap and water. B.prepare client for insertion of pacemaker C.obtain signed consent form D.apply transcutaneous pacemaker pads - correct answers A. cleanse clients skin with soap an water ~the skin must be cleaned and dried throughly before applying transcutaneous pads. A nurse is caring for a client following and peripheral bypass graft surgery of the left lower extremity. Which of the following finding would pose immediate concern? SATA A.Trace bloody drainage on the dressing. B.cap refill of the affected limb 6seconds C.mottled appearance to affected limb D.Throbbing pain to affected limb E. 2+ pulse in affected limb - correct answers B. and C both would be unexpected findings and the provider would need to be made aware. A nurse is caring for a client following angioplasty inserted through the left femoral artery. While turning the client the nurse discovers blood underneath client's lower back. The nurse should suspect... A. retroperitoneal bleeding B.Cardiac Tamponade C.Bleeding from the insertion site D.Heart failure. - correct answers C. Bleeding from the insertion site. Nurse should inspect insertion site for hematoma, apply pressure, monitor client and notify provider, A client is admitted to the floor for suspected MI and has a history of angina. Which of the following findings will help the nurse distinguish MI from angina. A. angina is relieved with Nitroglycerin and rest B.the pain onf MI resolves in less than 15 mins C. The type of activity that causes MI can be identified D.Angina occurs longer than 30 mins - correct answers A. angina is relieved with rest and Nitrogylcerin A nurse is caring for a client who is asking why the provider wants her to take aspirin once per day. what is the nurses appropriate response. A. aspirin reduces the formation of blood clots that can cause a heart attack B. aspirin relieves pain caused by MI C.aspirin dissolves clots that are forming in your coronary arteries D.aspirin relieves headaches that are cause by other medication - correct answers A. Aspirin reduces the formation of blood clots that can cause heart attack. A nurse is admitting a client to the floor for suspected pulmonary edema. what are some expected finds. SATA A.tachypnea B. Persistent cough C.increased urinary output D.thick yellow sputum E. Orthopnea - correct answers A. Tachypnea is an expected find B. Persistent cough with pink frothy sputum is expected E. Orthopnea is expected for a patient with PE A nurse is completing a heath physical assessment on a client with history of mitral valve insufficiency which is an expected finding? A. hoarseness B. petechia C. crackles in lung D.splenomegaly - correct answers C. crackles in lungs is an expected finding in a client with pulmonary congestion due to the mitral valve insufficiency. A nurse is reviewing a clients record who is being evaluated for possible valvular heart disease. The nurse would notice the following data as risk factors for this condition. SATA A. history of surgical repair to heart valves at age 2 B. Measles infection during childhood C. HTN for 5 year D. weight gain of 10 lbs last year E. Diastolic murmur present - correct answers A. congenital heart defects is a risk factor for valvular disease C.HTN places client at risk for valvular disease E. a murmur would indicate turbulent blood flow, which is often due to valvular heart disease. A nurse is completing discharge teaching to a client who had surgical heart valve replacement. which of the following statements by the client understands teaching. A. " I will get back to exercising right away" B. "I will have my PT/INR checked regularly" C. I will talk to my dentist about no longer needing antibiotics before dental exams" D. "I will continue to limit my intake of foods containing potassium" - correct answers B. Anticoagulant therapy is necessary for the client following placement of mechanical heart valve. the clients PT/INR will need to be checked regularly.