Ostomy care (exam 3)ACTUAL UPDATED Questions and CORRECT
Answers
A nurse assesses clients on a cardiac unit. Which client would the nurse
identify as being at greatest risk for the development of left-sided heart
failure? - Answer A 36- year old woman with aortic stenosis
A nurse assesses a client in an outpatient clinic. Which statement alerts
the nurse to the possibility of left-sided heart failure? - Answer "I
must stop halfway up the stairs to catch my breath."
A nurse assesses a client admitted to the cardiac unit. Which statement
by the client alerts the nurse to the possibility of right-sided heart
failure? - Answer "My shoes fit really tight lately."
While assessing a client on a cardiac unit, a nurse identifies the
presence of an S3 gallop. What action would the nurse take next? -
Answer Assess for symptoms of left-sided heart failure.
A nurse cares for a client with right-sided heart failure. The client asks,
"Why do I need to weigh myself every day?" How would the nurse
respond? - Answer "Weight is the best indication that you are
gaining or losing fluid."
,A nurse is teaching a client with heart failure who has been prescribed
enalapril. Which statement would the nurse include in this client's
teaching? - Answer "Avoid using salt substitutes."
After administering the first dose of captopril to a client with heart
failure, the nurse implements interventions to decrease complications.
Which intervention is most important for
the nurse to implement? - Answer Instruct the client to ask for
assistance when rising from bed.
A nurse assesses a client after administering the first dose of a nitrate.
The client reports a headache. What action would the nurse take? -
Answer Administer PRN acetaminophen.
A nurse teaches a client who is prescribed digoxin therapy. Which
statement would the nurse include in this client's teaching? - Answer
"Do not take this medication within 1 hour of taking an antacid."
A nurse teaches a client who has a history of heart failure. Which
statement would the nurse include in this client's discharge teaching? -
Answer "Weigh yourself daily while wearing the same amount of
clothing."
, A nurse admits a client who is experiencing an exacerbation of heart
failure. What action would the nurse take first? - Answer Assess the
client's respiratory status.
A nurse assesses a client with mitral valve stenosis. What clinical sign or
symptom would alert the nurse to the possibility that the client's
stenosis has progressed? - Answer Dyspnea on exertion
A nurse cares for a client recovering from prosthetic valve replacement
surgery. The client asks, "Why will I need to take anticoagulants for the
rest of my life?" What is the best
response by the nurse? - Answer "Blood clots form more easily in
artificial replacement valves."
After teaching a client who is being discharged home after mitral valve
replacement surgery, the nurse assesses the client's understanding.
Which client statement indicates a need for
additional teaching? - Answer "I will have my teeth cleaned by my
dentist in 2 weeks."
A nurse cares for a client with infective endocarditis. Which infection
control precautions would the nurse use? - Answer Standard
Precautions
Answers
A nurse assesses clients on a cardiac unit. Which client would the nurse
identify as being at greatest risk for the development of left-sided heart
failure? - Answer A 36- year old woman with aortic stenosis
A nurse assesses a client in an outpatient clinic. Which statement alerts
the nurse to the possibility of left-sided heart failure? - Answer "I
must stop halfway up the stairs to catch my breath."
A nurse assesses a client admitted to the cardiac unit. Which statement
by the client alerts the nurse to the possibility of right-sided heart
failure? - Answer "My shoes fit really tight lately."
While assessing a client on a cardiac unit, a nurse identifies the
presence of an S3 gallop. What action would the nurse take next? -
Answer Assess for symptoms of left-sided heart failure.
A nurse cares for a client with right-sided heart failure. The client asks,
"Why do I need to weigh myself every day?" How would the nurse
respond? - Answer "Weight is the best indication that you are
gaining or losing fluid."
,A nurse is teaching a client with heart failure who has been prescribed
enalapril. Which statement would the nurse include in this client's
teaching? - Answer "Avoid using salt substitutes."
After administering the first dose of captopril to a client with heart
failure, the nurse implements interventions to decrease complications.
Which intervention is most important for
the nurse to implement? - Answer Instruct the client to ask for
assistance when rising from bed.
A nurse assesses a client after administering the first dose of a nitrate.
The client reports a headache. What action would the nurse take? -
Answer Administer PRN acetaminophen.
A nurse teaches a client who is prescribed digoxin therapy. Which
statement would the nurse include in this client's teaching? - Answer
"Do not take this medication within 1 hour of taking an antacid."
A nurse teaches a client who has a history of heart failure. Which
statement would the nurse include in this client's discharge teaching? -
Answer "Weigh yourself daily while wearing the same amount of
clothing."
, A nurse admits a client who is experiencing an exacerbation of heart
failure. What action would the nurse take first? - Answer Assess the
client's respiratory status.
A nurse assesses a client with mitral valve stenosis. What clinical sign or
symptom would alert the nurse to the possibility that the client's
stenosis has progressed? - Answer Dyspnea on exertion
A nurse cares for a client recovering from prosthetic valve replacement
surgery. The client asks, "Why will I need to take anticoagulants for the
rest of my life?" What is the best
response by the nurse? - Answer "Blood clots form more easily in
artificial replacement valves."
After teaching a client who is being discharged home after mitral valve
replacement surgery, the nurse assesses the client's understanding.
Which client statement indicates a need for
additional teaching? - Answer "I will have my teeth cleaned by my
dentist in 2 weeks."
A nurse cares for a client with infective endocarditis. Which infection
control precautions would the nurse use? - Answer Standard
Precautions
