Med Surg 2 All Exam Questions Exam 1, 2 & 3.

Med Surg 2 All Exam Questions Exam 1, 2 & 3. CK-MB and troponin levels are ordered for a client. The client asks the nurse for the test. The nurse bases the response on the knowledge that: a. The presence of myocardial damage occurring several days earlier can be validated best by the troponin level. (P.743 text: often as long as 3 weeks, and it therefore can be used to detect recent myocardial damage) A client who has returned to the unit after arterial revascularization states, “The pain is similar to the pain felt before the procedure.” What would be the nurse’s priority action? a. Assess peripheral pulses of the extremities A nurse is caring for a client who has early peripheral vascular disease. While inspecting the lower extremities the nurse should expect to find: a. Decreased peripheral pulse A nurse is developing a teaching plan for a client with congestive heart failure, which of the following outcomes indicates to the nurse that the treatment is effective? All that apply a. Clients weight today is 79.5 kg and yesterday’s weight was 80.2 kg b. Urinary output of 480cc over the previous 24 hours c. Auscultated clear lung sounds bilaterally d. Able to walk to the bathroom without dyspnea 36. During the initial home visit, the nurse is teaching a client with heart failure how to prevent complications and future hospitalizations. Which of the following statements if made by the client indicates the client’s understanding? I will call my health care provider if: a. I become increasingly SOB at rest b. I gain 2 pounds in one day c. I have to sleep sitting up in a reclining chair