Nursing 301 Exam 2 Practice Questions

A. increases the HR, constricts arterioles, and reduces the heart's ability to eject blood - It is appropriate for the nurse to recommend smoking cessation for patients with hypertension because nicotine: a) increases the heart rate, constricts arterioles, and reduces the heart's ability to eject blood. b) decreases the heart rate, constricts arterioles, and reduces the heart's ability to eject blood. c) increases the heart rate, constricts arterioles, and increases the heart's ability to eject blood. d) decreases circulating blood volume. A. Renal dysfunction resulting from atherosclerosis - Which of the following is the nurse most correct to recognize as a direct effect of client hypertension? a) Renal dysfunction resulting from atherosclerosis b) Anemia resulting from bone marrow suppression c) Hyperglycemia resulting from insulin receptor resistance d) Emphysema related to poor gas exchange D. green pepper stuffed with fresh tomatoes and chicken - A client, newly prescribed a low-sodium diet due to hypertension, is asking for help with meal choices. The client provides four meal choices, which are favorites. Which selection would be best? a) Toasted cheese sandwich on whole wheat toast with tomato soup b) Creamed chipped beef over with mashed potatoes c) Hot dog with ketchup on whole wheat bun d) Green pepper stuffed with fresh tomatoes and chicken B. "diuretics are the first type of medication to control hypertension." - A nurse is teaching a middle-age client about hypertension. Which of the following information should the nurse include in the teaching? A: "Reaching your goal blood pressure will occur within 2 months." B: "Diuretics are the first type of medication to control hypertension." C: "Limit your alcohol consumption to three drinks a day. D: "Plan to lower saturated fats to 10 percent of your daily calorie intake." B. A 70 year old female who is obese with a LDL of 195 - Which client is a greatest risk for CAD? A. 32 year old female with mitral valve prolapse who quit smoking 15 years ago B. A 70 year old female who is obese with a LDL of 195C. A 43 year old male with a family history of CAD and overall cholesterol level of 140 D. A 56 year old female with an HDL of 50 who takes atorvastatin C. Initiate Oxygen therapy myocardial cell death is reason to prioritize O2 therapy - getting O2 to damaged cells to prevent further injury - A nurse in the emergency room is caring for a client who presents with manifestations that indicate a myocardial infarction. Which of the following prescriptions should the nurse take first? A: Attach the leads for a 12 lead EKG B: Obtain a blood sample C: Initiate Oxygen Therapy D: Insert the IV Catheter A)Decreased cardiac output related to depressed myocardial function, fluid volume deficit, or impaired electrical conduction 9% - A client is recovering from coronary artery bypass graft (CABG) surgery. Which nursing diagnosis takes highest priority at this time? A)Decreased cardiac output related to depressed myocardial function, fluid volume deficit, or impaired electrical conduction 9% b) Anxiety related to an actual threat to health status, invasive procedures, and pain 1% c) Disabled family coping related to knowledge deficit and a temporary change in family dynamics 8% d) Hypothermia related to exposure to cold temperatures and a long cardiopulmonary bypass time B. throbbing headache or dizziness VS to monitor with nitro = BP - A patient with angina has been prescribed nitroglycerin. Before administering the drug, the nurse should inform the patient about what potential adverse effects? A. nervousness or paresthesia B. throbbing headache or dizziness C. drowsiness or blurred vision D. tinnitus or diplopia D. Liver enzymes