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Exam (elaborations)

PNR 408 Test 2 Questions and Answers Rated A+

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PNR 408 Test 2 Questions and Answers Rated A+ The nurse is caring for a client admitted with diabetes mellitus, malnutrition, osteomyelitis, and alcohol misuse who has a serum amylase level of 280 units/L and a serum lipase level of 310 units/L. To which of the following diagnoses does the nurse attribute these findings? Alcohol Misuse The health care provider prescribes lactulose for a client with hepatic encephalopathy. Which of the following assessment parameters should the nurse monitor for effectiveness of this medication? Decreased ammonia levels The family of a client newly diagnosed with hepatitis A asks the nurse what they can do to prevent becoming ill themselves. Which of the following responses by the nurse is most appropriate? "An injection of immune globulin will need to be given to prevent or minimize the effects from this exposure." The nurse is planning care for a client with cirrhosis. Which of the following nursing diagnoses is priority? Ineffective breathing pattern related to pressure on diaphragm and reduced lung volume Normal serum bilirubin levels lie between: 5.1 and 17 mcmol/L Which if the following is a possible cause of loss of capture in a pacemaker? Battery depletion A patient in the coronary care unit develops ventricular fibrillation. The first action of the nurse should take is to: Initiate cardiopulmonary resuscitation A patient has a diagnosis of acute myocardial infraction, and his cardiac rhythm is sinus bradycardia with six to eight premature ventricular contractions (PVCs) per minute. The pattern that the nurse recognize as the most characteristic of PVC is: A wide, distorted QRS complex A patient's cardiac rhythm is sinus bradycardia with a heart rate of 34 beats/minute. If the bradycardia is symptomatic, the nurse would expect the patient to exhibit: Shortness of breath When computing a heart rate from the ECG tracing, the nurse counts 15 of the small blocks between the R waves of a client whose rhythm is regular. From these data, which of the following rates should the nurse calculate as the client's heart rate? 100 beats/minute Which of the following statements best describes the electrical activity of the heart represented by measuring the PR interval on the ECG? The length of time for the electrical impulse to travel from the SA node to the Purkinje fibres The nurse obtains a 6-second rhythm strip and charts the following analysis: atrial rate 70, regular; ventricular rate 40, regular; QRS 0.04 second; no relationship between P waves and QRS complexes; atria and ventricles beating independently of each other. Which of the following descriptions is a correct interpretation of this rhythm strip? Third-degree heart block The nurse is caring for a client who is 24 hours postpacemaker

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