Med Surg Exam 3 Questions With Verified Answers 2024

Med Surg Exam 3 Questions With Verified Answers 2024 ans: d A patient's blood pressure is 180/100 mm Hg. To assess cardiovascular status, which question related to nutrition is appropriate for the nurse to ask? a. "do you consume a salad each week?" b. "do you consume meat each day?" c. "how much chili do you consume in an average week?" d. "how much salt do you consume in an average day" ans: c after receiving change of shift report on a heart failure unit, which patient should the nurse assess FIRST? a. patient who is taking isosorbide dinitrate/hydralazine (BiDil) and has a headache b . patient who is taking captopril (capoten) and has a frequent nonproductive cough c. patient who is taking digoxin and has a potassium level of 3.1 mEq/L d. patient who is taking carvedilol (coreg) and has a heart rate of 58 ans: b the nurse is providing care for a patient who has decreased cardiac output related to heart failure. what should the nurse recognize about cardiac output? a. it is determined by measuring the electrical activity of the heart and the patient's heart rate. b. it is calculated by multiplying the patient's stroke volume by the heart rate c. it is the average amt. of blood ejected during one complete cardiac cycle. d. it is the patient's average resting heart rate multiplied by the patient's mean arterial blood pressure ans: 63 the patient's blood pressure is 90/50 mm Hg. the nurse calculates the mean arterial pressure (MAP) to see if the blood pressure is high enough to adequately perfuse and sustain the vital organs. what is the MAP? ans: True true or false. the cardiac landmarks for the auscultatory areas are as follows: the aortic area is in the 2nd ICS to the right of the sternum, while the pulmonic area is in the 2nd ICS to the left of the sternum, and the tricuspid area is in the 5th ICS close to the sternum, while the mitral area is in the left midclavicular line at the 5th ICS. ans: a, b, c, d when assessing the cardiovascular system of an 83 yr old patient, what symptoms should the nurse expect to find? select all that apply a. systolic murmur b. difficulty in isolating the apical pulse c. increased systolic blood pressure d. diminished pedal pulses e. a narrowed pulse pressure ans: d during a physical examination of a patient with cardiovascular disease, the nurse auscultates murmurs. how should the nurse interpret the finding? a. the patient has pericardial friction rub b. the patient has high blood pressure c. there is a decreased compliance of ventricles during filling d. the cardiac valves are affected ans: b, c, d while obtaining objective data during the assessment of the cardiovascular system of a patient, the nurse identifies that which findings will require further evaluation? select all that apply a. edema is absent in the extremities b. hands and feet are cold to touch c. capillary refill takes longer than three seconds d. a thready pulse is present e. veins in the neck are not distended ans: c a patient's BP has not responded consistently to prescribed drugs for hypertension. the first cause of this lack of responsiveness the nurse should explore is: a. the possibility of drug interaction b. progressive target organ damage c. the patient not adhering to therapy d. the patient's possible use of recreational drugs ans: a anti angina medication that may masks signs and symptoms of hypoglycemia in diabetics patients include: select only one the choices below a. atenolol b. amlodipine c. clonidine d. enalapril ans: d the UAP is taking orthostatic vital signs. in the supine position, the BP is 130/80 mm Hg, and the HR is 80 beats/min. in the sitting position, the BP is 140/80, and the HR is 90 beats/min. which action should the nurse instruct the UAP to take next? a. record theBP and HR measurements b. repeat BP and HR in this position c. return the patient to the supine position d. take the BP and HR with patient standing ans: a, b, c the following include important procedures in BP measurement by the nurse (select all that apply) a. initially, take the BP in both arms to note any differences. atherosclerosis in the subclavian artery can cause a falsely low reading on the side where the narrowing occurs b. use the arm with the highest Bp and take at least two readings, at least 1min apart. waiting for at least 1min between readings allows the blood to drain from the arm and prevents inaccurate readings c. place the cuff snugly around the patient's bare upper arm with the midline of the bladder of the cuff (usually marked on the cuff by the manufacturer) placed above the brachial artery. place the patient's arm at the level of the heart during BP measurement d. BP measurements taken in the sitting position, raise and support the arm above or below the level of the heart ans: a