Med Surg Cardiovascular, Hematologic, and Lymphatic Systems Exam Questions And Answers 100% Verified

Med Surg Cardiovascular, Hematologic, and Lymphatic Systems Exam Questions And Answers 100% Verified A client is admitted to the intensive care unit in pulmonary edema. What should the nurse expect when performing the admission assessment? A. Weak, rapid pulse B. Decreased BP C. Radiating ant chest pain D. Crackles at base of each lung - answerD Crackles are the sound of air passing through fluid in the alveolar spaces. With pulmonary edema, fluid moves from the intravascular compartment into the alveoli. With hypervolemia, the pulse is bounding. The blood pressure is increased with hypervolemia. Radiating anterior chest pain will occur with angina or a myocardial infarction. What type of pt is digoxin prescribed for - answerPt w/ atrial fibrillation (shown w/ irregular rhythms) An older adult tells the nurse, "I read about a vitamin that may be related to aging because of its antioxidant effects on the structure of cell walls. I wonder whether it is wise to take it." Which vitamin does the nurse conclude the client is describing? A. K B. B1 C. C D. E - answerD Vitamin E has antioxidant properties. Vitamin K assists in synthesizing blood clotting factors. Vitamin B 1 is necessary for protein and fat metabolism and for functioning of the nervous system. Vitamin C is used for formation of collagen, which is important for maintaining capillary strength, promoting wound healing, and resisting infection. An older adult is brought to the emergency department after being found in the street without a coat during a snowstorm. What actions should the nurse implement? A. Massage extremities B. Obtain rectal temp C. Assess fingers for areas of frostbite D. Determine client's LOC E. Ask for client identification - answerB, C, D & E A rectal temperature provides the most accurate temperature. Older adults have less subcutaneous fat and inefficient temperature-regulating mechanisms, which makes them vulnerable to extremes in environmental temperature. The extremities are more distal sites of circulation and are at increased risk for frostbite. Hypothermia decreases cerebral perfusion, which will result in confusion and a decreased level of consciousness. Getting client identification will help in learning more about the client's previous health history and aid in contacting family members. Massage is contraindicated because it may injure tissues that have sustained frostbite. A nurse is providing dietary instruction to a client with cardiovascular disease. Which dietary selection by the client indicates that the nurse needs to follow up? A. Whole milk w/ oatmeal B. Garden salad w/ olive oil C. Tuna fish w/ small apple D. Soluble fiber cereal w/ yogurt - answerA An overall heart healthy diet includes a variety of fruits and vegetables, whole grains, low-fat dairy products, skinless poultry and fish, nuts, legumes and non-tropical vegetable oils. Whole milk is high in saturated fat and should be avoided. A nurse is developing a teaching plan for a client with a history of a myocardial infarction (MI). The client requests information on how to prevent a future MI. Which statement from the client indicates the nurse needs to intervene? A. "I will restrict my physical activity" B. "I will take 1 baby aspirin every day" C. "I will continue my smoking cessation program" D. "I will try to lose the extra weight I'm carrying around" - answerA Physical activity need not be restricted; clients who have had a myocardial infarction have a cardiovascular rehabilitation exercise program prescribed. Exercise should become a part of the client's lifestyle. Taking one baby aspirin every day is desirable because aspirin decreases platelet aggregation. Continuing a smoking cessation program is desirable because cigarette