EAQ Perfusion
Which action would the nurse suggest when a client reports feeling faint and lightheaded upon rising to
a standing position after a discectomy and fusion surgery? - Have the client sit on the edge of the
bed so the nurse can hold the client upright.
Which assessment after administration of diltiazem to a client with supraventricular tachycardia (SVT)
and a heart rate of 170 beats/minute indicates that the medication was effective? - Heart rate of
98 beats/minute
Within which period of time would a nurse advise the client to anticipate pain relief will begin when
nitroglycerin sublingual tablets are prescribed for a client with the diagnosis of angina? - 1 to 3
minutes
Which toxic effect would the nurse find in a client who has overdosed on isocarboxazid? -
Circulatory collapse
Which explanation will the nurse give when a client asks about what causes varicose veins? -
"Incompetent valves of superficial veins."
Which response indicates that a beta blocker prescribed for persistent ventricular tachycardia is working
effectively? - Decreased heart rate
Which heart rate is the maximum normal for a 16-year-old? Record - 90
Which is the minimum heart rate of a 14-year-old? Record your answer - 60
Which Korotkoff sound represents the diastolic blood pressure in an adolescent? - Fifth
Which blood pressure is optimal for an adolescent? - 110/65 mm Hg
, Which is involved in the postprocedure nursing care of a child after left- side cardiac catheterization? -
Monitoring the insertion site for bleeding
Which is the purpose of encouraging active leg and foot exercises for a client who has had hip surgery? -
Prevent clot formation
Which immunoglobulin crosses the placenta? - IgG
The nurse applies a cold pack to relieve musculoskeletal pain. Which rationale explains the analgesic
properties of cold therapy - Causes local vasoconstriction, preventing edema and muscle spasms
Which cytokine stimulates the liver to produce fibrinogen and protein C? - Interleukin-6
The parent of an infant with heart failure questions the necessity of weighing the baby every morning.
Which would the nurse say that this daily information is important in determining? - Fluid
retention
The weight of a 3-month-old infant with tetralogy of Fallot has declined from the 25th percentile to the
5th. Which mechanism would the nurse suspect is the reason for this inadequate weight gain? -
Inadequate oxygen perfusion leading to activity intolerance, resulting in diminished energy to
nurse
Which rationale supports the nursing intervention to turn the client with paraplegia every 1 to 2 hours? -
To prevent development of pressure injuries
Which medication may be used to treat postpartum hemorrhage? - Methylergonovine
Which teratogenic effect is seen because of lithium? - Ebstein anomaly
Which cardiovascular adverse effect would the nurse associate with the use of clomiphene? -
Tachycardia
Which action would the nurse suggest when a client reports feeling faint and lightheaded upon rising to
a standing position after a discectomy and fusion surgery? - Have the client sit on the edge of the
bed so the nurse can hold the client upright.
Which assessment after administration of diltiazem to a client with supraventricular tachycardia (SVT)
and a heart rate of 170 beats/minute indicates that the medication was effective? - Heart rate of
98 beats/minute
Within which period of time would a nurse advise the client to anticipate pain relief will begin when
nitroglycerin sublingual tablets are prescribed for a client with the diagnosis of angina? - 1 to 3
minutes
Which toxic effect would the nurse find in a client who has overdosed on isocarboxazid? -
Circulatory collapse
Which explanation will the nurse give when a client asks about what causes varicose veins? -
"Incompetent valves of superficial veins."
Which response indicates that a beta blocker prescribed for persistent ventricular tachycardia is working
effectively? - Decreased heart rate
Which heart rate is the maximum normal for a 16-year-old? Record - 90
Which is the minimum heart rate of a 14-year-old? Record your answer - 60
Which Korotkoff sound represents the diastolic blood pressure in an adolescent? - Fifth
Which blood pressure is optimal for an adolescent? - 110/65 mm Hg
, Which is involved in the postprocedure nursing care of a child after left- side cardiac catheterization? -
Monitoring the insertion site for bleeding
Which is the purpose of encouraging active leg and foot exercises for a client who has had hip surgery? -
Prevent clot formation
Which immunoglobulin crosses the placenta? - IgG
The nurse applies a cold pack to relieve musculoskeletal pain. Which rationale explains the analgesic
properties of cold therapy - Causes local vasoconstriction, preventing edema and muscle spasms
Which cytokine stimulates the liver to produce fibrinogen and protein C? - Interleukin-6
The parent of an infant with heart failure questions the necessity of weighing the baby every morning.
Which would the nurse say that this daily information is important in determining? - Fluid
retention
The weight of a 3-month-old infant with tetralogy of Fallot has declined from the 25th percentile to the
5th. Which mechanism would the nurse suspect is the reason for this inadequate weight gain? -
Inadequate oxygen perfusion leading to activity intolerance, resulting in diminished energy to
nurse
Which rationale supports the nursing intervention to turn the client with paraplegia every 1 to 2 hours? -
To prevent development of pressure injuries
Which medication may be used to treat postpartum hemorrhage? - Methylergonovine
Which teratogenic effect is seen because of lithium? - Ebstein anomaly
Which cardiovascular adverse effect would the nurse associate with the use of clomiphene? -
Tachycardia
