MDC III Final Exam || with 100% Error-free Solutions.
A nurse is performing discharge teaching for a client who was recently diagnosed with heart
failure. Which of the following should be included in the client and family teaching? correct
answers Low sodium diet
Symptoms to report to the provider
Medication teaching
Fluid restriction
Which of the following assessment findings is a priority during blood transfusion? correct
answers Chest pain
The nurse is caring for a client with mitral regurgitation. Which of the following would the nurse
anticipate the client to develop if left untreated? correct answers Left-sided heart failure
Which of the following procedures are performed for a client with a pericardial effusion? correct
answers Pericardiocentesis
Which of the following medications are appropriate for the treatment of heart failure? correct
answers Digoxin
Diuretics
Angiotensin-converting enzyme (ACE) inhibitors
A hospitalized client has a platelet count of 58,000/mm3 (58 x 109/L). What action by the nurse
is best? correct answers Institute neutropenic precautions
Which of the following assessment findings are consistent with aortic stenosis? correct answers
Harsh systolic crescendo decrescendo murmur
While performing an admission assessment for a client, the nurse notes that the client has
varicose veins with ulcerations and lower extremity edema with a report of a feeling of
heaviness. Which of the following nursing diagnoses should the nurse identify as the priority in
the client's care? correct answers Ineffective peripheral tissue perfusion
A client is receiving treatment for the diagnosis of hemophilia A. which of the following is the
most appropriate to include in the assessment of this client? correct answers Joint pain and
bruising
Which of the following is a treatment option for a client with infective endocarditis? correct
answers Antimicrobials
A client admitted for sickle cell crisis is distraught after learning her child also has the disease.
What response by the nurse is best? correct answers "It's understandable that you are upset about
this news. Would you like to talk about what you're feeling?"
, A nurse in a hematology clinic is working with four clients who have polycythemia vera. Which
client should the nurse see first? correct answers Client who reports dyspnea
A nurse reviews the arterial blood gas (ABG) values of a client admitted with end-stage kidney
disease; PH 7.26; PaCO2 37 mm Hg; PaO2 94 mm Hg and HCO3 15 mEq/L. what do these
values indicate? correct answers Metabolic acidosis
Which of the following interventions should be included in the nutrition care plan of the client
with atherosclerosis? correct answers Increase daily intake of vegetables, fruits, and whole grains
Which of the following clients is most at risk for developing endocarditis? correct answers A
client who recently had a valve replacement and had dental work recently performed
The nurse is caring for a client who presented to the emergency department with pulmonary
edema. The client is hypotensive with a pulse oximeter reading of 85% on room air. Which of
the following is a
nursing priority? correct answers Administer oxygen
A 65-year-old male client is brought via EMS to the emergency department with chest pain. He
rates the pain as a "10" on a scale from 0-10; the pain is located mid-sternum and radiates to his
left arm. His heart rate is 126 beats/minute and blood pressure are 96/60 mm Hg. A 12-lead
electrocardiogram is performed and reveals ST-segment elevation. Which of the following
interventions does the nurse anticipate performing immediately? correct answers Administer
oxygen
Administer morphine
Administer nitroglycerin
A nurse is caring for a client who has recently diagnosed with left ventricular heart failure. What
is an early sign the client is most likely to report? correct answers Dyspnea on exertion
Which of the following is the surgical treatment of choice for end-stage heart failure? correct
answers Ventricular assist devices (VADs)
A nurse is caring for four clients with leukemia. After hand-off report, which client should the
nurse see first? correct answers Client who had two bloody diarrhea stools this morning
A nurse is caring for a client diagnosed with peripheral artery disease. Which of the following is
a common assessment finding? correct answers 1+ pedal pulses
A nurse is caring for a client diagnosed with polycythemia vera. Which of the following should
the nurse include in the client and family education? correct answers Wear support hose while
awake
A nurse is caring for a client who recently underwent a heart transplant. Which of the following
post-operative nursing interventions is the priority? correct answers Ensure strict adherence to
aseptic techniques
A nurse is performing discharge teaching for a client who was recently diagnosed with heart
failure. Which of the following should be included in the client and family teaching? correct
answers Low sodium diet
Symptoms to report to the provider
Medication teaching
Fluid restriction
Which of the following assessment findings is a priority during blood transfusion? correct
answers Chest pain
The nurse is caring for a client with mitral regurgitation. Which of the following would the nurse
anticipate the client to develop if left untreated? correct answers Left-sided heart failure
Which of the following procedures are performed for a client with a pericardial effusion? correct
answers Pericardiocentesis
Which of the following medications are appropriate for the treatment of heart failure? correct
answers Digoxin
Diuretics
Angiotensin-converting enzyme (ACE) inhibitors
A hospitalized client has a platelet count of 58,000/mm3 (58 x 109/L). What action by the nurse
is best? correct answers Institute neutropenic precautions
Which of the following assessment findings are consistent with aortic stenosis? correct answers
Harsh systolic crescendo decrescendo murmur
While performing an admission assessment for a client, the nurse notes that the client has
varicose veins with ulcerations and lower extremity edema with a report of a feeling of
heaviness. Which of the following nursing diagnoses should the nurse identify as the priority in
the client's care? correct answers Ineffective peripheral tissue perfusion
A client is receiving treatment for the diagnosis of hemophilia A. which of the following is the
most appropriate to include in the assessment of this client? correct answers Joint pain and
bruising
Which of the following is a treatment option for a client with infective endocarditis? correct
answers Antimicrobials
A client admitted for sickle cell crisis is distraught after learning her child also has the disease.
What response by the nurse is best? correct answers "It's understandable that you are upset about
this news. Would you like to talk about what you're feeling?"
, A nurse in a hematology clinic is working with four clients who have polycythemia vera. Which
client should the nurse see first? correct answers Client who reports dyspnea
A nurse reviews the arterial blood gas (ABG) values of a client admitted with end-stage kidney
disease; PH 7.26; PaCO2 37 mm Hg; PaO2 94 mm Hg and HCO3 15 mEq/L. what do these
values indicate? correct answers Metabolic acidosis
Which of the following interventions should be included in the nutrition care plan of the client
with atherosclerosis? correct answers Increase daily intake of vegetables, fruits, and whole grains
Which of the following clients is most at risk for developing endocarditis? correct answers A
client who recently had a valve replacement and had dental work recently performed
The nurse is caring for a client who presented to the emergency department with pulmonary
edema. The client is hypotensive with a pulse oximeter reading of 85% on room air. Which of
the following is a
nursing priority? correct answers Administer oxygen
A 65-year-old male client is brought via EMS to the emergency department with chest pain. He
rates the pain as a "10" on a scale from 0-10; the pain is located mid-sternum and radiates to his
left arm. His heart rate is 126 beats/minute and blood pressure are 96/60 mm Hg. A 12-lead
electrocardiogram is performed and reveals ST-segment elevation. Which of the following
interventions does the nurse anticipate performing immediately? correct answers Administer
oxygen
Administer morphine
Administer nitroglycerin
A nurse is caring for a client who has recently diagnosed with left ventricular heart failure. What
is an early sign the client is most likely to report? correct answers Dyspnea on exertion
Which of the following is the surgical treatment of choice for end-stage heart failure? correct
answers Ventricular assist devices (VADs)
A nurse is caring for four clients with leukemia. After hand-off report, which client should the
nurse see first? correct answers Client who had two bloody diarrhea stools this morning
A nurse is caring for a client diagnosed with peripheral artery disease. Which of the following is
a common assessment finding? correct answers 1+ pedal pulses
A nurse is caring for a client diagnosed with polycythemia vera. Which of the following should
the nurse include in the client and family education? correct answers Wear support hose while
awake
A nurse is caring for a client who recently underwent a heart transplant. Which of the following
post-operative nursing interventions is the priority? correct answers Ensure strict adherence to
aseptic techniques
