NUR 172 FINAL EXAM LATEST ACTUAL EXAM TEST BANK 500 QUESTIONS ND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ALREADY GRADED A+.pdf

NUR 172 FINAL EXAM LATEST 2023-
m m m m m


2024 ACTUAL EXAM TEST BANK 500 QUESTIONS ND C
m m m m m m m m



ORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
m m m m m



ANSWERS) |ALREADY GRADED A+
m m m




dompeople mwithmhypertensionmhave msymptoms?mifmso,mwhatmsymptoms?m-manswer-
mostmpeople mdomnotmhave msymptoms,mmaymonlymhave mamheadache mormdizziness



howmdomyoumassessmampatientmaftermamcardiacmangiography?m-manswer-
assessmcolor,mtemp,mandmpulsesmofmlegsminmwhichmfemoralmarterymwasmused



whatmdoesmcardiacmcatheterizationmincrease mthe mriskmformandmwhatmdomyoumneedmtomlookmfor?m-
m answer-

m increases m themrisk mformcardiovascularm accidentm(CVA, mstroke);mneedmtomlookm formchanges minmneurologicm

statusm(i.e.mslurredmspeechmandmconfusion), malsombruisingmandmdiscomfortmatmsite



whatmare mimportantmquestionsmtomask/testsmtomrunmBEFOREmampatientmhasmamcardiacmcatheterization
?m-manswer-
askmifmtheymare mallergicmtomseafoodmormiodine,mcheckmBUNmformkidneymfunction;mpatientmmaymgetmIVmfl
uidm12-24mhoursmbefore mthe mtestmormduringmthe mtest



canmyoumhave mleftmsidedmandmrightmsidedmheartmfailure matmthe msame mtime?m-manswer-
yesm(canmhave mone mormboth)



preloadmincreasesmormdecreasesmwithmthe mdecrease mof mcontractility?m-manswer-
preloadmINCREASESmwithmthe mdecrease mofmcontractility



afterloadmincreasesmormdecreasesmasmamresultmofmincreasedmperipheralmresistance?m-manswer-
afterloadmINCREASESmasmamresultmof mincreasedmperipheralmresistance



Mostmheartmfailure mbeginsmwithmfailure mof mthe mandmprogressesmtomfailure mofmbothmventriclesm-manswer-
leftmventricle



whatmare mthe mtypicalmcausesmof mLmsidedmheartmfailure?m-manswer-
hypertension, mcoronarymarterymdisease,mandmvalvularmdisease

,whatmismamkeymindicatormof mLmsidedmheartmfailure?m-manswer-decreasedmtissue mperfusion



Lmsidedmheartmfailure mcanmbembrokenmdownmintomtwomsubtypes:mname mandmdescribe mthemm-manswer--
systolicmheartmfailure:mthemheartmcannotmcontractmforcefullymenoughmduringmsystole mtomejectmadequate m
amountsmofmblood;mejectionmfractionm(percentagemofmbloodmejectedmfrommheartmduringmsystole) mdropsmf
rommamnormalmofm50%mtom70%mtombelowm40%;mresultsminmdecreasedmtissue mperfusionmormpulmonaryman
dmsystemicmcongestion

-
diastolicmheartmfailure:mleftmventricle mcannotmrelax madequatelymduringmdiastole;mstiffeningmpreventsmven
tricle mfrommfillingmwithmsufficientmbloodmtomensure madequate mcardiacmoutput;mrepresentsmaboutm20%mto
m 40% m of m allm heartmfailure, mprimarily m inm oldermadultsmandm womenmwhomhavemchronicm hypertension mandm

undetectedmcoronarymarterymdisease;msignsmandmsymptomsmsimilarmtomsystolicmheartmfailure



whatmare mthe mcausesmofmR-sidedmheartmfailure?m-manswer-L-
sidedmheartmfailure,mrightmventricularmMI,mpulmonarymhypertension, mchronicmcigarette msmoking



whatmismR-sidedmheartmfailure?m-manswer-
rightmventricle mcannotmemptymcompletely;mincreasedmvolumemandmpressure mdevelopminmthemvenousmsyst
emmandmperipheralmedemamresults



assessmentmof mL-sidedmheartmfailure m-manswer--
weakness/fatiguemwhile mperformingmnormalmADLs;mdifficultymbreathingmorm"catchingmtheirmbreath"m(b/cm
fluidmismmovingmintomalveoli)

-
presence mofmS3mgallopm(betweenmS1mandmS2)maskmquestionsmlike:mare myoumablemtomwalkmupstairsmwithout
m fatigue?




assessmentmof mR-sidedmheartmfailure m-manswer-
fluidmismretained,mpressure mbuildsminmthemvenousmsystemm(patientmmaymsaym"mymshoesmfitmtight"=signmo
fmedema);mweightmismimportantmbecause mindicationmthatmclientmismgainingmormlosingmfluid



weakness/fatigue, mdizziness,macutemconfusion,mpulmonarymcongestion,mpulmonarymcrackles,mbreathlessn
ess,mrestlessness,moliguriam(lowmurinemoutput),mandmcoughmthatmworsensmatmnightmaremsymptomsmofmwha
tmsidedmheartmfailure?m-manswer-Lmsidedmheartmfailure



systemicmcongestion,mjugularmdistention,menlargedmliver/spleen,manorexia,mnausea,medemaminmlegsmandm
sacrum,mdistendedmabdomen,mswollenmhandmandmfingers,mpolyuriamatmnight,mandmweightmgainmaremsympt
omsmofmwhatmsidedmheartmfailure?m-manswer-Rmsidedmheartmfailure

,whatmlabmassessmentsmare mimportantmwhenmpatientmhasmHF?m-manswer--
electrolytesm(maymdecrease mdue mtomdrugmtherapy)

-BUNmandmcreatinine m(lookingmformdecreasedmkidneymfunction)

-H&Hm(HFmdue mtomanemia)

-BNPm(formdiagnosing,mbutmmaymuse mmicroalbuminuriaminsteadmbecause mitsmfaster)

-ABG m(decreasedmoxygenmlevelsmdue mtompoormperfusion)



whatmimagingmassessmentsmare mdone mformheartmfailure?m-manswer--chestmx-raym(formL-
sidedmheartmfailure,menlargedmheart)

-echocardiography m(bestmtoolmformdiagnosingmheartmfailure)

-ECG m(notmhelpfulminmdeterminingmthe mpresence mormextentmof mHF)



heartmfailure mself-managementmhealthmteachingm-manswer-M-

medicationsmA-activity

W-

weightmD-

diet

S-symptoms



Whatmismmitralmregurgitation?m- manswer-Reflux mofmbloodmfrommleftmventricle mintomleftmatriummduringmsystole



Whatmismaorticmstenosis?m-manswer-narrowingmofmthemaorticmvalve,mwhichmobstructsmleftmventricularmoutflow



The mnurse mismcaringmformamclientmwithmheartmfailure mwhomismonmoxygenmatm2mLmpermnasalmcannulamwith
m anm oxygenmsaturation mof m90%. mThemclientmstates,m"I mfeelm shortmofm breath."mWhichmactionmwillm themnu

rse mtake mfirst?
a. contactmrespiratorymtherapy

b. increase mthe moxygenmtom4mL

c. place mthe mclientminmamhigh-Fowlermposition

d. drawmarterialmbloodmformarterialmbloodmgasmanalysism-manswer-c.mplacemthemclientminmamhigh-Fowlermposition

, Whatmismthe mprioritymconceptmformamclientmwhomhasmheartmfailure?

a. gasmexchange

b. perfusion

c. comfort

d. infectionm-manswer-b.mperfusion



Whenmamclientmadmitsmthatmhemormshemsometimesmhasmtroublemcatchingmhismormhermbreath,mwhichmquest
ionmwouldmthe mnurse maskmtomobtainmmore minformationmaboutmthe mclient'smsymptoms?

A. "Domyoumhave mamhistorymofmanymmedicalmproblemsmlike mhighmbloodmpressure?"

B. "Whatmdidmyourmhealthmcare mprovidermtellmyoumaboutmyourmdiagnosis?"

C. "Whatmwasmyourmmostmstrenuousmactivitymduringmthe mpastmweek?"

D. "Howmdomyoumfeelmaboutmbeingmtoldmthatmyoumhave mheartmfailure?"m-manswer-
C.m"Whatmwasmyourmmostmstrenuousmactivitymduringmthe mpastmweek?"



Whatmassessmentmfindingsmwouldmthe mnurse mexpectmtomfindminmamclientmwithmrightmheartmfailure?m(SATA)

a. weightmloss

b. dependentmedema

c. neckmveinmdistention

d. angina

e. hepatomegalym(enlargedmliver)

f. weakmperipheralmpulsesm-manswer-b.mdependentmedema

c.mneckmveinmdistention

e.mhepatomegalym(enlargedmliver)



Whatmearlymsignmof mleftmventricularmfailure mismamclientmmostmlikelymtomreportmtomthe mnurse?

a. nocturnalmcoughing

b. swollenmlegs

c. weightmgain