ANSWERS RATED A+
✔✔The nurse is planning care for a client diagnosed with bronchiolectasis. Which of the
following
would be goals for this clients care? (Select all that apply.)
1.Treat the infection.
2.Reduce the heart rate.
3.Minimize further damage.
4.Improve urine output.
5. Promote breathing.
6. Remove secretions. - ✔✔1.Treat the infection.
3.Minimize further damage.
5. Promote breathing.
6. Remove secretions.
✔✔The nurse, planning care for a client diagnosed with a pneumothorax, identifies
which types of
pneumothorax? (Select all that apply.)
1.Spontaneous
2.Radical
3.Traumatic
4.Incomplete
5.Iatrogenic
6.Tension
ANS: 1, 3, 5, 6 - ✔✔1.Spontaneous
3.Traumatic
5.Iatrogenic
6.Tension
✔✔Which of these instructions are for a client diagnosed with a pneumothorax? (Select
all that apply.)
1.Remove air from the pleural space.
2.Correct acid-base imbalances.
3.Treat infection.
4. Minimize damage.
5. Reexpand the lung.
6. Improve fluid balance. - ✔✔1.Remove air from the pleural space.
2.Correct acid-base imbalances.
4. Minimize damage.
5. Reexpand the lung.
✔✔The nurse suspects a clients heart is failing when which of the following heart
sounds is assessed?
1. S1
, 2. S2
3. S3
4. S4 - ✔✔3. S3
✔✔A client is diagnosed with heart failure. Which of the following diagnostic tests is
useful to
determine the degree of the failure?
1.Brain natriuretic peptide level
2.Blood cultures
3.Sedimentation rate
4.Arterial blood gas - ✔✔1.Brain natriuretic peptide level
✔✔1.The nurse suspects a client is experiencing left-sided heart failure when which of
the following is
assessed? (Select all that apply.)
1.Decreased basilar lung sounds
2.Distended neck veins
3.Extra heart sounds
4.Lung crackles
5.Tachycardia
6.Weight gain - ✔✔1.Decreased basilar lung sounds
3.Extra heart sounds
4.Lung crackles
5.Tachycardia
✔✔A client diagnosed with heart failure is prescribed furosemide (Lasix). Which of the
following
should this client be monitored for because of this medication? (Select all that apply.)
1. Dehydration
2. Rebound fluid volume overload
3.Hyponatremia
4.Hypokalemia
5.Hypernatremia
6.Hyperkalemia - ✔✔1. Dehydration
3.Hyponatremia
4.Hypokalemia
✔✔The nurse is reviewing the medications prescribed for a client diagnosed with dilated
cardiomyopathy. Which of the following medications are commonly prescribed for this
disease
process? (Select all that apply.)
1.ACE Inhibitor
2.Beta-blocker
3.Diuretic
4.Anticoagulant