MEDSURGE EXAM. COMPREHENSIVE TEST
BANK WITH ACTUAL QUESTIONS WITH
CORRECT VERIFIED ANSWERS. ALREADY
GRADED A+
A nurse is providing discharge instructions about digoxin (Lanoxin).
Which response should a nurse include as a reason for a client to
withhold the digoxin?
1.Chest pain
2. Blurred vision
3. Persistent hiccups
4. Increased urinary output - ✔ ANSWER ✔ 2. Blurred vision
Digoxin (Lanoxin) - Antiarrhythmic and blood pressure support. It
can treat heart failure and heart rhythm problems.
Visual disturbances, such as blurred or yellow vision, may be
evidence of digoxin toxicity. Chest pain is not a toxic effect of
digoxin. Persistent hiccups (singultus) are not related to digoxin
toxicity. An increased urinary output is not a sign of digoxin toxicity;
it may be a sign of a therapeutic response to the drug, an improved
cardiac output.
A client reports a history of bilateral blanching and pain in the
fingers on exposure to cold. When rewarmed, the fingers become
bright red and "tingly" with a slow return to their usual color. The
client smokes one to two packs of cigarettes per day. The nurse
,determines that the client has Raynaud's disease and not Raynaud's
phenomenon because of the:
1. Tingling sensation
2. Skin color changes
3. Bilateral involvement
4. Changes in skin temperature - ✔ ANSWER ✔ 3. Bilateral
involvement
Raynaud - a condition in which some areas of the body feel numb and
cool in certain circumstances.
Raynaud's phenomenon has unilateral involvement, whereas
Raynaud's disease has bilateral involvement. Tingling sensation
indicates return of blood flow and is characteristic of both Raynaud's
phenomenon and Raynaud's disease. Skin color changes indicate
blood return and are characteristic of both Raynaud's phenomenon
and Raynaud's disease. Changes in skin temperature indicate lack of
blood supply and are characteristic of both Raynaud's phenomenon
and Raynaud's disease.
A health care provider prescribes a diuretic for a client with
hypertension. What should the nurse include in the teaching when
explaining how diuretics reduce blood pressure?
1 Facilitates vasodilation
2 Promotes smooth muscle relaxation
3 Reduces the circulating blood volume
,4 Blocks the sympathetic nervous system - ✔ ANSWER ✔ 3
Reduces the circulating blood volume
Diuretics block sodium reabsorption and promote fluid loss,
decreasing blood volume and reducing arterial pressure. Direct
relaxation of arteriolar smooth muscle is accomplished by
vasodilators, not diuretics. Vasodilators, not diuretics, act on
vascular smooth muscle. Drugs that act on the nervous system, not
diuretics, inhibit sympathetic vasoconstriction.
An African American woman is diagnosed with primary
hypertension. She asks, "Is hypertension a disease of African
American people?" What is the nurse's best response?
1 "The prevalence of hypertension is about equal for women of all
races."
2 "The higher-risk population is composed of African American men
and women."
3 "The highest-risk population consists of older Caucasian American
men and women."
4 "The prevalence of hypertension is greater for African American
women than for African American men." - ✔ ANSWER ✔ 2 "The
higher-risk population is composed of African American men and
women."
, African Americans represent a higher-risk population than
Caucasian Americans for hypertension; the reason is unknown.
African American women are more frequently affected by
hypertension than are Caucasian women. African Americans of both
sexes have a higher prevalence than Caucasian Americans of both
sexes. African American men have a higher risk than African
American women.
A client is to receive conscious sedation during a cardiac
catheterization. Which route of administration should the nurse
explain will be used to deliver the conscious sedation?
1 Via a face mask
2 Into the epidural space
3 Through an intravenous catheter
4 Around the nerves innervating the chest wall - ✔ ANSWER ✔ 3
Through an intravenous catheter
Conscious sedation is administered by direct intravenous (IV)
injection or IV push to dull or reduce the intensity of pain or
awareness of pain during a procedure without loss of defensive
reflexes. General anesthesia usually is administered via inhalation of
the vapor of a volatile liquid or an anesthetic gas via a mask or
endotracheal tube; as a result, the client is unconscious, unaware,
and anesthetized. An epidural block, a type of regional anesthesia,
involves the injection of a local anesthetic into the epidural
(extradural) space; it works by binding to nerve roots as they enter
and exit the spinal cord. A nerve block, a type of regional anesthesia,
BANK WITH ACTUAL QUESTIONS WITH
CORRECT VERIFIED ANSWERS. ALREADY
GRADED A+
A nurse is providing discharge instructions about digoxin (Lanoxin).
Which response should a nurse include as a reason for a client to
withhold the digoxin?
1.Chest pain
2. Blurred vision
3. Persistent hiccups
4. Increased urinary output - ✔ ANSWER ✔ 2. Blurred vision
Digoxin (Lanoxin) - Antiarrhythmic and blood pressure support. It
can treat heart failure and heart rhythm problems.
Visual disturbances, such as blurred or yellow vision, may be
evidence of digoxin toxicity. Chest pain is not a toxic effect of
digoxin. Persistent hiccups (singultus) are not related to digoxin
toxicity. An increased urinary output is not a sign of digoxin toxicity;
it may be a sign of a therapeutic response to the drug, an improved
cardiac output.
A client reports a history of bilateral blanching and pain in the
fingers on exposure to cold. When rewarmed, the fingers become
bright red and "tingly" with a slow return to their usual color. The
client smokes one to two packs of cigarettes per day. The nurse
,determines that the client has Raynaud's disease and not Raynaud's
phenomenon because of the:
1. Tingling sensation
2. Skin color changes
3. Bilateral involvement
4. Changes in skin temperature - ✔ ANSWER ✔ 3. Bilateral
involvement
Raynaud - a condition in which some areas of the body feel numb and
cool in certain circumstances.
Raynaud's phenomenon has unilateral involvement, whereas
Raynaud's disease has bilateral involvement. Tingling sensation
indicates return of blood flow and is characteristic of both Raynaud's
phenomenon and Raynaud's disease. Skin color changes indicate
blood return and are characteristic of both Raynaud's phenomenon
and Raynaud's disease. Changes in skin temperature indicate lack of
blood supply and are characteristic of both Raynaud's phenomenon
and Raynaud's disease.
A health care provider prescribes a diuretic for a client with
hypertension. What should the nurse include in the teaching when
explaining how diuretics reduce blood pressure?
1 Facilitates vasodilation
2 Promotes smooth muscle relaxation
3 Reduces the circulating blood volume
,4 Blocks the sympathetic nervous system - ✔ ANSWER ✔ 3
Reduces the circulating blood volume
Diuretics block sodium reabsorption and promote fluid loss,
decreasing blood volume and reducing arterial pressure. Direct
relaxation of arteriolar smooth muscle is accomplished by
vasodilators, not diuretics. Vasodilators, not diuretics, act on
vascular smooth muscle. Drugs that act on the nervous system, not
diuretics, inhibit sympathetic vasoconstriction.
An African American woman is diagnosed with primary
hypertension. She asks, "Is hypertension a disease of African
American people?" What is the nurse's best response?
1 "The prevalence of hypertension is about equal for women of all
races."
2 "The higher-risk population is composed of African American men
and women."
3 "The highest-risk population consists of older Caucasian American
men and women."
4 "The prevalence of hypertension is greater for African American
women than for African American men." - ✔ ANSWER ✔ 2 "The
higher-risk population is composed of African American men and
women."
, African Americans represent a higher-risk population than
Caucasian Americans for hypertension; the reason is unknown.
African American women are more frequently affected by
hypertension than are Caucasian women. African Americans of both
sexes have a higher prevalence than Caucasian Americans of both
sexes. African American men have a higher risk than African
American women.
A client is to receive conscious sedation during a cardiac
catheterization. Which route of administration should the nurse
explain will be used to deliver the conscious sedation?
1 Via a face mask
2 Into the epidural space
3 Through an intravenous catheter
4 Around the nerves innervating the chest wall - ✔ ANSWER ✔ 3
Through an intravenous catheter
Conscious sedation is administered by direct intravenous (IV)
injection or IV push to dull or reduce the intensity of pain or
awareness of pain during a procedure without loss of defensive
reflexes. General anesthesia usually is administered via inhalation of
the vapor of a volatile liquid or an anesthetic gas via a mask or
endotracheal tube; as a result, the client is unconscious, unaware,
and anesthetized. An epidural block, a type of regional anesthesia,
involves the injection of a local anesthetic into the epidural
(extradural) space; it works by binding to nerve roots as they enter
and exit the spinal cord. A nerve block, a type of regional anesthesia,
