NRSG 3320 EXAM 1 with precise detailed
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answers
A |client |with |pulmonary |edema |has |been |admitted |to |the |ICU. |What |would |be |the |standard |care |for |
this |client? |- |CORRECT |ANSWER-BP |and |pulse |measurements |every |15 |to |30 |minutes
The |nurse |identifies |which |symptom |as |a |characteristic |of |right-sided |heart |failure? |- |CORRECT |
ANSWER-Jugular |vein |distention |(JVD)
A |nurse |caring |for |a |client |recently |admitted |to |the |ICU |observes |the |client |coughing |up |large |
amounts |of |pink, |frothy |sputum. |Lung |auscultation |reveals |coarse |crackles |in |the |lower |lobes |
bilaterally. |Based |on |this |assessment, |the |nurse |recognizes |this |client |is |developing |- |CORRECT |
ANSWER-Decompensated |heart |failure |with |pulmonary |edema
A |patient |in |severe |pulmonary |edema |is |being |intubated |by |the |respiratory |therapist. |What |priority |
action |by |the |nurse |will |assist |in |the |confirmation |of |tube |placement |in |the |proper |position |in |the |
trachea? |- |CORRECT |ANSWER-Call |for |a |chest |x-ray.
The |diagnosis |of |heart |failure |is |usually |confirmed |by |which |of |the |following? |- |CORRECT |ANSWER-
Echocardiogram
The |nurse |is |caring |for |a |client |with |advanced |heart |failure. |What |treatment |will |be |considered |after |
all |other |therapies |have |failed? |- |CORRECT |ANSWER-Heart |Transplant
A |client |asks |the |nurse |if |systolic |heart |failure |will |affect |any |other |body |function. |What |body |system |
response |correlates |with |systolic |heart |failure |(HF)? |- |CORRECT |ANSWER-Decrease |in |renal |perfusion
Which |medication |reverses |digitalis |toxicity? |- |CORRECT |ANSWER-Digoxin |immune |FAB
, A |client |has |been |prescribed |furosemide |80 |mg |twice |daily. |The |asymptomatic |client |begins |to |have |
rare |premature |ventricular |contractions |followed |by |runs |of |bigeminy |with |stable |signs. |What |action |
will |the |nurse |perform |next? |- |CORRECT |ANSWER-Check |the |client's |potassium |level
The |clinical |manifestations |of |cardiogenic |shock |reflect |the |pathophysiology |of |heart |failure |(HF). |By |
applying |this |correlation, |the |nurse |notes |that |the |degree |of |shock |is |proportional |to |which |of |the |
following? |- |CORRECT |ANSWER-Left |ventricular |function
A |client |with |left-sided |heart |failure |reports |increasing |shortness |of |breath |and |is |agitated |and |
coughing |up |pink-tinged, |foamy |sputum. |The |nurse |should |recognize |these |findings |as |signs |and |
symptoms |of |what |condition? |- |CORRECT |ANSWER-acute |pulmonary |edema
A |client |with |stage |IV |heart |failure |has |a |living |will |indicating |a |ventilator |may |not |be |used. |The |client
|begins |experiencing |severe |dyspnea. |What |should |the |nurse |who |is |caring |for |this |client |do? |- |
CORRECT |ANSWER-administer |oxygen, |morphine, |and |a |bronchodilator |for |client |comfort.
When |a |client |has |increased |difficulty |breathing |when |lying |flat, |the |nurse |records |that |the |client |is |
demonstrating |- |CORRECT |ANSWER-orthopnea
The |client |with |cardiac |failure |is |taught |to |report |which |symptom |to |the |health |care |provider |or |clinic
|immediately? |- |CORRECT |ANSWER-Persistent |cough
A |client |with |heart |failure |is |having |a |decrease |in |cardiac |output. |What |indication |does |the |nurse |
have |that |this |is |occurring? |- |CORRECT |ANSWER-Blood |pressure |80/46 |mm |Hg
The |nurse |is |discussing |basic |cardiac |hemodynamics |and |explains |preload |to |the |client. |What |nursing |
intervention |will |decrease |preload? |- |CORRECT |ANSWER-administration |of |a |vasodilating |drug |(as |
ordered |by |a |health |care |provider)
The |nurse |is |admitting |a |client |with |heart |failure. |What |client |statement |indicates |that |fluid |overload |
was |occurring |at |home? |- |CORRECT |ANSWER-"I'm |having |trouble |going |up |the |steps |during |the |day."
The |nurse |is |caring |for |a |client |with |heart |failure. |What |sign |will |lead |the |nurse |to |suspect |right-sided
|heart |failure? |- |CORRECT |ANSWER-Ascites
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answers
A |client |with |pulmonary |edema |has |been |admitted |to |the |ICU. |What |would |be |the |standard |care |for |
this |client? |- |CORRECT |ANSWER-BP |and |pulse |measurements |every |15 |to |30 |minutes
The |nurse |identifies |which |symptom |as |a |characteristic |of |right-sided |heart |failure? |- |CORRECT |
ANSWER-Jugular |vein |distention |(JVD)
A |nurse |caring |for |a |client |recently |admitted |to |the |ICU |observes |the |client |coughing |up |large |
amounts |of |pink, |frothy |sputum. |Lung |auscultation |reveals |coarse |crackles |in |the |lower |lobes |
bilaterally. |Based |on |this |assessment, |the |nurse |recognizes |this |client |is |developing |- |CORRECT |
ANSWER-Decompensated |heart |failure |with |pulmonary |edema
A |patient |in |severe |pulmonary |edema |is |being |intubated |by |the |respiratory |therapist. |What |priority |
action |by |the |nurse |will |assist |in |the |confirmation |of |tube |placement |in |the |proper |position |in |the |
trachea? |- |CORRECT |ANSWER-Call |for |a |chest |x-ray.
The |diagnosis |of |heart |failure |is |usually |confirmed |by |which |of |the |following? |- |CORRECT |ANSWER-
Echocardiogram
The |nurse |is |caring |for |a |client |with |advanced |heart |failure. |What |treatment |will |be |considered |after |
all |other |therapies |have |failed? |- |CORRECT |ANSWER-Heart |Transplant
A |client |asks |the |nurse |if |systolic |heart |failure |will |affect |any |other |body |function. |What |body |system |
response |correlates |with |systolic |heart |failure |(HF)? |- |CORRECT |ANSWER-Decrease |in |renal |perfusion
Which |medication |reverses |digitalis |toxicity? |- |CORRECT |ANSWER-Digoxin |immune |FAB
, A |client |has |been |prescribed |furosemide |80 |mg |twice |daily. |The |asymptomatic |client |begins |to |have |
rare |premature |ventricular |contractions |followed |by |runs |of |bigeminy |with |stable |signs. |What |action |
will |the |nurse |perform |next? |- |CORRECT |ANSWER-Check |the |client's |potassium |level
The |clinical |manifestations |of |cardiogenic |shock |reflect |the |pathophysiology |of |heart |failure |(HF). |By |
applying |this |correlation, |the |nurse |notes |that |the |degree |of |shock |is |proportional |to |which |of |the |
following? |- |CORRECT |ANSWER-Left |ventricular |function
A |client |with |left-sided |heart |failure |reports |increasing |shortness |of |breath |and |is |agitated |and |
coughing |up |pink-tinged, |foamy |sputum. |The |nurse |should |recognize |these |findings |as |signs |and |
symptoms |of |what |condition? |- |CORRECT |ANSWER-acute |pulmonary |edema
A |client |with |stage |IV |heart |failure |has |a |living |will |indicating |a |ventilator |may |not |be |used. |The |client
|begins |experiencing |severe |dyspnea. |What |should |the |nurse |who |is |caring |for |this |client |do? |- |
CORRECT |ANSWER-administer |oxygen, |morphine, |and |a |bronchodilator |for |client |comfort.
When |a |client |has |increased |difficulty |breathing |when |lying |flat, |the |nurse |records |that |the |client |is |
demonstrating |- |CORRECT |ANSWER-orthopnea
The |client |with |cardiac |failure |is |taught |to |report |which |symptom |to |the |health |care |provider |or |clinic
|immediately? |- |CORRECT |ANSWER-Persistent |cough
A |client |with |heart |failure |is |having |a |decrease |in |cardiac |output. |What |indication |does |the |nurse |
have |that |this |is |occurring? |- |CORRECT |ANSWER-Blood |pressure |80/46 |mm |Hg
The |nurse |is |discussing |basic |cardiac |hemodynamics |and |explains |preload |to |the |client. |What |nursing |
intervention |will |decrease |preload? |- |CORRECT |ANSWER-administration |of |a |vasodilating |drug |(as |
ordered |by |a |health |care |provider)
The |nurse |is |admitting |a |client |with |heart |failure. |What |client |statement |indicates |that |fluid |overload |
was |occurring |at |home? |- |CORRECT |ANSWER-"I'm |having |trouble |going |up |the |steps |during |the |day."
The |nurse |is |caring |for |a |client |with |heart |failure. |What |sign |will |lead |the |nurse |to |suspect |right-sided
|heart |failure? |- |CORRECT |ANSWER-Ascites
