Adult Health 2 practice questions
10] A 60-yr-vintage male consumer comes into the emergency department with a complaint of
crushing substernal chest pain that radiates to his shoulder and left arm. The admitting
diagnosis is acute myocardial infarction (MI). Immediate admission orders encompass oxygen
through nasal cannula at 4L/minute, blood paintings, a chest radiograph, a 12-lead
electrocardiogram (ECG), and 2mg of morphine sulfate given IV. The nurse should first:
a. Administer the morphine
b. Obtain a 12-lead ECG
c. Obtain the blood work
d. Order the chest radiograph - ANS-a. Although obtaining the ECG, chest radiograph, and
blood paintings are all essential, the nurse's precedence movement should be to alleviate the
crushing chest ache. Therefore, administering morphine sulfate is the concern action.
19. A 58-12 months-old affected person with a left-mind stroke suddenly bursts into tears when
circle of relatives contributors go to. The nurse should
a.
Use a calm voice to ask the affected person to stop the crying behavior.
B.
Provide an explanation for to the circle of relatives that melancholy is everyday following a
stroke.
C.
Have the circle of relatives individuals go away the patient alone for a couple of minutes.
D.
Teach the own family that emotional outbursts are common after strokes. - ANS-ANS: D
Patients who've left-sided brain stroke are at risk of emotional outbursts that are not always
related to the emotional kingdom of the affected person. Depression after a stroke is not
unusual, however the suddenness of the patient's outburst shows that depression is not the
important motive of the behavior. The family should stay with the affected person. The crying
isn't always inside the affected person's manipulate and asking the patient to stop will lead to
embarrassment.
A 15 yr old weighing 250 pounds has commenced to revel in multiplied thirst, elevated appetite,
and frequent urination. After clinical checking out, it changed into determined the teenager has
type 2 diabetes and might be began on oral medicinal drugs. What statistics should the nurse
deliver the adolescent about medicinal drugs as a remedy alternative?
"Insulin is used while diabetics may not take oral capsules, so that you can keep away from this
with the aid of taking your medicinal drug as ordered."
"You are being prescribed this oral medication now, and could want insulin within the destiny."
"Your diabetes is slight since you're handiest having oral remedy, it's going to leave if you
prevent eating candies."
,"Overweight teenagers may additionally broaden kind 2 diabetes, which may be treated with an
oral medication. You may also or may not want insulin inside the future." - ANS-"Overweight
teens may additionally increase type 2 diabetes, which can be handled with an oral remedy. You
may additionally or may not need insulin within the destiny."
A 20-12 months-vintage college student has Type 1 diabetes and generally walks each night as
part of her workout routine. She now plans to enroll in a swimming magnificence to meet her
bodily training requirement. Which adjustment in her remedy plan will the nurse help the patient
make?
Delay the meal earlier than the swimming elegance till the consultation is over
Add 10 gadgets of ordinary insulin to her common morning dose on the days she plans to swim
Time her morning insulin injection so that the height motion will occur at some stage in her
swimming magnificence
Monitor her glucose level before, throughout, and after swimming to determine the want for
changes in meals or insulin - ANS-Monitor her glucose degree before, during, and after
swimming to decide the need for alterations in food or insulin
A 21 12 months vintage female is scheduled for a percutaneous transluminal balloon
valvuloplasty to deal with mitral stenosis. Which statistics must the nurse encompass while
explaining the benefits of the valvuloplasty over valve substitute to the affected person?
All valve tactics are curative
lifelong anticoagulant therapy is wanted after mechanical valve replacement
mechanical valves want to be replaced earlier than biologic valves
ongoing cardiac care by way of a fitness care company isn't vital after valvuloplasty -
ANS-lifelong anticoagulant remedy is wanted after mechanical valve alternative
A 21 year antique girl is scheduled for a percutaneous transluminal balloon valvuloplasty to deal
with mitral stenosis. Which facts need to the nurse consist of when explaining the blessings of
the valvuloplasty over valve substitute to the affected person?
Ongoing cardiac care through a health care issuer is not vital after valvuloplasty
Mechanical valves want to get replaced earlier than biologic valves
All valve approaches are healing
Lifelong anticoagulant remedy is wanted after mechanical valve alternative - ANS-Lifelong
anticoagulant remedy is wanted after mechanical valve replacement
A 32-yo physical therapist is admitted to the medical institution with viable deep vein
thrombophlebitis. Her left calf is swollen and smooth to touch. Which of the following admission
orders need to the nurse question?
No IM injections.
Apply SCDs and investigate every eight hours.
Elevate the foot of the mattress above the extent of her coronary heart.
,Duplex scan of bilateral decrease extremities. - ANS-Apply SCDs and determine each eight
hours.
A 39-year-antique woman with a history of smoking and oral contraceptive use is admitted with
a venous thromboembolism (VTE) and prescribed unfractionated heparin. What laboratory take
a look at need to the nurse overview to evaluate the anticipated effect of the heparin?
A. Platelet matter
B. Activated clotting time (ACT)
C. International normalized ratio (INR)
D. Activated partial thromboplastin time (APTT) - ANS-D. Activated partial thromboplastin time
(APTT)
INR/PT = Coumadin (Warfarin)
A 46-12 months-antique man is admitted to the emergency branch with extreme chest pain,
diaphoretic, and nausea. The nurse suspects an MI when the purchaser reports that the ache:
has been unrelenting for over an hour.
Is localized behind the proper shoulder.
Is truly relieved through sitting up.
Is expanded on inhaling and out. - ANS-has been unrelenting for over an hour.
A sixty eight year vintage patient submit-op day 2 after hip surgical operation with out a cardiac
records reports having chest heaviness. The nurse ought to first:
inquire about the onset, length, severity, and precipitating elements of the heaviness.
Offer ache medicinal drug for the chest heaviness
tell the healthcare provider of the chest heaviness
administer oxygen thru nasal cannula - ANS-inquire approximately the onset, period, severity,
and precipitating factors of the heaviness.
A 68-12 months-antique affected person with Type 2 diabetes is introduced to the ER in an
unresponsive nation. A analysis of hyperglycemic hyperosmolar nonketotic coma is made. The
nurse prepares for the administration of which preliminary therapy?
Oxygen by using nasal cannula
Long-acting IV insulin
IV dextran as a supply of complex carbohydrates
Large quantities of IV saline answer - ANS-Large amounts of IV saline solution
A 74-year-old man with a history of prostate cancer and high blood pressure is admitted to the
emergency branch with substernal chest pain. Which motion will the nurse entire before
administering sublingual nitroglycerin?
, A. Administer morphine sulfate IV.
B. Auscultate heart and lung sounds.
C. Obtain a 12-lead electrocardiogram (ECG).
D. Assess for coronary artery disorder danger elements. - ANS-C. Obtain a 12-lead
electrocardiogram (ECG).
If a patient has chest pain, the nurse must institute the subsequent measures: (1) administer
supplemental oxygen and role the patient in upright position until contraindicated, (2) examine
essential signs, (three) attain a 12-lead ECG, (4) provide activate ache relief first with a nitrate
accompanied by means of an opioid analgesic if wanted, and (five) auscultate heart sounds.
Obtaining a 12-lead ECG during chest ache aids within the prognosis.
A customer is being given an preliminary does of a nonselective beta-blockading agent four
hours after a myocardial infarction (coronary heart assault). The nurse must monitor the
purchaser for:
wheezing.
Rebound high blood pressure.
Headache.
Nonproductive cough. - ANS-wheezing.
A consumer with 5-hours of severe chest ache is admitted with a likely analysis of acute
myocardial infarction (AMI). Which check can maximum without difficulty decide if the patient
has had an AMI?
C-reactive protein
Myoglobin
Troponin
Radionuclide imaging - ANS-Troponin
A consumer with DM had formerly been nicely managed with glyburide (DIaBeta), 5mg PO
every day, however recently the fasting blood glucose has been strolling one hundred
eighty-200 mg/dL. Which medicinal drug, if brought to the customer's regimen, may additionally
have contributed to the hyperglycemia?
Atenolol (Tenormin)
Prednisone (Deltasone)
Phenelzine (Nardil)
Allopurinol (Zyloprim) - ANS-Prednisone (Deltasone)
A purchaser with known mitral stenosis calls the clinic reporting they have gained 4 kilos within
the past 2 days and feature new signs and symptoms of dyspnea on exertion. Which motion via
the sanatorium nurse is the maximum appropriate?
10] A 60-yr-vintage male consumer comes into the emergency department with a complaint of
crushing substernal chest pain that radiates to his shoulder and left arm. The admitting
diagnosis is acute myocardial infarction (MI). Immediate admission orders encompass oxygen
through nasal cannula at 4L/minute, blood paintings, a chest radiograph, a 12-lead
electrocardiogram (ECG), and 2mg of morphine sulfate given IV. The nurse should first:
a. Administer the morphine
b. Obtain a 12-lead ECG
c. Obtain the blood work
d. Order the chest radiograph - ANS-a. Although obtaining the ECG, chest radiograph, and
blood paintings are all essential, the nurse's precedence movement should be to alleviate the
crushing chest ache. Therefore, administering morphine sulfate is the concern action.
19. A 58-12 months-old affected person with a left-mind stroke suddenly bursts into tears when
circle of relatives contributors go to. The nurse should
a.
Use a calm voice to ask the affected person to stop the crying behavior.
B.
Provide an explanation for to the circle of relatives that melancholy is everyday following a
stroke.
C.
Have the circle of relatives individuals go away the patient alone for a couple of minutes.
D.
Teach the own family that emotional outbursts are common after strokes. - ANS-ANS: D
Patients who've left-sided brain stroke are at risk of emotional outbursts that are not always
related to the emotional kingdom of the affected person. Depression after a stroke is not
unusual, however the suddenness of the patient's outburst shows that depression is not the
important motive of the behavior. The family should stay with the affected person. The crying
isn't always inside the affected person's manipulate and asking the patient to stop will lead to
embarrassment.
A 15 yr old weighing 250 pounds has commenced to revel in multiplied thirst, elevated appetite,
and frequent urination. After clinical checking out, it changed into determined the teenager has
type 2 diabetes and might be began on oral medicinal drugs. What statistics should the nurse
deliver the adolescent about medicinal drugs as a remedy alternative?
"Insulin is used while diabetics may not take oral capsules, so that you can keep away from this
with the aid of taking your medicinal drug as ordered."
"You are being prescribed this oral medication now, and could want insulin within the destiny."
"Your diabetes is slight since you're handiest having oral remedy, it's going to leave if you
prevent eating candies."
,"Overweight teenagers may additionally broaden kind 2 diabetes, which may be treated with an
oral medication. You may also or may not want insulin inside the future." - ANS-"Overweight
teens may additionally increase type 2 diabetes, which can be handled with an oral remedy. You
may additionally or may not need insulin within the destiny."
A 20-12 months-vintage college student has Type 1 diabetes and generally walks each night as
part of her workout routine. She now plans to enroll in a swimming magnificence to meet her
bodily training requirement. Which adjustment in her remedy plan will the nurse help the patient
make?
Delay the meal earlier than the swimming elegance till the consultation is over
Add 10 gadgets of ordinary insulin to her common morning dose on the days she plans to swim
Time her morning insulin injection so that the height motion will occur at some stage in her
swimming magnificence
Monitor her glucose level before, throughout, and after swimming to determine the want for
changes in meals or insulin - ANS-Monitor her glucose degree before, during, and after
swimming to decide the need for alterations in food or insulin
A 21 12 months vintage female is scheduled for a percutaneous transluminal balloon
valvuloplasty to deal with mitral stenosis. Which statistics must the nurse encompass while
explaining the benefits of the valvuloplasty over valve substitute to the affected person?
All valve tactics are curative
lifelong anticoagulant therapy is wanted after mechanical valve replacement
mechanical valves want to be replaced earlier than biologic valves
ongoing cardiac care by way of a fitness care company isn't vital after valvuloplasty -
ANS-lifelong anticoagulant remedy is wanted after mechanical valve alternative
A 21 year antique girl is scheduled for a percutaneous transluminal balloon valvuloplasty to deal
with mitral stenosis. Which facts need to the nurse consist of when explaining the blessings of
the valvuloplasty over valve substitute to the affected person?
Ongoing cardiac care through a health care issuer is not vital after valvuloplasty
Mechanical valves want to get replaced earlier than biologic valves
All valve approaches are healing
Lifelong anticoagulant remedy is wanted after mechanical valve alternative - ANS-Lifelong
anticoagulant remedy is wanted after mechanical valve replacement
A 32-yo physical therapist is admitted to the medical institution with viable deep vein
thrombophlebitis. Her left calf is swollen and smooth to touch. Which of the following admission
orders need to the nurse question?
No IM injections.
Apply SCDs and investigate every eight hours.
Elevate the foot of the mattress above the extent of her coronary heart.
,Duplex scan of bilateral decrease extremities. - ANS-Apply SCDs and determine each eight
hours.
A 39-year-antique woman with a history of smoking and oral contraceptive use is admitted with
a venous thromboembolism (VTE) and prescribed unfractionated heparin. What laboratory take
a look at need to the nurse overview to evaluate the anticipated effect of the heparin?
A. Platelet matter
B. Activated clotting time (ACT)
C. International normalized ratio (INR)
D. Activated partial thromboplastin time (APTT) - ANS-D. Activated partial thromboplastin time
(APTT)
INR/PT = Coumadin (Warfarin)
A 46-12 months-antique man is admitted to the emergency branch with extreme chest pain,
diaphoretic, and nausea. The nurse suspects an MI when the purchaser reports that the ache:
has been unrelenting for over an hour.
Is localized behind the proper shoulder.
Is truly relieved through sitting up.
Is expanded on inhaling and out. - ANS-has been unrelenting for over an hour.
A sixty eight year vintage patient submit-op day 2 after hip surgical operation with out a cardiac
records reports having chest heaviness. The nurse ought to first:
inquire about the onset, length, severity, and precipitating elements of the heaviness.
Offer ache medicinal drug for the chest heaviness
tell the healthcare provider of the chest heaviness
administer oxygen thru nasal cannula - ANS-inquire approximately the onset, period, severity,
and precipitating factors of the heaviness.
A 68-12 months-antique affected person with Type 2 diabetes is introduced to the ER in an
unresponsive nation. A analysis of hyperglycemic hyperosmolar nonketotic coma is made. The
nurse prepares for the administration of which preliminary therapy?
Oxygen by using nasal cannula
Long-acting IV insulin
IV dextran as a supply of complex carbohydrates
Large quantities of IV saline answer - ANS-Large amounts of IV saline solution
A 74-year-old man with a history of prostate cancer and high blood pressure is admitted to the
emergency branch with substernal chest pain. Which motion will the nurse entire before
administering sublingual nitroglycerin?
, A. Administer morphine sulfate IV.
B. Auscultate heart and lung sounds.
C. Obtain a 12-lead electrocardiogram (ECG).
D. Assess for coronary artery disorder danger elements. - ANS-C. Obtain a 12-lead
electrocardiogram (ECG).
If a patient has chest pain, the nurse must institute the subsequent measures: (1) administer
supplemental oxygen and role the patient in upright position until contraindicated, (2) examine
essential signs, (three) attain a 12-lead ECG, (4) provide activate ache relief first with a nitrate
accompanied by means of an opioid analgesic if wanted, and (five) auscultate heart sounds.
Obtaining a 12-lead ECG during chest ache aids within the prognosis.
A customer is being given an preliminary does of a nonselective beta-blockading agent four
hours after a myocardial infarction (coronary heart assault). The nurse must monitor the
purchaser for:
wheezing.
Rebound high blood pressure.
Headache.
Nonproductive cough. - ANS-wheezing.
A consumer with 5-hours of severe chest ache is admitted with a likely analysis of acute
myocardial infarction (AMI). Which check can maximum without difficulty decide if the patient
has had an AMI?
C-reactive protein
Myoglobin
Troponin
Radionuclide imaging - ANS-Troponin
A consumer with DM had formerly been nicely managed with glyburide (DIaBeta), 5mg PO
every day, however recently the fasting blood glucose has been strolling one hundred
eighty-200 mg/dL. Which medicinal drug, if brought to the customer's regimen, may additionally
have contributed to the hyperglycemia?
Atenolol (Tenormin)
Prednisone (Deltasone)
Phenelzine (Nardil)
Allopurinol (Zyloprim) - ANS-Prednisone (Deltasone)
A purchaser with known mitral stenosis calls the clinic reporting they have gained 4 kilos within
the past 2 days and feature new signs and symptoms of dyspnea on exertion. Which motion via
the sanatorium nurse is the maximum appropriate?
