NSG 210 TEST 2 QUESTIONS WITH
COMPLETE SOLUTIONS!!
1 of 112
Term
9.A nurse is caring for a client who was admitted with
hypertrophic cardiomyopathy (HCM). What interprofessional care
does the nurse anticipate providing? (Select all that apply.)
a.Administering beta blockers
b.Administering high-dose furosemide
c. Preparing for a cardiac catheterization
d. Loading the client on digitalis
e. Instructing the client to avoid strenuous exercise
f.Teaching the client how to use the CardioMEMS™
,Give this one a try later!
ANS: A
Clients are often in denial after a coronary event. The client who seems to be in
denial but is compliant with treatment may be using a healthy form of coping that
allows time to process the event and start to use problem-focused coping. The
nurse would not discourage this type of denial and coping, but rather continue
providing education in a positive manner. Emphasizing complications may
make the client defensive and more anxious. Telling the client that denial is
normal is placing too much attention on the process. Forcing the client to
verbalize
understanding of the illness is also potentially threatening to the client.
ACDE
Risk factor of CAD
smoking, sedentary lifestyle, HTN, high fat diet
Mckinney ch 32
ACE
Management of obstructive HCM includes administering negative
inotropic agents such as
beta-adrenergic blocking agents (carvedilol) and calcium antagonists
(verapamil). Vasodilators, diuretics, nitrates, and cardiac glycosides
are contraindicated in patients with obstructive HCM. Strenuous
exercise is also prohibited. Echocardiography, radionuclide imaging,
and
angiocardiography during cardiac catheterization are performed to
diagnose and differentiate cardiomyopathies. The CardioMEMSTM device
is used with clients who have heart failure.
hypertrophic cardiomyopathy: heart muscle thickened
ANS: B
The post-angioplasty client with tongue swelling and anxiety is exhibiting signs
and symptoms of an allergic reaction (perhaps to the contrast medium) that
could progress to anaphylaxis. The nurse would assess this client first. The
client with a heart rate of 102 beats/min may have increased oxygen demands
but is
, just over the normal limit for heart rate. The two post coronary artery bypass
clients are stable.
Don't know?
2 of 112
Term
12. A nurse cares for a client who is infected with
Burkholderia cepacia. Which action should the nurse take first when
admitting this client to a pulmonary care unit?
a. Instruct the client to wash his or her hands after contact with
other people.
b. Implement Droplet Precautions and don a surgical mask.
c. Keep the client isolated from other clients with cystic fibrosis.
d. Obtain blood, sputum, and urine culture specimens.
Give this one a try later!
C
Burkholderia cepacia is infection thru contact b/w CF patients
need to seperate
Iggy 9th Ch 30
, C
INH needs to be taken on empty stomach, either 1 hour before or 2 hours after
meals
Extra Vit B6 needed
Staining eye - rifampin
Iggy 10th Chapter 28
A
Daily weights are needed to document fluid retention or fluid loss.
1L=2.2 lb (1 kg).
Weight changes are the most reliable indicator of fluid loss or gain. The other
responses do not address the importance of monitoring fluid retention or loss.
D
Clients with a history of heart failure generally have negative findings, such
as shortness of
breath and fatigue. The nurse needs to determine whether the client's activity is
the same or
worse, or whether the client identifies a decrease in activity level. Trouble
breathing, chest
pain, breathlessness at night, and peripheral edema are symptoms of
heart failure, but do not
provide data that can determine the extent of the client's heart failure.
Don't know?
3 of 112
Term
3.A nurse assesses a client admitted to the cardiac unit. Which
statement by the client alerts the nurse to the possibility of
right- sided heart failure?
COMPLETE SOLUTIONS!!
1 of 112
Term
9.A nurse is caring for a client who was admitted with
hypertrophic cardiomyopathy (HCM). What interprofessional care
does the nurse anticipate providing? (Select all that apply.)
a.Administering beta blockers
b.Administering high-dose furosemide
c. Preparing for a cardiac catheterization
d. Loading the client on digitalis
e. Instructing the client to avoid strenuous exercise
f.Teaching the client how to use the CardioMEMS™
,Give this one a try later!
ANS: A
Clients are often in denial after a coronary event. The client who seems to be in
denial but is compliant with treatment may be using a healthy form of coping that
allows time to process the event and start to use problem-focused coping. The
nurse would not discourage this type of denial and coping, but rather continue
providing education in a positive manner. Emphasizing complications may
make the client defensive and more anxious. Telling the client that denial is
normal is placing too much attention on the process. Forcing the client to
verbalize
understanding of the illness is also potentially threatening to the client.
ACDE
Risk factor of CAD
smoking, sedentary lifestyle, HTN, high fat diet
Mckinney ch 32
ACE
Management of obstructive HCM includes administering negative
inotropic agents such as
beta-adrenergic blocking agents (carvedilol) and calcium antagonists
(verapamil). Vasodilators, diuretics, nitrates, and cardiac glycosides
are contraindicated in patients with obstructive HCM. Strenuous
exercise is also prohibited. Echocardiography, radionuclide imaging,
and
angiocardiography during cardiac catheterization are performed to
diagnose and differentiate cardiomyopathies. The CardioMEMSTM device
is used with clients who have heart failure.
hypertrophic cardiomyopathy: heart muscle thickened
ANS: B
The post-angioplasty client with tongue swelling and anxiety is exhibiting signs
and symptoms of an allergic reaction (perhaps to the contrast medium) that
could progress to anaphylaxis. The nurse would assess this client first. The
client with a heart rate of 102 beats/min may have increased oxygen demands
but is
, just over the normal limit for heart rate. The two post coronary artery bypass
clients are stable.
Don't know?
2 of 112
Term
12. A nurse cares for a client who is infected with
Burkholderia cepacia. Which action should the nurse take first when
admitting this client to a pulmonary care unit?
a. Instruct the client to wash his or her hands after contact with
other people.
b. Implement Droplet Precautions and don a surgical mask.
c. Keep the client isolated from other clients with cystic fibrosis.
d. Obtain blood, sputum, and urine culture specimens.
Give this one a try later!
C
Burkholderia cepacia is infection thru contact b/w CF patients
need to seperate
Iggy 9th Ch 30
, C
INH needs to be taken on empty stomach, either 1 hour before or 2 hours after
meals
Extra Vit B6 needed
Staining eye - rifampin
Iggy 10th Chapter 28
A
Daily weights are needed to document fluid retention or fluid loss.
1L=2.2 lb (1 kg).
Weight changes are the most reliable indicator of fluid loss or gain. The other
responses do not address the importance of monitoring fluid retention or loss.
D
Clients with a history of heart failure generally have negative findings, such
as shortness of
breath and fatigue. The nurse needs to determine whether the client's activity is
the same or
worse, or whether the client identifies a decrease in activity level. Trouble
breathing, chest
pain, breathlessness at night, and peripheral edema are symptoms of
heart failure, but do not
provide data that can determine the extent of the client's heart failure.
Don't know?
3 of 112
Term
3.A nurse assesses a client admitted to the cardiac unit. Which
statement by the client alerts the nurse to the possibility of
right- sided heart failure?
