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1. (p. 309) One of the primary branches of the right main coronary artery providing blood to the posterior wall of the heart is the: A. Circumflex artery B. Posterior descending artery C. Left anterior descending artery D. Anterior interventricular artery The posterior descending artery is one of the primary branches of the right main coronary, providing blood to the posterior wall of the heart. Bloom's: Remember Difficulty: Hard Learning Outcome: Identify the major coronary ar...

Multiple Choice Questions 1. (p. 338) A standard 12-lead ECG focuses directly on which portion of the heart? A. Right ventricle B. Right atrium C. Left ventricle D. Left atrium A standard 12-lead ECG focuses directly on the left ventricle but considers the heart from slightly different angles. Bloom's: Understand Difficulty: Medium Learning Outcome: Discuss the anatomic views seen on a 12-lead ECG and the coronary artery that commonly supplies that region of tissue. 2. (p. 33...

MULTIPLE CHOICE 1. C.Q. was recently exposed to group A hemolytic Streptococcus and subsequently developed a pharyngeal infection. His clinic examination reveals an oral temperature of 102.3 F, skin rash, dysphagia, and reddened throat mucosa with multiple pustules. He complains of sore throat, malaise, and joint stiffness. A throat culture is positive for Streptococcus, and antibiotics have been prescribed. The etiology of C.Q.’s disease is a. a sore throat. b. streptococcal infection. c...

 A newly pregnant client is crying loudly and reports to the clinic nurse over the phone that she took a prescribed narcotic pain medication 4 weeks ago. What is the nurse’s next response? Correct Answer A “You have nothing to worry about.” B “When did your last period begin?” C “Come to the clinic today for an ultrasound.” D “I’ll let your health care provider know.” Rationale: Begin with an assessment to determine how pregnant the client is. Determine if she i...

The nurse is administering the 0900 medications to a client who was admitted during the night. Which client statement indicates that the nurse should further assess the medication order? Correct Answer A “At home I take my pills at 8:00 am.” B “It costs a lot of money to buy all of these pills.” C “I get so tired of taking pills every day.” D “This is a new pill I have never taken before.” Rationale: The client’s recognition of a “new” pill requires further assessm...

Question 1 : (select all that apply) A nurse is teaching a breastfeeding client about engorgement prevention and management. What should the nurse include in the teaching? A. Nurse the baby frequently and on demandB. Apply warm compresses to the breasts before feedingC. Wear a tight-fitting bra or binderD. Express some milk manually or with a pumpE. Apply cold cabbage leaves to the breasts after feeding No explanation ________________________________________ Discussion Section Write a co...

Question 1 : The method of contraception that involves monitoring a woman's menstrual cycle and avoiding intercourse during her fertile window is called ? A. natural family planningB. hormonal methodsC. intrauterine methodsD. barrier methods Explanation The correct answer is choice A.Natural family planning is a method of contraception that involves monitoring a woman’s menstrual cycle and avoiding intercourse during her fertile window.This is based on the observation of the signs and...

Question 1 : A nurse is assessing a pregnant client who complains of lower back pain. Which musculoskeletal change during pregnancy is primarily responsible for this symptom? A. Increased joint laxity.B. Increased spinal curvature.C. Increased muscle strain.D. Decreased muscle strength. Explanation This is because the growing uterus shifts the center of gravity and causes an increased strain on the back muscles and ligaments. This can lead to lower back pain during pregnancy. Choice A is ...

Question 1 : A nurse is providing education to a pregnant woman diagnosed with gestational diabetes. The nurse explains that gestational diabetes primarily affects ? A. Blood pressure levels during pregnancy.B. The baby's growth and developmentC. The woman's ability to produce insulinD. The woman's blood sugar levels after giving birth Explanation The correct answer is choice B.Gestational diabetes primarily affects the baby’s growth and development.Gestational diabetes is a condition ...

A toddler ingests a small amount of household cleaning fluid. What is the safest advice for the nurse to provide the caregiver? A Give the child fluids and proceed to the emergency department. B Call the poison control center and follow directions. C Administer syrup of ipecac and monitor for vomiting. D Have the toddler eat bread to absorb the substance. ________________________________________ Correct Answer: B A. Give the child fluids and proceed to the emergency department. Whil...

A client in her first trimester of pregnancy is scheduled for an ultrasound. Which of the following would not be a reason for an ultrasound at this stage? A Determine fetal position. B Detect multiple gestations. C Detect maternal abnormalities. D Confirm pregnancy. ________________________________________ Correct Answer: A Choice A rationale: Fetal position during the first trimester is not definitively determined through ultrasound. While the gestational sac and fetal pole can b...

The nurse is teaching a client how to self-administer low-molecular-weight heparin subcutaneously. Which instruction should the nurse include? A Massage the injection site to increase absorption. B Rotate injections between the abdomen and gluteal areas. C Expel the air in the prefilled syringe prior to injection. D Inject in abdominal area at least 2 inches from the umbilicus. ________________________________________ Correct Answer: D Choice A Reason: Massaging the injection site c...

A nurse is collecting data from a client who is receiving vancomycin for a Clostridium difficile infection. Which of the following findings is the priority for the nurse to report to the provider? A Two loose stools in the past 24 hr B WBC 11,000/mm3 C Creatinine 3.1 mg/dL D Heart rate 104/min ________________________________________ Correct Answer: C A. While diarrhea is a concern, it is a common side effect of vancomycin and may not be the highest priority. B. Elevated whit...

A nurse is assisting in the care of a client who is receiving gentamicin 60 mg via intermittent IV bolus. Available is gentamicin 60 mg/100 mL to infuse over 75 min. The nurse should ensure the IV pump is set to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) ________________________________________ Correct Answer: ["80"] To calculate the infusion rate for gentamicin, the nurse should use the following f...

The nurse is conducting a prenatal class explaining the various activities that will occur within the first few hours after birth. The nurse determines the session is successful when the couples correctly choose which reason for the use of an antibiotic ointment. A Prevent infection of the umbilical cord B Prevent infection of the eyes from vaginal bacteria C Protect tear ducts from vaginal bacteria D Protect the urethra from fecal material ________________________________________ Co...

A nurse is caring for a client who has a new prescription for warfarin. The nurse should use the results of which of the following diagnostic tests to monitor the effect of this therapy? A Prothrombin time (PT) B Platelet count C White blood cell count (WBC) D Activated partial thromboplastin time (aPTT) ________________________________________ Correct Answer: A a. Prothrombin time (PT): Warfarin affects the extrinsic pathway of the coagulation cascade, and PT is the primary dia...

The nurse is educating a patient with phlebitis of the left leg. What alternative therapy should this patient avoid until the condition is resolved? A Yoga. B Therapeutic massage. C Acupressure. D Acupuncture. ________________________________________ Correct Answer: B Choice A rationale: Yoga involves gentle stretching and may not directly impact the phlebitis. Choice B rationale: Therapeutic massage could potentially dislodge a clot in the leg, leading to a dangerous condition ...

The nurse completes visual inspection of a client's abdomen. What technique should the nurse perform next in the abdominal examination? A Auscultation. B Percussion. C Light palpation. D Deep palpation. ________________________________________ Correct Answer: A Choice A rationale: After visual inspection, the next step typically involves auscultation, which allows the nurse to listen for bowel sounds and gather information about gastrointestinal function. Choice B rationale: P...

A client is admitted to a mental health unit because of mild depression. When asked, the client denies suicidal ideation, but the nurse reads in the psychosocial assessment that there were attempts to overdose on aspirin 5 years earlier. Which nursing action is most important for this client? Correct Answer A Orient the client to activities on the unit. B Document suicide precautions on the shift report. C Assign the client to a semiprivate room. D Obtain a verbal no-suicide contract with t...

1.Six hours following thoracic surgery, a client has the following arterial blood gas (ABG) findings: pH, 7.50; PaCO2, 30 mm Hg; HCO3, 25 mEq/L; PaO2, 96 mm Hg. What is the best nursing action based on these results? Correct Answer A Increase the oxygen flow rate from 4 to 10 L/min per nasal cannula. B Assess the client for pain and administer pain medication as prescribed. C Encourage the client to take short shallow breaths for 5 minutes. D Prepare to administer sodium bicarbonate IV ov...