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NURS 640 Exam 2 Latest Update ) Exam | Questions and
Verified Answers | 100% Correct | Grade A +
The nurse is reviewing the medications prescribed for a client
diagnosed with dilated cardiomyopathy. Which of the following
medications are commonly prescribed for this disease process?
- ANSWER ACE inhibitor to prevent further dilation of the heart,
Beta-blocker to reduce the strain Diuretics Anticoagulants
Antiarrhythmics
A client is diagnosed with emphysema. For which of the
following hematologic disorders should the nurse include in the
assessment of this client? - ANSWER polycythemia caused by an
increase in the number of red blood cells in response to a
reduced amount of oxygen in the body
Inpatient insulin dosing - ANSWER TDD
50% basal
50% prandial
may need to add rapid acting for meal
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titrate 10-20% until goal met
. The nurse is listening to the breath sounds of a patient with
severe asthma. Air passing through narrowed bronchioles
would produce which of these adventitious sounds? - ANSWER
Wheezes
Caused by air squeezed or compressed through passageways
narrowed almost to closure by collapsing, swelling, secretions,
or tumors, such as with acute asthma or chronic emphysema -
ANSWER Wheezes
The nurse has just recorded a positive iliopsoas test on a patient
who has abdominal pain. This test is used to confirm a(n): -
ANSWER An inflamed or perforated appendix irritates the
iliopsoas muscle, producing pain in the RLQ.
S3 heart sound - ANSWER An auscultated S3 is a sign that
increased blood volume remains in the ventricle with each beat
and that the heart is beginning to fail
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S4 heart sound - ANSWER An S4 sound may indicate increased
resistance to ventricular filling
A client is diagnosed with heart failure. Which of the following
diagnostic tests is useful to determine the degree of the failure?
- ANSWER Brain natriuretic peptide is a hormone found in the
left ventricle; it is used to help diagnose and grade the severity
of heart failure
Blood cultures - ANSWER used to diagnose carditis
Sed Rate - ANSWER used to diagnose pericarditis
A nurse is instructing a client regarding medications and
substances contraindicated for the client with heart failure.
Which of the following would not be contraindicated? -
ANSWER Loop diuretics (e.g., furosemide) are part of the
recommended medications for heart failure.
Contraindications in HF - ANSWER Alcohol, metformin, and
pioglitazone (a thiazolidinedione) are contraindicated.
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The nurse is determining nursing diagnoses appropriate for a
client demonstrating productive cough with pink frothy sputum,
shortness of breath, and crackles. Which of the following
nursing diagnoses is of the most importance? - ANSWER
Impaired gas exchange
In planning the care for a client diagnosed with heart failure,
which of the following would be an appropriate goal? - ANSWER
Increased Activity levels
6.The nurse is instructing a client diagnosed with mild heart
failure on dietary modifications. Which of the following client
statements indicates that the instruction has been effective? -
ANSWER Low Salt Diet
A client is undergoing diagnostic testing for infective
endocarditis. Which of the following laboratory tests would be
most useful in diagnosis? - ANSWER Blood cultures identify the
causative organisms.
Which of the following would the nurse most likely assess in a
client diagnosed with rightsided heart failure? - ANSWER An
NURS 640 Exam 2 Latest Update ) Exam | Questions and
Verified Answers | 100% Correct | Grade A +
The nurse is reviewing the medications prescribed for a client
diagnosed with dilated cardiomyopathy. Which of the following
medications are commonly prescribed for this disease process?
- ANSWER ACE inhibitor to prevent further dilation of the heart,
Beta-blocker to reduce the strain Diuretics Anticoagulants
Antiarrhythmics
A client is diagnosed with emphysema. For which of the
following hematologic disorders should the nurse include in the
assessment of this client? - ANSWER polycythemia caused by an
increase in the number of red blood cells in response to a
reduced amount of oxygen in the body
Inpatient insulin dosing - ANSWER TDD
50% basal
50% prandial
may need to add rapid acting for meal
,2|Page
titrate 10-20% until goal met
. The nurse is listening to the breath sounds of a patient with
severe asthma. Air passing through narrowed bronchioles
would produce which of these adventitious sounds? - ANSWER
Wheezes
Caused by air squeezed or compressed through passageways
narrowed almost to closure by collapsing, swelling, secretions,
or tumors, such as with acute asthma or chronic emphysema -
ANSWER Wheezes
The nurse has just recorded a positive iliopsoas test on a patient
who has abdominal pain. This test is used to confirm a(n): -
ANSWER An inflamed or perforated appendix irritates the
iliopsoas muscle, producing pain in the RLQ.
S3 heart sound - ANSWER An auscultated S3 is a sign that
increased blood volume remains in the ventricle with each beat
and that the heart is beginning to fail
,3|Page
S4 heart sound - ANSWER An S4 sound may indicate increased
resistance to ventricular filling
A client is diagnosed with heart failure. Which of the following
diagnostic tests is useful to determine the degree of the failure?
- ANSWER Brain natriuretic peptide is a hormone found in the
left ventricle; it is used to help diagnose and grade the severity
of heart failure
Blood cultures - ANSWER used to diagnose carditis
Sed Rate - ANSWER used to diagnose pericarditis
A nurse is instructing a client regarding medications and
substances contraindicated for the client with heart failure.
Which of the following would not be contraindicated? -
ANSWER Loop diuretics (e.g., furosemide) are part of the
recommended medications for heart failure.
Contraindications in HF - ANSWER Alcohol, metformin, and
pioglitazone (a thiazolidinedione) are contraindicated.
, 4|Page
The nurse is determining nursing diagnoses appropriate for a
client demonstrating productive cough with pink frothy sputum,
shortness of breath, and crackles. Which of the following
nursing diagnoses is of the most importance? - ANSWER
Impaired gas exchange
In planning the care for a client diagnosed with heart failure,
which of the following would be an appropriate goal? - ANSWER
Increased Activity levels
6.The nurse is instructing a client diagnosed with mild heart
failure on dietary modifications. Which of the following client
statements indicates that the instruction has been effective? -
ANSWER Low Salt Diet
A client is undergoing diagnostic testing for infective
endocarditis. Which of the following laboratory tests would be
most useful in diagnosis? - ANSWER Blood cultures identify the
causative organisms.
Which of the following would the nurse most likely assess in a
client diagnosed with rightsided heart failure? - ANSWER An
