PNVN 1631 Exam 1 Cardio PNVN1631 Medical Surgical Nursing I {Score for this quiz: 66.17 out of 80}

PNVN 1631 Exam 1 Cardio PNVN1631 Medical Surgical Nursing I {Score for this quiz: 66.17 out of 80} Due Oct 4 at 8am Points 80 Questions 80 Available Oct 4 at 4am - Oct 4 at 9pm 17 hours Time Limit 135 Minutes Instructions Read the questions carefully and choose the best options for each item question. This is a 80- item questions, please be mindful of your time. When done, click submit. Good luck and thank you. Attempt History Attempt Time Score LATEST Attempt 1 37 minutes 66.17 out of 80  Correct answers are hidden. Score for this quiz: 66.17 out of 80 Submitted Oct 4 at 11:21am This attempt took 37 minutes. Question 1 1 / 1 pts The nurse clarifies that the master pacemaker of the heart is the: bundle of His. atrioventricular (AV) node. left ventricle. sinoatrial (SA) node. The SA node is the master pacemaker of the heart. Question 2 1 / 1 pts The patient has been hospitalized for hypertensive episodes three times in the last months. While preparing the discharge teaching plan, the nurse assesses that he does not comply with his medication regimen. The nurse’s immediate course of action would be to: have a serious talk with him and his family about compliance. reteach him about his medications. collect more information to identify his reasons for noncompliance. arrange for home visits after discharge. Nursing interventions include measures to prevent disease progression and complications. Reteaching about medication will not identify the cause of noncompliance. Question 3 1 / 1 pts The nurse finds a client tensing while lying in bed staring at the cardiac monitor. The client states, "There sure are a lot of wires around there. I sure hope we don't get hit by lightning!" Which is the nurse's best response? “Yes the equipment is a little scary. Can we talk about how the cardiac monitor works?” “Would you like a mild sedative to help you relax?” “I know about your concerns. Your family can stay with you every night if you want to.” “Oh don’t worry, the weather is supposed to be sunny and clear today.” Question 4 1 / 1 pts A nurse is collecting data on a child with a diagnosis of rheumatic fever. Which of the following questions would the nurse initially ask the mother of the child? “Has the child had any diarrhea?” “Has the child been vomiting?” “Does the child complain of chest pain?” “Has the child complained of a sore throat within the past few weeks or months?” Rationale: Rheumatic fever characteristically presents 2 to 6 weeks following an untreated or partially treated group A ß-hemolytic streptococcal infection of the upper respiratory tract. Initially, the nurse determines whether any family members have had a sore throat or unexplained fever within the past 2 months. Although options 1, 2, and 3 may be asked during data collection, they would not be the initial concerns for a child with rheumatic fever. Test-Taking Strategy: Eliminate options 1 and 2 first because they are comparable or alike and both relate to the gastrointestinal system. From the remaining options, recalling that rheumatic fever characteristically presents 2 to 6 weeks following an untreated or partially treated group A ß-hemolytic streptococcal infection of the upper respiratory tract will direct you to option 4. If you had difficulty with this question, review the etiology related to rheumatic fever. Question 5 1 / 1 pts The client is to receive Lopressor (metoprolol tartrate) 0.05 grams po every day. Each scored tablet contains 50 mg. How many tablets would the client receive? 2 1/2 1 1 1/2 Question 6 1 / 1 pts Which action will the nurse implement to decrease the risk of clot formation in an older patient on bed rest? Encourage passive leg exercises and turning. Position pillows behind the knees. Assess peripheral pulses. Limit fluid intake. Using active or passive leg exercises for a patient on bed rest will prevent clot formation. Assessing pulses is not a preventive measure. Adequate hydration promotes fluidity of the blood and decreases the risk of clot formation. Placing pressure against the popliteal space will increase the risk of clot formation. Question 7 1 / 1 pts The patient is on the cardiac monitor undergoing a diagnostic procedure. Suddenly, the health care provider says, “The patient is having ventricular fibrillation!” Which piece of equipment is the most vital? Bag-valve mask Temporary pacemaker Crash cart Defibrillator AHN Study guide resource p.51 Incorrect Question 9 1 / 1 pts The physician ordered Timentin (ticarcillin) 500 mg in 50 mL to infuse over 30 minutes. The drop factor is 15 gtt/mL. Calculate the flow rate in drops per minute. 18 42 38 25 Question 10 1 / 1 pts What will the nurse advise the patient to do to avoid the development of tolerance to nitroglycerin? Use the sublingual form only. Store the drug in a dark container, free from light and moisture. Allow for a daily 8- to 12-hour nitrate free period. Administer subsequent doses parenterally. An 8- to 12-hour nitrate free period will eliminate the development of tolerance to nitroglycerin. Route of administration and medication storage methods do not affect tolerance. Question 11 1 / 1 pts The nurse making the schedule for the daily dose of furosemide (Lasix) would schedule the administration for which of the following times? With any meal At bedtime In the morning Late in the afternoon Diuretics should be scheduled for morning administration to avoid causing the patient nocturia. Question 12 1 / 1 pts The nurse is aware that the symptoms of an impending myocardial infarction (MI) differ in women because acute chest pain is not present. Women are frequently misdiagnosed as having: menopausal complications. hepatitis A. indigestion. urinary infection. Indigestion, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses for women having an MI. Question 13 1 / 1 pts Which of the following makes a correct pathway of blood through the heart? right atrium, tricuspid valve, left atrium, aortic valve, left ventricle right atrium, left atrium, pulmonary artery, pulmonary veins, aorta right atrium, pulmonary artery, mitral valve, left ventricle, aorta right atrium, mitral valve, pulmonary veins, left ventricle, aorta Question 14 1 / 1 pts A patient, age 34, is diagnosed with infective endocarditis. The nurse identifies the nursing diagnosis of Activity intolerance related to generalized weakness for him. Which intervention does the nurse plan while he is febrile?