JACKLINE
EAQ NCLEX: Cardiovascular, Hematological, and
Lymphatic With Questions And 100% CORRECT ANSWERS
Terms in this set (98)
Which complication would the nurse consider in a These signs occur with hypovolemic shock because less blood is being circulated to vital centers
client who just had a total hip replacement and is in the brain. A large loss of blood may occur during and after orthopedic surgery. Urinary
experiencing restlessness and changes in retention, not bladder spasms, may occur after general anesthesia. Anemia and deep vein
mentation? thrombosis, not an increase in the total red blood cells (polycythemia vera), tend to occur after a
- Bladder spasms total hip replacement. Atelectasis and pneumonia are possible complications of general
- Polycythemia vera anesthesia, but pulmonary hypertension is not a postoperative complication.
- Hypovolemic shock
- Pulmonary hypertension
Which physiological response occurs first when a The initial response to hemorrhage is activation of the sympathetic nervous system, leading to
client experiences sudden hypovolemia caused increases in heart rate and peripheral vasoconstriction, which shunts blood to essential core
by hemorrhage? organs. The other responses also occur, but more slowly. Cortisol increases as part of the stress
- Peripheral vasoconstriction response, leading to fluid retention, but this process occurs more slowly. Immature red blood
- Elevation of serum cortisol level cells (erythrocytes) are released from the bone marrow, but this occurs more slowly than
- Release of immature erythrocytes vasoconstriction. An increase in ADH causes fluid retention, but this occurs more slowly.
- Increased antidiuretic hormone (ADH)
We have an expert-written solution to this problem!
1/27
,EAQ NCLEX: Cardiovascular, Hematological, and Lymphatic
2/27
, 9/26/24, 8:35 AM
Which behavior would the nurse expect a client to Seeking other opinions to disprove the inevitable is a form of denial employed by individuals who
exhibit during the initial stage of grieving after have illnesses with a poor prognosis. If the client is crying, the client is aware of the magnitude of
learning that a tumor is malignant and has the situation and is past the stage of denial. Criticism that is unjust often is characteristic of the
metastasized to several organs and that the illness stage of anger. Refusing to receive visitors is most common during the depression experienced
is terminal? as one moves toward acceptance or during the acceptance stage.
- Crying uncontrollably
- Criticizing medical care
- Refusing to receive visitors
- Asking for a second opinion
Which physiological process causes temperature The body's inflammatory response to myocardial necrosis causes an elevation of temperature as
elevation after a client has had a myocardial well as leukocytosis within 24 to 48 hours after the event. Arterial thrombosis that causes
infarction? myocardial infarction is followed by thrombolysis, but does not cause elevated temperature.
- Tissue necrosis and inflammation Sympathetic activation does commonly occur with stress associated with myocardial infarction
- Thrombosis followed by thrombolysis but is not the cause of fever. Myocardial infarction is not associated with an infectious process.
- Sympathetic nervous system stimulation
- Infectious process of myocardial muscle cells
Option a reflects the P wave; it represents the electrical
impulse starting at the sinus node and spreading
Which waveform on an electrocardiogram (ECG)
throughout the atria (atrial depolarization). Waveform b
illustrates atrial depolarization?
reflects the QRS complex; it represents depolarization of
-A
the ventricles. Option c reflects the T wave; it represents
-b
repolarization of the ventricles. Waveform d reflects the U
-c
wave; it is believed to reflect late ventricular
-d
repolarization or repolarization of the Purkinje fibers; it is
sometimes identified in clients with hypokalemia.
Which explanation would the nurse nurse give The muscular action during ambulation facilitates the return of venous blood to the heart; this
regarding purpose of early ambulation to a client reduces venous stasis and minimizes the risk of postoperative thrombophlebitis. Protein and
who had surgery the previous day? vitamin C promote wound healing. Walking is not related to the prevention of urinary tract
- Promote healing of the incision infections. Although nursing staff often change the bed when clients are up ambulating, the
- Decrease the incidence of urinary tract purpose of early ambulation is the prevention of client complications, not making nursing actions
infections more convenient for the staff.
- Allow nursing staff to change the bedding
- Keep blood from pooling in the legs to prevent
clots
EAQ NCLEX: Cardiovascular, Hematological, and Lymphatic
3/27
EAQ NCLEX: Cardiovascular, Hematological, and
Lymphatic With Questions And 100% CORRECT ANSWERS
Terms in this set (98)
Which complication would the nurse consider in a These signs occur with hypovolemic shock because less blood is being circulated to vital centers
client who just had a total hip replacement and is in the brain. A large loss of blood may occur during and after orthopedic surgery. Urinary
experiencing restlessness and changes in retention, not bladder spasms, may occur after general anesthesia. Anemia and deep vein
mentation? thrombosis, not an increase in the total red blood cells (polycythemia vera), tend to occur after a
- Bladder spasms total hip replacement. Atelectasis and pneumonia are possible complications of general
- Polycythemia vera anesthesia, but pulmonary hypertension is not a postoperative complication.
- Hypovolemic shock
- Pulmonary hypertension
Which physiological response occurs first when a The initial response to hemorrhage is activation of the sympathetic nervous system, leading to
client experiences sudden hypovolemia caused increases in heart rate and peripheral vasoconstriction, which shunts blood to essential core
by hemorrhage? organs. The other responses also occur, but more slowly. Cortisol increases as part of the stress
- Peripheral vasoconstriction response, leading to fluid retention, but this process occurs more slowly. Immature red blood
- Elevation of serum cortisol level cells (erythrocytes) are released from the bone marrow, but this occurs more slowly than
- Release of immature erythrocytes vasoconstriction. An increase in ADH causes fluid retention, but this occurs more slowly.
- Increased antidiuretic hormone (ADH)
We have an expert-written solution to this problem!
1/27
,EAQ NCLEX: Cardiovascular, Hematological, and Lymphatic
2/27
, 9/26/24, 8:35 AM
Which behavior would the nurse expect a client to Seeking other opinions to disprove the inevitable is a form of denial employed by individuals who
exhibit during the initial stage of grieving after have illnesses with a poor prognosis. If the client is crying, the client is aware of the magnitude of
learning that a tumor is malignant and has the situation and is past the stage of denial. Criticism that is unjust often is characteristic of the
metastasized to several organs and that the illness stage of anger. Refusing to receive visitors is most common during the depression experienced
is terminal? as one moves toward acceptance or during the acceptance stage.
- Crying uncontrollably
- Criticizing medical care
- Refusing to receive visitors
- Asking for a second opinion
Which physiological process causes temperature The body's inflammatory response to myocardial necrosis causes an elevation of temperature as
elevation after a client has had a myocardial well as leukocytosis within 24 to 48 hours after the event. Arterial thrombosis that causes
infarction? myocardial infarction is followed by thrombolysis, but does not cause elevated temperature.
- Tissue necrosis and inflammation Sympathetic activation does commonly occur with stress associated with myocardial infarction
- Thrombosis followed by thrombolysis but is not the cause of fever. Myocardial infarction is not associated with an infectious process.
- Sympathetic nervous system stimulation
- Infectious process of myocardial muscle cells
Option a reflects the P wave; it represents the electrical
impulse starting at the sinus node and spreading
Which waveform on an electrocardiogram (ECG)
throughout the atria (atrial depolarization). Waveform b
illustrates atrial depolarization?
reflects the QRS complex; it represents depolarization of
-A
the ventricles. Option c reflects the T wave; it represents
-b
repolarization of the ventricles. Waveform d reflects the U
-c
wave; it is believed to reflect late ventricular
-d
repolarization or repolarization of the Purkinje fibers; it is
sometimes identified in clients with hypokalemia.
Which explanation would the nurse nurse give The muscular action during ambulation facilitates the return of venous blood to the heart; this
regarding purpose of early ambulation to a client reduces venous stasis and minimizes the risk of postoperative thrombophlebitis. Protein and
who had surgery the previous day? vitamin C promote wound healing. Walking is not related to the prevention of urinary tract
- Promote healing of the incision infections. Although nursing staff often change the bed when clients are up ambulating, the
- Decrease the incidence of urinary tract purpose of early ambulation is the prevention of client complications, not making nursing actions
infections more convenient for the staff.
- Allow nursing staff to change the bedding
- Keep blood from pooling in the legs to prevent
clots
EAQ NCLEX: Cardiovascular, Hematological, and Lymphatic
3/27
