NUR 209 Exam 1 Med-Surg 2 Newest 2025/2026 Complete
Questions And Correct Detailed Answers (Verified Answers)
|Brand New Version!!
A nurse is caring for a client who is taking carvedilol and has a prescription for an
oral antidiabetic drug to manage their new diagnosis of type 2 diabetes mellitus.
By taking BOTH drugs concurrently, the nurse should identify that the client is as
an increased risk for which of the following conditions?
a) Hyperglycemia
b) Bradycardia
c) Hypotension
d) Hypoglycemia - SOLUTION=Answer: hypoglycemia; there are two factors that
increase the client's risk for hypoglycemia.
1. Carvedilol, an alpha/ beta blocker, potentiates the hypoglycemic effects of
insulin and oral hypoglycemic drugs.
2. carvedilol can mask tachycardia in clients who have hypoglycemia.
Carvedilol should be used with caution by clients who have diabetes mellitus.
What type of medication can be used to help lower cholesterol levels if a patient
isn't lowering then with diet and exercise? - SOLUTION=Statin
Which lipoproteins do the following medications help decrease?
A. Statins
B. Niacin
C. Fibric acid derivative - SOLUTION=A. LDLs
,B. LDLs and HDLs
C. VLDLs
T or F: LDLs deposit plaque in any artery - SOLUTION=True
What is a common side effect of the cholesterol lowering medication niacin? -
SOLUTION=Flushing of the skin and itching
(Due to histamine release and vasodilation. Can be reduced by taking aspirin 30
minutes prior)
How can the cholesterol lowering medication fibric acid cause other meds to be
Supra-therapeutic? - SOLUTION=Fibric acid blocks binding sites for other meds
so patients get more of a dose than initially intended.
A nurse is assisting in the plan of care for a client who is having PTCA
percutaneous transluminal coronary angioplasty with a stent placement. Which of
the following actions should the nurse anticipate in the post operative plan of care?
a) Reinforce with the client about long term conditioning program.
b) Administer scheduled doses of acetaminophen.
c) Check for peak laboratory markers of myocardial damage.
d) Initiate an aspirin regimen. - SOLUTION=ANSWER: D initiate an aspirin
regimen.
Nurse should initiate aspirin regimen or another antiplatelet agent. Antiplatelet
medication maintains patency of the stent by reducing platelet aggregation.
,A nurse is caring for a client who has advanced heart failure. Which of the
following actions should the nurse take?
A.) Place the client in a low-Fowler's position
B.) Assist the client to use the incentive
spirometer every 4 hours
C.) Weigh the client every other day
D.) Enforce fluid restrictions - SOLUTION=Answer D. The nurse should enforce
fluid restrictions to help reduce fluid retention in the lungs and lower extremities.
A nurse is caring for an older adult client who has had an acute myocardial
infarction (MI). When collecting data from this client, the nurse should identify
that older adults are prone to complications of MI in tissue perfusion because of
which of the following age related factors?
A) Peripheral vascular resistance increases
B) The sensitivity of blood pressure adjusting baroreceptors increases
C) Blood is hypercoagulable and clots more quickly
D) Cardiac medications are less effective
E) Older adult clients are more prone to complications from poor tissue perfusion
following acute MI because peripheral vascular resistance increases with
aging.This results from calcification and loss of elasticity of the blood vessel. -
SOLUTION=...
Which one is the correct statement about left atrium?
a) receives oxygenated blood from the pulmonary vein
, b) receives deoxygenated blood from the body
c) pumps blood to the right ventricle
d) pumps blood into the right artery - SOLUTION=...
Which one is the correct statement about right ventricle?
a) receives oxygenated blood from the pulmonary vein
b) pumps blood to the left ventricle
c) pumps oxygenated blood to the body throughout the aorta
d) pumps blood into the pulmonary artery - SOLUTION=...
A nurse is assisting in monitoring a client who had a myocardial infarction. For
which of the following complications should the nurse monitor in the first 24 hr?
a) Infective endocarditis
b) Pericarditis
c) Ventricular dysrhythmias
d) Pulmonary emboli - SOLUTION=Rationale: C
After a myocardial infarction, the electrical conduction system of the heart can be
irritable and prone to dysrhythmias. Ischemic tissue caused by the infarction can
also interfere with the normal conduction patterns of the heart's electrical system.
A nurse is collecting data from a client who has deep-vein thrombosis in her left
calf. Which of the following manifestations should the nurse expect to find?
(Select all that apply)
Questions And Correct Detailed Answers (Verified Answers)
|Brand New Version!!
A nurse is caring for a client who is taking carvedilol and has a prescription for an
oral antidiabetic drug to manage their new diagnosis of type 2 diabetes mellitus.
By taking BOTH drugs concurrently, the nurse should identify that the client is as
an increased risk for which of the following conditions?
a) Hyperglycemia
b) Bradycardia
c) Hypotension
d) Hypoglycemia - SOLUTION=Answer: hypoglycemia; there are two factors that
increase the client's risk for hypoglycemia.
1. Carvedilol, an alpha/ beta blocker, potentiates the hypoglycemic effects of
insulin and oral hypoglycemic drugs.
2. carvedilol can mask tachycardia in clients who have hypoglycemia.
Carvedilol should be used with caution by clients who have diabetes mellitus.
What type of medication can be used to help lower cholesterol levels if a patient
isn't lowering then with diet and exercise? - SOLUTION=Statin
Which lipoproteins do the following medications help decrease?
A. Statins
B. Niacin
C. Fibric acid derivative - SOLUTION=A. LDLs
,B. LDLs and HDLs
C. VLDLs
T or F: LDLs deposit plaque in any artery - SOLUTION=True
What is a common side effect of the cholesterol lowering medication niacin? -
SOLUTION=Flushing of the skin and itching
(Due to histamine release and vasodilation. Can be reduced by taking aspirin 30
minutes prior)
How can the cholesterol lowering medication fibric acid cause other meds to be
Supra-therapeutic? - SOLUTION=Fibric acid blocks binding sites for other meds
so patients get more of a dose than initially intended.
A nurse is assisting in the plan of care for a client who is having PTCA
percutaneous transluminal coronary angioplasty with a stent placement. Which of
the following actions should the nurse anticipate in the post operative plan of care?
a) Reinforce with the client about long term conditioning program.
b) Administer scheduled doses of acetaminophen.
c) Check for peak laboratory markers of myocardial damage.
d) Initiate an aspirin regimen. - SOLUTION=ANSWER: D initiate an aspirin
regimen.
Nurse should initiate aspirin regimen or another antiplatelet agent. Antiplatelet
medication maintains patency of the stent by reducing platelet aggregation.
,A nurse is caring for a client who has advanced heart failure. Which of the
following actions should the nurse take?
A.) Place the client in a low-Fowler's position
B.) Assist the client to use the incentive
spirometer every 4 hours
C.) Weigh the client every other day
D.) Enforce fluid restrictions - SOLUTION=Answer D. The nurse should enforce
fluid restrictions to help reduce fluid retention in the lungs and lower extremities.
A nurse is caring for an older adult client who has had an acute myocardial
infarction (MI). When collecting data from this client, the nurse should identify
that older adults are prone to complications of MI in tissue perfusion because of
which of the following age related factors?
A) Peripheral vascular resistance increases
B) The sensitivity of blood pressure adjusting baroreceptors increases
C) Blood is hypercoagulable and clots more quickly
D) Cardiac medications are less effective
E) Older adult clients are more prone to complications from poor tissue perfusion
following acute MI because peripheral vascular resistance increases with
aging.This results from calcification and loss of elasticity of the blood vessel. -
SOLUTION=...
Which one is the correct statement about left atrium?
a) receives oxygenated blood from the pulmonary vein
, b) receives deoxygenated blood from the body
c) pumps blood to the right ventricle
d) pumps blood into the right artery - SOLUTION=...
Which one is the correct statement about right ventricle?
a) receives oxygenated blood from the pulmonary vein
b) pumps blood to the left ventricle
c) pumps oxygenated blood to the body throughout the aorta
d) pumps blood into the pulmonary artery - SOLUTION=...
A nurse is assisting in monitoring a client who had a myocardial infarction. For
which of the following complications should the nurse monitor in the first 24 hr?
a) Infective endocarditis
b) Pericarditis
c) Ventricular dysrhythmias
d) Pulmonary emboli - SOLUTION=Rationale: C
After a myocardial infarction, the electrical conduction system of the heart can be
irritable and prone to dysrhythmias. Ischemic tissue caused by the infarction can
also interfere with the normal conduction patterns of the heart's electrical system.
A nurse is collecting data from a client who has deep-vein thrombosis in her left
calf. Which of the following manifestations should the nurse expect to find?
(Select all that apply)
