A patient with chronic atrial fibrillation develops sudden severe pain, pulseless, pallor,
and coolness in the left leg. The nurse should notify the health care provider and:
elevate the left leg on a pillow.
apply an elastic wrap to the leg.
assist the patient in gently exercising the leg.
keep the patient in bed in the supine position.
Give this one a try later!
keep the patient in bed in the supine position.
The nurse obtains a health history from a patient with a prosthetic mitral valve who has
symptoms of infective endocarditis (IE). Which question by the nurse is most
,appropriate?
"Have you been to the dentist lately?"
"Do you have a history of a heart attack?"
"Is there a family history of endocarditis?"
"Have you had any recent immunizations?"
Give this one a try later!
"Have you been to the dentist lately?"
Rationale: Dental procedures place the patient with a prosthetic mitral
valve at risk for infective endocarditis (IE). Myocardial infarction (MI),
immunizations, and a family history of endocarditis are not risk factors for
IE.
A patient is diagnosed with hypertension and nadolol (Corgard) is prescribed. The
nurse should consult with the health care provider before giving this medication upon
finding a history of
asthma.
peptic ulcer disease.
alcohol dependency.
myocardial infarction (MI).
Give this one a try later!
asthma
Rationale: Nadolol is a beta-blocker and can cause bronchospasm,
especially in patients with a history of asthma
,After receiving change-of-shift report, which of these patients admitted with heart
failure should the nurse assess first?
A patient who is receiving IV nesiritide (Natrecor) and has a blood pressure (BP) of
100/56
A patient who is cool and clammy, with new-onset confusion and restlessness
A patient who had dizziness after receiving the first dose of captopril (Capoten)
A patient who has crackles in both posterior lung bases and is receiving oxygen
Give this one a try later!
A patient who is cool and clammy, with new-onset confusion and
restlessness
During a visit to a 72-year-old with chronic heart failure, the home care nurse finds
that the patient has ankle edema, a 2-kg weight gain, and complains of "feeling too
tired to do anything." Based on these data, the best nursing diagnosis for the patient is
activity intolerance related to fatigue
.
disturbed body image related to leg swelling.
impaired skin integrity related to peripheral edema.
impaired gas exchange related to chronic heart failure.
Give this one a try later!
activity intolerance related to fatigue.
Rationale: The patient's statement supports the diagnosis of activity
, intolerance. There are no data to support the other diagnoses, although the
nurse will need to assess for other patient problems.
Which laboratory result for a patient whose cardiac monitor shows multifocal
premature ventricular contractions (PVCs) is most important for the nurse to
communicate to the health care provider?
Blood glucose 228 mg/dL
Serum chloride 90 mEq/L
Serum sodium 133 mEq/L
Serum potassium 2.8 mEq/L
Give this one a try later!
Serum potassium 2.8 mEq/L
When teaching the patient with heart failure about a 2000-mg sodium diet, the nurse
explains that foods to be restricted include
canned and frozen fruits.
fresh or frozen vegetables.
milk, yogurt, and other milk products.
eggs and other high-cholesterol foods.
Give this one a try later!
and coolness in the left leg. The nurse should notify the health care provider and:
elevate the left leg on a pillow.
apply an elastic wrap to the leg.
assist the patient in gently exercising the leg.
keep the patient in bed in the supine position.
Give this one a try later!
keep the patient in bed in the supine position.
The nurse obtains a health history from a patient with a prosthetic mitral valve who has
symptoms of infective endocarditis (IE). Which question by the nurse is most
,appropriate?
"Have you been to the dentist lately?"
"Do you have a history of a heart attack?"
"Is there a family history of endocarditis?"
"Have you had any recent immunizations?"
Give this one a try later!
"Have you been to the dentist lately?"
Rationale: Dental procedures place the patient with a prosthetic mitral
valve at risk for infective endocarditis (IE). Myocardial infarction (MI),
immunizations, and a family history of endocarditis are not risk factors for
IE.
A patient is diagnosed with hypertension and nadolol (Corgard) is prescribed. The
nurse should consult with the health care provider before giving this medication upon
finding a history of
asthma.
peptic ulcer disease.
alcohol dependency.
myocardial infarction (MI).
Give this one a try later!
asthma
Rationale: Nadolol is a beta-blocker and can cause bronchospasm,
especially in patients with a history of asthma
,After receiving change-of-shift report, which of these patients admitted with heart
failure should the nurse assess first?
A patient who is receiving IV nesiritide (Natrecor) and has a blood pressure (BP) of
100/56
A patient who is cool and clammy, with new-onset confusion and restlessness
A patient who had dizziness after receiving the first dose of captopril (Capoten)
A patient who has crackles in both posterior lung bases and is receiving oxygen
Give this one a try later!
A patient who is cool and clammy, with new-onset confusion and
restlessness
During a visit to a 72-year-old with chronic heart failure, the home care nurse finds
that the patient has ankle edema, a 2-kg weight gain, and complains of "feeling too
tired to do anything." Based on these data, the best nursing diagnosis for the patient is
activity intolerance related to fatigue
.
disturbed body image related to leg swelling.
impaired skin integrity related to peripheral edema.
impaired gas exchange related to chronic heart failure.
Give this one a try later!
activity intolerance related to fatigue.
Rationale: The patient's statement supports the diagnosis of activity
, intolerance. There are no data to support the other diagnoses, although the
nurse will need to assess for other patient problems.
Which laboratory result for a patient whose cardiac monitor shows multifocal
premature ventricular contractions (PVCs) is most important for the nurse to
communicate to the health care provider?
Blood glucose 228 mg/dL
Serum chloride 90 mEq/L
Serum sodium 133 mEq/L
Serum potassium 2.8 mEq/L
Give this one a try later!
Serum potassium 2.8 mEq/L
When teaching the patient with heart failure about a 2000-mg sodium diet, the nurse
explains that foods to be restricted include
canned and frozen fruits.
fresh or frozen vegetables.
milk, yogurt, and other milk products.
eggs and other high-cholesterol foods.
Give this one a try later!
