Revisiontestbanks

Chapter 31: Concepts of Care for Patients with Dysrhythmias Chapter 32: Concepts of Care for Patients with Cardiac Problems Chapter 33: Concepts of Care for Patients with Vascular Problems Chapter 34: Critical Care of Patients with Shock Chapter 35: Critical Care of Patients with Acute Coronary Syndromes

MULTIPLE CHOICE 1. A client is receiving norepinephrine for shock. What assessment finding best indicates a therapeutic effect from this drug? a. Alert and oriented, answering questions b. Client denies chest pain or chest pressure c. IV site without redness or swelling d. Urine output of 30 mL/hr for 2 hours ANS: A Normal cognitive function is a good indicator that the client is receiving the benefits of norepinephrine. The brain is very sensitive to changes in oxygenation and ...

MULTIPLE CHOICE 1. What is the nurse’s priority when caring for a client who just completed a bone marrow aspiration and biopsy? a. Teach the client to avoid activity for 24 to 48 hours to prevent infection. b. Administer a nonsteroidal anti-inflammatory drug (NSAID) to promote comfort. c. Check the pressure dressing frequently for signs of excessive or active bleeding. d. Report the laboratory results to the primary health care provider. ANS: C The client having a bone marrow...

MULTIPLE CHOICE 1. A client with coronary artery disease (CAD) asks the nurse about taking fish oil supplements. What response by the nurse is best? a. “Fish oil is contraindicated with most drugs for CAD.” b. “The best source is fish, but pills have benefits too.” c. “There is no evidence to support fish oil use with CAD.” d. “You can reverse CAD totally with diet and supplements.” ANS: B Omega-3 fatty acids have shown benefit in reducing lipid levels, in reduci...

MULTIPLE CHOICE 1. A nurse teaches a client who experiences occasional premature atrial contractions (PACs) accompanied by palpitations that resolve spontaneously without treatment. Which statement would the nurse include in this client’s teaching? a. “Minimize or abstain from caffeine.” b. “Lie on your side until the attack subsides.” c. “Use your oxygen when you experience PACs.” d. “Take amiodarone daily to prevent PACs.” ANS: A PACs usually have no hemodyna...

MULTIPLE CHOICE 1. A client had a femoral-popliteal bypass graft with a synthetic graft. What action by the nurse is most important to prevent wound infection? a. Appropriate hand hygiene before giving care b. Assessing the client’s temperature every 4 hours c. Clean technique when changing dressings d. Monitoring the client’s daily white blood cell count ANS: A Hand hygiene is the best way to prevent infections in hospitalized clients. Dressing changes would be done with st...

Chapter 26: Concepts of Care for Patients with Non-infectious Upper Respiratory Problems Chapter 27: Concepts of Care for Patients with Non-infectious Lower Respiratory Problems Chapter 28: Concepts of Care for Patients with Infectious Respiratory Problems Chapter 29: Critical Care of Patients with Respiratory Emergencies Chapter 30: Assessment of

MULTIPLE CHOICE 1. A nurse cares for a client with infective endocarditis. Which infection control precautions would the nurse use? a. Standard Precautions b. Bleeding Precautions c. Reverse isolation d. Contact isolation ANS: A The client with infective endocarditis does not pose any specific threat of transmitting the causative organism. Standard Precautions would be used. Bleeding Precautions, reverse isolation, or Contact Precautions are not necessary. DIF: Applying TOP: Integ...

MULTIPLE CHOICE 1. The emergency department (ED) manager is reviewing client charts to determine how well the staff perform when treating clients with community-acquired pneumonia. What outcome demonstrates that goals for this client type have been met? a. Antibiotics started before admission. b. Blood cultures obtained within 20 minutes. c. Chest x-ray obtained within 30 minutes. d. Pulse oximetry obtained on all clients. ANS: A Goals for treatment of community-acquired pneumon...

MULTIPLE CHOICE 1. A nurse assesses a client who is recovering from a myocardial infarction. The client’s blood pressure is 140/88 mm Hg. What action would the nurse take first? a. Compare the results with previous blood pressure readings. b. Increase the intravenous fluid rate because these readings are low. c. Immediately notify the primary health care provider of the elevated blood pressure. d. Document the finding in the client’s chart as the only action. ANS: A The mos...