MDC 3 full study guide questions

Multi 3 full 1. During hourly rounding, you enter a room where the client is unresponsive without a pulse. What is your priority action? a. Open the airway b. Being ventilation at 1 breath every 6-8 seconds c. Start chest compressions at a rate of 100-120 compressions per minute d. Wait for the emergency response team for direction 2. The nurse is performing discharge teaching for a client who was recently diagnosed with heart failure. Which of the following should be included in the client and family teaching? (select all that apply) a. Medication teaching b. Low sodium diet c. Fluid restriction d. Weekly weights e. Symptoms to report to provider 3. The nurse educates the client on which of the following tests as the best tool for diagnosing heart failure? a. Echocardiography b. Pulmonary artery catheter c. Radionuclide studies d. Multigated angiographic (MIUGA) scan 4. A is caring for a client diagnosed with atherosclerosis. Which of the following is considered a risk factor for the development of this disorder? a. High HDL-C/ Low LDL-C b. Vegan diet c. Low HDL-C/ High LDL-C d. Diet High in Vitamin K 5. Which of the following is not a possible treatment plan for a client diagnosed with leukemia? a. Induction and consolidation therapy b. Surgical intervention c. Stem cell transplant d. Blood product transfusion 6. A nurse is caring for a client with leukemia. After handing off report, which client should the nurse sea first? a. Client with a new two bloody diarrhea stool this morning b. Client who has been premedicated for nausea prior to chemotherapy c. Client with respiratory rate changes from 15 to 20 breaths per minute d. Client with an unchanged lesion to the lower right lateral malleolus 7. You are caring for a client who presented to the emergency department with pulmonary edema. The client is hypotensive with a pulse oximeter reading of 85% on room air. Which of the following is a nursing priority? a. Administer diuretics b. Administer IV fluids c. Administer oxygen d. Obtain a chest x-ray 8. The nurse receives an order to infuse heparin 1000 units/hr IV. The IV bag contains 25,000 units heparin in 500ML D5W. calculate the IV rates in mL/hr. _____ mL/hr. (Record answer as a whole number. Do not include trailing zero. Answer numerically, do not label.) _________20______ 9. A nurse caring for a client recently diagnose with leukemia. Which of the following signs and symptoms are not consistent with this diagnosis? a. Bleeding gums b. Bone pain c. Weight gain d. Hematuria 10. Which of the following clients is most at risk of developing endocarditis? a. Explain who recently underwent a valve replacement b. A client with Marfan’s syndrome c. A client recently diagnosed with mitral stenosis d. A client who recently had a Valve replacement Ann had dental work recently performed 11. A client is receiving treatment for the diagnosis of hemophilia A. Which of the following is the most appropriate to include in the assessment of this client? a. Appetite b. Urine output c. Joint pain and bruising d. Respiratory rate 12. Which of the following is a pharmacological treatment option for a client with dilated cardiomyopathy? (select all that apply) a. Diuretics b. Sodium tablet c. Vasodilating agent d. Phentermine 13. The nurse is discharging home a client at risk of venous thromboembolism on enoxaparin sodium. Which instruction is a priority for the nurse to provide to this client? a. “notify your healthcare provider if your stools appear tarry” b. “massage the injection site after the heparin is injected “ c. “you must have you PT/INR checked every 2 weeks” d. “you must have your aPTT check every 72 hours” 14. The nurse knows that which of the following is the most common problem for a client with valvular heart disease? a. Decrease cardiac output b. Difficulty coping c. Shortness of breath d. Altered body image 15. The client has thrombocytopenia. Which client statement indicates the client understands the selfmanagement of this condition? a. “I brush and use dental floss every day” b. “I chew hard candy for my dry cough” c. “I usually put ice on bumps and bruises” d. “non slip socks are best when I walk” 16. A nurse is caring for a client diagnosed with polycythemia Vera which of the following should the nurse include in the clients and family education? a. Decrease fluid intake to no more than 1 liter per day b. Where support hose while awake c. Diet high in vitamin K intake d. Resume normal activities 17. A nurse caring for a client diagnosed with multiple Myeloma. Which of the following signs and symptoms are not consistent with early stages of the disease? a. Fatigue b. Bruising c. Bone pain d. Hypotension 18. A nurse is caring four in 19 years old Mail recently diagnose with leukemia which of the following nursing intervention is not appropriate for the client a. strict hand hygiene to prevent infection b. provide emotional support c. restrict fluids and dietary intake d. protect from injury due to thrombocytopenia 19. The nurse is caring for a 65-year-old female who presented to the emergency department with shortness of breath and chest discomfort. The client has not been feeling well for the past few days and complaints of productive cough of blood-tinged spectrum. Laboratory test review an elevate brain natriuretic peptide (BNP) and a chest X-ray reveals pulmonary congestion. Based on the assess assessment findings which of the following diagnosis are consistent with these findings? a. Heart failure (left sided) b. Pulmonary embolism c. Heart failure (right sided) d. Lung cancer 20. Is a 65-year-old male client is brought via EMS to the emergency Department with chest pain. He rates pain as a “10” on a scale of 0 to 10; the pain is located meet sternum and radiates to his left. His heart rate is 126 Bpm and blood pressure is 96/60 mm Hg. A 12-Lead electrocardiogram is performed and reveals ST-segments elevation. Which of the following interventions does the nurse anticipate performing immediately? (select all that apply) a. Administer oxygen b. Administer nitroglycerin c. Administer a better blocker d. Administer morphine e. Administer is Tatum