Quick Quiz The nurse is conducting a health history on a patient recently diagnosed with heart failure. Which of the following conditions in the patient's health history is the most likely precipitating cause of heart failure? A. Congenital Heart Disease B. Anemia C. Hypovolemia D. Diabetes
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- The nurse is caring for a toddler with large, unrepaired ventricular septal defect and heart failure. Which assessment findings should the nurse expect? A. Hypotension B. Tachycardia 45) @ She 46) Am to I U 9 В states that when she kisses her baby, the intants skin taste saltv. 2 C. Pulse oximetry reading within defined limits. D. Blood pressure variance across extremities #3 L 54 $ R 07 2⁰ % 5 T 6 are Y & U in * 00 ( -O Tics PASSIThe nurse is to administer a medication to a hospitalized client . Which of the following factors should a nurse consider when administering medications to an older adult ? (Select all that apply .) a. Altered peripheral venous tone An increased number of protein -binding sites b. An increased difficulty with the penetration of fat -soluble drugs c. A decline in enzyme production needed for drug metabolism d. An increased gastric emptying time e. A decline in liver functionA patient comes to the emergency department with abdominal pain. Work-up reveals the presence of a rapidly enlarging abdominal aortic aneurysm. Which of the following actions should the nurse expect? A. The patient will be admitted to the medicine unit for observation and medication. B. The patient will be admitted to the day surgery unit for sclerotherapy. C. The patient will be admitted to the surgical unit and resection will be scheduled. D. The patient will be discharged home to follow-up with his cardiologist in 24 hours.
- A nurse prepares to administer a scheduled dose of labetalol by the mouth to a client with hypertension, heart rate ie 48 betas/min, respirations 16 breaths/min, and blood pressure 150/90 A. Administer the dose and monitor the client BP regularly B. Apply a telemetry monitor before administering the dose C. Assess for orthostatic hypotension before administrating the dose D. Withhold the scheduled dose and notify the healthcare prescriberA nurse is caring for an infant that has recently been diagnosed with a congestive heart failure. Which of the following clinical signs would most likely be present?a. Slow pulse rateb. Weight gainc. Decreased systolic pressured. Irregular WBC lab valuesA nurse is assessing the vital signs of patients who presentedat the emergency department. Based on the knowledge ofage-related variations in normal vital signs, which patientswould the nurse document as having a normal vital sign?Select all that apply.a. A 4-month old infant whose temperature is 38.1°C(100.5°F)b. A 3-year old whose blood pressure is 118/80c. A 9-year old whose temperature is 39°C (102.2°F)d. An adolescent whose pulse rate is 70 bpme. An adult whose respiratory rate is 20 bpmf. A 72-year old whose pulse rate is 42 bpm
- An older adult arrives at the emergency department with reports of severe nausea and vomiting large amounts of liquid brown emesis at home. The client's vital signs are a temperature of 96.4 'F, heart rate 124 beats/minute, respirations of 16 beats/minute, and blood pressure of 75/38 mmHg. Which intervention is the most important for the nurse to implement? A. Maintain strict intake and output B. Monitor blood glucose level C. Keep the head of the bed 45 degrees D. Assess warmth of extremetiesA responsibility of the nurse is the administration of preop-erative medications to patients. Which statements describe the action of these medications? Select all that apply.a. Diazepam is given to alleviate anxiety.b. Ranitidine is given to facilitate patient sedation.c. Atropine is given to decrease oral secretions.d. Morphine is given to depress respiratory function.e. Cimetidine is given to prevent laryngospasm.f. Fentanyl citrate–droperidol is given to facilitate a senseof calm.A patient had a surgical procedure that necessitated a thoracicincision. The nurse anticipates that he will have a higherrisk for postoperative complications involving which bodysystem?a. Respiratory systemb. Circulatory systemc. Digestive systemd. Nervous system
- Which of the following assessment findings in a client who is receiving atenolol (Tenormin) for angina would be cause for the nurse to hold the drug and contact the provider? (Select all that apply.)a. Heart rate of 50 beats/minuteb. Heart rate of 124 beats/minutec. Blood pressure 86/56d. Blood pressure 156/88e. Tinnitus and vertigoWhy letter A and C are the right answer and why the remaining choices are not applicable to this.A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following findings should the nurse expect? (Select all that apply.) Hypotension Bradycardia Clubbing of the nail beds Weak pulses Murmur OAfter receiving the third dose of a new oral anticoagulant prescription, Which action should the nurse implement? Select all A. Obtain a soft Bristol toothbrush B. Provide a PRN NSAID for gum discomfort C. Review most recent coagulation lab values D. Complete a medication variance report E. Report findings to healthcare provider