NUR 1211 Test 3 Student Review

NUR 1211 Test 3 Student Review

• The nurse is preparing content for a community health fair on risk factors for heart disease.

What should the nurse include as nonmodifiable risk factors? Select all that apply.

1.Age 2.Weight 3.Alcohol intake 4.Ethnic background 5.Parents’ health history

• The nurse 2. The nurse correlates which blood pressure readings with stage 2 hypertension?

1.The patient with average blood pressure readings of 128/70 on three separate occasions 2.The patient with average blood pressure readings of 128/90 on three separate occasions 3.The patient with average blood pressure readings of 138/88 on three separate occasions 4.The patient with average blood pressure readings of 142/92 on three separate occasions

• Which of the following statements from a patient having an annual physical indicates the need

for further teaching regarding normal blood pressure parameters?

1.“As long as my blood pressure is not above 120/80, I know that I am fine.” 2.“The bottom number needs to be below 80 to be considered normal.” 3.“The top number needs to be below 120 to be considered normal.” 4.“If the bottom number is above 90, I may have hypertension.”

• A patient is being evaluated for a possible myocardial infarction, but the patient is not sure

when the pain started because he has a history of gastroesophageal reflux. He has had intermittent chest pain, with some episodes of dizziness and fatigue, over the last week. Which diagnostic result will be most helpful in determining whether the patient has suffered cardiac injury?

1.Elevated creatine kinase (CK) 2.Elevated creatine kinase myocardial bands (CK-MB) 3.Elevated myoglobin 4.Elevated troponin

• A patient is being assessed for heart disease. The nurse instructs the patient to avoid eating and

drinking fluids for 12 hours for which diagnostic test?

1.Lipid panel 2.Homocysteine 3.C-reactive protein 4.Partial thromboplastin time This study source was downloaded by 100000869267694 from CourseHero.com on 08-14-2023 02:34:27 GMT -05:00 https://www.coursehero.com/file/63575521/Anne-NUR-1211-Test-3-Student-Reviewdocx/

• A patient who is admitted for a potential heart attack is prescribed serial blood draws for

creatine kinase (CK), creatine kinase myocardial bands (CK-MB), and troponin. After blood is drawn for the baseline, which frequency does the nurse schedule for the follow-up blood draws for the next 12 hours?

1.Every 1 to 2 hours 2.Every 2 to 3 hours 3.Every 3 to 4 hours 4.Every 4 to 5 hours

• The nurse notes that a patient is scheduled for a brain natriuretic peptide level to be drawn.

What patient teaching should the nurse prepare for this patient?

1.Low-fat diet 2.Signs of heart failure 3.Symptoms of a heart attack 4.Lung versus heart problems

• A patient is recovering from a cardiac catheterization that was performed via the right groin.

Which assessment requires the nurse to notify the healthcare provider immediately?

1.Pain at the insertion site 2.Urine output 250 mL/2 hours 3.Oozing serosanguinous drainage at the puncture site 4.Decreased pulses in the right foot

• The nurse is reviewing data collected during the assessment of an older patient. Which finding

does the nurse consider as being an age-related change of the cardiovascular system?

1.First heart sound louder 2.Friction rub auscultated 3.Heart rate 64 and regular 4.Blood pressure 168/96 mm Hg

• A client who had cardiac surgery 24 hours ago has had a urine output averaging 20 mL/hour

for 2 hours. The client received a single bolus of 500 mL of intravenous fluid. Urine output for the subsequent hour was 25 mL. Daily laboratory results indicate that the blood urea nitrogen level is 45 mg/dL (16 mmol/L) and the serum creatinine level is 2.2 mg/dL (194 mcmol/L). On the basis of these findings, the nurse would anticipate that the client is at risk for which problem?

• Hypovolemia
• Acute kidney injury
• Glomerulonephritis
• Urinary tract infection This study source was downloaded by 100000869267694 from CourseHero.com on 08-14-2023 02:34:27 GMT -05:00

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11.The nurse is assessing the neurovascular status of a client who returned to the surgical nursing unit 4 hours ago after undergoing aortoiliac bypass graft. The affected leg is warm, and the nurse notes redness and edema. The pedal pulse is palpable and unchanged from admission. How should the nurse correctly interpret the client's neurovascular status?

• The neurovascular status i2normal because of increased blood flow through the leg.
• The neurovascular status is moderately impaired, and the surgeon should be called.
• The neurovascular status is slightly deteriorating and should be monitored for another hour.
• The neurovascular status is adequate from an arterial approach, but venous complications are

arising.

• The home care nurse is providing instructions to a client with an arterial ischemic leg ulcer

about home care management and self-care management. Which statement, if made by the client, indicates a need for further instruction?

• "I need to be sure not to go barefoot around the house."

2."If I cut my toenails, I need to be sure that I cut them straight across." 3."It is all right to apply lanolin to my feet, but I shouldn't place it between my toes." 4."I need to be sure that I elevate my leg above the level of my heart for at least an hour every day."

• The nurse is developing a plan of care for a client with varicose veins in whom skin

breakdown occurred over the varicosities as a result of secondary infection. Which is a priority intervention?

• Keep the legs aligned with the heart.

2.Elevate the legs higher than the heart.

3.Clean the skin with alcohol every hour.

4.Position the client onto the side during every shift.

• The nurse is performing an assessment on a client with a diagnosis of left-sided

heart failure. Which assessment component would elicit specific information regarding the client's left-sided heart function?

• Listening to lung sounds

2.Palpating for organomegaly 3.Assessing for jugular vein distention 4.Assessing for peripheral and sacral edema

• The registered nurse (RN) is educating a new RN about the use of oxygen for clients

with angina pectoris. Which statement by the new nurse indicates that the teaching has been effective?

1."Oxygen has a calming effect." 2."Oxygen will prevent the development of any thrombus." This study source was downloaded by 100000869267694 from CourseHero.com on 08-14-2023 02:34:27 GMT -05:00 https://www.coursehero.com/file/63575521/Anne-NUR-1211-Test-3-Student-Reviewdocx/

3."The pain of angina pectoris occurs because of a decreased oxygen supply to heart cells." 4."Oxygen dilates the blood vessels so that they can supply more nutrients to the heart muscle."

• A client with a diagnosis of angina pectoris is hospitalized for an angioplasty.

The client returns to the nursing unit after the procedure, and the nurse provides instructions to the client regarding home care measures. Which statement, if made by the client, indicates an understanding of the instructions?

• "I need to cut down on cigarette smoking."

2."I am so relieved that my heart is repaired." 3."I need to adhere to my dietary restrictions." 4."I am so relieved that I can eat anything I want to now

CASE STUDY

Acute Pelvic Inflammatory Disease Patient Profile; A.R. is a 27-yr-old single woman. For the past several weeks she has had a heavy purulent vaginal discharge, lower abdominal pain, and general malaise. Concerned that her symptoms appear to be worsening, A.R. makes an appointment at the gynecologic clinic.Subjective Data • Experiences an increase in lower abdominal pain during vaginal examination • Expresses concern over worsening of her condition and the effect this will have on future childbearing ability Objective Data • Vital signs: Temp 101°F (38.3°C), HR 90 bpm, RR 18, BP 110/58 • Physical

examination: Heavy, purulent vaginal discharge

• Diagnostic studies: Vaginal discharge positive for Neisseria gonorrhoeae

• Admitted to the hospital for monitoring, IV fluids, and antibiotic therapy Discussion

Answer the following questions:

• What route does the gonococcus take in the development of PID?
• What are the clinical manifestations of acute PID?

Teamwork and Collaboration:

• What nursing and interprofessional care will A.R. need? This study source was downloaded by 100000869267694 from CourseHero.com on 08-14-2023 02:34:27 GMT -05:00

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