Heart Failure
A nurse is admitting a client who has a suspected MI and a history of angina. Which of the following findings will help the nurse distinguish between angina and MI?
a.) Angina can be resolved with rest and a nitroglycerin
b.) Pain of the MI resolves after 15 minutes
c.) The types of activities that cause the MI can be identified
d.) angina can last longer than 30 minutes
a.) Angina can be resolved with rest and a nitroglycerin
A client is scheduled for computed tomography (CT) of the kidneys to rule out renal disease. As an essential preprocedure component of the nursing assessment, the nurse plans to ask the client about a history of:
a.) familial renal disease
b.) frequent antibiotic use
c.) allergy to shellfish or iodine
d.) allergy to latex or kiwi
c.) allergy to shellfish or iodine
A nurse is analyzing the laboratory studies on a client receiving Dantrolene Sodium (Dantrium). Which of the following laboratory test would identify an adverse effect associated with the use of the medication?
a.) Blood urea nitrogen
b.) Creatinine
c.) Liver function test
d.) Triglyceride
c.) Liver function test
A female client with hypothyroidism (myxedema) is receiving levothyroxine (Synthroid), 25 mcg P.O. daily. Which finding should nurse Hans recognize as an adverse drug effect?
a.) Dysuria
b.) Leg cramps
c.) Tachycardia
d.) Blurred vision
c.) Levothyroxine, a synthetic thyroid hormone, is given to a client with hypothyroidism to simulate the effects of thyroxine. Adverse effects of this agent include tachycardia. The other options aren't associated with levothyroxine.
A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone. For which of the following adverse effects should the nurse instruct the client to report to the provider?
a.) Sedation
b.) Increase appetite
c.) White coating in the mouth
d.) Dry oral mucous membranes
c.) White coating in the mouth
2.) What is the new hypertension guidelines by the american heart association
a.) 135/90
b.) 130/80
c.) 125/85
d.)140/90
b.) 130/80
The client with chronic renal failure who is scheduled for hemodialysis this morning is due to receive a daily dose of enalapril (Vasotec). The nurse should plan to administer this medication:
a.) during dialysis
b.) just before dialysis
c.) the day after dialysis
d.) on return form dialysis
d.) on return form dialysis
A nurse is caring for a client who is receiving Cyclobenzaprine hydrochloride (Flexeril) for the treatment of muscle spasm. Which of the following medical condition is contraindicated with the use of the medication?
a.) Diabetes Mellitus
b.) Angle-closure glaucoma
c.) Emphysema
d.) Urinary tract infection
b.) Angle-closure glaucoma
An indication of Chvostek' sign is:
a.) Twitching of the lips after tapping the face
b.) Elevated blood sugar after glucose infusion
c.) Inability to hold one's arms straight
d.) Spasms of the hand after blood circulation is cut off
a.) Twitching of the lips after tapping the face in the right place is an indication of Chvostek's sign and a sign of hypocalcemia. Spasms of the hand are associated with Trousseau's sign.
A nurse is preparing an adolescent client who has pneumonia for percussion, vibration, and postural drainage. Prior to the procedure, which of the following nursing actions should the nurse complete first?
a.) Auscultate lung fields
b.) Assess pulse and respiration
c.) Assess characteristics of her sputum
d.) Instruct to slowly exhale with pursed lips
a.) Auscultate lung fields
A nurse is educating a student nurse on the side effects of beta blockers what are side effects of beta blockers? (select all that apply)
a.) syncope
b.) hypoglycemia
c.) bradycardia
d.) broncospasm
e.) increased urine output
f.) hyperglycemia
a.) syncope
b.) hypoglycemia
c.) bradycardia
d.) bronchospasm
A client has been admitted to the hospital for urinary tract infection and dehydration. The nurse determines that the client has received adequate volume replacement if the blood urea nitrogen level drops to:
a.) 9 mg/dL
b.) 19 mg/dL
c.) 29 mg/dL
d.) 39 mg/dL
b.) 19 mg/dL
Allopurinol (Zyloprim) is prescribed for a client for the treatment of gout. And the nurse is providing medication instructions. The nurse tells the client to?
a.) Take the medication on an empty stomach
b.) To limit the use of vitamin C
c.) A rash is a normal side effect of the medication
d.) The effect of the medication will happen immediately
a.) Take the medication on an empty stomach
Which of the following symptoms is not typical of Cushing's syndrome?
a.) Osteoporosis
b.) Weight loss
c.) Diabetes
d.) Mood instability
b.) Cushing's syndrome tends to produce rapid weight gain, not weight loss.
A nurse is assessing a client for hypoxemia during an asthma attack. Which of the following manifestations should the nurse expect?
a.) Nausea
b.) Dysphagia
c.) Agitation
d.) Hypotension
c.) Agitation
A patient reports no pain after receiving nitroglycerin, but develops a headache, what is the best nurse response.
a.) rate the pain from 1-10
b.) you need to stop taking that medication before the headache gets any worse
c.) your headache will go away in a little you had quite a scare
d.) a common side effect of the nitroglycerin is a headache
d.) a common side effect of the nitroglycerin is a headache
A client has been admitted to the hospital with a diagnosis of acute glomerulonephritis. During history-taking the nurse first asks the client about a recent history of:
a.) bleeding ulcer
b.) deep vein thrombosis
c.) myocardial infarction
d.) streptococcal infection
d.) streptococcal infection
A client has just been prescribed with Methotrexate (Trexall) for the treatment of rheumatoid arthritis who did not respond to any other treatment. An important reminder for the client is to?
a.) Clay-colored stool is a normal response of the treatment
b.) Pregnancy is not contraindicated with the use of the medication
c.) Strict hand washing
d.) Get a daily source of sunlight during the day
c.) Strict hand washing
A client with Graves' disease experiences a thyroid storm and has tachycardia and hypertension. What medication is most likely to be used?
a.) Levofloxcin
b.) Chlorothiazide
c.) Percocet
d.) Propylthiouracil
d.) Propylthiouracil is a commonly used medication for treating hyperthyroidism. Levofloxacin is an antibiotic, chlorothiazide is a diuretic, and Percocet is a painkiller.
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, “I can feel the congestion in my lungs, and I certainly cough a lot, but I can’t seem to bring anything up.” Which of the following actions should the nurse take to help this client with tenacious bronchial secretions?
a.) Maintain a semi-Fowler’s position as often as possible
b.) Administering oxygen via nasal cannula at 2 L/min
c.) Helping the client select a low-salt diet
d.) Encouraging the client to drink 2 to 3 L of water daily
d.) Encouraging the client to drink 2 to 3 L of water daily
3.) A patient admitted to the ER complains of chest tightness and a 8 out of 10 pain, the nurse auscultates the lugs and hears crackles. There is edema in the extremities and the patent is restless. What labs should the nurse expect to be elevated? (select all that apply)
a.) Troponin
b.) BNP
c.) C-reactive protein
d.) HgB
e.) Myoglobin
a.) Troponin
b.) BNP
c.) C-reactive protein
e.) Myoglobin
The nurse is evaluating a client's response to hemodialysis. Which lab results will indicate the dialysis was effective? Select all that apply:
a.) Serum potassium level decreases from 5.4 to 4.6 mEq/L
b.) Creatinine decreases from 1.6 to 0.8 mg/dL
c.) Hgb increases from 10-12 g/dL
d) WBC decrease from 8000 to 5000/mm^3
e.) BUN decreases from 110 to 90 mg/dL
a.) Serum potassium level decreases from 5.4 to 4.6 mEq/L
b.) Creatinine decreases from 1.6 to 0.8 mg/dL
e.) BUN decreases from 110 to 90 mg/dL
A client with osteoporosis is asking the nurse regarding the use of Salmon calcitonin (Miacalcin) nasal spray. The nurse tells the client to do the following, except?
a. Delivery system contains enough medication for at least 30 doses. Discard any unused solution after 30 doses
b. If you do not feel the spray while using it, repeat the dose on the other nostrils
c.) Miacalcin is usually given as one spray per day into only one of your nostrils
d.) Take extra vitamin D while you are using Miacalcin
b.) If you do not feel the spray while using it, repeat the dose on the other nostrils
The nurse is planning care for a client with hyperthyroidism. Which of the following nursing interventions are appropriate? Select all that apply
a.) instill isotonic eye drops as necessary
b.) provide several, small, well-balanced meals
c.) provide rest periods
d.) keep environment warm
e.) encourage frequent visitors and conversation
f.) weigh the client daily
a.) The client with hyperthyroidism may experience exopthalmos. This requires instillation of eye drops to prevent dryness and ulceration of the cornea.
b.) and f.) The client experiences weight loss because of hyper-metabolism. Several, small, well-balanced meals are given to improve nutritional status of the client and daily weights should be monitored. Weight is the most objective indicator of nutritional status.
c.) The client is usually exhausted due to restlessness and agitation. Frequent rest periods help the client regain energy.
A nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation. Which of the following actions is the nurse’s highest priority?
a.) Initiating oxygen therapy.
b.) Providing immediate rest for the client.
c.) Positioning the client in high-Fowler’s
d.) Administering a nebulizer beta-adrenergic
d.) Administering a nebulizer beta-adrenergic