In a straight line
Which of the following terms is used to describe the amount of stretch on the myocardium at the end of diastole?
What is preload
Nurse Oliver checks for residual before administering a bolus tube feeding to a client with a nasogastric tube and obtains a residual amount of 150 mL. What is the appropriate action for the nurse to take?
What is hold the feeding
The nurse is performing colostomy irrigation on a client. During the irrigation, a client begins to complain of abdominal cramps. Which of the following is the most appropriate nursing action?
What is stop the irrigation temporarily.
Which of the following symptoms do you expect to see in a patient diagnosed with acute pyelonephritis?
What is costovertebral angle tenderness and chills
The nurse plans care for a client in the post-anesthesia care unit. Which of the following should the nurse assess first?
A. Respiratory status
B. Level of consciousness
C. Level of pain
D. Reflexes and movement of extremities
A. Respiratory status
Which of the following terms describes the force against which the ventricle must expel blood?
What is Afterload?
When teaching a client about propranolol hydrochloride, the nurse should base the information on the knowledge that propranolol hydrochloride:
A. Blocks beta-adrenergic stimulation and thus causes decreased heart rate, myocardial contractility, and Conduction.
B. Increases norepinephrine secretion and thus decreases blood pressure and heart rate.
C. Is a potent arterial and venous vasodilator that reduces peripheral vascular resistance and lowers blood pressure.
D. Is an angiotensin-converting enzyme inhibitor that reduces blood pressure by blocking the conversion of angiotensin I to angiotensin II.
Blocks beta-adrenergic stimulation and thus causes decreased heart rate, myocardial contractility, and Conduction.
A murmur is heard at the second left intercostal space along the left sternal border. Which valve is this?
What is the pulmonic?
A nurse notes 2+ bilateral edema in the lower extremities of a client with myocardial infarction who was admitted two (2) days ago. The nurse would plan to do which of the following next?
A. Review the intake and output records for the last two (2) days.
B. Change the time of diuretic administration from morning to evening.
C. Request a sodium restriction of one (1) g/day from the physician.
D. Order daily weight starting the following morning.
Review the intake and output records for the last two (2) days.
Adverse reactions of prednisone therapy include which of the following conditions?
What is increased blood glucose levels and decreased wound healing
When assessing an older adult., the nurse may expect an increase in:
A. Nail growth
B. Skin turgor
C. Urine residual
D. Nerve conduction velocity
What is urine residual
The client with chronic renal failure is at risk of developing dementia-related to excessive absorption of aluminum. The nurse teaches that this is the reason that the client is being prescribed which of the following phosphate binding agents?
What is calcium carbonate (Tums)
Which of the following parameters is the major determinant of diastolic blood pressure?
What is Vascular resistance
A 27-year old client, who became paraplegic after a swimming accident, is experiencing autonomic dysreflexia. Which condition is the most common cause of autonomic dysreflexia?
What is bladder distention
After a change of shift, you are assigned to care for the following patients. Which patient should you assess first?
A. A 60-year old patient on a ventilator for whom a sterile sputum specimen must be sent to the lab.
B. A 55-year old with COPD and a pulse oximetry reading from the previous shift of 90% saturation.
C. A 70-year old with pneumonia who needs to be started on intravenous (IV) antibiotics.
D. A 50-year old with asthma who complains of shortness of breath after using a bronchodilator.
A 50-year old with asthma who complains of shortness of breath after using a bronchodilator.
A client receiving hemodialysis treatment arrives at the hospital with a blood pressure of 200/100, a heart rate of 110, and a respiratory rate of 36. Oxygen saturation in room air is 89%. He complains of shortness of breath, and +2 pedal edema is noted. His last hemodialysis treatment was yesterday. Which of the following interventions should be done first?
What is administer oxygen
Hypertension is known as the silent killer. This phrase is associated with the fact that hypertension often goes undetected until symptoms of other system failures occur. This may occur in the form of:
What is cerebrovascular accident?
Baroreceptors in the carotid artery walls and aorta respond to which of the following conditions?
A. Changes in blood pressure.
B. Changes in arterial oxygen tension.
C. Changes in arterial carbon dioxide tension.
D. Changes in heart rate.
A. Changes in blood pressure.
A client had a transurethral prostatectomy for benign prostatic hypertrophy. He’s currently being treated with a continuous bladder irrigation and is complaining of an increase in severity of bladder spasms. Which of the interventions should be done first?
What is check for the presence of clots and make sure the catheter is draining properly.
The nursing assistant tells you that a patient who is receiving oxygen at a flow rate of 6 L/min by nasal cannula is complaining of nasal passage discomfort. What intervention should you suggest to improve the patient’s comfort for this problem?
A. Suggest that the patient's oxygen be humidified.
B. Suggest that a simple face mask be used instead of a nasal cannula.
C. Suggest that the patient be provided with an extra pillow.
D. Suggest that the patient sit up in a chair at the bedside.
A. Suggest that the patient's oxygen be humidified.
A 90-year-old client is confined to the unit for two weeks. He has been receiving antibiotics for more than a week and tells that he is having frequent watery stools. Which action will you take first?
A. Place the client on contact precautions
B. Educate the client about correct hand washing
C. Notify the physician about the loose stools
D. Get stool specimens for culture
A. Place the client on contact precautions
A 2 y/o child is receiving temporary total parenteral nutrition (TPN) through a central venous line. This is the first day of TPN therapy. Although all of the following nursing actions must be included in the plan of care of this child, which one would be a priority at this time?
A. Use aseptic technique during dressing changes.
B. Maintain central line catheter integrity.
C. Monitor serum glucose levels.
D. Check results of liver function tests.
C. Monitor serum glucose levels.
Which of the following factors can cause blood pressure to drop to normal levels?
A. Kidneys’ excretion of sodium only.
B. Kidneys’ retention of sodium and water.
C. Kidneys’ excretion of sodium and water.
D. Kidneys’ retention of sodium and excretion of water
C. Kidneys’ excretion of sodium and water.
The nurse is reviewing a medication history of a client with BPH. Which medication should be recognized as likely to aggravate BPH?
What is inhaled ipratropium(Atrovent)
When assessing a 22 y/o patient who required emergency surgery and multiple transfusion 3 days ago, you find that the patient looks anxious and has labored respirations at the rate of 38 breaths/min. The oxygen saturation is 90% with the oxygen delivery at 6 L/min via nasal cannula. Which action is most appropriate?
A. Increase the flow rate on the oxygen to 10 L/min and reassess the patient after about 10 minutes.
B. Assist the patient in using the incentive spirometer and splint his chest with a pillow while he coughs.
C. Administer the ordered morphine sulfate to the patient to decrease his anxiety and reduce the hyperventilation.
D. Switch the patient to a nonrebreather mask at 95% to 100% oxygen and call the physician to discuss the patient's status.
D. Switch the patient to a nonrebreather mask at 95% to 100% oxygen and call the physician to discuss the patient's status.