WorksheetsExam 2 Level 2 Perfusion Clotting
Total questions: 24
Worksheet time: 35mins
A client is receiving nitroglycerin ointment to treat angina pectoris. The nurse evaluates the therapeutic effectiveness of this drug by assessing the client's response and checking for adverse effects. Which vital sign is MOST LIKELY to reflect an adverse effect of nitroglycerin?
Pulse rate of 84 beats/minute.
Respiration 26 breaths/minute.
Blood pressure 84/52 mm/Hg.
Temperature of 100.2° F (37.9° C).
Following abdominal surgery, which factor predisposes a client to deep vein thrombosis?
Height 5' 9" and weight 128 lb (58 kg).
The client has been pregnant four times.
Usually walks 3 miles a day.
Immobility during and shortly after surgery.
A nurse is reviewing self-care measures for a client with peripheral vascular disease. Which statement indicates proper self-care measures?
"I like to soak my feet in the hot tub every day."
"I walk only to the mailbox in my bare feet."
"I stopped smoking and use only chewing tobacco."
"I have my spouse look at the soles of my feet each day."
A client has come to the office for a prenatal visit during her 22nd week of gestation. On examination, it is noted that her blood pressure has increased to 138/90 mm Hg. Her urine is negative for proteinuria. The nurse recognizes which factor as the potential cause?
Gestational hypertension
Chronic hypertension
HELLP Syndrome
Preeclampsia
A nurse educator is providing information about hypertension to a small group of clients. A participant asks "What can I do to decrease my blood pressure and my risk for heart problems?" The nurse describes modifiable and non-modifiable risk factors. Which risk factor can the client modify?
Dyslipidemia.
Age (older than 55 years for men, 65 years for women).
Family history of cardiovascular disease.
Ethnicity.
A client who has been diagnosed with mitral valve prolapse asks the nurse if there are any dietary modifications that should be incorporated into her lifestyle. Which would be the BEST response by the nurse?
“Refraining from caffeine, alcohol, and cigarettes may be sufficient to control symptoms.”
“Energy drinks may help to support metabolism.”
“It is OK to decrease your smoking to one pack per day.”
“Avoid coffee; however, tea is OK.”
A 74-year-old client presents to the ER with complaints of dyspnea, persistent cough, and unable to sleep at night due to difficulty breathing. On assessment, you note crackles throughout the lung fields, respiratory rate of 25, and an oxygen saturation of 90% on room air. Which lab result CONFIRMS your suspicion of heart failure?
K+ 5.6
BNP 820
BUN 9
Troponin <0.02
A client with left-sided heart failure is having difficulty breathing. Which is the MOST APPROPRIATE nursing intervention?
Encourage the client to cough and deep breathe.
Place the client in Semi-Fowler's position.
Assist the client into High Fowler's position.
Perform chest percussion therapy.
Which client is MOST at risk for developing heart failure?
Select all that apply. One, some, or all responses may be correct.
A 69 year old male with a history of alcohol abuse and is recovering from a myocardial infarction.
A 55 year old female with a health history of asthma and hypoparathyroidism.
A 30 year old male with a history of endocarditis and has severe mitral stenosis.
A 45 year old female with lung cancer stage 2.
A 58 year old female with uncontrolled hypertension and is being treated for influenza.
Which are typical signs and symptoms of left-sided heart failure?
Select all that apply. One, some, or all responses may be correct.
Jugular venous distention
Dry, hacking cough
Weight gain
Crackles
Orthopnea
A client taking Digoxin is experiencing severe bradycardia, nausea, and vomiting. A lab result shows a Digoxin level of 4 ng/mL. Which medication do you anticipate the health care provider to order?
Narcan
Aminophylline
Digibind
No medication because this is a normal Digoxin level.
Which is a common side effect of Spironolactone?
Renal failure
Hyperkalemia
Hypokalemia
Dry cough
Which client is MOST at risk for developing coronary artery disease?
Select all that apply. One, some, or all responses may be correct.
A 25 year old client who exercises 3 times per week for 30 minutes a day and has a history of cervical cancer.
A 35 year old male with a BMI of 30 and reports smoking 2 packs of cigarettes a day.
A 45 year old female that reports her father died at the age of 42 from a myocardial infarction.
A 29 year old that has type I diabetes.
Atorvastatin is prescribed for a client with a high cholesterol level. As the nurse, how would you educate the client on how this drug works on the body?
Atorvastatin increases LDL levels and decreases HDL levels, total cholesterol, and triglyceride levels.
Atorvastatin decreases LDL, HDL levels, total cholesterol, and triglyceride levels.
Atorvastatin increases HDL levels, total cholesterol, and triglyceride levels.
Atorvastatin increases HDL levels and decreases LDL, total cholesterol, and triglyceride levels.
A client taking simvastatin is reporting muscle pain. You are evaluating the client’s lab work and note that which finding could cause muscle pain?
Elevated potassium level
Elevated CPK (creatine kinase level)
Decreased potassium level
Decreased CPK (creatine kinase level)
Your client reports experiencing dull and achy sensations in the lower extremities. You note that the lower extremities have edema and brownish pigmentation. Pulses are present bilaterally and the extremities feel warm to the touch. To help alleviate the client’s symptoms, the nurse will position the lower extremities in which position?
Dependent position
Horizontal position
Elevated position above heart level
Knee-flexed position
Your patient with pre-eclampsia is started on Magnesium Sulfate. The nurse knows to have which medication on standby?
Acetylcysteine
Calcium carbonate
Oxytocin
Calcium gluconate
Which is the PRIORITY nursing intervention for a child hospitalized with hemarthrosis resulting from hemophilia?
Immobilization and elevation of the affected joint.
Administration of acetaminophen for pain relief.
Assessment of the child’s response to hospitalization.
Assessment of the impact of hospitalization on the family system.
A client is receiving an intravenous heparin drip. Which laboratory value will require IMMEDIATE action by the nurse?
Platelet count of 150,000.
Activated partial thromboplastin time (aPTT) of 120 seconds.
INR of 1.0.
Blood urea nitrogen (BUN) level of 12 mg/dL.
The nurse monitors the aPTT of a client receiving heparin for a deep vein thrombosis. The nurse notes that the aPTT is 70. Which is the MOST IMPORTANT action of the nurse?
Notify the physician
Document the result
Increase the infusion rate
Decrease the infusion rate
Metoprolol is prescribed for a client with hypertension. The nurse monitors the client for which adverse effect?
Hirsutism
Bradycardia
Restlessness
Angina
The nurse prepares discharge instructions for a client who will take enalapril for hypertension. Which instruction would the nurse include in the client's teaching?
“Change to a standing position slowly."
“This may color your urine green."
“The medication may cause a sore throat for the first few days."
”Schedule blood tests weekly for the first 2 months."
A client hospitalized with congestive heart failure is receiving furosemide 80 mg once daily. Which assessment data would be collected to evaluate the effectiveness of this medication?
Select all that apply. One, some, or all responses may be correct.
Monitor daily weight
Monitor intake and output
Monitor for edema
Monitor pulse oximetry
Auscultate breath sounds
Which nursing action is PRIORITY before administering prescribed furosemide?
Weigh the client.
Assess skin turgor.
Review the potassium level results.
Check the 24-hour intake and output.
