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NURS 2020 - perfusion

Total questions: 11

Worksheet time: 12mins

Name
Class
Date
1.

A 75-year-old patient will be undergoing a mitral valve replacement for severe mitral stenosis. When reviewing the patient's chart, which of these infectious diseases would likely be present in this patient's history?

a)

Meningitis

b)

Rheumatic fever

c)

Rheumatoid arthritis

d)

Haemophilus influenzae

2.

You are doing discharge teaching with a patient diagnosed with HF. What would you teach this patient to doto assess fluid balance?

a)

Assess radial pulse

b)

Monitor BP daily

c)

Daily weights

d)

Monitor bowel movements

3.

A patient has severe aortic stenosis. When assessing the patient, which of these findings would be expected? Select all that apply

a)

Pulmonary edema

b)

Dyspnea on exertion

c)

Dizziness

d)

diastolic murmur

e)

Angina

4.

A patient has been diagnosed with aortic regurgitation. Which of these patient-reported symptoms requires the healthcare provider's immediate intervention?

a)

Chest pain

b)

Palpitations

c)

Dyspnea on exertion

d)

fatigue

5.

A patient who had a mitral valve replacement with a prosthetic mechanical valve and is ready for discharge home. Which information should the healthcare provider include in the discharge teaching for this patient? Select all that apply.

a)

"Your valve will need to be replaced after 10 years."

b)

"If you plan to become pregnant, be sure to consult your healthcare provider."

c)

"You may need to take an antibiotic before certain medical or dental procedures."

d)

"You will need to come in regularly for coagulation studies."

e)

"Call our office immediately if you experience an infection of any kind."

6.

You need to administer furosemide (Lasix) 2 mg/minute via continuous IV infusion on a controller. Pharmacy has sent a bag of Lasix 400 mg diluted in D5W 250 mL. How many milliliters per hour will you set on the controller?

(a)  

7.

A patient has a vegetative growth on the mitral valve which has caused the valve to become stenotic. This increases the risk of which of the following problems? Select all that apply.

a)

Atrial fibrillation

b)

Decreased peripheral pulses

c)

Stroke

d)

Orthopnea

e)

Dry cough

8.

Which of the following are signs and symptoms of right-sided heart failure?

a)

Crackles

b)

Weight gain

c)

Orthopnea

d)

persistent cough

9.

A client is learning about a​ low-sodium diet due to heart failure. Which food does the client select for lunch to demonstrate an understanding of a​ low-sodium diet?

a)

Turkey sandwich

b)

Ham sadwich

c)

Hot dog

d)

Canned soup

10.

An​ 86-year-old man visits the clinic and asks about risk factors for heart disease. Which modifiable risk factors would the nurse discuss with this​ client? Select all that​ apply.

a)

Sedentary lifestyle

b)

Ethnicity

c)

Gender

d)

Stress

e)

Tobacco use

11.

The student nurses are studying the possible complications of HF. What would the nurse mean if he documented on the chart that the patient is experiencing orthopnea?

a)

Difficulty breathing without use of oxygen

b)

Difficulty breathing while sitting upright

c)

Difficulty breathing with movement

d)

Difficulty breathing when lying flat