Exam #2 Flashcards
(40 cards)
A nurse is teaching a client about the management of pericarditis. Which of the following client statements indicates to the nurse an understanding of the teaching?
“I will contact my healthcare provider if I develop chest pain”.
A nurse is teaching a client who has mitral value stenosis that have not responded to pharmacological therapy’s about other treatment options. Which of the following statements should the nurse include in their teaching?
“A small catheter with a ballon on the end is threaded into a vessel in the groin and advanced into the heart where the ballon will be inflated, and the narrowed valve will be dilated”.
A nurse is analyzing an ECG strip and identifies the following information:
HR 92
Rhythm Irregular
P Wave Unable to identify
PR interval unable to measure
QRS duration is 0.10 seconds
Based on this information the nurse should interpret the clients rhythm as indicating the following?
A-Fib
A nurse is teaching a group of clients about risk factors for developing peripheral artery disease. Which of the following risk factors should the nurse include in the teaching?
BMI of 35
A nurse is planning care for the client who has atrial fibrillation and reports heart palpations, light headlessness, SOB. Which of the following procures should the nurse anticipate?
Synchronized Electrical Cardio Version
A nurse is providing teaching to a client who has A-fib and reports dizziness and palpations? Which of the following should the nurse understand is the causes of these manifestations?
The hearts electrical signals are rapid chaotic and irregular.
A nurse is providing discharge teaching to a client who has HF. Which of the following lifestyle modifications should the nurse include in the teaching?
Dietary and fluid restrictions
A nurse is teaching a group of clients about risk factors for developing A-fib. Which of the following should be included in the teaching?
HX of thyroid disease
A nurse is teaching a group of clients about risk factors for developing A-FLUTTER. Which of the following clients should the nurse understand is at the greatest risk for developing A-FLUTTER?
The client who has a myocardial infarction and requires stent placement.
A nurse is assessing a client who has peripheral artery disease which of the following findings should the nurse recognize as requiring immediate interventions?
Pain, pallor, paresthesia in the foot.
A nurse is providing care for a client who is at risk of cerebral aneurysm rupture. Which of the following interventions should the nurse…..plan?
Maintain the head of the bed between 30-45 degree
A client who has a HX of migraines comes into the clinic reporting “tingling of the face, blind spots in the eyes”. Which of the following phases of migraines is the client experiencing
AURA
A nurse is caring for a client in the ER who has preliminary diagnosis of a transient ischemic attack or a TIA. Which of the following diagnostic test should the nurse anticipate the provider to prescribe?
Computerized Tomagroahy Anigography (CTA)
A nurse is providing care to a client who has Parkinson’s disease and is having difficulty swallowing. Which of the following departments should the nurse contact for a consult?
Speech Therapy
A client who has uncontrollable diabetes mellitus visits a clinic. Client reports numbness and tingling in the feet that keeps them up at night. The nurse explains this condition as a nerve disorder called peripheral neuropathy. Which of the following statements by the client indicates an understanding of what causes this condition?
The elevated blood sugar from my diabetes can cause underlying nerve damage.
A nurse is reviewing the EMAR a middle aged client who was admitted following a stoke. Which of the following findings should the nurse identify as a modifiable risk factor for a stoke?
Hypertension
Click to highlight the modifiable risk factors in the patients HX for the condition found by the CT scan.
Hypertension
BMI of 37.5
Smokes 1 1/2 pack of cigs a day
participates in 30 minutes of exercise 2 a weeks
BP of 180/92 mmHG
254lbs
A nurse is caring for a client who has headaches. In determining a diagnosis which of the following precipitating factors is commonly in both tension-type headache / cluster headaches?
Stress
A nurse is providing discharge instructions to a client who has hypertension that has results in a TIA. Which of the following information should the nurse discuss with the client regarding BP management?
The client should maintain a systolic BP of 120-129 mmHG
A nurse is caring for a client who is newly diagnosed with Parkinson’s disease. The client states “I have no idea why I got this”. Which of the following the is the most important question the nurse should ask the client when performing the assessment?
What kind of work do you do?
A nurse is obtaining an admission history on a client who is experiencing a loss of hearing. Which of the following communication techniques should the nurse use when interviewing the client?
Face the client when taking
A nurse is teaching a client who has a spinal cord injury about sexual stimulation. Which of the following statements y the nurse should be including in the teaching?
You must experiment with you body to find out what stimulation is enjoyable after your injury?
A nurse is teaching a client who has multiple sclerosis about factors that can worsen the manifestations. Which of the following factors should the nurse include in the teaching?
Sunbathing
A nurse is providing teaching to a group of clients about the changes that occur when clients experience cataracts. Which of the following statements should the nurse include in the teaching?
Vision changes occur when the cloudy lens alters the passage off light through the eye
