Final Exam Quiz Bowl Flashcards
A client diagnosed with a pulmonary embolism returns to the ICU following percutaneous placement of a vena cava filter via the right femoral vein. When caring for this client, the nurse should anticipate:
Checking the femoral puncture site frequently for hematoma formation.
Which of the following abnormal blood values would not be improved by dialysis treatment?
Decreased hemoglobin concentration.
Which of the following heart muscle diseases is unrelated to other cardiovascular disease?
Cardiomyopathy
Acute pulmonary edema caused by heart failure is usually a result of damage to which of the following areas of the heart?
Left ventricle
When conducting discharge teaching, the nurse advises a patient with myasthenia gravis to:
Perform physically demanding activities early in the day.
Which of the following conditions is the predominant cause of angina?
Inadequate oxygen supply to the myocardium
The nurse is caring for a 27-year-old patient with a diagnosis of head trauma. The nurse notes that the patient’s urine output has increased tremendously over the past 18 hours. The nurse suspects that the patient may be developing:
Diabetes insipidus.
The nurse is performing an admission assessment on a client with a diagnosis of detached retina. Which of the following is associated with this eye disorder?
A sense of a curtain falling across the field of vision
A client is diagnosed with an acute myocardial infarction and is receiving tissue plasminogen activator, alteplase (Activase, tPA). Which of the following is a priority nursing intervention?
Monitor for signs of bleeding.
Which of the following is a LATE sign of the development of a tension pneumothorax?
Tracheal deviation
What information about nutrition does the nurse teach a client with chronic obstructive pulmonary disease (COPD)? (Select all that apply.)
“Avoid drinking fluids just before and during meals.”
“Rest before meals if you have dyspnea.”
“Have about six small meals a day.”
A 22-year-old client with quadriplegia is apprehensive and flushed, with a blood pressure of 210/100 and a heart rate of 50 bpm. Which of the following nursing interventions should be done first?
Assess patency of the indwelling urinary catheter
The nurse is caring for a client with Ménière’s disease. The client asks the nurse how to prevent another acute episode from occurring. Which is the nurse’s best response?
“Stop or reduce cigarette smoking.”
A male patient’s X-ray result reveals bilateral white-outs, indicating adult respiratory distress syndrome (ARDS). This syndrome results from:
Increased pulmonary capillary permeability
A male patient has a sucking stab wound to the chest. Which action should the nurse take first?
Applying a dressing over the wound and taping it on three sides
Which of the following blood tests is most indicative of cardiac damage?
Troponin I
The nurse obtains the following assessment data on an older patient who has influenza and pneumonia. Which information will be most important for the nurse to communicate to the health care provider?
Fever of 101.4° F (38° C)
A client diagnosed with a pulmonary embolism returns to the ICU following percutaneous placement of a vena cava filter via the right femoral vein. When caring for this client, the nurse should anticipate:
Checking the femoral puncture site frequently for hematoma formation.
The nurse assesses a client with asthma and finds wheezing throughout the lung fields and decreased pulse oxygen saturation. In addition, the nurse notes suprasternal retraction on inhalation. What is the nurse’s best action?
Administer oxygen and a rescue inhaler.
The client diagnosed with Parkinson’s disease (PD) is being admitted with a fever and patchy infiltrates in the lung fields on the chest x-ray. Which clinical manifestations of PD would explain these assessment data?
Difficulty swallowing and immobility
Acute pulmonary edema caused by heart failure is usually a result of damage to which of the following areas of the heart?
Left ventricle