Quiz all mid Flashcards by Soriano Erwin Daniel

A nurse is examining the nose of a client diagnosed with an upper respiratory tract infection. Which characteristics of the nasal mucosa should the nurse expect to find during assessment of a client with an upper respiratory tract infection?

a.Dark pink, moist, & free of discharge
b.Pale pink, swollen, with watery exudate
c.Bluish gray, swollen, with watery exudate
d.Red, swollen, with purulent discharge

d.Red, swollen, with purulent discharge

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You are assigned to a patient with upper respiratory infection and the client is expected to be recovered what would you expect

a.chills
b.cough productive w/o chest dis
c.less nasal obstruction
d.maintain fluid intake

c.less nasal obstruction

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Which intervention should Nurse John Joe discuss with Elena who has an allergic disorder and is requesting information for allergy symptom control? (Select all that apply.)

A.Instructing the client to refrain from using air conditioning or humidifiers in the house
B.Instructing the client to use curtains instead of pull shades over windows
C.Instructing the client to cover the mattress with a hypoallergenic cover
D.Instructing the client to wear a mask when cleaning
E.Instructing the client to avoid using sprays, powders, and perfumes
F.Instructing the client to change detergents frequently

C.Instructing the client to cover the mattress with a hypoallergenic cover
D.Instructing the client to wear a mask when cleaning
E.Instructing the client to avoid using sprays, powders, and perfumes

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The following are the nursing intervention to client with allergic disorder and requesting information to allergy symptoms control: Except

A.Instruct to wear a mask
B.Cover the mattress
C.Refrain from using air conditioner
D.Avoid using spray

C.Refrain from using air conditioner

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For Aubrey Anne who has allergies, which client statement indicates that the nurse’s teaching about her condition has been successful?
A.”I don’t need to wear any type of mask when I’m cleaning my house.”
B.”I should stay in the house when there’s a low pollen count outside.”
C.”I should avoid any types of spray, powders, and perfumes.”
D.”I can wear any type of clothing that I want to as long as I wash it first.”

C.”I should avoid any types of spray, powders, and perfumes.”

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6.Patient has allergic rhinitis and he asked you the things he needs to do to lessen symptoms
a.increase activity
b.keep a diary if what you’re symptoms occur - eto tama
c.use your nasal decongestant spray
d.ask the doctor for prescription

b.keep a diary if what you’re symptoms occur - eto tama

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medication used for stuffy nose a drug can decrease swollen

a.antibiotic
b.antihistamine
c.decongestant

c.decongestant

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Mrs. K will give antihistamine before giving nasal spray, what is the first thing that you should do as a nurse?

a.position
b.ask take deep bresth
c.clear the nasal passages
d.side rails up

c.clear the nasal passages

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You are developing plan to teach patient managing allergic rhinitis:

a.identification and avoidance of allergic trigger
b.handwashing is the best
c.Corticosteroids
d.use of antihistamines

a.identification and avoidance of allergic trigger

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10.Patient is experiencing nasal congestion the ff are dependent except:

a.give decongestant
b.apply warm cloth
c.steam inhalation
d.drink water

a.give decongestant

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11.Which part of the nose causes obstruction of mucus ciliary clearance of sinus outflow that lead to partial obstruction sinus:

a.mucosal lining
b.Septu
c.cilia

a.mucosal lining

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Main regulator - Mast Cells

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Best position when administering inhaler

fowlers position tilt head

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pharyngitis also called as SORE THROAT

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12.Patient has streptococcal pharyngitis has been placed on droplet precaution, best intervention:

a.Client can be placed with another clien
b.special mask n95
c.must maintain distance of 3 feet
d.gloves only worn

c.must maintain distance of 3 feet

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14.Patient is experiencing sore throat, the preventive measure are except

a.maintain proper hygiene
b.Avoid sharing of utensils

b.Avoid sharing of utensils

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14.Patient has pharyngitis, the following are independent interventions except;
a.rest advise
b.advise salt water gargle
c.use analgesics
d.compress

c.use analgesics

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15.In teaching the client with asthma how to prevent asthma triggers which trigger should be include

a.smoker
b.mattress cover
c.indoor pest-
d.Stuffed animals
e.tiles

a.smoker
c.indoor pest-
d.Stuffed animals

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Clinical manifestation should the nurse expect with asthma:

wheezing
dob
retraction
cough out

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16.You are examining client with diagnosis of asthma which pathological characteristics that you expect during physical examination?

a.dead space
b.air trapping
c.expiratory wheezing
d.increase drug volume

c.expiratory wheezing

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17.You are going to discharge asthmatic episodes, what information should you include to prevent recurrent episodes?

a.carrying a rapid acting bronchodilator
b.getting already influenza vaccine
c.inhaled corticosteroids
d.recommend not be vaccinated
e.avoid breathing in strong odor

a.carrying a rapid acting bronchodilator
b.getting already influenza vaccine
e.avoid breathing in strong odor

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18.Completing admission hx with hypertension and possible asthma experiencing new onset of wheezing shortness of breath which information may identify cause of asthma attack

a.client visited zoo
b.took two acetaminophen
c.two weeks had influenza
d.started nsaid drug one hour prior consultation

d.started nsaid drug one hour prior consultation

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19.You are discharging a client with asthma which topic should the nurse include in discharge teaching:

a.side effect of theophylline
b.complication of oxygen therapy
c.self administration of inhaled corticosteroid
d.contact provider
e.How to use peak flow meter

c.self administration of inhaled corticosteroid
d.contact provider
e.How to use peak flow meter

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20.A patient is admitted for asthma which diagnostics which diagnostic and lab test result should be observed:

a.allergy testing
b.abg
c.Spirometry
d.pulse ox
e.peak flow

a.allergy testing
b.abg
d.pulse ox
e.peak flow

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21.Acute asthma attack and dinala sa emergency ano ang unang gagawin a.administer inhaled corticosteroids b.peak flow c.auscultate the lungs d.determine when the shortness began

c.auscultate the lungs

22.The nurse is evaluating the oxygen status of client with asthma which diagnostic is useful in gathering: a.cardiac monitor b.x-ray c.pulse oxi d.peak flow meter

c.pulse oxi

23.asthma di makapagsalita with dob diminished breath sounds which type of exacerbation a.minimal- shortness on exertion, speak sentences, and upon auscultation there is positive wheezing b.mild - may shortness of breath with mild exertion, and ability to speak phrases, may audible wheezing c.moderate- Shortness of breath, rest and the ability to speak single words at mayrong byfastic wheezing d.severe- tama

d.severe- tama

24.Patient with shortness of breath ano gagawin ng nurse a.monitor skin color and temp b.place in prone c.monitor level of consciousness d.endotracheal suction e.administer oxygen

a.monitor skin color and temp c.monitor level of consciousness d.endotracheal suction e.administer oxygen

25.You are evaluating the effectiveness following treatment of asthma what best indicator a.no wheezing b.2 seconds cappillary c.18 rr d.oxygen saturation 96

d.oxygen saturation 96

26.You are auscultating lungs asthmatic clients during acute attack. What is the correct technique to do during assessment? a.listen the client exhale and move the next site during exhalation b.auscultate for atleast 1 full respiration c.slow deep breathe d.auscultate the anterior and posterior e.ask the client in out rapidly

b.auscultate for atleast 1 full respiration

27.Client has acute shortness of breath ano action during assessment: a.complete pulmonary function b.supine to complete assessment c.assess allergies d.ask specific question current respiratory conditions

d.ask specific question current respiratory conditions

28.A patient with acute shortness of breath is admitted to the hospital. Which action should the nurse take during the initial assessment of the patient? a.Ask the patient to lie down to complete a full physical assessment. b.Briefly ask specific questions about this episode of respiratory distress. c.Complete the admission database to check for allergies before treatment. d.Delay the physical assessment to first complete pulmonary function tests.

b.Briefly ask specific questions about this episode of respiratory distress.

29.You are providing teaching for inhaled corticosteroids which information should be discussed? a.inhale cort as quickly and deep when taking a puff b.spacers are not necessary c.press the canister down breath slowly and deeply and slowly

c.press the canister down breath slowly and deeply and slowly

30.A health care provider is evaluating the management of a child with a history of asthma. Which of the following statements from the child's mother would be most concerning to the health care provider? A."My child uses her inhaler about once or twice a week." B."When my child has an attack, she usually has to use her rescue inhaler 4 times before her breathing improves." C."My child's peak flow reading is usually about 90 percent of her personal best." D."My child sometimes has to take breaks during gym class to catch her breath."

B."When my child has an attack, she usually has to use her rescue inhaler 4 times before her breathing improves.

31.A clinician is developing the plan of care for a patient with a history of asthma. Which of the following is the priority problem for this patient during an acute exacerbation? a.risk for ineffective airway clearance b.ineffective breathing pattern c.activity intolerance d.altered coping

b.ineffective breathing pattern

31.Which of the following should be included in peak flow measurement teaching? A. " inhale deeply, put your mouth over mouthpiece, then exhales slow and steady" b."Exhale deeply, put your mouth over the mouthpiece, then inhale slowly and steady." c."Exhale deeply, put your mouth over the mouthpiece, then inhale hard and fast." D."Inhale deeply, put your mouth over the mouthpiece, then exhale hard and fast."

D."Inhale deeply, put your mouth over the mouthpiece, then exhale hard and fast."

32.Which of the following statements from a patient with environmental allergies indicates the need for further education? a." I should keep my home clean and tidy" b." I should wash my bedding at least weekly" c.carpet helps reduce allergens" d." I should monitor daily pollen counts"

c.carpet helps reduce allergens"

33.Which of the following would the patient most likely report as triggers for asthma attack? Select all that apply. a.exercise b.warm air c.cold air d.inhaled corticosteroids e.pollen

a.exercise c.cold air e.pollen

34.You're assisting your patient who has asthma to bed. The patient is experiencing a frequent cough and chest tightness. You auscultate the patient's lung fields and note expiratory wheezes. The patient's peak flow rate is 78% less than their best peak flow reading. Which medication will provide the patientwith the fastest relief from these signs and symptoms of an asthma attack? A.Theophylline B.Tiotropium C.Albuterol D.Cromolyn

C.Albuterol

35.A patient with asthma is receiving a nebulizer of Cromolyn. The patient reports a burning sensation in the nose along with a horrible taste in their mouth. As the nurse you will?* A.Immediately stop the nebulizer B.Re-adjust the nebulizer C.Call a rapid response because the patient is having a potential anaphylactic reaction to the medication. D.Reassure the patient this is a temporary side effect of this medication.

D.Reassure the patient this is a temporary side effect of this medication.

35.A patient with asthma is prescribed to take inhaled Salmeterol and Fluticasone for long-term management of asthma. You observe the patient taking these medications. Which option below best describes the correct order in how to take these medications? A.The patient inhales the Salmeterol first and then waits 5 minutes before inhaling the Fluticasone. B.The patient inhales the Fluticasone first and then waits 5 minutes before inhaling the Salmeterol. C.The patient inhales the Salmeterol first and then waits 1 minute before inhaling the Fluticasone. D.The patient inhales the Fluticasone and immediately inhales the Salmeterol.

A.The patient inhales the Salmeterol first and then waits 5 minutes before inhaling the Fluticasone.

36.A nurse teaches a client about the use of a respiratory inhaler. Which action by the client indicated a need for further teaching? a. Removes the cap and shakes the inhaler well before use. b.Presses the canister down with finger as he breathes in. c.Inhales the mist and quickly exhales. d.Waits 1 to 2 minutes between puffs if more than one puff has been prescribed.

c.Inhales the mist and quickly exhales

37.Select all the correct options that represent the pathophysiology of an asthma attack.* A.The smooth muscle surrounding the alveoli constricts, limiting oxygenation. B.The mucosa lining experiences severe inflammation. C.The goblet cells within the mucosa lining produce excessive amounts of mucous. D.Too much carbon dioxide is exhaled due to hyperventilation and the patient experiences respiratory alkalosis.

B.The mucosa lining experiences severe inflammation. C.The goblet cells within the mucosa lining produce excessive amounts of mucous.

38.A Client has ordered arterial blood gas, how many seconds should the blood return in Allen's Test: 6 seconds

6 seconds

39.During an assessment of a 45-yr-old patient with asthma, the nurse notes wheezing and dyspnea. The nurse interprets that these symptoms are related to what pathophysiologic change? a.Laryngospasm b.Pulmonary edema c.Narrowing of the airway d.Overdistention of the alveoli

c.Narrowing of the airway

What is the best position for patient having asthma - HIGH FOWLERS

HIGH FOWLERS

What does smoking do to our body? -cellular hyperplasia -decrease ciliary activity due to increase ciliary mucus -decrease hemoglobin compound problems in coronary artery

-cellular hyperplasia -decrease ciliary activity due to increase ciliary mucus -decrease hemoglobin compound problems in coronary artery

Clinical Manifestation of Emphysema: -barrel chest -Dyspnea -small amount of sputum -flattened of diameter -chest breather -Underwieught -minimal cyanosis -shortness of breath -Tachypnea -use accessory muscles

-barrel chest -Dyspnea -small amount of sputum -flattened of diameter -chest breather -Underwieught -minimal cyanosis -shortness of breath -Tachypnea -use accessory muscles

Clinical Manifestations of chronic bronchitis: -hyperplasia of secreting glands -hyperplasia in trachea -increase goblet -disappearance of cilia -Bronchospasm -exacerbated by irritants -Hypoxemia -Hypercapnia -blue bloaters -pursed lips -Cyanosis -signs of three months ng attack over two years -high clubbing of fingers -increased co2 and hemoglobin

-hyperplasia of secreting glands -hyperplasia in trachea -increase goblet -disappearance of cilia -Bronchospasm -exacerbated by irritants -Hypoxemia -Hypercapnia -blue bloaters -pursed lips -Cyanosis -signs of three months ng attack over two years -high clubbing of fingers -increased co2 and hemoglobin

BEST POSITION FOR EMPHYSEMA UNDER NORMAL CIRCUMSTANCES- semi fowler's position

Semi fowler's position

WHAT FLOWRATE OF OXYGEN SHOULD BE GIVEN IN PATIENT WITH EMPHYSEMA - not exceed to 2.5 L/m

Not exceed to 2.5 L/m

What is the best position for patient with emphysema experiencing severely dyspneic episode - tripod

Tripod

What would you expect to the hands of a patient with severe emphysema - clubbing

Clubbing

Emphysema is most associated with SMOKING

SMOKING

The appetite decreases, weight decreases, and anterior posterior diameter increases with emphysema pag nag increase ang diameter un ang BARREL CHEST

pag nag increase ang diameter un ang BARREL CHEST

A person with emphysema have: grunting slow pursed rapid lips breathing

grunting slow pursed rapid lips breathing

Diet for emphysema - SMALL FREQUENT FEEDING LOW SALT LOW FAT

SMALL FREQUENT FEEDING LOW SALT LOW FAT

Patient with emphysema experience hypoventilation to compensate - FALSE DAPAT HYPERVENTILATION

FALSE DAPAT HYPERVENTILATION

V/Q - VENTILATION AND PERFUSION Ang emphysema ay may problem don kasi may damage sa capillary bed since may damage nagkakaroon ng poor ventilation and poor den ang PERFUSION ang result at v/q mismatch

Ang emphysema ay may problem don kasi may damage sa capillary bed since may damage nagkakaroon ng poor ventilation and poor den ang PERFUSION ang result at v/q mismatch

A patient is presenting with chronic obstructive pulmonary disease. The patient has a chronic productive cough with dyspnea on excretion. Arterial blood gases show a low oxygen level and high carbon dioxide level in the blood. On assessment, the patient has cyanosis in the lips and edema in the abdomen and legs. Based on your nursing knowledge and the patient's symptoms, you suspect the patient suffers from what type of COPD? A.Emphysema B.Pneumonia C.Chronic bronchitis D.Pneumothorax

C.Chronic bronchitis

Chronic bronchitis V/Q mismatch meron ba- True ventilation is poor due to obstruction of mucus production

True ventilation is poor due to obstruction of mucus production

Abnormal and permanent enlargement of the airspaces that is accompanied by destruction of airspace walls and capillary beds without obvious fibrosis. There's a loss of elasticity. A.Emphysema B.Chronic bronchitis

A.Emphysema

A patient with chronic bronchitis and emphysema what is the expected acid base balance: . a.high ox high carbon dioxide b.high oxygen low carbon dioxide c.low oxygen high carbon dioxide

c.low oxygen high carbon dioxide

hyperinflation air ay natatrap sa lungs nagiinflate can be cause by damage of passages and air sacs kapag meron neto ano nangyayari DIAGPRAHM AY FLAT ETO AY TRUE

DIAGPRAHM AY FLAT ETO AY TRUE

In a patient with chronic bronchitis, you will provide education, what statement indicates that the patient understand about his condition: a.If will stop smoking and cure condition b.Complication can lead to pulmonary hypertension and right sided heart failure c.I am at risk in low blood levels d.My respiratory system, high oxygen level

b.Complication can lead to pulmonary

Which of the following are incorrect about discharge teaching with COPD? A.smoking cessation can help improve my symptoms B.important vaccine annually C.avoid going outside during cold and hot D.best eat three large meals

D.best eat three large meals

The client has a barrel chest, what clinical condition is associated with this? a.COPD b.Bronchitis c.Emphysema d.asthma

c.Emphysema

A client with COPD reports steady weight loss and being “too tired from just breathing to eat.” Which of the following nursing diagnoses would be most appropriate when planning nutritional interventions for this client? A.Altered nutrition: Less than body requirements related to fatigue. B.Activity intolerance related to dyspnea. C.Weight loss related to COPD. D.Ineffective breathing pattern related to alveolar hypoventilation.

A.Altered nutrition: Less than body requirements related to fatigue.

Which of the following physical assessment findings are normal for a client with advanced chronic obstructive pulmonary disease (COPD)? 1.Increased anteroposterior chest diameter. 2.Underdeveloped neck muscles. 3.Collapsed neck veins. 4.Increased chest excursions with respiration.

1.Increased anteroposterior chest

What is the purpose of pursed lip breathing - to promote carbon dioxide elimination

To promote carbon dioxide elimination

Aminophylline (theophylline) is prescribed for a client with acute bronchitis. A nurse administers the medication, knowing that the primary action of this medication is to: Promote expectoration Suppress the cough Relax smooth muscles of the bronchial airway Prevent infection

Relax smooth muscles of the bronchial airway

When teaching a client with COPD to conserve energy, the nurse should teach the client to lift objects: WHILE EXHALING THROUGH PURSED LIP

WHILE EXHALING THROUGH PURSED LIP

The nurse is planning to teach a client with COPD how to cough effectively. Which of the following instructions should be included? a.Take three deep abdominal breaths, bend forward, and cough while saying the word "who" on exhalation. b.Lie flat on back, splint the thorax, take two deep breaths and cough. c.Take several rapid, shallow breaths and then cough forcefully. d.Assume a side-lying position, extend the arm over the head, and alternate deep breathing with coughing.

a.Take three deep abdominal breaths, bend forward, and cough while saying the word "who" on exhalation.

A nurse teaching coughing technique with COPD, the following should the nurse include except: A.cough twice B.inhale deeply prior to coughing C.utilize oxygen therapy D.limit fluid intake

D.limit fluid intake

Presenting COPD productive cough dyspnea low abg on assessment has cyanotic lip, edema - CHRONIC BRONCHITIS beep alarm notify 89 oxsat upon arriving comfortable may ox level ng 2L - CONTINUE TO MONITOR THE PATIENT

CHRONIC BRONCHITIS beep alarm notify 89 oxsat upon arriving comfortable may ox level ng 2L - CONTINUE TO MONITOR THE PATIENT

Activity of skeletal muscle virchow's status- venous stasis

venous stasis

Medication that restrict blood flow - anticoagulant

anticoagulant

A client has a pulmonary embolism and is started on oxygen. The student nurse asks why the clients oxygen saturation has not significantly improved. What response by the nurse is best? a.Breathing so rapidly interferes with oxygenation. b.Maybe the client has respiratory distress syndrome. c.The blood clot interferes with perfusion in the lungs. d.The client needs immediate intubation and mechanical ventilation.

c.The blood clot interferes with perfusion in the lungs.

Oxsat is 97 - monitor other manifestations

monitor other manifestations

The risk factor of PE includes predisposing factor: venous stasis Hypercoagulability Damage to endothelial lining

venous stasisHypercoagulability Damage to endothelial lining

TRUE DEEP VEIN NANGGAGALING PE

The following are nursing interventions to assist in the prevention of pulmonary embolism in a hospitalized patient include all except: A.A liberal fluid intake. B.Assisting the patient to do leg elevations above the level of the heart. C.Encouraging the patient to dangle his or her legs over the side of the bed for 30 minutes, four times a day. D.The use of elastic stockings, especially when decreased mobility would promote venous stasis.

A.A liberal fluid intake. B.Assisting the patient to do leg elevations above the level of the heart. D.The use of elastic stockings, especially when decreased mobility would promote venous stasis.

A nurse answers a call light and finds a client anxious, short of breath, reporting chest pain, and having a blood pressure of 88/52 mm Hg on the cardiac monitor. What action by the nurse takes priority? a.Assess the clients lung sounds. b.Notify the Rapid Response Team. c.Provide reassurance to the client. d.Take a full set of vital signs.

b.Notify the Rapid Response Team.

A client with a new pulmonary embolism (PE) is anxious. What nursing actions are most appropriate? (Select all that apply.) a.Acknowledge the frightening nature of the illness. b.Delegate a back rub to the unlicensed assistive personnel (UAP). c.Give simple explanations of what is happening. d.Request a prescription for antianxiety medication. e.Stay with the client and speak in a quiet, calm voice.

a.Acknowledge the frightening nature of the illness. b.Delegate a back rub to the unlicensed assistive personnel (UAP). c.Give simple explanations of what is happening. e.Stay with the client and speak in a quiet, calm voice.

The client is being discharged with prescription heparin, the nurse advised the client to have: PT AND INR

PT AND INR

Risk factors in Pulmonary Embolism: A.BMI 30 B.FEMALE POST MENOPAUSAL C.FRACTURE FEMUR D.MARATHON RUNNER E.CHRONIC A DEFIB F.TURBULENT BLOOD FLOW INCREASE

A.BMI 30 B.FEMALE POST MENOPAUSAL C.FRACTURE FEMUR F.TURBULENT BLOOD FLOW INCREASE

Clinical manifestations in assessing a patient with Pulmonary Embolism A.bradypnea B.hypertension C.tachycardia D.petechiae E.pleural friction rub

C.tachycardia D.petechiae E.pleural friction rub

When providing nutritional counseling for patient with CAD, the ff foods would the nurse encourage to include in their diet are the ff EXCEPT: A.Tofu B.Walnuts C.Tuna fish D.Whole milk

D.Whole milk

When providing nutritional counseling for patients at risk for coronary artery disease (CAD), which foods would the nurse encourage patients to include in their diet (select all that apply.)? A.Tofu B.Walnuts C.Tuna fish D.Whole milk E.Orange juice

A.Tofu B.Walnuts C.Tuna fish

Your client is newly diagnosed with cardiomyopathy and was discharged from the hospital. Several days later, they come back to the clinic for follow up consultation. Which statement by the patient indicates success in implementing plan of goal? a.I dont have bp monitor at home b.I had cut my smoking alot. I lessen my smoke for almost 1 pack per day to half pack c.I have cut all fried foods and eating a lot of fruits and vegetables d.I compute about what time of the day im supposed to take vitamins

c.I have cut all fried foods and eating a lot of fruits and vegetables

In which cardiomyopathy, most likely to hear s4 and s3 murmur? a. Hypertrophy B. dilated cardiomyopathy C. dilated cardiomyopathy and Hypertrophy d.dilated cardiomyopathy and restrictive cardiomyopathy

C. dilated cardiomyopathy and Hypertrophy

Which diagnosis should the nurse expect to include when planning care of client with cardiomyopathy? a.Decreased cardiac output B. pain C. impaired gas exchange D. fluid volume deficit

a.Decreased cardiac output

You are caring for client with dilated cardiomyopathy, these are the ff clinical manifestations anticipated by the nurse: -dyspnea -lower extremities edema -fatigability

dyspnea -lower extremities edema -fatigability

Your client has cardiomyopathy and experiencing SOB during ambulation and experiences fatigue with routine care activities. Nursing diagnosis that should be included in the client care: a. Imbalance nutrition B. deficient knowledge C. activity intolerance D.self care deficit

C. activity intolerance

Atherosclerosis impedes coronary blood flow by which of the following mechanisms? A.Plaques obstruct the vein B.Plaques obstruct the artery C.Blood clots form outside the vessel wall D.Hardened vessels dilate to allow the blood to flow through

B.Plaques obstruct the artery

Which of the following risk factors for coronary artery disease cannot be corrected? A.Cigarette smoking. B.DM. C.Heredity. D.HTN.

C.Heredity.

Which of the following actions is the first priority care for a client exhibiting signs and symptoms of coronary artery disease? A.Administer sublignual nitroglycerin. B.Decrease anxiety. C.Educate the client about his symptoms. D.Enhance myocardial oxygenation.

D.Enhance myocardial oxygenation.

The nurse instructs a patient about modifiable risk factors for coronary artery disease. Which statements indicate that teaching has been effective? (Select all that apply) 1.I should stop smoking to reduce my risk of heart disease 2.Restricting my activity reduces the onset of heart disease 3.I should drink alcohol because this prevents hearts disease 4.There is not much that can be done to prevent heart disease 5.Obesity is a risk actor that I can change to reduce the onset of heart disease

1.I should stop smoking to reduce my risk of heart disease 5.Obesity is a risk actor that I can change to reduce the onset of heart disease

In preparing a bulletin board regarding lifestyle changes to prevent cad, which of the following statement is correct? a. walk for 30 mins, 5-6 times a week to lower ldl and triglyceride B. diabetics affect the tissue that lines the blood vessels during menopause woman, decrease in LDL C. family history of CAD is a strong indicator of development of heart related problem

a. walk for 30 mins, 5-6 times a week to lower ldl and triglyceride

A patient is prescribed lovastatin (Mevacor)/ STATIN (lower cholesterol). What should the nurse instruct the patient about this medication? 1.Abstain from alcohol use while taking this drug 2.Take the drug with meals to minimize gastric distress 3.Promptly report muscle pain or tenderness to the physician

3.Promptly report muscle pain or tenderness to the physician

Best priority in diagnosing CAD: A.anxiety B.decrease cardiac output C.ineffective airway D.ineffective tissue perfusion

D.ineffective tissue perfusion

When the nurse is administering topical nitroglycerin ointment, which technique is correct? a.Apply the ointment on the skin on the forearm. b.Apply the ointment only in the case of a mild angina episode. c.Remove the old ointment before new ointment is applied. d.Massage the ointment gently into the skin, and then cover the area with plastic wrap.

c.Remove the old ointment before new ointment is applied.

Doctor order nitroglycerin patch to client. What teachings can you give to your client? a.Keep the patches in the refrigerator b/ Use only the patches if chest is severe C.Remove the old patch before applying the new one D.Apply the patch only in the upper arm or thigh

C.Remove the old patch before applying the new one

You are caring to client with CAD, which of the ff nsg dx is your best priority? a.Anxiety related to unknown cause b.Decrease cardiac output related to myocardial ischemia C. Ineffective health maintenance related to lack of knowledge D. Ineffective tissue perfusion related to cardiopulmonary or disease process

D. Ineffective tissue perfusion related to cardiopulmonary or disease process

iv heparin therapy is ordered for a client, while implementing this order. You ensure that which of the following medication is available? a.Vitamin k b.protamine sulfate warfarin = vit k

b.protamine sulfate warfarin = vit k

Which patient(s) are most at risk for developing coronary artery disease? Select-all-that-apply: A. A 25 year old patient who exercises 3 times per week for 30 minutes a day and has a history of cervical cancer. B. A 35 year old male with a BMI of 30 and reports smoking 2 packs of cigarettes a day. C. A 45 year old female that reports her father died at the age of 42 from a myocardial infarction. D. A 29 year old that has type I diabetes. B,C,D

B. A 35 year old male with a BMI of 30 and reports smoking 2 packs of cigarettes a day. C. A 45 year old female that reports her father died at the age of 42 from a myocardial infarction. D. A 29 year old that has type I diabetes. B,C,D

True or False: The left anterior descending coronary artery provides blood supply to the left ventricle, front of the septum and part of the right ventricle. A.True B.false

B.false

Which coronary artery provides blood to the left atrium and left ventricle: A. Right marginal artery B. Posterior descending artery C. Left circumflex artery D.Right coronary artery C

C. Left circumflex artery

Lipitor is prescribed for a patient with a high cholesterol level. As the nurse, how do you educate the patient on how this drug works on the body? A. Lipitor increases LDL levels and decreases HDL levels, total cholesterol, and triglyceride levels. B.Lipitor decreases LDL, HDL levels, total cholesterol, and triglyceride levels. C.Lipitor increases HDL levels, total cholesterol, and triglyceride levels. D.Lipitor increases HDL levels and decreases LDL, total cholesterol, and triglyceride levels.

D.Lipitor increases HDL levels and decreases LDL, total cholesterol, and triglyceride levels

The nurse is teaching a client about coronary artery disease (CAD). Which response by the client indicates the need for further teaching? A."The increased levels of high-density lipoproteins decrease the risk of atherosclerosis." B."It decreases quality of life but does not increase a person's risk of death." C."Damage to the linings of my arteries can cause clots and blockage." D."It is a leading cause of death for men and women in the U.S."

B."It decreases quality of life but does not increase a person's risk of death."

1.True or False: The left anterior descending coronary artery provides blood supply to the left ventricle, front of the septum and part of the right ventricle. True False

True

2.Which coronary artery provides blood to the left atrium and left ventricle: A.Right marginal artery B.Posterior descending artery C.Left circumflex artery

C.Left circumflex artery

.Which patient(s) are most at risk for developing coronary artery disease? Select-all-that-apply A.A 25 year old patient who exercises 3 times per week for 30 minutes a day and has a history of cervical cancer. B.A 35 year old male with a BMI of 30 and reports smoking 2 packs of cigarettes a day. C.A 45 year old female that reports her father died at the age of 42 from a myocardial infarction. D.A 29 year old that has type I diabetes.

B.A 35 year old male with a BMI of 30 and reports smoking 2 packs of cigarettes a day. C.A 45 year old female that reports her father died at the age of 42 from a myocardial infarction. D.A 29 year old that has type I diabetes.

5.A patient reports during a routine check-up that he is experiencing chest pain and shortness of breath while performing activities. He states the pain goes away when he rests. This is known as: A.Unstable angina B.Variant angina C.Stable angina D.Prinzmetal angina

C.Stable angina

5.Keeping the patient in question 4 in mind: What type of diagnostic tests will the physician most likely order (at first) for this patient to evaluate the cause of the patient’s symptoms? Select-all-that-apply: A.EKG B.Stress test C.Heart catheterization D.Balloon angioplasty

A.EKG B.Stress test

6.You're providing education to a patient who will be undergoing a heart catheterization. Which statement by the patient requires you to re-educate the patient about this procedure? A.“The brachial artery is most commonly used for this procedure.” B.“A dye is injected into the coronary arteries to assess for blockages." C.“Not all patients who have a heart catheterization will need a stent placement.” D.“I will not be completely asleep and will be able to breathe on my own during the procedure.”

A.“The brachial artery is most commonly used for this procedure.”

7.A patient reports having crushing chest pain that radiates to the jaw. You administer sublingual nitroglycerin and obtain a 12 lead EKG. Which of the following EKG findings confirms your suspicion of a possible myocardial infarction? A.absent Q wave B.QRS widening C.absent P-wave D.ST segment elevation

D.ST segment elevation

8.A patient is receiving treatment for stable coronary artery disease. The doctor prescribes the patient Plavix. What important information will you include in the patient's teaching? Select-all-that-apply: A.If you are scheduled for any planned surgical procedures, let your doctor know you are taking A.Plavix because this medication will need to be discontinued 5-7 days prior to the procedure. B.A normal side effect of this medication is a dry cough. C.Avoid green leafy vegetables while taking Plavix. D.Notify the doctor, immediately, if you develop bruising, problems urinating, or fever.

A.Plavix because this medication will need to be discontinued 5-7 days prior to the procedure. D.Notify the doctor, immediately, if you develop bruising, problems urinating, or fever.

9.A patient calls the cardiac clinic you are working at and reports that they have taken 3 sublingual doses of Nitroglycerin as prescribed for chest pain, but the chest pain is not relieved. What do you educate the patient to do next? A.Take another dose of Nitroglycerin in 5 minutes. B.Call 911 immediately C.Lie down and rest to see if that helps with relieving the pain D.Take two doses of Nitroglycerin in 5 minutes

B.Call 911 immediately

10.Lipitor is prescribed for a patient with a high cholesterol level. As the nurse, how do you educate the patient on how this drugs works on the body? A.Lipitor increases LDL levels and decreases HDL levels, total cholesterol, and triglyceride levels. B.Lipitor decreases LDL, HDL levels, total cholesterol, and triglyceride levels. C.Lipitor increases HDL levels, total cholesterol, and triglyceride levels. D.Lipitor increases HDL levels and decreases LDL, total cholesterol, and triglyceride levels.

D.Lipitor increases HDL levels and decreases LDL, total cholesterol, and triglyceride levels.

11.A patient taking Zocor is reporting muscle pain. You are evaluating the patient’s lab work and note that which of the following findings could cause muscle pain? A.Elevated potassium level B.Elevated CPK (creatine kinase level) C.Decreased potassium level D.Decreased CPK (creatine kinase level)

B.Elevated CPK (creatine kinase level)

12.A patient who has diabetes will be started on Metoprolol for medical management of coronary artery disease. Which of the following will you include in your discharge teaching about this medication? A.Check your heart rate regularly because Metoprolol can cause an irregular heart rate. B.Check your glucose regularly because this medication can cause hyperglycemia. C.Check your blood pressure regularly because this medication can cause hypertension. D.Check your glucose regularly because this medication can mask the typical signs and symptoms of hypoglycemia.

D.Check your glucose regularly because this medication can mask the typical signs and symptoms of hypoglycemia.

13.True or False: ACE inhibitors work to decrease the workload on the heart by blocking the conversion of Angiotensin II to Angiotensin I which causes vasodilation. True False

False

The nurse prepares a discharge teaching plan for a 44-year-old male patient who has recently been diagnosed with coronary artery disease. Which risk factor should the nurse plan to focus on during the teaching session? A.Type A personality B.Elevated serum lipids C.Family cardiac history D.Hyperhomocysteinemia

B.Elevated serum lipids

Your patient is taking Simvastatin. Which of the following findings below demonstrate this medication is providing therapeutic effects to this patient? SATA. A.HDL 80 mg/dL B.LDL 72 mg/dL C.HDL 30 mg/dL D.LDL 190 mg/dL

A.HDL 80 mg/dL B.LDL 72 mg/dL

The nurse is providing education to a client newly diagnosed with cardiomyopathy. Which statement should the nurse use to best describe cardiomyopathy to the client? Cardiomyopathy is another term for high blood pressure. Cardiomyopathy is an abnormal heart rate. **Cardiomyopathy causes ineffective pumping of the heart. Cardiomyopathy develops when the kidneys cannot regulate the blood pressure.

**Cardiomyopathy causes ineffective pumping of the heart.

The nurse is providing education to a community group about cardiac disorders. When discussing cardiomyopathy, which risk factor should the nurse discuss? A.Hyperthyroidism B.Smoking C.Hypotension D.Heart failure

D.Heart failure

A client is diagnosed with dilated cardiomyopathy. Which scheduled medication should the nurse clarify with the health care provider before administering it? A.Beta-blocker B.Diuretic C.Anticoagulant D.Antidysrhythmic

A.Beta-blocker

The nurse needs to monitor fluid volume for a client diagnosed with cardiomyopathy. What intervention should the nurse include in the client's plan of care? A.Auscultate heart sounds B.Monitor the client's weight daily C.Encourage rest periods throughout the day D.Administer supplemental oxygen

B.Monitor the client's weight daily

The nurse is reviewing the diagnostic tests for a client admitted for possible cardiomyopathy. Which test will evaluate coronary artery perfusion? A.Echocardiogram B.Cardiac catheterization C.Myocardial biopsy D.Radionuclear scan

B.Cardiac catheterization

Which clinical problem should the nurse include when planning care for a client with cardiomyopathy? A.Impaired gas exchange B.Fluid volume deficit C.Chronic pain D.Diminished cardiac output

D.Diminished cardiac output

Which of the following are manifestations of cardiomyopathy? Bounding peripheral pulses A.Fatigue B.Dizziness C.Restlessness D.Shortness of breath

A.Fatigue B.Dizziness D.Shortness of breath

Which of the following problems is a client with cardiomyopathy most likely to encounter? A.Risk of aspiration B.Ineffective tissue perfusion C.Fluid volume deficit D.Increased cardiac output

B.Ineffective tissue perfusion

Mae Tashima, a 73-year-old woman, was recently diagnosed with dilated cardiomyopathy. She has a history of hypertension and chronic alcoholism. Which clinical manifestation does the nurse anticipate the client is experiencing? A.Ventricular tachyarrhythmia B.Weight loss C.Syncope D.Hypotension

C.Syncope

The nurse is admitting a client with congenital cardiomyopathy. Which assessment finding is included in the health history? (Select all that apply.) A.History of hypertension B.Diet and activity C.Recent weight gain D.Presence of cough E.Vital signs

A.History of hypertension B.Diet and activity C.Recent weight gain D.Presence of cough

A nurse has reviewed the electronic medical chart of a client who has peripartum cardiomyopathy. Which intervention is essential to assist the heart in returning to its normal size postpartum? A.Encourage independence with activities of daily living (ADLs) B.Increase fluid intake C.Maintain bed rest D.Eat a high-sodium diet

C.Maintain bed rest

When caring for a client newly diagnosed with cardiomyopathy, which type of treatment should the nurse anticipate will be initiated? A.Medications B.Surgical ventricular remodeling C.Left ventricular assist device (LVAD) D.Cardiac transplantation

A.Medications

The nurse is caring for a client diagnosed with cardiomyopathy. Which assessment finding indicates that the client is experiencing heart failure, which is a clinical manifestation of cardiomyopathy? A.Nocturnal dyspnea B.Chest pain C.Dizziness D.Nausea

A.Nocturnal dyspnea

A client is admitted to a medical unit for possible cardiomyopathy The client has a family history of cardiomyopathy, hypertension, and chronic alcohol and drug use. What type of cardiomyopathy is the client likely experiencing? A.Arrhythmogenic right ventricular cardiomyopathy B.Restrictive cardiomyopathy C.Hypertrophic cardiomyopathy D.Dilated cardiomyopathy

A.Arrhythmogenic right ventricular D.Dilated cardiomyopathy

# **** When planning home care for a client with cardiomyopathy, which topic should the nurse include in client teaching? A.Record weight once a week B.Promote strenuous aerobic exercise C.Avoid resting throughout the day D.Maintain adequate fluid intake and output

D.Maintain adequate fluid intake and output