VN 22 Mid Term Flashcards
What is a characteristic of atherosclerosis?
-Fatty deposits in the lumen of arteries
-Emboli in the veins
-Cholesterol plugs in the lumen of veins
-Blood clots in the arteries
Fatty deposits in the lumen of arteries
What is an appropriate nursing action when evaluating a client with coronary artery disease?
-Assess the skin of the client.
-Assess the characteristics of chest pain.
-Assess for any kind of drug abuse.
-Assess the client’s mental and emotional status.
Assess the characteristics of chest pain.
When assessing a client with a deep vein thrombosis, what would be most important to
assess for?
-Capillary refill of extremity
-Mottled coloring of leg and foot
-Leg pain and swollen calf
-Chest pain and dyspnea
Chest pain and dyspnea
What finding indicates a possible deep vein thrombosis?
-Pain in the calf
-Inability to sit up
-Negative Homan’s sign
-Pain in the toes
Pain in the calf
What is the definition of Arteriosclerosis?
-Arteriosclerosis is a loss of elasticity, or hardening of the arteries, that happens as we
age.
-Atherosclerosis is a loss of elasticity, or hardening of the arteries, that happens as we
age.
-Atherosclerosis is a formation of clots in the inner lining of the arteries.
-Arteriosclerosis is a formation of clots in the inner lining of the arteries.
Arteriosclerosis is a loss of elasticity, or hardening of the arteries, that happens as we
age
Which of the following medications would the nurse expect the physician to order for a
client with hypothyroidism?
-Propylthiouracil
-Propranolol
-Methimazole
-Levothyroxine
Levothyroxine
A client has just been diagnosed with prehypertension. What would the nurse instruct this
client to do to restore his blood pressure below hypertensive levels?
-Avoid salt substitutes
-Decrease sodium intake
-Increase fluid intake
-Increase iodine intake
Decrease sodium intake
A nurse is caring for a client who walks into the clinic and is exhibiting symptoms of
tachypnea and circumoral parasthesia. What should be the nurse’s first course of action?
-Turn off the mechanical ventilator
-Determine and correct the cause of tachypnea
-Initiate CPR
-Check for a DNR status
Determine and correct the cause of tachypnea
What effect should a nurse carefully monitor for in a client who has been using non-narcotic
analgesics daily over an extended period?
-Hypothyroidism
-Cardiac disorders
-Gastrointestinal bleeding
-Urinary tract infection
Gastrointestinal bleeding
A client is found to be unresponsive and hypoglycemic with a blood sugar of 30mg/dL. What
would the nurse expect the provider to order first?
-Order a urinalysis for the presence of sugar and acetone.
-Order 50% glucose IV to be given immediately.
-Administer orange juice
-Order 1000 mL D5W at 50mL/hr.
Order 50% glucose IV to be given immediately.
A nurse is collecting data from a client who has diabetic ketoacidosis and ketones in the
urine. The nurse should expect which of the following findings? Select all that apply
-Hunger
-Abdominal pain
-Fruity odor of breath
-Weight gain
-Kussmaul respirations
Hunger, Abdominal pain, Fruity odor of breath, and Kussmaul respiration
Which food or beverage items listed below are good sources of Potassium? Select all that
apply
-Orange juice
-Cantaloupe
-Yogurt
-Bananas
-Apples
Orange juice, Cantaloupe, Yogurt, and Banana
A client with type 1 diabetes is to receive a short-acting insulin and an intermediate-acting
insulin subcutaneously before breakfast. The nurse would administer the insulin at which site
as the preferred site?
-Anterior deltoid
-Upper abdomen
-Dorsal gluteal
-Vasts lateralus
Upper abdomen
A client is scheduled for a diagnostic test to measure blood hormone levels. The nurse
expects that this test will determine what?
-The concentration of a substance in plasma
-The client’s digoxin level
-The functioning of endocrine glands
-Details about the size of the organ and its location
The functioning of endocrine glands
A nurse is collecting data from a client who recently began taking levothyroxine to treat
hypothyroidism. Which of the following findings should indicate to the nurse that the client
might need a decrease in dosage of this medication?
-Slow speech
-Bradycardia
-Hand tremors
-Pallor
Hand tremors
Hypertension places a client at risk for heart disease and heart failure. The nurse knows that
which complication is also at risk?
-Potential for liver cirrhosis and liver failure
-Potential for blindness and Retinopathy
-Risk for hypernatremia
-Secondary hypertension
Potential for blindness and Retinopathy
A client has been taking Milk of magnesium (magnesium hydroxide) for many days because of
gastric discomfort. The nurse knows the client has hypermagnesemia because of which
symptoms?
-Bradycardia and hypotension
-Shivering and hypertension
-Tachycardia and muscle cramping
-Hyperventilation and Insomnia
Bradycardia and hypotension
A nurse is reviewing the medication administration record of a client who has acute adrenal
insufficiency (Addison’s Disease) and hyperkalemia. Which of the following prescriptions
should the nurse expect to be ordered? Select all that apply?
-IV fluids with 0.9% NS sodium chloride
-Florine sodium succinate (Dexamethasone)
-Sodium polystyrene sulfonate (Kayexalalate)
-Spironolactone (Aldactone)
-Regular insulin
-IV fluids with 0.9% NS sodium chloride
-Florine sodium succinate (Dexamethasone)
-Sodium polystyrene sulfonate (Kayexalalate)
A nurse suspects a client is experiencing hypercalcemia. The lab results return and show the
calcium level is 12mg/dL. What signs lead the nurse to suspect the client is experiencing
hyperalcemia? Select all that apply
-Constipation
-Weight gain
-Pathologic fractures
-Deep bone pain
-Decreased memory & attention span (Change in mentation)
-Constipation
-Pathological fractures
-Deep bone pain
-Decreased memory & attention span (Change in mentation)
What is a normal Calcium level?
-1-4
-9-11
-5-8
-15-20
9-11
A 64-year-old client is brought in to the clinic with thirsty, dry, sticky mucous membranes,
decreased urine output, fever and a rough tongue. Serum sodium level is above 149 mEq/L
Should the nurse start salt tablets when caring for this client?
-Yes, along with the hypotonic IV fluid.
-No, start with 0.9% Normal Saline IV fluid.
-No, sodium intake should be restricted.
-Yes, this will correct the sodium deficit.
No, sodium intake should be restricted.
You are caring for a new client on your unit who is third-spacing fluid. You know to assess for
what type of edema?
-Pitting
-Bulging
-Generalized
-Dependent
Generalized
Your client has a diagnosis of hypervolemia. What would be an important intervention that a
nurse should initiate?
-Give medications that promote fluid retention.
-Teach client behaviors that decrease urination.
-Assess for dehydration.
-Limit sodium and water intake.
Limit sodium and water intake.
The Cardiac Nurse Clinician is teaching a group of clients with heart failure about self-
management of their disease. What dietary advice should the Nurse Clinician give to clients
with severe heart failure until edema resolves?
-Encourage increased intake of canned soups.
-Avoid the intake of fresh fruit and fruit juices.
-Encourage increased intake of vegetable flavored crackers.
-Avoid the intake of processed and commercially prepared foods.
Avoid the intake of processed and commercially prepared foods.
