NS 520: UNIT I

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0 [{"id":572834,"quiz_id":"27637","answer_id":null,"answerType_id":"0","created_at":"2018-09-21 21:03:14","updated_at":"2018-09-21 21:03:14","questionName":"An older adult client, 4 hours after coronary artery bypass graft (CABG), has a blood pressure of 80\/50 mm Hg. What action does the nurse take?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"Decreased preload as exhibited by decreased PAWP could indicate hypovolemia secondary to hemorrhage or vasodilation; hypotension could cause the graft to collapse. Low blood pressure is not normal in older adults or postoperative clients. The cause of hypotension must be found and treated; further action is needed to determine additional interventions. Hypotension could be caused by hypovolemia; giving loop diuretics increases hypovolemia.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":573858,"quiz_id":"27637","answer_id":null,"answerType_id":"0","created_at":"2018-09-23 17:11:38","updated_at":"2018-09-23 17:11:38","questionName":"The nurse is assessing a patient with left-sided heart failure. Which assessment findings does the nurse expect to see in this patient?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":null,"question_score_id":null,"lang":null,"questionAudioPath":null},{"id":574370,"quiz_id":"27637","answer_id":null,"answerType_id":"0","created_at":"2018-09-24 00:44:20","updated_at":"2018-09-24 00:44:20","questionName":"The nurse is assessing a patient with distended, protruding veins. In order to assess for varicose veins, what technique does the nurse use?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":null,"question_score_id":null,"lang":null,"questionAudioPath":null},{"id":571043,"quiz_id":"27637","answer_id":null,"answerType_id":"0","created_at":"2018-09-19 23:41:21","updated_at":"2018-09-19 23:41:21","questionName":"The nurse has just taken change-of-shift report on a group of clients on the medical-surgical unit. Which client does the nurse assess first?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"The client taking glyburide (Diabeta) who is dizzy and sweaty has symptoms consistent with hypoglycemia and should be assessed first because this client displays the most serious adverse effect of antidiabetic medications. Although the client taking repaglinide who has nausea and back pain requires assessment, the client taking glyburide takes priority. Metformin may cause abdominal cramping and diarrhea, but the client taking it does not require immediate assessment. Ankle swelling is an expected side effect of pioglitazone.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":573859,"quiz_id":"27637","answer_id":null,"answerType_id":"0","created_at":"2018-09-23 17:11:38","updated_at":"2018-09-23 17:11:38","questionName":"A patient is admitted for heart failure and has edema, neck vein distention, and ascites. What is the most reliable way to monitor fluid gain or loss in this patient?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":null,"question_score_id":null,"lang":null,"questionAudioPath":null},{"id":576675,"quiz_id":"27637","answer_id":null,"answerType_id":"0","created_at":"2018-09-26 11:26:24","updated_at":"2018-09-26 11:26:24","questionName":"The type of echocardiography used to evaluate the motion of the cardiac valves and detect pericardial fluid is known as _____________ echocardiography ","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"Motion of cardiac valves and detection of pericardial fluid is done with M\u00admode echocardiography. M\u00admode echocardiography enables evaluation of anatomic relationships and the relative sizes of each. ","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":572835,"quiz_id":"27637","answer_id":null,"answerType_id":"0","created_at":"2018-09-21 21:03:14","updated_at":"2018-09-21 21:03:14","questionName":"During discharge planning after admission for a myocardial infarction, the client says, \"I won't be able to increase my activity level. I live in an apartment, and there is no place to walk.\" What is the nurse's best response?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"This response calls for cooperation and participation from the client.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":571811,"quiz_id":"27637","answer_id":null,"answerType_id":"0","created_at":"2018-09-20 20:55:36","updated_at":"2018-09-20 20:55:36","questionName":"As an initial step in treating a client with angina, the physician prescribes nitroglycerin tablets, 0.3 mg given sublingually. This drug\u2019s principal effects are produced by:","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"Nitroglycerin produces peripheral vasodilation, which reduces myocardial oxygen consumption and demand. Vasodilation in coronary arteries and collateral vessels may also increase blood flow to the ischemic areas of the heart. Nitroglycerin decreases myocardial oxygen demand. Nitroglycerin does not have an effect on pericardial spasticity or conductivity in the myocardium.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":576674,"quiz_id":"27637","answer_id":null,"answerType_id":"0","created_at":"2018-09-26 11:26:24","updated_at":"2018-09-26 11:26:24","questionName":"A patient received 4 mg of morphine IV and now is unresponsive\u037e his respiratory rate and depth are diminished. The antagonist for morphine is","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"The antagonist for morphine or other opioids is Narcan (naloxone). Generally, the naloxone dose is 0.4 mg IV. This dose can be repeated about every 3 to 4 minutes three times. When giving Narcan, you must always be alert for the patient to relapse once the dose wears off. Administering multiple follow\u00adup doses is not uncommon. ","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":573090,"quiz_id":"27637","answer_id":null,"answerType_id":"0","created_at":"2018-09-22 06:03:22","updated_at":"2018-09-22 06:03:22","questionName":"A client with heart failure is taking furosemide (Lasix). Which finding concerns the nurse with this new prescription?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null},{"id":574371,"quiz_id":"27637","answer_id":null,"answerType_id":"0","created_at":"2018-09-24 00:44:20","updated_at":"2018-09-24 00:44:20","questionName":"Which patient has the greatest risk for a pulmonary embolus related to a venous disorder?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":null,"question_score_id":null,"lang":null,"questionAudioPath":null},{"id":571042,"quiz_id":"27637","answer_id":null,"answerType_id":"0","created_at":"2018-09-19 23:41:21","updated_at":"2018-09-19 23:41:21","questionName":"The nurse caring for four diabetic clients has all of these activities to perform. Which is appropriate to delegate to unlicensed assistive personnel (UAP)?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"Performing bedside glucose monitoring is an activity that may be delegated because it does not require extensive clinical judgment to perform; the nurse will follow up with the results. Intravenous therapy and medication administration are not within the scope of practice for UAP. The client with blood glucose of 68 mg\/dL will need further monitoring, assessment, and intervention not within the scope of practice for UAP. The client reporting palpitations and anxiety may have hypoglycemia, requiring further intervention; this client must be assessed by licensed nursing staff.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":571810,"quiz_id":"27637","answer_id":null,"answerType_id":"0","created_at":"2018-09-20 20:55:36","updated_at":"2018-09-20 20:55:36","questionName":"Which of the following is not a risk factor for the development of atherosclerosis?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"Late onset of puberty is not generally considered to be a risk factor for the development of atherosclerosis. Risk factors for atherosclerosis include family history of atherosclerosis, cigarette smoking, hypertension, high blood cholesterol level, male gender, diabetes mellitus, obesity, and physical inactivity.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":571044,"quiz_id":"27637","answer_id":null,"answerType_id":"0","created_at":"2018-09-19 23:41:21","updated_at":"2018-09-19 23:41:21","questionName":"The nurse has just received change-of-shift report on the endocrine unit. Which client does the nurse see first?","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"Because glucose levels will increase quickly in clients who use continuous insulin pumps, the nurse should assess this client and the insulin pump first to avoid diabetic ketoacidosis. Thirst is a symptom of hyperglycemia and, although important, is not a priority; the nurse could delegate a fingerstick blood glucose to unlicensed assistive personnel while assessing the client whose insulin pump is beeping. Although a blood glucose reading of 150 mg\/dL is mildly elevated, this is not an emergency. Mild hypertension is also not an emergency","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":573091,"quiz_id":"27637","answer_id":null,"answerType_id":"0","created_at":"2018-09-22 06:04:29","updated_at":"2018-09-22 06:04:29","questionName":"A client who recently had a heart valve replacement is taking warfarin (Coumadin) as prescribed. What statement by the client indicates that the nurse will need to do additional health teaching? ","questionTimeSeconds":"0","questionTimeMinutes":"1","questionImagePath":null,"position":null,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null}]
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An older adult client, 4 hours after coronary artery bypass graft (CABG), has a blood pressure of 80/50 mm Hg. What action does the nurse take?

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