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15 Cards in this Set
- Front
- Back
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Upon admission assessment, the nurse notes clubbing of the patient's fingers. Based on this finding, the nurse will question the patient about which of the following disease processes?
A. Endocarditis B. Acute Renal failure C. Chronic thrombophlebitis D. Myocardial Infarction |
Endocarditis
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Which of the following instructions given to a patient who is about to undergo Holter monitoring is most appropriate.
A. "You may remove the monitor only to shower or bathe." B. You should conet the monitor whenever you feel sypmtoms" C. You will need to keep a diary of all your activities and symptoms" D. You should refrain from exercising while wearing this monitor. |
C
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The nurse is admitting a patient who is scheduld to undergo a Cardiac Catheterization. Which of the following allergies is most important for the nurse to assess before this procedure?
A. Aspirin B. Penicillin C. Iodine D. Iron |
C
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The nurse auscultates the blood pressure of a 71 year old patient admitted with pneumonia and finds it to be 160/70 mm Hg. Which of the following does the nurse consider to be an age-related change that contributes to this finding?
A. Decreased adrenergic sensitivity B. Increased parasympathetic activity C. Stenosis of the heart valves D. Loss of elasticity in arterial vessels. |
D. Loss of elasticity in arterial vessels
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The nurse teaches a patient with HTN that uncontrolled hypertension may damage organs in the body primarily by which of the following mechanisms?
A. HTN causes direct pressure on organs, resulting in necrosis and replacement of cells with scar tissue. B. HTN increases blood viscosity, which contributes to intravascular coagulation and tissue necrosis distal to occlusions. C. HTN promotes atherosclerosis and damage to the walls of the arteries. D. TN causes thickening of capi membraines, leading to hypoxia of organ systems. |
C
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When teaching a patient about dietary management of stage 1 HTN, which of the following instructions is most appropriate?
A. Restrict Na intake to < 2.4 gm/day B. Increase use of Ca Supplements C. Restrict all caffeine D. Increase Carb Intake |
C
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In caring for a patient admitted with poorly controlled hypertension, the nurse would understand that which of the following lab test results would indicate the presence of target organ damage secondary to the primary diagnosis?
A. Serum uric acids of 3.8mg/dl B. Serum creatinine of 2.6 mg/dl C. Serum potassium of 3.5 mEq/L D. BUN of 15 mg/dl |
B
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When providing dietary instruction to a patient with hypertension, the nurse would advise the patient to restrict intake of which of the following meats?
A. Roasted turkey B. Roasted duck C. Baked chicken breast D. Broiled Fish |
B
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The nurse is caring for a patient admitted with a history of hypertension. The patient's medicational history includes chlorothiazide daily for the past 10 years. Which of the following parameters would indicate the optial intended effect of this pharm therapy?
A. Weight loss of 2lb B. Absence of ankle edema C. BP 128/86 D. Output of 600ml per shift |
B
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In reviewing medication instructions with a patient being discharged on antihypertensive meds, which of the following statements would be most appropriate for the nurse to make when discussing atenolol (tenormin)?
A. "Make position changes slowly, especially when going from lying down to standing" B. "B/c this drug may affect lungs in large doses, it may also help your breathing C. A fast HR is a side effect to watch for while taking atenolol D. "D/c the drug and notify md if you experience N/V. |
A
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The nurse is caring for a patient admitted with emphysema, angina, and hypertension. Before admin the prescribed daily dose 100mg PO, the nurse assess the patient carefully. Which of the following a.e.'s is this patient at risk for given the patient's health history.
A. Hypocapnia B. Tachycardia. C. Bronchospasm D. N/V |
C
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The nurse is caring for a patient with HTN who is scheduled to receive a dose of atenolol (Tenormin). The nurse should withold the dose and consult the prescribing physician for which of the following V.S. taken just before admin?
A. BP of 130/68 B. HR of 48 C. RR of 26 D. O2 Sat of 91 |
B
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The community health nurse is planning promotion teaching targed at preventing CAD. For which of the following ethnic groups would the nurse select as the highest priority for this intervention?
A. Hispanic female B. White male C. African American male D. Native American female |
C
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Which of the following individuals would the nurse identify as having the highest risk for CAD?
A. 45 y/o depressed male with a high stress job. B. 60 y/o male with below normal homocysteine levels C. A 54 y/0 female vegetarian with elevated HDL levels D. A 62 y/o female with sedentary lifestyle and bmi of 23 kg |
A
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For which of the following antilipemic meds would the nurse question an order in a patient with cirrhosis of the liver?
A. Niacin (Nicobid) B. Ezetimibe (zetia) C. atorvastatin (Lipitor) D. gemfibrozil (Lopid) |
A
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