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Question 1 of 25
1. Question
1 point(s)A nurse caring for a client in one room is told by another nurse that a second client has developed severe pulmonary edema. On entering the 2nd client’s room, the nurse would expect the client to be:
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Question 2 of 25
2. Question
1 point(s)A client with pulmonary edema has been on diuretic therapy. The client has an order for additional furosemide (Lasix) in the amount of 40 mg IV push. Knowing that the client also will be started on digoxin (Lanoxin), a nurse checks the client’s most recent:
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Question 3 of 25
3. Question
1 point(s)A client who had cardiac surgery 24 hours ago has a urine output averaging 19 ml/hr for 2 hours. The client received a single bolus of 500 ml of IV fluid. Urine output for the subsequent hour was 25 ml. Daily laboratory results indicate the blood urea nitrogen is 45 mg/dL and the serum creatinine is 2.2 mg/dL. A nurse interprets the client is at risk for:
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Question 4 of 25
4. Question
1 point(s)A nurse is preparing to ambulate a client on the 3rd day after cardiac surgery. The nurse would plan to do which of the following to enable the client to best tolerate the ambulation?
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Question 5 of 25
5. Question
1 point(s)A client’s electrocardiogram strip shows atrial and ventricular rates of 80 complexes per minute. The PR interval is 0.14 second, and the QRS complex measures 0.08 second. The nurse interprets this rhythm is:
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Question 6 of 25
6. Question
1 point(s)A client has frequent bursts of ventricular tachycardia on the cardiac monitor. A nurse is most concerned with this dysrhythmia because:
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Question 7 of 25
7. Question
1 point(s)A home care nurse is making a routine visit to a client receiving digoxin (Lanoxin) in the treatment of heart failure. The nurse would particularly assess the client for:
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Question 8 of 25
8. Question
1 point(s)A client with angina complains that the angina pain is prolonged and severe and occurs at the same time each day, most often in the morning, On further assessment a nurse notes that the pain occurs in the absence of precipitating factors. This type of anginal pain is best described as:
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Question 9 of 25
9. Question
1 point(s)The physician orders continuous intravenous nitroglycerin infusion for the client with MI. Essential nursing actions include which of the following?
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Question 10 of 25
10. Question
1 point(s)Aspirin is administered to the client experiencing an MI because of its:
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Question 11 of 25
11. Question
1 point(s)Which of the following is an expected outcome for a client on the second day of hospitalization after an MI?
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Question 12 of 25
12. Question
1 point(s)Which of the following reflects the principle on which a client’s diet will most likely be based during the acute phase of MI?
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Question 13 of 25
13. Question
1 point(s)An older, sedentary adult may not respond to emotional or physical stress as well as a younger individual because of:
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Question 14 of 25
14. Question
1 point(s)Which of the following nursing diagnoses would be appropriate for a client with heart failure? Select all that apply.
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Question 15 of 25
15. Question
1 point(s)Which of the following would be a priority nursing diagnosis for the client with heart failure and pulmonary edema?
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Question 16 of 25
16. Question
1 point(s)Captopril may be administered to a client with HF because it acts as a:
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Question 17 of 25
17. Question
1 point(s)Furosemide is administered intravenously to a client with HF. How soon after administration should the nurse begin to see evidence of the drug’s desired effect?
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Question 18 of 25
18. Question
1 point(s)Which of the following foods should the nurse teach a client with heart failure to avoid or limit when following a 2-gram sodium diet?
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Question 19 of 25
19. Question
1 point(s)The nurse finds the apical pulse below the 5th intercostal space. The nurse suspects:
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Question 20 of 25
20. Question
1 point(s)Which of the following arteries primarily feeds the anterior wall of the heart?
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Question 21 of 25
21. Question
1 point(s)The most important factor in regulating the caliber of blood vessels, which determines resistance to flow, is:
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Question 22 of 25
22. Question
1 point(s)With peripheral arterial insufficiency, leg pain during rest can be reduced by:
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Question 23 of 25
23. Question
1 point(s)Buerger’s disease is characterized by all of the following except:
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Question 24 of 25
24. Question
1 point(s)A significant cause of venous thrombosis is:
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Question 25 of 25
25. Question
1 point(s)When caring for a patient who has started anticoagulant therapy with warfarin (Coumadin), the nurse knows not to expect therapeutic benefits for:
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