Title RECALLS 9 - NP3 - SC ✅

46. Because of Donny’s premature ventricular contraction, the nurse should monitor its effects on which of the following parameters? A. Electrolyte levels B. Apical radial heart rate C. Oxygen saturation D. Medications 47. In analyzing a patient’s electrocardiographic (ECG) rhythm strip, Leona uses the knowledge that the time of the conduction of an impulse through the Purkinje fibers is represented by A. PR interval B. QT interval C. QRS complex D. P wave 48. A considerable difference between the apical and radial pulse rate of Donny would indicate A. Stronger left than right ventricular muscles B. Numerous weak ineffectual cardiac contractions C. Thickened myocardium and large heart chambers D. Increased pressure in systemic arteries 49. As Donny is assessed he complains of being nauseated and very weak. The nurse should A. Perform nutritional assessment B. Alert staff for potential help C. Explore and discuss possible effect of stress D. Provide reassurance while focusing on pleasant topics 50. The Physician scheduled for an exercise electrocardiogram (stress test). What information should the nurse include when explaining the value of this test? Exercise stress testing is a: A. definitive method to diagnose the cause of chest pain B. diagnostic modality of minimal value in planning treatment of angina C. noninvasive means of assessing cardiovascular conduction and function D. minimally invasive manner of assessing a body’s reaction to increase in exercise SITUATION: You are a nurse tasked to care for patients with several different conditions. You utilize your knowledge of nursing concepts to help these patients. 51. The patient admitted in the unit with a urinary condition asked you, the nurse, where in the kidney does urine get formed. You answer them correctly by stating that urine is produced in the: A. Glomerulus. B. Proximal convoluted tubule. C. Loop of Henle. D. Nephron. 52. A client was assigned to your unit after their abdominal surgery. You asked the patient during your morning rounds about the passage of flatus. The patient answered, “Yes, flatus has passed earlier this morning”. In anticipation of defecation, which of the following instructions are most important for you, the nurse, to give to this client? A. Please call the nurse if you need to go to the bathroom. B. If you feel the urge to have a bowel movement, please call for assistance before getting up to the toilet. When having a bowel movement, be sure to breathe out to prevent straining. Do not hold your breath. C. To prevent the Valsalva maneuver, contract the stomach muscles while holding your breath and push. This will assist in the passage of the stool and will decrease the amount of time required to have a bowel movement. D. Your bowels will be moving soon. Please report any abdominal pain. 53. You are the nurse on duty in the unit. A client verbalized complaints of a recent constipation. You took the patient’s health history. Which of the following statements by the client suggests the likely cause of their constipation? A. I walk with a group of friends every day at the mall for an hour. B. My spouse died 20 years ago, but my family is very loving and supportive. They live just around the corner and come over a few times a week to visit. C. The fast food place near my home has really good food. I eat there most of the time. D. What is a laxative? 54. You are the nurse on duty in the emergency room. A client came via ambulance with shortness of breath for the past 3 days. After a few hours in the ER, the client is admitted to the intensive care unit with pulmonary edema that requires intubation and ventilation. A Foley catheter was placed in the client and he had a total of 25 mL urine output. The laboratory reveals: blood glucose of 300, blood urea nitrogen of 100, and creatinine of 5.0. The client has a history of CHF, CAD, diabetes, COPD, and asthma. What's the client’s most likely cause of low urine output? A. Acute and chronic renal failure due to diabetes and a decreased blood flow to the kidneys due to heart failure. B. Renal failure due to decreased coronary output secondary to heart failure. C. Decreased blood flow to the kidneys due to congestive heart failure (CHF) secondary to noncompliance with home fluid restriction. D. Severe dehydration. 55. A client came to the hospital complaining of nausea and occasional vomiting. You are the nurse reviewing the client’s medical records when you note that this client has a 4 year history of renal insufficiency. They had been on fluid restriction and renal diet. Their laboratory shows a steady increase in BUN, creatinine, and potassium. The client’s spouse accompanied the client to the appointment. She pulled you aside and stated that his husband has been having episodes of confusion each day. She told you that she is very concerned about her husband and she wants to know if he is having small strokes. Based on the information provided, what is your best response to the spouse’s question? A. Confusion is a common sign of transient ischemic attacks. Thank you for informing me of this. The client will need a CAT scan of the head. B. The client’s kidneys are not working very well. However, confusion is not a common symptom. I will inform the physician of the confusion and have her assess the situation further with the client. C. The elevated potassium is causing the confusion. The client will need some medication to decrease the potassium level. D. The client is experiencing worsening uremic syndrome. This is associated with kidney failure and is a sign that the client’s kidney function is becoming worse. I will notify the physician about the confusion. There are a couple of treatment options to consider. The physician will discuss the treatment options with the client and you. 56. One of the elderly patients assigned to you in the ward has been complaining of increasing trips to the bathroom to urinate. Her estimated coffee intake is 3 cups every day. What is the best explanation you can provide to this patient? A. The increased urine production is most likely due to a urinary tract infection. B. Coffee is causing the increased urination due to your increased fluid intake. This is completely normal and nothing to be concerned about. C. Coffee is causing the increased urination. Coffee contains caffeine that causes diuresis, or increased urine formation. Simply decreasing the number of cups of coffee you drink each day, and limiting the consumption of caffeinated beverages to the morning hours, should help decrease your trips to the bathroom. D. Drinking coffee increases the circulating plasma in the body and this increases the urine formation. Simply decreasing the number of cups of coffee you are drinking should help. 57. You are beginning your shift for the day. You start by assessing a client that has a Foley catheter connected to a collection bag. Which of the following is the best routine catheter care actions to take while caring for this client? A. Encourage increased oral fluid intake and observe for any opacity in the urine suggesting bacterial infection. B. Carefully wash the perineal area with soap and water after each bowel movement. 4 | Page