Tiêu đề RECALLS 12 - NP3 - SC ✅

2 | Page C. 3,4,5 D. 4,5,6 11. A nurse is assessing the client with left-sided heart failure. The client states that he needs to use three pillows under the head and chest at night to be able to breathe comfortably while sleeping. The nurse documents that the client is experiencing: A. Dyspnea on exertion B. Dyspnea at rest C. Orthopnea D. Paroxysmal nocturnal dyspnea 12. Jhana, a client with congestive heart failure, has digoxin (Lanoxin) ordered every day. Prior to giving the medication, the nurse assesses that the digoxin level is 12mg/mL and auscultates a one-minute apical pulse rate of 62. The nurse should: A. Withhold the digoxin B. Withhold the dose and request an order for a potassium level C. Notify the physician D. Give the digoxin as ordered 13. Iyaz, another client hospitalized for heart failure, is receiving digoxin (Lanoxin) IV push. The nurse obtains the following data on the client. Place the data in order from that of highest concern to least concern to the nurse. 1. Potassium (K+-) level is 3.2 mEq/L 2. Apical pulse is 53 beats per minute 3. Client has been taking Furosemide (Lasix) 20mg 4 Client enjoys orange juice with breakfast A. 1,2,3,4 B. 1,3,4,2 C. 2,1,3,4 D. 2,3,4,1 Situation: Nurse Angie is caring for multiple patients assigned in their ward with a diagnosis of Buerger’s disease. 14. Nurse Angie has been assigned to Mr. Reyes; a client diagnosed with Thromboangiitis Obliterans. Which of the following anatomic areas are most often affected by this vascular condition? A. Hands and fingers. B. Lower legs and feet. C. Head and neck. D. Lower back. 15. Mr. Corpuz, a 30-year-old male client, is admitted with Buerger’s disease. Which of the following factors has increased the client's risk for development of Burger's disease? A. History of cigarette smoking. B. Occupational exposure to radiation. C. Age and gender. D. History of hypertension. 16. The primary goal for Mr. Corpuz, the client with Buerger's disease, is to prevent A. Embolus formation. B. Fat embolus formation. C. Thrombus formation. D. Thrombophlebitis. 17. Mr. Corpuz, a client with Buerger's disease, smokes two packs of cigarettes a day. Smoking cessation is critical or the client may lose the affected extremity. When helping a client change behavior it is important to know the client's A. Ability to attend support groups. B. Goals of the treatment. C. Perception of the behavior. D. Motivation 18. Mr. Corpuz’s disease experiences which of the following signs or symptoms? A. A Thickening of the intima and media of the artery. B. Inflammation and fibrosis of arteries, veins, and nerves C. Vasospasm lasting several minutes. D. Pain, pallor, and pulselessness. Situation: According to World Health Organization, Cardiovascular diseases (CVDs) are the leading cause of death globally, taking an estimated 17.9 million lives each year. CVDs are a group of disorders of the heart and blood vessels and include coronary heart disease, cerebrovascular disease, rheumatic heart disease and other conditions. 19. A client with cardiac disease is on a monitor and Nurse Van observes ventricular tachycardia at a rate of 160 beats/mm. The client is awake and coherent, and oxygen is being administered at rate of 6 L/ min via a nasal cannula, what is the first nursing action? A. Immediately defibrillate. B. Administer Lidocaine IV push as ordered. C. Begin cardiopulmonary resuscitation. D. Obtain arterial blood gas values 20. Nurse Van is taking the history from a client with Congestive Heart Failure caused by hypertension. The nurse identifies what data as supportive of the client's medical diagnosis? A. Dyspnea after walking one block. B. Weight loss of 15 pounds over last 3 months. C. Lower extremity edema in the evenings. D. Dizziness and fainting when rising too quickly. 21. Nurse Van is preparing another patient scheduled for CABG. What is the primary pathophysiological reason for performing coronary artery bypass surgery? A. Decrease oxygen overload to the cardiac muscle. B. Increase oxygen supply to the heart muscle C. Reduce plaque build-up in the carotid artery. D. Reduce overall contractility of the heart muscle. 22. Nurse Van is administering nitroglycerin intravenously to relieve chest pain. What is the therapeutic action of this medication? A. Increases diuresis and glomerular filtration, which results in decreased venous return. B. Increases the force of contraction of the myocardium, thereby increasing oxygen delivery. C. Produces an immediate analgesic effect and relieves chest pain. D. Increases the coronary blood supply and decreases the afterload. 23. In discharge planning for the client with Congestive Heart Failure, Nurse Van discusses the importance of adequate rest. What information is most important? A. A warm, quiet room is necessary. B. Bad rest promotes venous return. C. A hospital bed is necessary. D. Adequate rest decreases cardiac workload Situation: Tomorrow, you will be assigned to the Medical Step-down Unit, where you anticipate encountering many patients with acid-base imbalances. To ensure you are well-prepared as a professional nurse, you decide to review relevant information on managing patients with different types of acid-base imbalances. 24. As a nurse you were taught how to evaluate arterial blood gas (ABG) values. Which of the following steps would you do FIRST? A. Evaluate HCO3 B. Evaluate pH C. Determine acid base status D. Evaluate PaCO2 25. Which of the following conditions may cause metabolic acidosis due to a decrease in bicarbonate (HC03) level? 1. Loss of gastric fluids from vomiting or nasogastric suction 2. Loss of body fluids from drains below the umbilicus 3. Gastrointestinal fistulas 4. Aspirin ingestion