Study guides, Class notes & Summaries

A 65-year-old male develops blockage in the pulmonary artery. As a result of the blockage, blood would first back up into the: a. Aorta b. Left ventricle c. Pulmonary veins d. Right ventricle d. Right ventricle A nurse is teaching about the heart. Which information should the nurse include? The chamber of the heart that generates the highest pressure is the: a. Right atrium b. Left atrium c. Left ventricle d. Right ventricle c. Left ventricle A nurse recalls the chamber that receives...

Which of the following are most likely to be early signs of cardiac problems in older persons? (Select all that apply.) Mental status changes Agitation Frequent falls Sudden changes in GI function Mental status changes Agitation Frequent falls Rationale: Many cardiovascular functions are complicated in that they involve many other systems. Mental status changes, agitation, and falls can be early signs of cardiac problems in the older person. Changes in function in the GI system are not...

Which cardiac enzyme would the nurse expect to elevate first in a client diagnosed with myocardial infarction? a. Creatine kinase (CK-MB) b. Lactate dehydrogenase (LDH) c. Troponin d. WBC c. Troponin Along with persistent, crushing chest pain, which signs/symptoms would make the nurse suspect that the client is experiencing a MI? a. Midepigastric pain and pyrosis b. Diaphoresis and cool clammy skin c. Intermittent claudication and pallor d. JVD and dependent edema b. Diaphoresis and c...

A nurse is asked to assist another health care member in providing care to a client who is placed in a modified Trendelenburg's position. The nurse interprets that the client is likely being treated for which condition? Shock A client's serum calcium level is 7.9 mg/dL. The nurse is immediately concerned, knowing that this level could lead to: Cardiac arrest A nurse is providing cardiopulmonary resuscitation (CPR) to an adult cardiac arrest victim. What is the proper compression-to-venti...

A client has been diagnosed with pericarditis. Which layers of the heart are affected with this illness? a. Between the pericardium and the mediastinum b. Between the pericardium and the myocardium c. Between the myocardium and the mediastinum d. Between the myocardium and the endocardium b. Between the pericardium and the myocardium The nurse is listening to a client's heartbeat and is focusing on the second heart sound. Which heart valves produce this sound? a. Aortic and tricuspid ...

A patient with a tricuspid valve disorder has impaired blood flow between the... A - vena cava and right atrium B - left atrium and left ventricle C - right atrium and right ventricle D - Right ventricle and pulmonary artery C - right atrium and right ventricle Rationale: The tricuspid valve is found between the right atrium and right ventricle. A patient with a severe blockage in his right coronary artery. Which heart structures are most likely to be affected by this blockage? (SATA) A ...

A patient has taken metaproterenol (Alupent). What is the nurse's priority action? - Monitoring for heart rate >100 beats/min A patient is prescribed ipratropium (Atrovent) and cromolyn sodium (Intal). What will the nurse teach the patient? - Take the ipratropium (Atrovent) at least 5 minutes before the cromolyn (Intal)." A patient taking an oral theophylline drug is due for her next dose and has a blood pressure of 100/50 mm Hg and a heart rate of 110 bpm. The patient is irritable. W...

A 32-year-old patient has a stroke resulting from a ruptured aneurysm and subarachnoid hemorrhage. Which intervention will be included in the care plan? a. Applying intermittent pneumatic compression stockings b. Assisting to dangle on edge of bed and assess for dizziness c. Encouraging patient to cough and deep breathe every 4 hours d. Inserting an oropharyngeal airway to prevent airway obstruction - a. Applying intermittent pneumatic compression stockings Rationale: The patient with a ...

NCLEX Practice Questions- All Clinical Reasoning Units Questions and Answers.

When selecting an NCLEX answer or determining the order of priority what should you remember or use and what is the exception? : Use the ABC rule: Airway breathing, and circulation. The exception to the rule is with actual CPR, use C-A-B for CPR. Also remember safety first and acute before chronic. If the pt. is not in distress then you assess. If the pt is in distress then you should do something. If the pt has diaphorisis you should always do something. How should you address questio...