7.2M4E_N211
7.2M4E_N211
2.0 points possible (graded, results hidden)
When performing a cardiac focused assessment, which age-related findings are common for an older client? Select all that apply.
Orthostatic hypotension.
Bradycardia.
Weak palpable peripheral pulses.
Cardiac murmurs.
Tachycardia
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
8.1M4E_N211
2.0 points possible (graded, results hidden)
Which assessment finding in the client following a percutaneous coronary intervention would result in the RN collaborating with the primary provider?
Blood pressure 80/40, heart rate 120.
Urinary output greater than intake.
Palpable distal pulse in effected extremity.
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
9.3M4E_N211
2.0 points possible (graded, results hidden)
The RN refers the client with hypertension to the registered dietician when the client states:
“I don’t mind drinking decaffeinated beverages.”
“I know not to eat red meat more than twice a week.”
“I am having trouble with this low-sodium diet. ”
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
10.2M4E_N211
2.0 points possible (graded, results hidden)
What assessment finding in the client taking warfarin would result in the RN collaborating with the primary care provider?
INR 1.0
PT 18 seconds
aPTT 60 seconds 6
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
11.2M4E_N211
2.0 points possible (graded, results hidden)
The RN assesses erratic electrical activity on the telemetry reading while the client is talking over the intercom. Which task should the RN ask the assistive personnel (AP) to implement?
Turn off the telemetry monitor.
Check the client’s telemetry leads.
Sit and watch the telemetry monitor.
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
12.2M4E_N211
2.0 points possible (graded, results hidden)
Which assessment findings regarding pain are clustered to support a client experiencing acute coronary syndrome? Select all that apply.
Radiation to the jaw, shoulders, and left arm.
Subsides after taking nitroglycerin.
Chest pain or discomfort.
Sudden onset and long duration.
Relieved by rest and inactivity.
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
13.2M4E_N211
2.0 points possible (graded, results hidden)
The RN team leader is making assignments for clients on a cardiac unit. Which client should the RN assign to the newly licensed nurse?
The client scheduled for a cardiac catheterization.
The client diagnosed with a myocardial infarction.
The client admitted with unstable angina.
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
14.3M4E_N211
2.0 points possible (graded, results hidden)
The charge nurse on the medical surgical unit is determining assignments. Which client should be assigned to an RN?
The client that reports oozing drainage from the site of a newly inserted permenant pacemaker.
The client that reports burns on the chest after an elective cardioversion.
The client with palpitations, dizziness, and shortness of breath at rest.
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
15.2M4E_N211
2.0 points possible (graded, results hidden)
A neighbor asks the RN to suggest a medication for their heart palpitations. What is the RN’s best response?
You need to discuss this with your primary care provider.
You need to discuss this with your pharmacist.
You need to discuss this with your nutritionist.
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
16.1M4E_N211
2.0 points possible (graded, results hidden)
A client with heart failure is receiving 80mg of furosemide twice a day. Which outcome would be appropriate for this client?
Have an unlabored respiratory rate of 20 breaths per minute.
Have an increase of serum sodium to 150mEq/L .
Have a urine output of 50 mL in four hours.
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
17.2M4E_N211
2.0 points possible (graded, results hidden)
What evidenced based practice interventions should the RN implement to prevent pulmonary embolus? Select all that apply.
Compression stockings
Aspirin
Intermittent pneumatic compression devices
Bedrest
Heparin
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
18.1M4E_N211
2.0 points possible (graded, results hidden)
The RN is analyzing the cardiac rhythm strip below and documents it as:
Atrial flutter
Premature Artrial Complex
Atrial Fibrillation
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
19.1M4E_N211
2.0 points possible (graded, results hidden)
Which medication will the RN administer to manage chest pain and anxiety in the client experiencing acute coronary syndrome?
Morphine sulfate
Aspirin
Nitroglycerin
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
20.1M4E_N211
2.0 points possible (graded, results hidden)
Which intervention should the RN implement for the client with heart failure that has a nursing diagnosis of Activity intolerance?
Assess activity when the client can no longer talk.
Limit activity to transferring from bed to chair.
Encourage client to eat small frequent meals.
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
21.2M4E_N211
2.0 points possible (graded, results hidden)
During medication reconciliation for a client with heart failure, which class of medication would the RN associate with the client’s report of a constant, irritating cough
Loop diuretic
Angiotensin II receptor blocker (ARB)
Angiotensin antagonist (ACE inhibitor)
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
22.1M4E_N211
2.0 points possible (graded, results hidden)
The client with infective endocarditis is admitted to the medical unit. Which health care provider order is the priority action for the RN?
Obtain two sets of blood cultures.
Administer intravenous antibiotic.
Schedule the echocardiogram.
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
23.1M4E_N211
2.0 points possible (graded, results hidden)
Which assessment finding in the client with pericarditis requires immediate attention by the RN?
Distant heart sounds.
Bounding peripheral pulses.
Pericardial friction rub.
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
24.1M4E_N211
2.0 points possible (graded, results hidden)
What assessment finding in the client would result in the RN collaborating with the respiratory therapist?
Deep, low pitched rumbling sounds during expiration.
Bronchial breath sounds heard over the sternum.
Vesicular breath sounds heard in lower lobes.
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
25.1M4E_N211
2.0 points possible (graded, results hidden)
Which statement made by the client prescribed chest physiotherapy would prevent the RN from implementing this order at this time?
“I just finished eating my lunch.”
“I received my pain medication 10 minutes ago.”
“I’ve been coughing all morning with no results.”
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
26.1M4E_N211
2.0 points possible (graded, results hidden)
Which intervention should the RN implement for the pediatric client with dysphasia, inspiratory stridor, cough, fever, and hoarseness?
Place the child in a semi-upright position.
Obtain a throat culture.
Palpate the neck for tenderness.
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
27.1M4E_N211
2.0 points possible (graded, results hidden)
Which acid-base imbalance would the RN assess in the client with acute pulmonary edema?
Decreased pH and decreased HCO3.
Increased pH and decreased PaCO2.
Decreased pH and increased PaCO2.
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
28.0M4E_N211
2.0 points possible (graded, results hidden)
The client with a deep vein thrombosis is receiving a continuous heparin infusion 1100 units per hour. There are 25,000 units of heparin in a 500-mL bag of 5% dextrose in water.
How many mL per hour should the infusion control device be set at?
Record your answer as a whole number. (Round any fractions to the nearest whole number using standard rounding rules.) Do not include words or abbreviations in your answer.
[x] milliliters per hour
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
29.0M4E_N211
2.0 points possible (graded, results hidden)
Which evidence-based interventions should the RN implement to prevent ventilator-associated pneumonia? Select all that apply.
Deep venous thrombosis prophylaxis.
Daily oral care with chlorhexidine.
Maintain continuous sedation.
Keep the head of the bed elevated 30 to 45 degrees.
Peptic ulcer disease prophylaxis.
unanswered
SaveSave your answer
Submit
You have used 0 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
30.1M4E_N211
2.0 points possible (graded, results hidden)
What information should the RN provide when discharging the client from the Emergency Department after treatment for epistaxis? Select All that apply.
Avoid forceful blowing of the nose.
Take an oral over-the-counter decongestant.
Take aspirin as needed.
If bleeding recurs, sit upright with your head tipped forward.
Use a humidifier to prevent drying of the nasal passages.
unanswered
Complete Answer:
