Exam 16: Perfusion

An older adult client receiving medication for hypertension had a recent fall at home.Which intervention should the nurse include in this client's plan of care?

A nurse working in the emergency department is participating in the resuscitation of a client experiencing sudden cardiac death.After 5 cycles of CPR,the nurse evaluates the client's cardiac rhythm as asystole.What is the next action by the nurse?

A client is prescribed enalapril (Vasotec)for treatment of heart failure.Which assessment finding should cause the nurse concern following the initial administration of this drug?

The nurse is assessing an older adult client with a cardiac dysrhythmia.Which finding would the nurse identify as contributing to this client's dysrhythmia?

A nurse is caring for a client who was involved in a motor vehicle accident and has lost approximately 1,500 mL of blood.Based on this data,which type of hemorrhagic shock is the client experiencing?

A client is scheduled for permanent pacemaker insertion.What instruction will this client need prior to discharge?

The nurse is concerned that a client admitted for a total hip replacement is at risk for thrombus formation.Which assessment finding supports the nurse's concern?

The nurse is instructing an older adult client about atorvastatin (Lipitor)to treat elevated cholesterol.Which side effects should the nurse advise the client to report to the healthcare provider?

The nurse is caring for a premature infant diagnosed with patent ductus arteriosus (PDA).Which medication should the nurse plan to provide this client?

The nurse is caring for a client with hypertension.When planning care for this client,the nurse knows that blood pressure is influenced by all but which factor?

An older adult client diagnosed with cardiomyopathy reports having to rest between activities during the day.The client asks the nurse why this is occurring.Which reason should the nurse include in the response to the client?

A client is receiving intravenous nitroprusside (Nipride)for shock.Which adverse reactions will the nurse assess this client for when administering the infusion? Select all that apply.

The nurse is planning care for a pediatric client recovering from surgery to repair a congenital heart defect.Which intervention should the nurse include to support the client's fluid status?

A client with cardiomyopathy receiving diuretic therapy has a urine output of 300 mL in 8 hours.What should the nurse do to assist this client?

The nurse educator is teaching a group of student nurses regarding the various layers of the heart.Which statements will the educator include? Select all that apply.

The nurse is planning care for a client with a pulmonary embolism.Which intervention would assist with the client's decrease in cardiac output?

A client with heart failure is admitted to the hospital for the placement of an implantable defibrillator.The client appears comfortable at rest but displays dyspnea with activities of daily living (ADLs).In which stage of heart failure does the nurse classify this client?

A client diagnosed with peripheral vascular disease (PVD)is obese,has a 30-year history of cigarette smoking,and works as a contractor.When discussing risk factors for PVD,which statement by the nurse is appropriate?

An adult client is experiencing paroxysmal supraventricular tachycardia.Which nursing interventions are appropriate based on the data provided? Select all that apply.

A client reports morning headache that extends into the neck and goes away as the day wears on.Based on this initial data,which does the nurse suspect that the client is experiencing?