Nursing III Exam III
Cardiac
1. A client is learning about cholesterol. The nurse explains that the good cholesterol transports plasma cholesterol
... [Show More] away from plaques and to the liver for metabolism. This type of cholesterol is called:
• high-density lipoprotein
2. A client has a blood pressure of 124/78 mmHg and a triglyceride level of 160 mg/dL. Based on these results, the nurse knows that the client has:
• a prehypertensive blood pressure and a borderline high triglyceride level
3. A client is complaining of chest pain that occurs during exercise. This pain is relieved when the client rests. The nurse realizes that this client is experiencing which type of angina?
• Stable angina
4. A client diagnosed with stable angina is undergoing a 12-lead electrocardiogram. Which of the following results is not expected?
• ST segment elevation
5. A client is scheduled for a cardiac angiogram. Which of the following should the nurse instruct the client about this diagnostic test?
• Contrast dye is injected
6. When planning the care of a client diagnosed with stable angina, which of the following would be considered a goal of treatment?
• Decrease in ischemia and episodes of angina
7. A client is prescribed a beta-blocker for treatment of coronary artery disease. Which of the following is the client most likely going to be prescribed?
• Atenolol
8. A client tells the nurse that using nitroglycerin tablets causes a tingling sensation and a headache. The nurse knows that this is:
• Expected
9. A nurse is considering contraindications to fibrinolytic therapy. Which of the following patients is an appropriate candidate for fibrinolytic therapy?
• A patient with a history of a motor vehicle accident 1 year ago
10. A client is participating in cardiac rehabilitation and is currently engaging in supervised exercise, counseling, and education. The nurse realizes this client is in which phase of cardiac rehabilitation?
• Phase III
11. A client tells the nurse that he ingests an NSAID when the angina pain gets really bad, and it eliminates the pain. The nurse suspects the client is experiencing:
• Musculoskeletal pain
12. A client is at risk for coronary artery disease. Which of the following should the nurse instruct as modifiable risk factors for this health condition? (Select all that apply.)
• Alcohol consumption
• Diabetes mellitus
• Low daily fruit intake
• Psychosocial index
13. A client is experiencing a sudden onset of chest pain. Which of the following will the nurse do to manage this chest pain? MONA
• Administer intravenous Morphine as prescribed
• Provide Oxygen
• Administer Nitroglycerin as prescribed
• Administer Aspirin as prescribed
14. Which of the following will the nurse instruct a client being discharged to home after experiencing an acute myocardial infarction? (Select all that apply.)
• Understand cardiac condition
• How to manage chest pain
• Activity level
• Medications
• Risk factors
15. The nurse is assessing the pain of a client experiencing angina. Which of the following should be included in this assessment? (Select all that apply.) PQRST
• Precipitating event
• Quality
• Radiation
• Severity
• Timing
Renal
16. The nurse, caring for a client diagnosed with pyelonephritis, realizes that common risk factors for the development of this disorder include all of the following EXCEPT:
• orthostatic hypotension
17. A client is diagnosed with rhabdomyolysis. The nurse realizes that an emergency condition that may occur with this diagnosis would be:
• compartment syndrome
18. During the admitting assessment process, a client asks, What is oliguria? Based on the nurses knowledge, the best response would be:
• Oliguria is a urine output less than 400 mL in 24 hours
19. A client is diagnosed with acute renal failure. Which of the following diagnostic studies will the nurse be most concerned with?
• Potassium and digitalis levels
20. A client has been prescribed a restricted potassium diet. An appropriate snack for the client would be:
• Applesauce
21. A client diagnosed with chronic renal failure is prescribed a diet low in protein. The rationale for this diet is that:
• protein sources are broken down and converted to urea, which is then filtered by the kidney
22. A client diagnosed with chronic renal failure asks the nurse, Whats the difference between [Show Less]