Block 4.0 Assessment #2 Question Preview (ID: 6103)
Neurosensory, Neurological, Skin, And Cardiovascular, Systems.
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The nurse is caring for a patient with a Deep Vein Thrombosis in the left popliteal area. Which of the following clusters of assessment findings is most likely with this patient?
a) Left calf larger than right, elevated D-Dimer, and pain upon dorsiflexion of foot
b) Left foot that has delayed capillary refill, increased pain with elevation, and is cool to the touch
c) Pain with ambulation that improves with rest, pallor and decreased pulse in left foot
d) Dependent rubor of left leg, pain in left leg, and shiny skin with decreased hair growth
A patient is diagnosed with left and right sided heart failure. Which of the following interventions would help this patient most?
a) Oxygen administration, lasix, digoxin, and ambulation as tolerated.
b) Bed rest, oxygen administration, 500 ml fluid bolus of normal saline, and digoxin
c) Head of the bed at 30 degrees, up with bathroom priviledges only, and oxygen at 2 L/min
d) Incentive spirometer, arterial blood gases, and beta blocker administation
Which of the following collaborative implementations would be most helpful for a client with a history of blood clots and pulmonary emboli?
a) Coumadin with monitoring of PT/INR, hydration, and insertion of an inferior vena cava filter
b) Heparin with monitoring of aPTT, Protamine Sulfate, and activity restrictions
c) Diet high in Vitamin K, Lovenox (enoxaparin), and frequent leg massages
d) Passive ROM exercises, Lasix (furosemide), and wearing elastic stockings to bed
Which of the following conditions is the most serious complication for a patient with chronic venous insufficiency?
a) Venous ulcerations
b) Varicose veins
c) Reynaud's Phenomenon
d) Deep vein thrombosis
The nurse is caring for a patient on cardiac telemetry. The strip shows 20 small boxes between R waves, a regular rhythm and a narrow QRS's. What is the rhythm?
a) Normal Sinus Rhythm
b) Sinus Bradycardia
c) Sinus Tachycardia
d) Atrial Fibrillation
Which of the following factors most likely did NOT contribute to a patient's sensorineuronal hearing loss?
a) Cerumen impaction
b) Taking aspirin for arthritis
c) Playing in a garage band
d) Receiving multiple doses of vancomycin
Which of the following is true regarding Meclizine (antivert)?
a) It causes drowsiness
b) It works best if taken with aspirin on an empty stomach
c) It is a sympathetic agonist
d) It is used to treat inner ear infections
Which of the following visual disturbances is most likely for a patient with retinal detachment?
a) Curtain pulling over part of one visual field
b) Gradual loss of central vision
c) Sudden loss of peripheral vision
d) Blurred vision with dimming perception of color
Which of the following is most accurate regarding potassium and the heart?
a) It affects the electrical activity of the heart
b) High levels will cause the appearance of a U wave
c) Low levels will cause the T waves to peak
d) Levels do not typically affect the heart until they are greater than 6.0 meg/L
What is most accurate statement of the relationship between heart failure and valvular disease?
a) Either one may be a cause or an effect of the other
b) Valvular disease will cause heart failure
c) Heart failure will cause valvular disease
d) There is no direct relationship between heart failure and valvular disease
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