NUR2571 PN 2 Exam #2 Questions and CorrectCorrect Answerwers Updated Version 2023 A client comes into the ER with acute shortness of breath and a cough that produces pink, frothy sputum. Admission assessment reveals crackles and wheezes, a BP of 85/46, a HR of 122, and a respiratory rate of 38. The client's medical history included DM, HTN, and heart failure. Which of the following disorders should the nurse suspect?-Correct Answer Pulmonary edema
A client diagnosed with asthma is being assessed by the nurse after an administration of Albuterol. The nurse notes which of the following as the expected outcome of this medicaiton? -Correct Answer Decreased wheezing
A client diagnosed with asthma is receiving instructions about the use of Albuterol. The client should be aware that albuterol may cause which of the following? -Correct Answer Nervousness and tachycardia
A client receiving a heparin infusion is demonstrating signs of acute bleeding. Which of the following should the nurse prepare to administer to this client? -Correct Answer Protamine sulfate
A client with atherosclerosis asks a nurse which factors are responsible for this condition. What is the nurse's best response? -Correct Answer A combination of platelets and fats acumulate, narrowing the lumen of the artery, reducing blood flow
A home health nurse visits a client who has COPD and receives oxygen at 2L/min via nasal cannula. The client reports having difficulty breathing. Which of the following actions is the nurse's priority? -Correct Answer Assess the client's respiratory status
A nurse is assessing a client diagnosed with Buerger's disease. While assessing this client and extremities, the nurse correlates which clinical manifestations with this disease process? -Correct Answer Ulcerations on digits and complaints of claudication
A nurse is assessing a client who is taking Lisinopril to treat hypertension. Which of the following findings is a priority to report? -Correct Answer Swelling of the tongue
A nurse is assessing a male client who has a new diagnosis of peripheral artery disease (PAD). Which of the following finding should the nurse expect to find of the affected extremity? (select all that apply) -Correct Answer Pain Paresthesia Poikilocythermia Pallor
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A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take? -Correct Answer Administer a short acting beta 2 agonist
A nurse is caring for a client who arrived at an ER with status asthmaticus. Based on the progress note: BP 140/90, P 104, and T 98.4, RR 34, diminishing wheezing. ABG results pH 7.22, PaCO2 69, and HCO3 26. The nurse suspects that the client has what abnormality? -Correct Answer Uncompensated respiratory acidosis
A nurse is caring for a client who has heart failure and i taking Digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should be a priority for the nurse? -Correct Answer Check the client's vital signs and heart rhythm
A nurse is caring for a client who has hemophilia A and hemarthrosis of the left knee.Which of the following actions should the nurse take? -Correct Answer Assess client for s/s of bleeding
A nurse is planning a diet for a client who is iron deficient. Which of the following foods high in iron should the nurse include in the plan? -Correct Answer Red meat
A nurse is reviewing the labs for a newly admitted heart failure patient and notes a K+ level of 5.6. Upon reviewing the patient's medications, the nurse realizes which of the following medications most likely contributed to this electrolyte imbalance? -Correct Answer Spironolactone
A patient is diagnosed with heart failure and is prescribed Digoxin and Furosemide.Before administering the Furosemide to the patient, which laboratory result should the healthcare provider review? -Correct Answer Potassium
A patient who has a history of pulmonary valve stenosis tells the healthcare provider, "I don't have a lot of energy anymore, and both of my feet get swollen in the late afternoon." Which of these problems does the healthcare provider conclude is the likely cause of these clinical findings? -Correct Answer Right sided heart failure
client is admitted with ABG results of pH 7.30, PaCO2 60, HCO3 22. The nurse concludes this client has which acid-base imbalance? -Correct Answer Uncompensated respiratory acidosis
Isoniazid (INH) and Rifampin have been prescribed for a client with TB. A nurse reviews the medical record of the client. Which of the following noted in the client's history would require the nurse to question the order for these medications? -Correct Answer Hepatitis C
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