A nursing student is caring for a client who had a myocardial infarction. The student is confused because the client states nothing is wrong and yet listens attentively while the student provides education on lifestyle changes and healthy menu choices.
What response by the faculty member is best?
a.
Continue to educate the client on possible healthy changes.
b.
Emphasize complications that can occur with noncompliance.
c.
Tell the client that denial is normal and will soon go away.
d.
You need to make sure the client understands this illness.
Question 2The nurse caring frequently for older adults in the hospital is aware of risk factors that place them at a higher risk for shock. For what factors would the nurse assess? (Select all that apply.)
a. Altered mobility/immobility
b. Decreased thirst response
c. Diminished immune response
d. Malnutrition
e. Overhydration
Question 3The student nurse studying shock understands that the common manifestations of this condition are directly related to which problems? (Select all that apply.)
a. Anaerobic metabolism
b. Hyperglycemia
c. Hypotension
d. Impaired renal perfusion
e. Increased perfusion
Question 4The nurse caring for hospitalized clients includes which actions on their care plans to reduce the possibility of the clients developing shock? (Select all that apply.)
a. Assessing and identifying clients at risk
b. Monitoring the daily white blood cell count
c. Performing proper hand hygiene
d. Removing invasive lines as soon as possible
e. Using aseptic technique during procedures
Question 5A client in shock has been started on dopamine. What assessment finding requires the nurse to communicate with the provider immediately?
a. Blood pressure of 98/68 mm Hg
b. Pedal pulses 1+/4+ bilaterally
c. Report of chest heaviness
d. Urine output of 32 mL/hr
Question 6A client is being discharged home after a large myocardial infarction and subsequent coronary artery bypass grafting surgery. The client's sternal wound has not yet healed.
What statement by the client most indicates a higher risk of developing sepsis after discharge?
a.
All my friends and neighbors are planning a party for me.
b.
I hope I can get my water turned back on when I get home.
c.
I am going to have my daughter scoop the cat litter box.
d.
My grandkids are so excited to have me coming home
Question 7A nurse is caring for several clients at risk for shock. Which laboratory value requires the nurse to communicate with the health care provider?
a. Creatinine: 0.9 mg/dL
b. Lactate: 6 mmol/L
c. Sodium: 150 mEq/L
d. White blood cell count: 11,000/mm3
Question 8A client in shock is apprehensive and slightly confused. What action by the nurse is best?
a. Offer to remain with the client for awhile.
b. Prepare to administer antianxiety medication.
c. Raise all four siderails on the client's bed.
d. Tell the client everything possible is being done.
Question 9A student nurse is caring for a client who will be receiving sodium nitroprusside (Nipride) via IV infusion. What action by the student causes the registered nurse to intervene?
a. Assessing the IV site before giving the drug
b. Obtaining a programmable (smart) IV pump
c. Removing the IV bag from the brown plastic cover
d. Taking and recording a baseline set of vital signs
Quick Reply
