Question

1.Which questions would the RN ask to determine whether a patient with coronary artery disease is willing to make recommended lifestyle changes? Select all that apply.

"Have you ever considered becoming a vegetarian?"

"What do you do to take care of your heart?"

"Can you tell me how much caffeine you consume each day?"

"What are your risk factors for coronary artery disease?"

"Do you have good health care insurance?"

  2. When performing a cardiac focused assessment, which age-related findings are common for an older client? Select all that apply.

Orthostatic hypotension.

Obscured apical pulse palpation.

More readily palpable peripheral pulses.

Cardiac murmurs.

Tachycardia

3.Which non-pharmacologic interventions should the RN consider when developing a plan to help manage a patient ’s hypertension? Select all that apply.

Teaching stress-reduction techniques.

Increasing simple carbohydrates in the diet.

Restricting the intake of salt.

Starting an exercise program.

Decreasing alcohol intake.

4.What information should the RN provide when discharging the client from the Emergency Department after treatment for epistaxis? Select All that apply.

Avoid forceful blowing of the nose.

Take an oral over-the-counter decongestant.

Take the full dose of antibiotic as prescribed.

If bleeding recurs, sit upright with your head tipped forward.

Use a humidifier to prevent drying of the nasal passages.

5. The RN is caring for a client on mechanical ventilation. The RN notes an increase in peak airway pressure. What nursing actions are appropriate at this time? Select all that apply.

Call the health care provider.

Assess the tubing for kinks.

Call the Rapid Response Team

Assess whether the tubing has become disconnected.

Auscultate the client ’s lungs.

6. Which nursing interventions are appropriate when preparing a client for a cardiac magnetic resonance angiogram (MRA)? Select all that apply

Position the client on the stomach for the procedure. Sedate the client prior to the procedure.

Allow the client to listen to music during the procedure. Remove the client ’s jewelry.

Remove the client ’s transdermal nitroglycerine patch

7. The RN evaluates client education as effective when the patient performs the correct use a peak flow meter. Place the steps in the correct order below.

Repeat these steps two more times. "

"Take a deep breath and place the meter in your mouth."

"Blow out through the meter as hard and fast as you can."

"Record the highest number of the three measurements.

8. . A client presents to the Emergency Department with shortness of breath and chest pain. Which of the following symptoms indicate pulmonary embolism? Select all that apply.

frothy sputum

low grade fever

bradycardia

tachycardia

Answer 1

1. RN should ask the patient that - "what do you do to take care of your heart?",

" Have you ever considering to become a vagiterian?", "what your risk factors of coronary artery disease?"

As, if the patient is willing to make lifestyle changes then he must follow some strategies at home by himself or herself. The vegeterians are less likely to develop cardiovascular problem. If the patient can identify the risk factors the he can improve the modifiable risk factors and reduce the complications.

2. More readily palpable Periferal pulse,

Obscured apical pulse,

tachycardia can be get in older Clint's during cardiac focused examination.

As with increase in age the wall of artery become thicker due to deposition of cholesterol and other blood materials on the inner wall of artery. So, the Periferal pulse become more palpable. Due to hypertrophy of ventricles the obscurated apical pulse can be get and tachycardia also found due to heat has to work more to supply blood all over the body.

3. All of the options wii be the non- pharmacological interventions for the patient with hypertension.

As stress reducing exercise will reduce the mental stress and maintain a good hearmony in body. Simple carbohydrates are digests quickly and does not cause hearm to the blood vessels. Salt intake restrictions also reduce the amount of electrolytes in blood so, volume of blood does not increase. starting exercise program reduce stress and reduce alcohol intake maintain blood vessels wall Healthy.

4. Avoid forceful blowing of nose,

take full dose of antibiotic treatment as per prescription, use humidifier to prevent drying of nesal passage.

As, forceful blowing of nose can cause rupture the fragile blood vessels again and again bleed. The antibiotic treatment will reduce the chance of respiratory infections. Use of humidifier prevent the nesal passage to dry and reduce the chance of recurence of epistaxis.