Test Bank For Phipps Medical Surgical 8th Editin By Monahan

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Test Bank For Phipps Medical Surgical 8th Editin By Monahan

Description

WITH ANSWERS

 

Monahan Phipps Medical Surgical 8th

Monahan: Phipps Medical-Surgical Nursing: Health and Illness

Perspectives, 8th Edition

 

Test Bank

Chapter 1: Scope of Medical-Surgical Nursing

 

MULTIPLE CHOICE

 

  1.    A current trend in American society that will impact future nursing practice is:
1. More physicians graduating from medical schools
2. Increased need for child day care
3. Growth of the elderly population
4. Increased inpatient services

 

 

ANS: 3                    PTS:   1                    DIF:   Category: No applicable category

TOP:  Nursing Process: Assessment        MSC: Client Needs: Health Promotion and Maintenance

 

  1.    A major factor in rising health care costs is:
1. High-technology health care
2. Workplace violence
3. Prevention care
4. Nursing salaries

 

 

ANS: 1                    PTS:   1                    DIF:   Category: No applicable category

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Health Promotion and Maintenance

 

  1.    Health care in industrialized countries other than the United States differs from U.S. health care in that other industrialized countries:
1. Provide health insurance for everyone with a full-time job
2. Have more highly qualified physicians
3. Have healthier citizens
4. Guarantee basic health care to all

 

 

ANS: 4                    PTS:   1                    DIF:   Category: No applicable category

TOP:  Nursing Process: Evaluation          MSC: Client Needs: Health Promotion and Maintenance

 

  1.    One major factor in the current nursing shortage is:
1. A growing pool of inactive nurses
2. Ineffective international recruitment
3. Elevated entrance standards in nursing programs
4. More women pursuing medical rather than nursing degrees

 

 

ANS: 2                    PTS:   1                    DIF:   Category: No applicable category

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Health Promotion and Maintenance

 

  1.    In an effort to reduce cost, health care delivery has shifted to which type of care?
1. Emergent
2. Episodicacute
3. Hospital-based
4. Community-based

 

 

ANS: 4                    PTS:   1                    DIF:   Category: No applicable category

TOP:  Nursing Process: Implementation  MSC: Client Needs: Health Promotion and Maintenance

 

  1.    The aspect of current hospital nursing practice that nurses most frequently express dissatisfaction with is:
1. Decline in the caring aspect of nursing
2. Lack of autonomy in delivering nursing care
3. Increasing complexity of patient care
4. Rapid advances in technology

 

 

ANS: 1                    PTS:   1                    DIF:   Category: No applicable category

TOP:  Nursing Process: Evaluation          MSC: Client Needs: Psychosocial Integrity

 

Monahan: Phipps Medical-Surgical Nursing: Health and Illness

Perspectives, 8th Edition

 

Test Bank

Chapter 3: Healthy Lifestyles

MULTIPLE CHOICE

 

  1.    During a regular physical examination, a clinical nurse specialist counsels a patient on tobacco cessation. This type of preventive action is classified as:
1. Primary
2. Secondary
3. Tertiary
4. Screening

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Respiratory

TOP:  Nursing Process: Implementation  MSC: Client Needs: Health Promotion and Maintenance

 

  1.   Which of the following is a form of secondary prevention?
1. Tetanus booster
2. 10-pound weight loss
3. Mammography and Pap smear
4. Physical therapy for a neck strain

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Womens health

TOP:  Nursing Process: Assessment        MSC: Client Needs: Health Promotion and Maintenance

 

  1.    Which meal selection coincides most closely with the Healthy People 2010 goals for nutrition?
1. Vegetable lasagna, lettuce salad, whole wheat roll, 2% milk
2. 6-oz pork chop, creamed peas, au gratin potatoes, coffee
3. BLT sandwich, french fries, 8-oz whole milk
4. Pasta alfredo, garlic bread, 8-oz cola

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Gastrointestinal

TOP:  Nursing Process: Planning             MSC: Client Needs: Health Promotion and Maintenance

 

  1.   A patients 24-hour diet history includes four servings of bread, three servings of fruit, one serving of vegetables, three servings of beef or chicken, and one glass of whole milk. A nurse concludes that the diet is:
1. Low in complex carbohydrates, vegetables, and milk products
2. Meeting requirements of the Food Guide Pyramid
3. Adequate for all food groups except vegetables
4. Low in milk products, proteins, and fruits

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Gastrointestinal

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Physiological Integrity

 

  1.    A 56-year-old man with a 45-year history of smoking expresses a desire to quit smoking. An appropriate nursing diagnosis is:
1. Ineffective individual coping related to stress
2. Health-seeking behavior (desire to quit smoking)
3. Ineffective health maintenance related to inadequate support system
4. Impaired gas exchange related to decreased functional lung tissue

 

 

ANS: 2                    PTS:   1                    DIF:   Category: Respiratory

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Health Promotion and Maintenance

 

  1.    An appropriate weight reduction goal for any obese adult would be:
1. Reduce body fat to approximately 25%
2. Limit calories to 900 per day
3. Increase physical activity
4. Lose 5 pounds per week

 

 

ANS: 3                    PTS:   1                    DIF:   Category: No applicable category

TOP:  Nursing Process: Planning             MSC: Client Needs: Physiological Integrity

 

  1.   A 50-year-old woman is planning an exercise program. Her target heart rate for exercise should be:
1. 100 to 120 beats/min
2. 119 to 145 beats/min
3. 38 to 166 beats/min
4. 180 to180 beats/min

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Cardiovascular

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

  1.    Which exercise plan reflects basic health goals for cardiovascular fitness?
1. Low-impact aerobics for 60 minutes once a week
2. Brisk walking for 20 minutes four times a week
3. Bicycling for 30 minutes every weekend
4. Weight lifting once a week

 

 

ANS: 2                    PTS:   1                    DIF:   Category: Cardiovascular

TOP:  Nursing Process: Planning             MSC: Client Needs: Health Promotion and Maintenance

 

  1.    When planning care for a middle-aged man with insomnia, it might be helpful to include:
1. Vigorous exercise before bedtime to promote fatigue
2. A relaxing activity before bedtime, such as reading
3. Afternoon naps to avoid extremes in fatigue
4. A hearty bedtime snack

 

 

ANS: 2                    PTS:   1                    DIF:   Category: No applicable category

TOP:  Nursing Process: Planning             MSC: Client Needs: Physiological Integrity

 

  1.   A 55-year-old man stops taking his antihypertensive medication because his blood pressure has been normal. To promote adherence to the therapeutic regimen, the nurse should:
1. Instruct his wife to administer the medication
2. Ask family members to remind and monitor him
3. Review the rationale for taking blood pressure medication with the patient
4. Contract with the patient to take the medication if his blood pressure becomes elevated again

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Cardiovascular

TOP:  Nursing Process: Planning             MSC: Client Needs: Health Promotion and Maintenance

 

  1.   Instruction on the safe use of nicotine gum should include teaching the patient that:
1. She or he should gradually reduce smoking while chewing the gum
2. She or he should chew the gum until peppery taste appears, then discard
3. Chewing too quickly can cause dizziness
4. Soreness of the mouth is expected

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Respiratory

TOP:  Nursing Process: Planning             MSC: Client Needs: Health Promotion and Maintenance

Monahan: Phipps Medical-Surgical Nursing: Health and Illness

Perspectives, 8th Edition

 

Test Bank

Chapter 11: Community-Based Care

 

MULTIPLE CHOICE

 

  1. The major driving force behind growth in community-based care is:
1. Hospital-based costs
2. Quality of acute care
3. Increased rate of recovery
4. Rising incidence of in-hospital infection

 

 

ANS: 1                    PTS:   1                    DIF:   Category: No applicable category

TOP:  Nursing Process: Assessment        MSC: Client Needs: Health Promotion and Maintenance

 

  1. A client requires physical therapy and speech therapy following hospital discharge. An essential initial question for the health care team to ask is:
1. How close to the rehabilitation center does the client live?
2. Are family members willing to care for the client at home?
3. Where does the client transact financial business?
4. Who has power of attorney?

 

 

ANS: 2                    PTS:   1

DIF:   Category: Emotional needs related to health problems

TOP:  Nursing Process: Assessment        MSC: Client Needs: Health Promotion and Maintenance

 

  1. Which activity is essential to preventing a gap in home care services following discharge from an acute care setting?
1. Purchase of supplemental insurance by the patient
2. Commencement of discharge planning upon admission of patient
3. Prediction of total days of home care services required
4. Integration of family into planning process once the patient is discharged

 

 

ANS: 2                    PTS:   1                    DIF:   Category: No applicable category

TOP:  Nursing Process: Planning             MSC: Client Needs: Health Promotion and Maintenance

 

  1. The wife of a homebound patient states how difficult it is to care for her husband. The most appropriate response by the nurse is to:
1. Schedule the home health aide to come more often
2. Further assess reactions of all family members
3. Arrange for food and cleaning services
4. Refer her to a caregiver support group

 

 

ANS: 2                    PTS:   1

DIF:   Category: Emotional needs related to health problems

TOP:  Nursing Process: Implementation  MSC: Client Needs: Psychosocial Integrity

 

  1. During an initial phone contact with a patient, a home care nurse gives her name, a phone number, and the agency she represents, and negotiates an arrival time. An important question the nurse has omitted to ask in this initial interaction is:
1. How many family members will be there when she visits?
2. Does the home have a personal computer?
3. Which pharmacy does the family use?
4. How should she enter the home?

 

 

ANS: 4                    PTS:   1

DIF:   Category: Emotional needs related to health problems

TOP:  Nursing Process: Implementation  MSC: Client Needs: Psychosocial Integrity

 

  1. Which is an example of a behaviorally oriented education program to enhance self-care in the home?
1. Providing the family with handouts on self care
2. Teaching whatever information the client wants to learn first
3. Reinforcing on each visit what was taught on each previous visit
4. Asking where to place the nightstand to facilitate personal hygiene

 

 

ANS: 4                    PTS:   1

DIF:   Category: Emotional needs related to health problems

TOP:  Nursing Process: Implementation  MSC: Client Needs: Health Promotion and Maintenance

 

  1. A mother of three teenage children is caring for a child with a brain tumor. Which factor will most likely have a negative impact on the mothers ability to cope?
1. Length of time home care is required
2. Ability of her child to participate in care
3. Amount of personal care her child requires
4. Demands placed on her by the other children

 

 

ANS: 1                    PTS:   1

DIF:   Category: Emotional needs related to health problems

TOP:  Nursing Process: Assessment        MSC: Client Needs: Psychosocial Integrity

 

  1. The family caregiver of a woman in the advanced stages of COPD tells the home care nurse that he is depressed and very fatigued. The nurse should:
1. Assure the caregiver that he is doing a good job
2. Call the family pastor to arrange for care volunteers
3. Assess awareness of and openness to the possibility of external support
4. Make arrangements to transfer the client to a long-term care facility

 

 

ANS: 3                    PTS:   1

DIF:   Category: Emotional needs related to health problems

TOP:  Nursing Process: Implementation  MSC: Client Needs: Health Promotion and Maintenance

 

  1. Which chart entry best reflects the essential elements for home care documentation?
1. Provided emotional support to patient and family
2. Client ambulated to the kitchen with walker; gait steady
3. Increased dyspnea; unable to manage portable O2; arranged for O2 concentrator
4. Gained 3 pounds after 1 week on TPN therapy; swallowing continues to improve

 

 

ANS: 3                    PTS:   1                    DIF:   Category: No applicable category

TOP:  Nursing Process: Implementation  MSC: Client Needs: Health Promotion and Maintenance

 

  1. The largest group of clients treated in the home environment are those who have:
1. Cancer
2. Diabetes
3. Peripheral vascular disease
4. Chronic obstructive pulmonary disorder

 

 

ANS: 1                    PTS:   1                    DIF:   Category: No applicable category

TOP:  Nursing Process: Assessment        MSC: Client Needs: Health Promotion and Maintenance

 

  1. Which criterion is essential for Medicare to pay for posthospital home care services?
1. Care is intermittent.
2. The client is over 65 years old.
3. Skilled nursing care is not required.
4. Services are not covered by any other insurance policy.

 

 

ANS: 1                    PTS:   1                    DIF:   Category: No applicable category

TOP:  Nursing Process: Evaluation          MSC: Client Needs: Safe Effective Care Environment

 

Monahan: Phipps Medical-Surgical Nursing: Health and Illness

Perspectives, 8th Edition

 

Test Bank

Chapter 21: Immunologic Problems

 

MULTIPLE CHOICE

 

  1. The patient at greatest risk for suppressed immunity is the patient who:
1. Is receiving chemotherapy for cancer
2. Is recovering from an appendectomy
3. Has been exposed to chickenpox
4. Has a history of allergies

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Blood and immunity

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

  1. Persons with B-cell deficiencies experience reduced:
1. Ability to stop the immune response
2. Numbers of circulating antibodies
3. Production of white blood cells
4. Myoglobulin levels

 

 

ANS: 2                    PTS:   1                    DIF:   Category: Blood and immunity

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

  1. Which are diagnostic tests for immunodeficiency?
1. Antibody titer, bone scan
2. White blood cell count, hematocrit
3. Erythrocyte sedimentation rate, antibody titer
4. Complete blood count, serologic culture

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Blood and immunity

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

  1. Persons visiting an immunodeficient patient are advised to:
1. Leave if the patient begins coughing or sneezing
2. Make sure their immunizations are up to date
3. Wash their hands before entering the room
4. Wear gloves before touching the patient

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Blood and immunity

TOP:  Nursing Process: Implementation  MSC: Client Needs: Safe Effective Care Environment

 

  1. Which is an appropriate gift for a neutropenic patient?
1. Potted mums
2. Fresh-cut flowers
3. A basket of fresh fruit
4. Flavored bottled water

 

 

ANS: 4                    PTS:   1                    DIF:   Category: Blood and immunity

TOP:  Nursing Process: Planning             MSC: Client Needs: Safe Effective Care Environment

 

  1. Multiple myeloma is characterized by:
1. Hypokalemia and leukopenia
2. Hypercalcemia and hypouricemia
3. Hypocalcemia and hyperuricemia
4. Thrombocytopenia and hyperkalemia

 

 

ANS: 2                    PTS:   1                    DIF:   Category: Blood and immunity

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

  1. Which is the best diet for a person with multiple myeloma?
1. High-phosphate, low-magnesium diet
2. High-potassium, high-fluid diet
3. High-calcium, low-purine diet
4. Low-calcium, low-purine diet

 

 

ANS: 4                    PTS:   1                    DIF:   Category: Blood and immunity

TOP:  Nursing Process: Planning             MSC: Client Needs: Safe Effective Care Environment

 

  1. Which manifestations are typical of type I systemic anaphylaxis?
1. Dyspnea, wheezing, laryngeal edema
2. Itching, hypertension, tachycardia
3. Labored breathing, rales, hives
4. Nausea, diaphoresis, chest pain

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Blood and immunity

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

  1. Which drug is used during initial treatment for systemic anaphylaxis?
1. Dobutamine 250 mg IV
2. Diphenhydramine 50 mg IM
3. 1:1000 epinephrine 0.3 ml SC
4. Methylprednisolone 300 mg IV

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Drug-related responses

TOP:  Nursing Process: Implementation  MSC: Client Needs: Safe Effective Care Environment

 

  1. Hyposensitization therapy is most successful when used for persons who are allergic to:
1. Snake venom and foods
2. Shellfish and bee stings
3. Pollens and house dust
4. Trees and grasses

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Drug-related responses

TOP:  Nursing Process: Planning             MSC: Client Needs: Physiological Integrity

 

  1. Which objective data support the presence of hypersensitivity?
1. Reported exposure to a known allergen
2. Complaints of chest tightness
3. Familial history of allergies
4. Audible wheezing

 

 

ANS: 4                    PTS:   1                    DIF:   Category: Blood and immunity

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

  1.   Which nursing action facilitates effective airway clearance during an allergic reaction?
1. Turing the patient to the side
2. Increasing the patients fluid intake
3. Placing the patient in a high Fowlers position
4. Percussing the patients back during coughing episodes

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Blood and immunity

TOP:  Nursing Process: Implementation  MSC: Client Needs: Safe Effective Care Environment

 

  1. Which is a clinical example of a type II hypersensitivity reaction?
1. Blood transfusion reaction
2. Rash from poison ivy
3. Serum sickness
4. Hay fever

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Blood and immunity

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

  1. Which blood can the person with Rh-negative, type O blood receive safely?
1. A, B, AB, or O
2. A, B, or AB
3. AB or O
4. O

 

 

ANS: 4                    PTS:   1                    DIF:   Category: Blood and immunity

TOP:  Nursing Process: Planning             MSC: Client Needs: Physiological Integrity

 

  1. Which nursing actions take priority when a person begins experiencing chills, tachycardia, and back pain during a transfusion?
1. Provide warm blankets and take the patients temperature.
2. Administer oxygen and raise the head of the bed.
3. Stop the transfusion and notify the physician.
4. Assess vital signs and notify the laboratory.

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Blood and immunity

TOP:  Nursing Process: Implementation  MSC: Client Needs: Safe Effective Care Environment

 

  1. Which blood product can be safely administered to a patient with a history of febrile nonhemolytic reactions?
1. Whole blood
2. Packed red blood cells
3. Fresh frozen red blood cells
4. Leukocyte-poor red blood cells

 

 

ANS: 4                    PTS:   1                    DIF:   Category: Blood and immunity

TOP:  Nursing Process: Implementation  MSC: Client Needs: Safe Effective Care Environment

 

  1. Which clinical manifestations are associated with circulatory overload in patients receiving blood?
1. Hypertension, chest tightness, jugular vein distention
2. Fever, abdominal cramping, increased urine output
3. Flushing, tachycardia, hypotension
4. Nausea, vomiting, low back pain

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Blood and immunity

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

  1. Which action prevents bacterial contamination during a blood transfusion?
1. Administering the blood within 4 hours of obtaining from blood bank
2. Making certain the blood product and patients blood type match
3. Washing hands thoroughly before hanging the blood
4. Using medical asepsis when handling the blood

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Blood and immunity

TOP:  Nursing Process: Implementation  MSC: Client Needs: Safe Effective Care Environment

 

  1.   Which is the appropriate therapy for serum sickness (type III hypersensitivity)?
1. Intravenous gamma globulins
2. Antihistamines and salicylates
3. Oral glucocorticosteroids
4. Epinephrine and steroids

 

 

ANS: 2                    PTS:   1                    DIF:   Category: Drug-related responses

TOP:  Nursing Process: Implementation  MSC: Client Needs: Safe Effective Care Environment

 

  1. Which is a type IV hypersensitivity reaction?
1. Allograft rejection
2. Allergic rhinitis
3. Wheal and flare
4. Atopic allergy

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Blood and immunity

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

  1. Patients with contact dermatitis are taught to:
1. Use antibiotic creams
2. Avoid scratching the lesions
3. Coat their hands with lanolin
4. Soak their hands in mild detergent

 

 

ANS: 2                    PTS:   1                    DIF:   Category: Blood and immunity

TOP:  Nursing Process: Implementation  MSC: Client Needs: Safe Effective Care Environment

 

  1. Which laboratory findings will likely be encountered when caring for patients with autoimmune disorders?
1. Reduced red blood cell count
2. Elevated total serum complement levels
3. Presence of antinuclear or autoantibodies
4. Decreased erythrocyte sedimentation rate (ESR)

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Blood and immunity

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

  1. Clinical manifestations commonly associated with chronic fatigue syndrome (CFS) include:
1. Chronic infections
2. Insomnia and sore throat
3. Rash and hyperexcitability
4. Dysrhythmias and hypertension

 

 

ANS: 2                    PTS:   1                    DIF:   Category: Blood and immunity

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

Monahan: Phipps Medical-Surgical Nursing: Health and Illness

Perspectives, 8th Edition

 

Test Bank

Chapter 31: Vascular Problems

 

MULTIPLE CHOICE

 

  1. Which situation meets the criteria for diagnosing hypertension?
1. High BP during routine physical examination with complaint of fatigue
2. BP normal with complaint of early morning headaches
3. BP 144/94 mm Hg supine and sitting for 3 consecutive weeks
4. BP 176/88 mm Hg on a screening examination

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Cardiovascular

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Physiological Integrity

 

  1. Which is a common cause of primary hypertension?
1. Genetics
2. Pyelonephritis
3. Aldosteronism
4. Hyperthyroidism

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Cardiovascular

TOP:  Nursing Process: Assessment        MSC: Client Needs: Health Promotion and Maintenance

 

  1. One mechanism that is responsible for blood pressure elevation is:
1. Decrease in catecholamine secretion by the sympathetic nervous system
2. Reduction in plasma volume and aldosterone
3. Impaired renal control with release of renin
4. Augmented kidney perfusion pressure

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Cardiovascular

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Physiological Integrity

 

  1. A patient asks how long he will need to take blood pressure medication. The nurses response is based on the fact that antihypertensive agents:
1. Are used until the patient reports side effects
2. Are stopped when blood pressure reaches normal levels
3. Must be taken until the physician discontinues the prescription
4. Can be adjusted by the patient depending on side effects and blood pressure readings

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Cardiovascular

TOP:  Nursing Process: Implementation  MSC: Client Needs: Health Promotion and Maintenance

 

  1. The nurse suggests which nonpharmacologic measure to reduce blood pressure in a patient with moderate hypertension?
1. Exercise daily for three 10-minute periods of high intensity.
2. Add weight lifting to a daily exercise program.
3. Begin isometric exercises and reduce smoking.
4. Reduce table salt and alcohol intake.

 

 

ANS: 4                    PTS:   1                    DIF:   Category: Cardiovascular

TOP:  Nursing Process: Implementation  MSC: Client Needs: Health Promotion and Maintenance

 

  1. A patient is starting a new prescription of atenolol (Tenormin). Which symptom, if present, is a result of the beta1 blockade effects of the drug?
1. Sedation
2. Headache
3. Constipation
4. Difficulty breathing

 

 

ANS: 4                    PTS:   1                    DIF:   Category: Cardiovascular

TOP:  Nursing Process: Implementation  MSC: Client Needs: Health Promotion and Maintenance

 

  1. Under what circumstances is the administration of a nonselective beta-blocker such as propranolol (Inderal) to a hypertensive patient contraindicated?
1. As an initial drug choice
2. In a patient who has COPD
3. In combination with other vasodilators
4. Concurrently with calcium channel blockers

 

 

ANS: 2                    PTS:   1                    DIF:   Category: Cardiovascular

TOP:  Nursing Process: Implementation  MSC: Client Needs: Physiological Integrity

 

  1. A patient tells the nurse he has stopped taking clonidine (Catapres) because he is feeling better. His BP is 130/88 mm Hg and he has gained 2 pounds. Based on these data, the most appropriate nursing diagnosis is:
1. Ineffective individual coping related to lifelong need for therapy
2. Anxiety related to sexual side effects of clonidine
3. Ineffective therapeutic regimen management
4. Excess fluid volume related to weight gain

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Cardiovascular

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Health Promotion and Maintenance

 

  1. An important component of teaching appropriate for all patients receiving drug therapy for hypertension is that the patient:
1. Report any weight loss
2. Change positions slowly
3. Take the drug at bedtime
4. Take over-the-counter laxatives

 

 

ANS: 2                    PTS:   1                    DIF:   Category: Drug-related responses

TOP:  Nursing Process: Implementation  MSC: Client Needs: Health Promotion and Maintenance

 

  1. A patient with arterial occlusive disease has a 20-year smoking history. Which nicotine fact does the nurse include in the teaching plan? Nicotine:
1. Decreases artery size and elevates blood pressure
2. Creates excessive nitrogen in the tissues
3. Enhances plaque formation in arteries
4. Increases release of epinephrine

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Cardiovascular

TOP:  Nursing Process: Planning             MSC: Client Needs: Health Promotion and Maintenance

 

  1. Which individual is at greatest risk for developing arterial occlusive disease?
1. 45-year-old woman with gallbladder disease
2. 60-year-old woman who is obese
3. 75-year-old man with hypertension
4. 85-year-old man with Alzheimers disease

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Cardiovascular

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Health Promotion and Maintenance

 

  1. A patient complains of left calf pain after walking around the block. The pain is immediately relieved when the patient sits down. The nurse analyzes this as:
1. Muscle cramps
2. Deconditioning
3. Nerve impingement
4. Intermittent claudication

 

 

ANS: 4                    PTS:   1                    DIF:   Category: Cardiovascular

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Physiological Integrity

 

  1. Which pain complaint from a patient with arterial occlusive disease concerns the nurse most?
1. Leg pain that awakens patient from a sound sleep
2. Calf pain when patient walks uphill
3. Hip pain when patient is in a sitting position
4. Aching in the arch of patients foot

 

 

ANS: 1       &n

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