MDC III Final Exam Study Guide:

MDC III Final Exam Study Guide:

Multidimensional care 111 Final Exam

Which of the following assessment findings are consistent with aortic regurgitation

• Atrial fibrillation
• Systolic click
• Pitting edema
• Blowing, decrescendo diastolic murmur

(Ans- a. Blowing, decrescendo diastolic murmur

• The nurse knows which of the following is the most common problem for

a client with valvular heart disease Decreased cardiac output Difficulty coping Bradycardia Altered body image.(Ans- Decreased cardiac output

• The nurse is assessing a client with severe anemia.which clinical

manifestation does the nurse expect to see in this client Dyspnea with activity Hypertension Bradycardia Warm, flushed skin (Ans- Dyspnea with activity

• A client diagnosed with stable angina is complaining of substernal

chterm-4est pain, rating the pain 5 out of 10. What would be the priority action by the nurse?Administer nitroglycerin,1 tablet sublingual immediately Administer 81 mg of aspirin immediately Administer the client's prescribed beta blocker. 1 / 3

Administer morphine (Ans- Administer nitroglycerin,1 tablet sublingual immediately

• A nurse is caring for a client diagnosed with polycythemia vera. Which of

the following should the nurse include in the client and family education Decreased fluid intake to no more than 1 little per day Wear support hose while awake Diet high in vitamin k Resume normal activity (Ans- Wear support hose while awake

• A nurse is performing discharge teaching for a client who was recently

diagnosed with heart failure. Which of the following should be included in the client and family teaching ( select all that apply) Medication teaching Low sodium diet Fluid restriction Weekly weights Symptoms to report to the provider (Ans- Medication teaching Low sodium diet Fluid restriction Symptoms to report to the provider

• The family of a neutropenic client reports that the client confused and is

not acting right what action by the nurse is the priority Ask the client about pain Assess the client for infection Delegate taking a set of vital signs Look at today's laboratory results.(Ans- Assess the client for infection

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• A nurse is caring for a client with a history of an abdominal aortic

aneurysm. Which of the following assessment requires immediate intervention Decreased urine output Back pain Nausea and vomiting Absent peripheral pulses.(Ans- Absent peripheral pulses.

• Which of the following assessment is a priority findings during a blood

transfusion Chest pain Headache Joint pain Fatigue (Ans- Chest pain

• The nurse questions which order for a client with thrombocytopenia

Avoid IM injection Administer enemas Apply ice to areas of trauma Test all urine and stool for the presence of occult blood.(Ans- Administer enemas

• Which of the following clients would not be a candidate for thrombolytic

therapy Client with a blood pressure of 100/60 mm HG Client with a pulse of 102 beats/minute Client with a history of hemorrhage stroke one month ago Client age 65 (Ans- Client with a history of hemorrhage stroke one month ago

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