NUR 221 EXAM 2 NEWEST 2024 ACTUAL

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NUR 221 EXAM 2 NEWEST 2024 ACTUAL

EXAM COMPLETE 200+ EXAM QUESTIONS

AND CORRECT ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+||BRAND

NEW VERSION!!

The nurse is reviewing the lab results of a client with suspected

nephrotic syndrome. The nurse anticipates the results to include:

• protein in the urine.
• decreased triglycerides.
• abnormal blood clotting factors.
• decreased low-density lipoproteins.
• serum hyperalbuminemia. - ANSWER- a. protein in the urine.

A client is told that she has cardiac valve leaflets, or cusps, that are floppy and fail to shut completely, permitting blood flow even when the valve should be completely closed. The nurse knows that this condition can lead to heart failure and is referred

to as: 1 / 4

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• Pericardial effusion
• Infective endocarditis
• Valvular regurgitation
• Valvular stenosis - ANSWER- c. Valvular regurgitation

Four clients were admitted to the emergency department with severe chest pain. All were given preliminary treatment with aspirin, morphine, oxygen, and nitrates and were monitored by ECG. Which client most likely experienced myocardial infarction?

• 33-year-old man whose pain started at 7 AM during moderate

exercise and was relieved by nitrates; ECG was normal; cardiac markers remained stable

• 67-year-old woman whose pain started at 2 AM while she was

asleep and that responded to nitrates; the ECG showed dysrhythmias and ST-segment elevation; cardiac markers remained stable

• 80-year-old woman whose pain was not relieved by nitrates or

rest; the ECG showed ST-segment elevation with inverted T waves and abnormal Q waves; levels of cardiac markers subsequently rose

• 61-year-old man whose pain started at 9 AM during a short

walk and responded to nitrates, but not to rest; ECG and cardiac 2 / 4

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markers remained stable, - ANSWER- c. 80-year-old woman whose pain was not relieved by nitrates or rest; the ECG showed ST-segment elevation with inverted T waves and abnormal Q waves; levels of cardiac markers subsequently rose

The nurse is reviewing the results of a renal client's laboratory results. This client's urine specific gravity allows the nurse to

assess the kidneys' ability to:

• concentrate urine.
• excrete excess hydrogen ions.
• concentrate protein.
• excrete potassium. - ANSWER- a. concentrate urine.

A client with end-stage kidney disease has developed anemia.The nurse teach this client that the reason anemia has developed

is:

• the damaged kidney is unable to produce erythropoietin.
• clients with kidney disease must avoid consuming iron.
• medications taken for kidney disease destroy the red blood

cells. 3 / 4

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• activation of vitamin D cannot occur when kidneys are

damaged. - ANSWER- a. the damaged kidney is unable to produce erythropoietin.What is stroke volume made up of? - ANSWER- preload, after load, contractility

A patient in an MVC experienced blunt force trauma to the chest and has since developed cardiac tamponade. The patient's blood pressure has dropped dramatically and the patient has other clinical signs of shock in addition to distended neck veins and muffled heart sounds. Which type of shock is the patient experiencing?

• Obstructive
• Cardiogenic
• Distributive
• hypovolemic - ANSWER- a. Obstructive

A patient is admitted for an MI that involves an infarct of a large area of the heart. While in the hospital, they develop signs of shock. Which type of shock does this patient most likely have?

• Obstructive
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