NUR 2502 EXAM 3 FINAL 2 LATEST VERSIONS

NUR 2502 EXAM 3 FINAL 2 LATEST VERSIONS

2024 EXAM 250 QUESTIONS AND CORRECT

ANSWERS MULTIDIMENSIONAL CARE 3 EXAM

3 ALREADY GRADED A+ RASMUSSEN

COLLEGE

A 65-year-old female presented to the emergency room with complaint of progressively worsening fatigue, shortness of breath, and palpitations. Upon assessment, heart rate is 130 beats per minute and irregular, and there is positive jugular vein distention. Herat tones reveal a high- pitched holosystolic murmur. Which of the following disorders are consistent with these findings?

• Mitral regurgitation
• Mitral stenosis
• Mitral valve prolapse
• Aortic regurgitation

A Which of the following is a possible treatment plan for a client diagnosed with leukemia?

• Dialysis
• Therapeutic phlebotomy
• Splenectomy
• Stem cell transplant

D The nurse Questions which order for a client with thrombocytopenia?

• Apply ice to areas of trauma
• Administer intramuscular (IM) medication
• Test all urine and stool for the presence of occult blood
• Avoid enemas 1 / 4

B A nurse is caring for a client who was received in the emergency department with a heart rate of 220 beats per minute. The client's cardiac monitor displays supraventricular tachycardia (SVT). Which of the following interventions should the nurse anticipate?

• Apply compression stockings
• Perform Valsalva maneuver
• Draw labs
• Check blood glucose

B Which of the following clients would not be a candidate for thrombolytic therapy?

• Client with a pulse of 102 beats/minute
• Client with a blood pressure of 100/60 mm Hg
• Client with a history of hemorrhagic stroke one month ago
• Client age 65 years.

C A nurse is caring for a 19-year-old male recently diagnosed with leukemia. Which of the following nursing interventions is appropriate for the care of this client?

• Fluid restriction
• Low residual diet
• Therapeutic phlebotomy
• Strict hand hygiene to prevent infection

D The nurse is assessing a client with severe anemia. Which clinical manifestation does the nurse expect to see in this client?

• Bradycardia
• Pale, cool skin 2 / 4

• Hypertension
• Warm, flushed skin

B A nurse is caring for a client diagnosed with atherosclerosis. Which of the following is considered a risk factor for the development of this disorder?

• Diet high in vitamin K
• Low HDL-C/High LDL-C
• High HDL-C/Low LDL-C
• Vegan diet

B A client states that their legs have pain with walking that decreases with rest. The nurse observes absence of hair on the client's lower extremities and the client has a thread, weakened posterior tibial pulse. What would be the best position to have the client's legs?

• Elevated above the heart
• Slightly bent with three pillows under the knees.
• Crossed at the knee
• Hanging down.

D The client is admitted for heart failure and has edema, neck vein distension, and ascites. What is the most accurate way to monitor fluid gain or loss in this client?

• Auscultate the lungs for crackles or wheezing.
• Weigh the client daily at the same time with the same scale.
• Check for pitting edema in the dependent body parts.
• Asses skin turgor and the condition of mucus membranes.

B A nurse is caring for a client with a history of an abdominal aortic aneurism. Which of the following assessment findings requires immediate intervention? 3 / 4

• Back pain
• Absent peripheral pulses
• Decreased urine output
• Nausea and vomiting

B A female client is being treated for a deep-vein thrombus she developed post-operatively about one week ago and was treated with unfractionated heparin. Today she presents to the clinic with petechiae on bilateral hands and feet. Laboratory results show a platelet count of 42,000/mm3 (42x109/L). the nurse is concerned about a drug reaction and anticipates the client has which of the following?

• Heparin-induced thrombocytopenia (HIT)
• Hemophilia A (classic hemophilia)
• Thrombotic thrombocytopenic purpura (TTP)
• Sickle cell crisis

A A nurse is caring for a client recently diagnosed with leukemia. Which of the following signs and symptoms are consistent with this diagnosis? (Select all that apply.)

• Bone pain
• Bleeding gums
• Weight gain
• Bruising
• Increased urination

A,B,D The family of a neutropenic client reports that the client is confused and "is not acting right." What action by the nurse is the priority?

• Delegate taking a set of vital signs.
• Ask the client about pain.
• / 4