NUR 2502 Exam Multidimensional Care III MDC 3 - Rasmussen
During hourly rounding, you enter a room where the client is unresponsive without a pulse. What is your priority action?
- Open the airway.
- Being ventilation at 1 breath every 6-8 seconds
- Start chest compressions at a rate of 100-120 compressions per minute.
- Wait for the emergency response team for direction
The nurse is caring for a client with mitral valve regurgitation. Which of the following would you anticipate the client to develop if left untreated?
- Myocardial ischemia
- Left sided heart failure.
- Right sided heart failure
- Renal failure
What does the nurse suggest to a client peripheral artery disease (PAD) about positioning and position changes?
- Sit upright in a chair if legs are not swollen.
- Sleep with legs above the heart level if legs are swollen.
- Avoid always crossing the legs.
- Change position slowly when getting out of bed. 1 / 3
A nurse is caring for a client who was recently diagnosed with left ventricular heart failure. What is an early sign the client is most likely to report?
- Abdominal distention
- Weight gain
- Swollen legs
- Nocturnal coughing
A nurse sets an infusion pump to infuse 1L of D5NS at the rate of 100 mL/hr. How many hours would it take to complete the infusion? hours. (Record answer as a whole number. Do not use trailing zeros. Answer numerically, do not label)
✓ 10
A nurse is caring for a 65-year-old male who recently underwent an aortic valve replacement. Which of the following is a post-operative nursing care priority?
- Temperature monitoring.
- Advanced diet as tolerated.
- Assess for bleeding.
- Dressing change.
A nurse is caring for a client who recently underwent a heart transplant. which of the following post-operative nursing intervention is the priority?
- Assess for signs and symptoms of rejection.
- Advanced diet as tolerated.
- Auscultate bowel sounds.
- Maintain strict bed rest.
Which of the following would predispose a client to mitral stenosis?
- Obesity
- Rheumatic fever
- Diabetes
- IV drug use 2 / 3
A client is diagnosed with polycythemia vera and has a hemoglobin of 19g/dL. Which of the following statement indicate the client understand the teaching provided?
- “I should keep my lower extremities in a dependent position.”
- “I should limit my fluid intake to 1-2 liters per day. “
- “I should wear constrictive clothing and support stockings.”
- “I should use an electrical razor and soft bristled toothbrush.”
The nurse is preparing to transfuse third unit of packed red blood cells to a client. Which of the following laboratory result is the nurse most concerned about?
- Serum ferritin level of 250 ng/Ml
- Fibrinogen level less than 100 mg/dL
- Potassium level of 6.8 mg/dL / potassium 5.5mg/dl
- Hematocrit of 30%
Which of the following clients is least at risk of development of deep vein thrombosis
(DVT)?
- A client with previous documented deep vein thrombosis (DVT)
- A client 3-day post-op following hip replacement.
- A client bedridden for the past 6 days
- A client with bilateral 2+ pitting edema
The nurse is caring for a 55-year-old male who presented to his primary physician's office for his yearly checkup. Upon the physical assessment the provider noted enlarge lymph nodes in the groin and neck region. The provider question Joe regarding the possible causes of the findings. Which of the following diagnosis are consistent with this finding?
- Lymphoma
- Sickle cell anemia
- Leukemia
- Polycythemia vera
- / 3