Froggy Jumps
Ch 17-23, 26-27 (Brunner and Suddarth's - 15th edition)Online version
Med-Surg - Cardiac and Respiratory
1
During assessment, the nurse finds that the client is experiencing increased dyspnea. What is the most accurate measurement of the concentration of oxygen in the client's blood?
2
In addition to heart rate, blood pressure, respiratory rate, and temperature, the nurse needs to assess a client's arterial oxygen saturation (SaO2). What procedure will best accomplish this?
3
The nurse is assessing a newly admitted medical client and notes there is a depression in the lower portion of the client's sternum. This client's health record should note the presence of what chest deformity?
4
The medical nurse who works on a pulmonology unit is aware that several respiratory conditions can affect lung tissue compliance. The presence of what condition would lead to an increase in lung compliance?
5
A client has a diagnosis of multiple sclerosis. The nurse is aware that neuromuscular disorders such as multiple sclerosis may lead to a decreased vital capacity. What does vital capacity measure?
6
A client is being treated for a pulmonary embolism, and the medical nurse is aware that the client experienced an acute disturbance in pulmonary perfusion. This involved an alteration in which aspect of normal physiology?
7
The nurse is performing a respiratory assessment of an adult client and is distinguishing between vesicular, bronchovesicular, and bronchial (tubular) breath sounds. How should the nurse distinguish between these normal breath sounds?
8
A client has been diagnosed with pulmonary hypertension, in which the capillaries in the alveoli are squeezed excessively. The nurse should recognize a disturbance in what aspect of normal respiratory function?
9
A client is scheduled to have excess pleural fluid aspirated with a needle to relieve dyspnea. The client inquires about the normal function of pleural fluid. What should the nurse describe?
10
A gerontologic nurse is analyzing the data from a client's focused respiratory assessment. The nurse is aware that the amount of respiratory dead space increases with age. What is the effect of this physiologic change?
11
The client has just had an MRI ordered because a routine chest x-ray showed suspicious areas in the right lung. The health care provider suspects bronchogenic carcinoma. An MRI would most likely assess for which condition in this client?
12
The home care nurse is assessing the home environment of a client who will be discharged from the hospital shortly after a laryngectomy. The nurse should encourage the client to use which appliance during recovery at home?
13
The nurse is caring for a client who needs education on medication therapy for allergic rhinitis. The client is to take cromolyn daily. In providing education for this client, how should the nurse describe the action of the medication?
14
The occupational health nurse is obtaining a client history during a pre-employment physical. During the history, the client reports having hereditary angioedema. The nurse should identify which implication of this health condition?
15
A client with a history of a renal transplant has been diagnosed with chronic rhinosinusitis. Admitted to the clinic, the client asks, "Will chronic infection hurt my new kidney?" The nurse should know about chronic rhinosinusitis in this client?
16
A nursing student is discussing a client with viral pharyngitis with the preceptor at the walk-in clinic. What should the preceptor tell the student about nursing care for clients with viral pharyngitis?
17
A client states that the client’s family has had several colds during this winter and spring despite their commitment to handwashing. The high communicability of the common cold is attributable to which factor?
18
The nurse is creating a care plan for a client who is status post-total laryngectomy. The plan consists of a long-term postoperative communication plan for alaryngeal communication. Which form of alaryngeal communication is generally most preferred?
19
The nurse is caring for a client suspected of having acute respiratory distress syndrome. What is the most likely diagnostic test ordered in the early stages of this disease to differentiate the client's symptoms from those of a cardiac etiology?
20
The nurse is caring for an adult client recently diagnosed with the early stages of lung cancer. The nurse is aware that the preferred method of treating clients with non–small cell tumors is what method?
21
A critical care nurse is caring for a client with an endotracheal tube who is on a ventilator. The nurse knows that meticulous airway management of this client is necessary. What is the main rationale for this?
22
The critical care nurse and the other members of the care team are assessing the client to see if the client is ready to be weaned from the ventilator. What are the most important predictors of successful weaning that the nurse should identify?
23
A nurse is preparing to care for a client with bronchiectasis. The nurse should recognize that this client is likely to experience respiratory difficulties related to what pathophysiologic process?
24
A nurse is completing a focused respiratory assessment of a child with asthma. What assessment finding is most closely associated with the characteristic signs and symptoms of asthma?
25
A nurse has been asked to give a workshop on chronic obstructive pulmonary disease for a local community group. The nurse emphasizes the importance of smoking cessation because smoking has which pathophysiologic effect?
26
A nurse is providing health education to the family of a client with bronchiectasis. Which technique should the nurse prioritize teaching the client's family members?
27
A nurse is explaining to a client with asthma with a new prescription for prednisone what it is used for. What would be the most accurate explanation that the nurse could give?
28
An asthma educator is teaching a client newly diagnosed with asthma and the family about the use of a peak flow meter. The educator should teach the client that a peak flow meter measures highest airflow during which type of breath?
29
A nurse is describing the process by which blood is ejected into circulation as the chambers of the heart become smaller. The instructor categorizes this as what action?
30
The critical care nurse is caring for a client with a pulmonary artery pressure monitoring system. In addition to assessing left ventricular function, what is an additional function of a pulmonary artery pressure monitoring system?
31
The cardiac care nurse is reviewing the conduction system of the heart. The nurse is aware that electrical conduction of the heart usually originates in the sinoatrial (SA) node and then proceeds in which sequence?
32
A client has had a myocardial infarction and has been diagnosed as having damage to the layer of the heart responsible for the pumping action. This client experienced damage to which area of the heart?
33
A brain (B-type) natriuretic peptide (BNP) sample has been drawn from an older adult client who has been experiencing vital fatigue and shortness of breath. This test will allow the care team to investigate the possibility of what diagnosis?
34
A lipid profile has been ordered for a client who has been experiencing cardiac symptoms. When should a lipid profile be drawn in order to maximize the accuracy of results?
35
The health care provider has ordered a high-sensitivity C-reactive protein (hs-CRP) drawn on a client. The results of this test will allow the nurse to evaluate the role of what process that is implicated in the development of atherosclerosis?
36
A critical care nurse is caring for a client with a pulmonary artery catheter in place. What does this catheter measure that is particularly important in critically ill clients?
37
A client's declining cardiac status has been attributed to decreased cardiac action potential. Interventions should be aimed at restoring what aspect of cardiac physiology?
38
The nurse is conducting client teaching about cholesterol levels. When discussing the client's elevated LDL and lowered HDL levels, the client shows an understanding of the significance of these levels by making what statement?
39
A group of nurses is participating in orientation to a telemetry unit. The nurse who is providing the education should tell the class that ST segments:
40
The nurse is caring for a client with complex cardiac history. How should the nurse best explain the process of depolarization to a colleague?
41
A cardiac care nurse is caring for a client who is experiencing positive chronotropy. What effect should the nurse prepare for?
42
A client is scheduled for catheter ablation therapy. When describing this procedure to the client's family, the nurse should address which aspect of the treatment?
43
The nurse caring for a client whose sudden onset of sinus bradycardia is not responding adequately to atropine. What might be the treatment of choice for this client?
44
The nurse is caring for a client who has had a biventricular pacemaker implanted. When planning the client's care, the nurse should recognize what goal of this intervention?
45
The client is concerned about being defibrillated too often. The nurse tells the client to come to the office to be evaluated because the nurse knows that the most frequent complication of ICD therapy is what issue?
46
The nurse is caring for a client who has been diagnosed with an elevated cholesterol level. The nurse is aware that plaque on the inner lumen of arteries is composed chiefly of what?
47
An OR nurse is preparing to assist with a coronary artery bypass graft (CABG). The OR nurse knows that what vessel is most commonly used as source for a CABG?
48
Nurse is explaining that cardiac surgery requires the absence of blood from the surgical field. At the same time, maintain perfusion of body organs and tissues. What technique for achieving these simultaneous goals should the nurse describe?
49
The nurse is caring for a client who has undergone percutaneous transluminal coronary angioplasty (PTCA). What is the major indicator of success for this procedure?
50
A nurse has taken on the care of a client who had a coronary artery stent placed yesterday. When reviewing the client's daily medication administration record, the nurse should anticipate administering what drug?
51
The nurse is caring for a client who will have coronary artery revascularization. When explaining the pre- and postoperative regimens, the nurse should address which subject?
52
Graduated compression stockings have been prescribed to treat a client's venous insufficiency. What education should the nurse prioritize when introducing this intervention to the client?
53
When assessing venous disease in a client's lower extremities, the nurse knows that what test will most likely be prescribed?
54
Client on a medical unit with a history of peripheral artery disease. Client reports smoking about two packs of cigarettes a day, having a history of alcohol abuse, & not exercising. Which topic would be the priority health education for this client?
55
A client is admitted to the medical unit for the treatment of a venous ulcer in the area of the lateral malleolus that has been unresponsive to treatment. Which finding is the nurse most likely to identify during an assessment of this client's wound?
56
A client is having the tonsils removed. The client asks the nurse what function the tonsils normally serve. Which of the following would be the most accurate response?
57
A client with chronic lung disease is undergoing lung function testing. What test result denotes the volume of air inspired and expired with a normal breath?
58
A client asks the nurse why an infection in the upper respiratory system is affecting the clarity of the client’s speech. The nurse should describe the role of what structure?
59
The nurse is performing a respiratory assessment of a client who has been experiencing episodes of hypoxia. The nurse is aware that this is ultimately attributable to impaired gas exchange. On what factor does adequate gas exchange primarily depend?
60
The OR nurse is setting up a water-seal chest drainage system for a client who has just had a thoracotomy. The nurse knows that the amount of suction in the system is determined by the water level. What suction level should the nurse set the system?
61
A nurse is reviewing the pathophysiology of cystic fibrosis (CF) in anticipation of a new admission. The nurse should identify what characteristic aspects of CF?
62
A client who has been experiencing bradycardia after cardiovascular surgery. The nurse knows that the heart rate is determined by myocardial cells with the fastest inherent firing rate. Under normal circumstances where are these cells located?
63
The nurse is caring for a client admitted with unstable angina. The laboratory result for the initial troponin I is elevated in this client. The nurse should recognize what implication of this assessment finding?
64
A resident of a long-term care facility has reported chest pain to the nurse. What aspect of the resident's pain would be most suggestive of angina as the cause?
65
The nurse is analyzing a rhythm strip. What component of the ECG corresponds to the resting state of the client's heart?
66
A client the nurse is caring for has a permanent pacemaker implanted, with the identification code beginning with VVI. What does this indicate?
67
A client with cardiovascular disease is being treated with amlodipine, which is intended to cause what therapeutic effect?
68
A client with high cholesterol and triglyceride values. In teaching the client about therapeutic lifestyle changes such as diet and exercise, the nurse realizes that the desired goal for cholesterol levels is which of the following?
69
A nurse is reviewing the physiologic factors that affect a client's cardiovascular health and tissue oxygenation. What is the systemic arteriovenous oxygen difference?
70
The nurse is providing care for a client who has just been diagnosed with peripheral arterial occlusive disease (PAD). What assessment finding is most consistent with this diagnosis?
71
A client has a family history of hypertension, high cholesterol, and elevated lipid levels. The client reports smoking one pack of cigarettes daily and drinking "about a pack of beer" per day. Which nonmodifiable risk factor for hypertension?
72
The nurse is planning the care of a client who has been diagnosed with hypertension, but who otherwise enjoys good health. When assessing the response to an antihypertensive drug regimen, which blood pressure would be the goal of treatment?
73
A nurse is teaching an client about the risk factors for hypertension. Which factors should the nurse explain as risk factors for primary hypertension?
74
A client with secondary hypertension has come into the clinic for a routine check-up. When comparing this client's diagnosis to primary hypertension, the nurse recognizes that secondary hypertension:
75
The nurse takes the client's blood pressure, and the reading is 161/101 mm Hg. The nurse knows this blood pressure would be classified as which type?
76
The nurse is screening a number of adults for hypertension. Which range of blood pressure is considered normal?
77
During an adult client's last two office visits, the nurse obtained BP readings of 122/76 mm Hg and 128/78 mm Hg, respectively. How would this client's BP be categorized?
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