NUR 2392 MULTIDIMENSIONAL CARE 2
- A patient is brought to the ED with respiratory depression. The patient has a history
of COPD. What acid–base imbalance is most likely?
Respiratory acidosis - The nurse is evaluating the laboratory work of a patient who has uncontrolled
metabolic acidosis. Which outcome would result from this condition? Serum
potassium 5.7 mEq/L - The nurse is reviewing the standing orders for a patient who was admitted for
evaluation of chest pain. The patient has a history of chronic obstructive pulmonary
disease (COPD) and his laboratory results and assessment reveal that hehas mild
respiratory acidosis. The nurse would question which order?
Oxygen therapy at 4 L/min as needed - A patient has recently been admitted with a diagnosis of coronary artery disease.
What lab assessments would the nurse anticipate? (Select all that apply.)
Triglycerides 168 mg/dL & HDLs 40 mg/dL - The nurse is assessing a patient’s heart sounds and has difficulty auscultating the
first heart sound, S1. Which nursing response is most appropriate?
Ask the patient to lay on his left side. - A patient who smokes asks the nurse, “Smoking just hurts my lungs, not my heart,
right?” Which nursing response is appropriate?
“Smoking is a major risk factor for coronary artery disease and peripheral vascular
disease.” - Ten minutes later, the patient is still in SVT and reports substernal chest pain and
dizziness. Which action will you expect the physcian to take to treat the dysrhythmia?
Perform carotid massage. - The patient’s SVT returns after 30 minutes. What medication do you anticipate will be
ordered for the patient?
Adenosine (Adenocard) 6 mg IVP - The SVT resolves immediately after IV adenosine (Adenocard) is administered.
Because the patient has experienced repeated episodes of symptomatic SVT, a
cardiologist has been consulted and treatment options discussed. What is the preferred
treatment for recurrent SVT?
Radiofrequency catheter ablation - The nurse working in the outpatient setting identifies which dysrhythmia as the most
commonly diagnosed?
Atrial fibrillation - On a telemetry monitor, the nurse observes that a patient’s heart rhythm is
sustained ventricular tachycardia (VT). Upon assessment, the patient is alert and
oriented with no reports of chest pain but expresses feeling slightly short of breath. His
blood pressure is 108/70. What is the nurse’s first action?
Administration of oxygen and observation of the heart rhythm - A patient is admitted to a telemetry unit with a new diagnosis of atrial fibrillation
(AF). The patient states, “I feel fine, this rhythm won’t hurt me.” Which nursing response
is appropriate?
AF can cause clots to form from the irregular blood flow in the heart.” - The nurse is caring for four female patients. Which patient is identified as being at
greatest?
39-year-old Caucasian American - After providing education, which patient statement does the nurse identify that
reflects an older patient’s understanding of musculoskeletal health interventions?
I should try to exercise at least five times a week.” - The patient is diagnosed with possible osteoporosis. Which diagnostic tests should
the nurse anticipate will be ordered? (Select all that apply.)
Phosphorus,
Serum
calcium,
Thyroid function tests,
Dual x-ray absorptiometry (DXA) - The patient is diagnosed with osteoporosis. Which intervention by the nurse would
be appropriate?
Recommend walking for 30 minutes three to five times a week. - Which patient statement about self-care indicates a need for further teaching by the
nurse?
“Joining a bowling team will help me exercise.” - During a community education program the nurse is asked about the risk of a
woman breaking a bone due to osteoporosis after age 50. The nurse knows which of
the following is the risk?