FREE AND STUDY GAMES ABOUT FOUNDATION CH.25

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FREE AND STUDY GAMES ABOUT FOUNDATION CH.25

EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -54 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: A pulse deficit is the difference between:

Answer:

the apical pulse and the radial pulse rates.Question 2: Which guideline should the nurse follow when assessing a client's blood pressure using a Doppler ultrasound?

Answer:

Center the bladder of the cuff over the artery, lining up the artery marker on the cuff with the artery.Question 3: A nurse needs to measure the blood pressure of a client with an electronic manometer. Which of the following advantages does an electronic manometer provide over an aneroid manometer or mercury manometer?

Answer:

No stethoscope is required.Question 4: A 70-year-old client is taking his own pulse at home. He is following the instructions provided by the nurse. He counts his pulse 62 times in one minute. What should he do next?

Answer:

Write it down

Question 5: When administering beta blocker medications, the physician adds an order to hold medication when the client is bradycardic. Which statement explains this order?

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The client's pulse rate is below 60 beats per minute.Question 6: The nurse places a client experiencing labored breathing in an upright position. The nurse notes that the client is able to breathe more easily in this upright position and documents

this condition on the chart as:

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orthopnea Question 7: A nurse is assessing the blood pressure of an adult client using the Korotkoff sounds technique to document the measurement. Which phase of Korotkoff sounds will the nurse use to document blood pressure measurements in the client?

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Phase IV Question 8: The nurse is preparing to administer a medication that the client takes to treat a cardiac dysrhythmia. Which site should the nurse use to assess pulse in this client?

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apical Question 9: The nurse knows that a client who is being taught to perform home blood pressure monitoring (HBPM) understands the teaching plan when he makes which statement about the

size of the BP cuff? The cuff should:

Answer:

fit snug around the upper arm with room to slip a fingertip under the cuff and should be 1 in (2.5 cm) above the crease of the elbow.Question 10: The nurse is checking the client's temperature. The client feels warm to touch.However, the client's temperature is 98.8°F (37.1°C). Which statement could explain this?

Answer:

The client is covered with a couple of thick blankets.

Question 11: A nurse is caring for a client with orthostatic hypotension. Which nursing interventions are appropriate to decrease the risk of falls? Select all that apply.

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encourage oral fluid intake encourage slow movement from the bed to the chair encourage the client to use the call light prior to getting out of bed encourage the use of the call light for help to the bathroom Question 12: The nurse is preparing to assess a client's oral temperature. The nurse should plan to place the thermometer probe in which area of the client's mouth?

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deep in the posterior sublingual pocket Question 13: The nurse is obtaining vital signs for a client and assesses a heart rate of 124 beats per minute. What additional assessment information would be important to obtain that would explain the tachycardia? Select all that apply.

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The client has reports of pain of 8 on a scale of 0 to 10 The client just finished ambulating with physical therapy The client has a temperature of 101.8°F (38.8°C) Question 14: Based upon circadian rhythms, when would the nurse note the highest temperature during a 24-hour period?

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1700 Question 15: A nurse is assessing the respirations of a 60-year-old female client and finds that the client's breaths are so shallow that the respirations cannot be counted. What would be the appropriate initial nursing intervention in this situation?

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Auscultate the lung sounds and count respirations.Question 16: The nurse is assessing the pulse amplitude for a client. Documentation by the nurse states, "Pulses are +1 in the lower left extremity." What amplitude is the nurse assessing?

Answer:

diminished, weaker than expected

Question 17: The temperature is 102°F (39°C) during a heat wave. The nurse can expect

admissions to the emergency room to present with:

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increased temperature.Question 18: A nurse is assessing a client's blood pressure manually. The nurse should identify the client's systolic blood pressure (SBP) when which event occurs?

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The first faint, but clear, sound appears.Question 19: When assessing an infant's axillary temperature, it will be:

Answer:

1°F (0.5°C) lower than an oral temperature.

Question 20: Which statement describes diastolic blood pressure?

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During ventricular relaxation, blood pressure is due to elastic recoil of the vessels.Question 21: A person's core body temperature is highest in the early morning and lowest in the late afternoon.T or F?

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False Question 22: The nurse has delegated an unlicensed assistive personnel (UAP) to obtain a temperature reading for a client who has neutropenia. Which route used by the UAP requires immediate intervention?

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rectal Question 23: When taking the client's temperature, the student nurse will require further education when they state

Answer:

"The axillary route is the most accurate of all routes."