KEY Client Need Physiological Integrity Reduction of Risk Potential Cognitive

Key client need physiological integrity reduction of

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KEY: Client Need: Physiological Integrity, Reduction of Risk Potential | Cognitive Level: Application 4. ANS: B Morphine reduces preload, afterload, and anxiety. Reduced blood pressure reflects a desired effect of the morphine. A. C. D. These are undesired effects from the morphine. PTS: 1 DIF: Moderate KEY: Client Need: Physiological Integrity, Pharmacological and Parenteral Therapies | Cognitive Level: Analysis 5. ANS: D The nurse should give the medication as prescribed since the desired effect is to reduce ankle edema and prevent it from occurring. A. B. C. There is no reason to hold the medication, give it early, or to notify the RN. PTS: 1 DIF: Moderate KEY: Client Need: Physiological Integrity, Pharmacological and Parenteral Therapies | Cognitive Level: Application 6. ANS: A Anorexia is a symptom of digoxin toxicity. A digoxin level should be done and digoxin held until the results are reviewed by the physician. B. C. D. These findings do not indicate digoxin toxicity. PTS: 1 DIF: Moderate KEY: Client Need: Physiological Integrity, Pharmacological and Parenteral Therapies | Cognitive Level: Application 7. ANS: A A bedside commode can ensure for the patients safety, puts less strain on the heart than using a bedpan, and maintains the bedrest order B. This action would not support the order for bedrest. C. A bedpan puts strain on Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper) 391 NURSINGTB.COM UNDERSTANDING MEDICAL SURGICAL NURSING 6TH EDITION WILLIAMS TEST BANK
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NURSINGTB.COMthe heart. D. The nurse cannot restrain the patient in bed. PTS: 1 DIF: Moderate KEY: Client Need: Physiological Integrity, Basic Care and Comfort | Cognitive Level: Analysis 8. ANS: A Bumetanide (Bumex) is a diuretic; the nurse should monitor urine output. B. The patients weight is not going to reflect the effects of the medication within 2 hours. C. This medication does not cause cardiac dysrhythmias. D. Leg cramps should be reported. PTS: 1 DIF: Moderate KEY: Client Need: Physiological Integrity, Pharmacological and Parenteral Therapies | Cognitive Level: Application 9. ANS: A Left-sided heart failure symptoms include lung symptoms such as dyspnea and cough. B. C. D. These findings are more common with right-sided heart failure. PTS: 1 DIF: Moderate KEY: Client Need: Physiological Integrity, Physiological Adaptation | Cognitive Level: Application 10. ANS: B Reducing the workload of the heart is the major goal for the patient with heart failure. A. Fluid overload is a manifestation of heart failure. C. Venous return needs to be promoted. D. A decrease in cardiac output would increase the patients symptoms. PTS: 1 DIF: Moderate KEY: Client Need: Physiological Integrity, Reduction of Risk Potential | Cognitive Level: Analysis 11. ANS: D Pink, frothy sputum is the classic symptom of pulmonary edema. A. B. C. These are systemic symptoms of heart failure. PTS: 1 DIF: Moderate KEY: Client Need: Physiological Integrity, Physiological Adaptation | Cognitive Level: Analysis 12. ANS: C High Fowlers position aids breathing as the lungs can more easily expand the higher upright the patient sits. A. Placing the patient in an optimal position would be the first priority. Then the RN should be notified. B. Lying
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