1. A pt. Is diagnosed with dilated cardiomyopathy. Which patient...

1. A pt. Is diagnosed with dilated cardiomyopathy. Which patient outcome would the nurse consider the most important for this patient? A) The pt. will be able to perform activities of daily living with minimal assistance. B) The pt. will report increased exercise intolerance and dyspnea with activities . C) The pt. will understand the etiology of dilated cardiomyopathy. D) The pt. will adhere to scheduled rest periods are prescribed to decreased fatigue. 2. The nurse is performing post procedure assessment on a patient who underwent coronary angiography. Which priority assessment does the nurse will assess and record? A) Range of motion of lower limbs B) Allergy to dye C) Nausea D) Presence and strength of pedal pulses. 3. A client pushes his call light and tells the nurse his chest is hurting. The nurse sees his oxygen saturation is 93% the nurse's first intervention is to? A) Perform an EKG B) Call the rapid response team C) administer morphine iv D) administer oxygen 4. The nurse may record a positive Romberg's test if during the test, the patient exhibits which of the following? A) Complains of headache B) Unable to keep eyes closed C) Sways from side to side. D) Unable to touch the nose with eyes closed. 5. The nurse is caring for a client with meningitis and is assessing cranial nerves function. Which function is associated with the oculomotor nerve? A) Loss of corneal reflex B) Taste in the anterior part of tongue C) Sight and balance D) Eye movement and pupil constriction. 6. The nurse is caring for a heart failure client who is experiencing hypotension, jugular venous distention and muffled heart sounds. What is the priority nursing action for this client? A) Document what caused these symptoms B) Provide bed rest for the client C) Administer oxygen and continue to monitor. D) Notify the healthcare provider immediately. 7. A client has been admitted to the floor with suspected infective endocarditis. The nurse knows to look for which signs and symptoms that would indicate infective endocarditis? ( Select all that apply) A) Decreased urine output B) Murmur C) Fever D) Weight gain E) Roth's Spots. 8. The nurse is caring for a client with brain tumor who is experiencing weight gain, disorientation, headaches and vomiting. Which priority nursing action should the nurse implement. A) Decrease environmental stimuli B) Encourage adequate rest and comfort C) Provide fluids D) Restrict fluids and treat decreased sodium levels. 9. The nurse is caring for a client who underwent vein stripping for varicose veins. Which priority postoperative nursing actions should be included in the plan of care? A) Maintain elastic bandages on the legs B) Administer prescribed analgesic C) Dangle the feet. D) Provide complete bed rest. Please provide answers with rationales. Thanks