Nursing 211

N211: Health Differences Across the Lifespan I

33. The nurse’s primary responsibility for a pt that has just undergone cardiac catheterization is: a. To encourage the patient to ambulate as soon as possible to prevent complications. b. To observe the site for symptoms of infection. c. To assess for pain at the insertion site. d. To assess for hematoma development at the insertion site. 34. Which finding in the health history would you most likely want to discuss further with a patient who has just been diagnosed as having mild peripheral vascular disease? a. Walks up 3 flights of stairs daily b. Works as a typist c. plays golf using a cart 3/week d. Sleeps in a waterbed. 35. NTG taken sublingually acts in: a. 2-5 minutes, repeated q 5 min x 3 b. 1-2 minutes, repeated q 5 min x 3 c. 5-10 minutes, repeated q 5-10 min. d. 1-2 minutes, repeated q 3 min x 5 36. The most common side effect of NTG is: a. Constipation b. Diarrhea c. Headache d. Blurred vision

37. A weight gain of four pounds in 24 hours would most likely be caused by: a. Congestive heart failure b. Left ventricular hypertrophy c. Cor pulmonale d. Pulmonary edema 38. Which statement best describes disseminated intravascular coagulopathy (DIC)? a. Bleeding from small vessels increases fibrinogen levels and reduces prothrombin time and partial thromboplastin time leading to bleeding disorders. b. Clotting factors and platelet levels are insufficient to control widespread bleeding caused by decreased fibrinogen levels, prothrombin time and partial thromboplastin time. c. Diffuse pathological coagulation disorder that inhibits the ability of clotting factors and platelets to stop bleeding. d. Clotting of small vessels throughout the body causes depletion of platelets and other clotting factors leading to generalized bleeding from multiple sites. 39. Anginal pain is usually precipitated by: a. Spasm of coronary artery b. Systemic vasoconstriction c. Occlusion of pulmonary artery d. Death of cardiac tissue

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