FREE Adult Health Clinical Nurse Specialist Trivia Questions and Answers
For a patient with congestive heart failure, the nurse explains the idea of perfusion. Which assessment results lend credence to this idea?
Explanation:
The presence of paroxysmal nocturnal dyspnea (PND) supports the concept of perfusion in a client diagnosed with congestive heart failure (CHF). PND is a condition where the client experiences shortness of breath and coughing spells during sleep, usually several hours after lying down. This is due to the accumulation of fluid in the lungs, which is a common complication of CHF. PND occurs as a result of inadequate perfusion, which is the delivery of blood to the tissues and organs of the body.
The patient who was given an ST elevation myocardial infarction (STEMI) has acquired bilateral 2+ lower extremity edema, and all lung fields have crackles. Which one should the nurse start with?
Explanation:
The nurse should notify the health care provider (HCP) first because the client's symptoms indicate fluid overload, which may require immediate medical intervention.
The nurse is watching the client's laboratory results. Which laboratory test result can be used to diagnose a UTI?
Explanation:
The laboratory report that is diagnostic for a urinary tract infection (UTI) is a urine culture. A urine culture is a laboratory test that is used to identify the presence of bacteria in the urine. It is the most definitive diagnostic test for a UTI.
The essential hypertension patient, a 45-year-old man, has chosen not to take his medicine. The client's BP reading of 178/94 suggests a perfusion problem. Which query ought the nurse to put to the patient first?
Explanation:
Asking the client about the potential side effects of the medication is important, but it may not be the first question to ask. In this scenario, the client's blood pressure is significantly elevated, indicating a perfusion issue that requires prompt attention.
The nurse explains how a client admitted with atrial fibrillation relates to altered tissue perfusion. What treatments should the nurse carry out? Please check all that apply.
Please select 4 correct answers
The patient identified as having a myocardial infarction (MI) is being let go. Which instructions for discharge should the nurse give the patient?
Explanation:
The nurse should teach the client to discuss with the healthcare provider when it is safe to resume sexual activity after a myocardial infarction (MI). This is an important aspect of discharge teaching because the sexual activity may increase the workload on the heart and cause further complications if resumed too soon. The nurse should also instruct the client on the importance of adhering to prescribed medications, follow-up appointments, and lifestyle modifications such as a heart-healthy diet and regular exercise. The client should be advised to report any new or worsening symptoms immediately to the healthcare provider.