NUR 215 FINAL EXAM BLUEPRINT CORRECT QUESTIONS AND ANSWERS

NUR 215 FINAL EXAM BLUEPRINT

CORRECT QUESTIONS AND ANSWERS

MI

The nurse is caring for a client diagnosed with a myocardial infarction who is experiencing chest pain. Which interventions should the nurse implement? Select all that apply

a.     Administer morphine intramuscularly

b.    Administer aspirin orally

c.     Apply oxygen via a nasal cannula

d.    Administer nitroglycerin subcutaneously

The client diagnosed with a myocardial infarction is six hours post-right femoral percutanous transluminal coronary angioplasty (PTCA), also known as balloon surgery. Which assess- ment data would require immediate intervention by the nurse?

a.     The client is keeping the affected extremity straight

b.    The pressure dressing to the right femoral area is intact

c.     The client is complaining of numbness in the right foot

d.    The client's right pedal pulse is +3 and bounding

Which of the following actions is the first priority of care for a client exhibiting signs and symp- toms of coronary artery disease?

a.    Decrease anxiety

b.    Enhance myocardial oxygenation

c.    Obtain frequent vital signs

d.    Educate the client about his symptoms

Three weeks after his hospitalization for an acute myocardial infarction, a patient returns to the cardiac center for follow-up. When the nurse asks about his sleep patterns, the patient tells the nurse that he sleeps fine but that his wife moved into the spare bedroom to sleep when he re- turned home. He states: "I guess we will never have sex again after this". The nurse's best re- sponse to the patient is:

a.    Sexual intercourse will be too strenuous an your hear, but closeness and intimacy can be maintained with holding and cuddling

b.    You should discuss your questions about your sexual activity with your doctor since the activity it requires is a medical concern

c.    Sexual activity can be resumed whenever you and your wife feel like it. Most sexual re- sponse is emotional rather than physical

d.    Sexual activity can be gradually resumed like other forms of activity. A good com- parison of energy expenditure is climbing two flights of stairs