physical exam cardiovascular system Physical Exam Cardiovascular System - Nursing Elites
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Nursing Elites

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Physical Exam Cardiovascular System

1. A client on an ACE inhibitor reports a persistent cough. What is the nurse’s best response?

Correct answer: B

Rationale: The correct answer is B. A persistent cough in a client on an ACE inhibitor may indicate a serious side effect that requires discontinuation of the medication. Instructing the client to report the cough to the healthcare provider is essential for proper evaluation and management. Choice A is incorrect because simply reassuring the client may delay necessary action. Choice C is incorrect as using a humidifier may not address the underlying cause of the cough. Choice D is incorrect because taking a cough suppressant without healthcare provider guidance may mask symptoms without addressing the cause.

2. What is a condition where the lung's air sacs (alveoli) are damaged and enlarged, leading to breathlessness?

Correct answer: A

Rationale: Emphysema is the correct answer. It is a condition where the air sacs in the lungs are damaged and enlarged, leading to breathlessness. Chronic bronchitis is characterized by inflammation of the bronchial tubes, not the alveoli. Asthma involves airway inflammation and constriction, not alveolar damage. Pulmonary fibrosis is a condition where lung tissue becomes thickened and scarred, different from the alveolar damage seen in emphysema.

3. The nurse is administering digoxin to a client with a heart rate of 45 bpm. What is the nurse’s priority action?

Correct answer: A

Rationale: The correct answer is to hold the digoxin and notify the healthcare provider. A heart rate of 45 bpm is already low, and digoxin can further decrease the heart rate, leading to serious complications like bradycardia or heart block. Administering the medication can exacerbate the bradycardia, hence it should be withheld. Increasing the dose of digoxin is contraindicated due to the client's low heart rate. Monitoring the heart rate alone without taking immediate action to withhold the medication is not the priority when faced with the risk of further lowering the heart rate.

4. What type of therapy delivers high concentrations of oxygen to the lungs?

Correct answer: A

Rationale: Oxygen therapy is the correct answer because it specifically refers to a treatment that delivers high concentrations of oxygen to the lungs. This therapy is used for patients who require additional oxygen due to conditions affecting their breathing. Ventilator therapy (B), mechanical ventilation (C), and CPAP therapy (D) involve different mechanisms and purposes than delivering high concentrations of oxygen to the lungs.

5. Which type of lung cancer begins in the cells lining the bronchi and bronchioles?

Correct answer: A

Rationale: Adenocarcinoma is the correct answer because it is a type of lung cancer that originates in the cells lining the bronchi and bronchioles. Adenocarcinoma is one of the most common types of lung cancer, often found in non-smokers and more frequently in women. Small cell lung cancer (Choice B) typically starts in the bronchi, but it is characterized by its rapid growth and tendency to spread quickly. Squamous cell carcinoma (Choice C) usually begins in the squamous cells lining the bronchi and is strongly associated with smoking. Mesothelioma (Choice D) is a cancer that affects the lining of certain organs like the lungs, often caused by asbestos exposure, but it does not specifically start in the cells lining the bronchi and bronchioles.

Similar Questions

The client on digoxin has a potassium level of 3.0 mEq/L. What is the nurse’s priority action?
The nurse is administering a beta blocker to a client with a heart rate of 50 bpm. What is the priority action?
Which of the following is a type of heart attack that occurs when the blood supply to part of the heart muscle is severely reduced or stopped?
Which neurotransmitter released by the parasympathetic nervous system can decrease heart rate?
What is the condition where a blood clot blocks an artery in the lungs, causing shortness of breath, chest pain, and other symptoms?
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