Question Phosphodiesterase Inhibitors Question & Answer Guide (With Explanation)

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Question 20 Phosphodiesterase inhibitors are contraindicated for use in clients with which conditions? a. All of the available answers b. Severe aortic and pulmonary valvular disease c. Severe aortic and mitral valvular disease d. Severe pulmonary and mitral valvular disease Question 21 The administration of Phosphodiesterase inhibitors such as Milrinone must be monitored closely like that of Digoxin. Monitoring needs that are similar between the two drugs include which of the following? a. i, iii, iv b. i, ii, iv Monitor weight for changes in fluid status Monitor client for arrhythmias Monitor client’s heart rate closely Monitor BP closely 4 c. ii, iii, iv d. i, ii, iii Question 22 Which statement is true about bone growth in children and adolescents? a. New boney tissue develops over the whole bone, increasing size uniformly b. An infant’s skeleton is made up mostly of cartilage until 3 months of age c. Increase in bone size contributes to a major portion of a child’s weight gain d. New tissue deposits increase bone diameter, lengthening occurs at epiphyses Question 23 What instructions can you give to a person when assessing Bruit during auscultation? a. Hold the breath during inspiration, exhale, and inhale again b. Inhale for 2 seconds, then exhale for 5 sec with pursed lip breathing c. Take a breath, exhale, and hold it briefly d. Inhale and exhale few times and say “Huff” Question 24 Your client has been diagnosed with hyperthyroidism and been given a prescription for Methimazole. When you provide health teaching, how long should you tell your client that it may take before the medication is fully effective? a. 6-12 weeks b. 10-14 weeks c. 4-6 weeks d. 2-4 weeks Question 25 The RPN Refresher student palpates the radial pulse and feels it irregular. How can the student verify the pulse deficit? a. Count radial pulse for 1 minute and then count respirations for full minute b. Call the MD and send the patient for STAT Electrocardiogram (ECG) c. Auscultate the apical pulse while simultaneously palpating the radial pulse d. Check the femoral; and popliteal pulses simultaneously to note a difference Question 26 Which statement correctly defines the fourth heart sound (S4)? a. Occurs at the end of the Diastole b. Occurs when atria contact and push blood to non-complaint ventricle c. Occurs at the time end of the Diastole and Occurs when atria contact and push blood to non-complaint ventricle d. Occurs at end of systole 5 Question 27 Which statement correctly defines the third heart sound S3? a. All of the available answers b. Occurs when the ventricles are resistant to filling during the early rapid phase c. Occurs when AV valves open and atrial blood first pours into the ventricles d. Occurs immediately after S2 Question 28 While you are completing your client’s abdominal examination, you notice a bruit over the aorta. How do you proceed? a. Notify the most responsible MD immediately b. Continue your examination as usual but document findings c. Stop the examination and document your findings. d. Continue examination but avoid palpating near aorta Question 29 Which statement is an example of accountability for nurses? a. The nurse asks a colleague to observe her first performance of a procedure b. The nurse witnesses a client signing a living will to specify DNR c. The nurses does not identify herself to a confused client because he’ll forget. d. The nurse instructs the client to report physical abuse by staff to the CNO Question 30 Nursing considerations when administering L-Thyroxine include which of the following? a. i, iii, iv b. i, ii, iii c. i, ii, iv d. ii, iii, iv Avoid giving with antacids Avoid grapefruit/grapefruit juice Monitor CBG levels in diabetics Can cause skeletal calcium depletion

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