Med-Surg Cardiovascular and hematology
A nurse is planning care for a client who has thrombocytopenia. which of the following interventions should the nurse include in the plan of care? A. Restrict Fludis to 1000 mL/day B. Measure the client's abdominal girth daily C. Check IV site q4 hours for bleeding D. Administer an enema as needed for constipation
B. Measure the client's abdominal girth daily--> monitoring internal bleeding (most clients need 2000-2400 Ml fluids daily; check IV site q2 hours; no enema)
A nurse is assessing a client who has pericarditis. which of the following manifestations should the nurse expect? A. bradycardia w/ ST-segment depression B. Relief of chest pain w/ deep inspiration C. Dyspnea w/ hiccups D. Chest pain that increases when sitting upright
C. Dyspnea w/ hiccups
A client just learned that he has variant (Prinzmetal's) angina asks the nurse how this type of angina compares w/ stable angina. which of the following replies should the nurse make? A. Exertion often brings on Pain B. variant angina occurs randomly at various times C. variant angina can cause changes on your ECG D. reducing your cholesterol can help you experience less pain
C. Variant angina can cause changes on your ECG (Variant angina typically occurs with rest, at the same time of day)
a nurse is preparing an in-service presentation about the management of myocardial infarction (MI). Death following MI is often a result of which of the following complications?
Dysrhythmias
a nurse is teaching a client about dietary modifications to control BP. which of the following food choices should the nurse identify as an indication that the client understands the instructions?
Grilled Chicken salad w/ fresh tomatoes
a nurse is teaching a client who has iron-deficiency anemia. the nurse should encourage the client to increase her consumption of which of the following foods? A. Lentils B. avocados C. Cabbage D. Broccoli
Lentils
a nurse is preparing an in-service presentation about assessing clients who are having an acute MI. What is the most common assessment finding with acute MI?
Substernal Chest Pain
a nurse is reviewing the menu selections of a client who has heart failure and anticipates discharge to home the following day. which of the following lunch choices should the nurse identify as an indication that the client understands his dietary instrucitons?
turkey on whole-wheat bread
a nurse in a provider's office is reviewing the medical records of a group of clients. which of the following clients is at risk for iron deficiency? SATA
A client who is a vegetarian A client who is pregnant A toddler who is overweight