Cardio/Hemo

Caring for a client who is in hypovolemic shock. While waiting for a unit of blood, the nurse should administer which of the following IV solutions? A. 0.45% sodium chloride B. dextrose 5% in 0.9% sodium chloride C. dextrose 10% in water D. 0.9% sodium chloride

0.9% sodium chloride

Preparing to transfuse 250 mL of packed RBCs to a client over 4 hr. Blood admin set is available that delivers 10 gtt/mL

10 gtt/min

Caring for a client who has an abd aortic aneurysm and is scheduled for surgery. Clients vital signs are BP 160/98 mmHG, HR 102/min, RR 22/min, SpO2 95%. which action should the nurse take? A. administer antihypertensive medication for BP B. Monitor to ensure client's urinary output 20 ml/hr C. withhold pain medication to prepare the client for surgery D. take the client's vital signs Q2hr

Administer antihypertensive medication for blood pressure

Nurse on a telemetry unit is caring for a client who has an irregular radial pulse. Which ECG abnormalities should the nurse recognize as atrial flutter? A. P waves occurring at 0.16 seconds before each QRS complex B. atrial rate of 300/min with QRS complex of 80/min C. ventricular rate of 82/min w/an atrial rate of 80/min D. irregular ventricular rate of 125/min w/wide QRS pattern

Atrial rate of 300/min with QRS complex of 80/min

Providing teaching about lifestyle changes to a client who experienced a myocardial infarction and has a new prescription for a beta blocker. Which client statements indicates an understanding of the teaching? A. I should eat foods that are high in saturated fats B. before taking my medication, I will count my radial pulse rate C. I will exercise once a wk for an hour at the health club D. I will stop taking my medication when my blood pressure is within a normal range

Before taking my medication, I will count my radial pulse rate

Caring for a client who had a myocardial infarction 5 days ago. Client has a sudden onset of SOB and begins coughing frothy, pink sputum. Nurse osculates loud, bubbly sounds on inspiration. which adventitious breath sounds should the nurse document? A. coarse crackles B. wheezes C. rhonchi D. friction rub

Coarse crackles

Assessing a client who has right-sided heart failure. Which of the following findings should the nurse expect? A. decreased capillary refill B. dyspnea C. Orthopnea D. Dependent edema

Dependent edema

Nurse in a clinic is assessing the lower extremities and ankles of a client who has a Hx of peripheral arterial disease. Which findings should the nurse expect? A. pitting edema B. areas of reddish brown pigmentation C. dry, pale skin w/minimal body air D. sunburned appearance w/ desquamation

Dry, pale skin with minimal body hair

Planning care for a client who as pernicious anemia. Which interventions should the nurse include in the plan? A. administer ferrous sulfate supplementation B. increase dietary intake of folic acid C. initiate weekly injections of vitamin B 12 D. initiate a blood transfusion

Initiate weekly injections of vitamin B12

Reviewing lab values for an adult client who has sickle cell anemia and a Hx of receiving blood transfusion. which of the following complications should the nurse monitor? A. hypokalemia B. lead poisoning. C. Hypercalcemia. D. Iron toxicity

Iron toxicity

Completing a medication Hx for a client who reports using fish oil as a dietary supplement. Which substances in fish oil should the nurse recognize as a health benefit to the client? A. Omega 3 fatty acids B. antioxidants C. vitamins A D C D. beta carotene

Omega 3 fatty acids

Assessing. client for manifestations of aplastic anemia. Which findings should the nurse expect? A. plethoric appearance of facial skin B. glossitis and weight loss C. jaundice with an enlarged liver D. petechiae and ecchymosis

Petechiae and ecchymosis

Caring for a client w/ heart failure whose telemetry reading displays a flattening of the T wave. Which lab results should the nurse anticipate as the cause of this ECG change? A potassium 2.8 mEq/L B. digoxin level 0.7 ng/mL C. hemoglobin 9.8 g/dL D. calcium 8.0 mg

Potassium 2.8 mEq/L

Caring for a client who has hemophilia. Client reports pain and swelling in a joint following an injury. Which actions should the nurse take? A. obtain blood samples to test platelet function B. prepare for replacement of the missing clotting factor. C. administer aspiring for the client's pain D.place the bleeding joint in the dependent position

Prepare for replacement of the missing clotting factor

Reviewing a client's repeat laboratory results 4 hr after administering fresh frozen plasma (FFP). Which of the following laboratory results should the nurse review? A. Prothrombin time B. WBC count C. Platelet count D. Hematocrit

Prothrombin time

Caring for a client who has a demand pacemaker inserted w/a set rate of 72/min. Which findings should the nurse expect? A. Telemetry monitoring showing QRS complexes occurring at a rate of 74/min with no pacing spikes B. premature ventricular complexes as 12/min C. Telemetry monitoring showing packing spikes w/no QRS complexes D. Hiccups

Telemetry monitoring showing QRS complexes occurring at a rate of 74/min with no packing spikes

Monitoring a client who had a myocardial infarction. Which complication should the nurse monitor in the first 24 hr A. infective endocarditis B. pericarditis C. ventricular dysrhythmias D. pulmonary emboli

Ventricular dysrhythmias

Preparing to transfuse a unit of packed RBCs for a client who has anemia. Which of the following actions should the nurse take first? A. Hang an IV infusion of 0.9% sodium chloride with the blood B. compare the client's identification number w/number on the blood C. witness the informed consent document D. obtain pretransfusion vital signs

Witness the informed consent document

Completing an assessment for a client who has a Hx of unstable angina. wHich findings should the nurse expect? A. chest pain is relieved soon after resting B. nitroglycerin relieves chest pain C. physical exertion doesn't precipitate chest pain D. chest pain lasts for longer than 15 min

chest pain lasts for longer than 15 min

Assessing a client who has pericarditis. Which manifestations should the nurse expect? A. bradycardia with ST-segment depression B. relief of chest pain with deep inspiration C. dyspnea with hiccups D. chest pain that increases when sitting upright

dyspnea with hiccups

Providing teaching to a client who has anemia and a new prescription for epoetin alfa. which pieces of information should the nurse include in the teaching? A. hospitalization is required when administering each treatment B. the maximum effect of the medication will occur in 6 months C. hypertension is a common adverse effect of this medication D. blood transfusions are needed with each treatment

hypertension is a common adverse effect of this medication

monitoring a client who has heart failure related to mitral stenosis. Client reports SOB on exertion. Which conditions should the nurse expect? A. increased cardiac output B. increased pulmonary congestion C. decreased left atrial pressure D. decreased pulmonary artery pressure

increased pulmonary congestion

Assessing a client who has fluid volume overload from a cardiovascular disorder. which manifestations should the nurse expect? Select all A. jugular vein distension B moist crackles C. postural hypotension D. increased HR E. fever

jugular vein distention, moist crackles, increased heart rate

Assessing a client who has an abdominal aortic aneurysm. Which manifestations should the nurse expect? A. midsternal chest pain B. thrill C. pitting edema in lower extremities D. lower back discomfort

lower back discomfort

Planning care for a client who is having a percutaneous transluminal coronary angioplasty (PTCA) with stent placement. which actions should the nurse anticipate in the post procedure plan of care A. instruct the client about a long term cardiac conditioning program B. administer scheduled doses of acetaminophen C. check for peak lab markers of myocardial damage D. monitor for bleeding

monitor for bleeding

Caring for a client who is postoperative following vein ligation and stripping for varicose veins. Which actions should the nurse take? A. position the client supine w/his legs elevated when in bed B. encourage the client to ambulate for 15 min Q hr while awake for the first 24 hr. C. tell the client to sit w/his legs dependent after ambulating D. instruct the client to wear knee-length socks

position the client supine w/his legs elevated when in bed

Transfusing a unit of B positive fresh frozen plasma to a client whose blood type is O neg. which actions should the nurse take? A. continue to monitor for manifestations of a transfusion reaction B. remove the unit of plasma immediately and start an IV infusion of normal saline solution C. continue the transfusion and repeat the type of crossmatch D. prepare to administer a dose of diphenhydramine IV

remove the unit of plasma immediately and start an IV infusion of normal saline solution

Administering a unit of packed RBCs to a client who is postoperative. Client reports itching and hives 30 min after the infusion begins. Which actions should the nurse take first? A. maintain IV access w/0.9% sodium chloride B. stop the infusion of blood C. send the blood container and tubing to the blood bank D. obtain a urine sample

stop the infusion of blood

Assessing a client who has late stage heart failure and is experiencing fluid volume overload. wHich findings should the nurse expect? A. weight gain of 1 kg in 1 day B. pitting edema +1 C. client report of a nocturnal cough D. B type natriuretic peptide level of 100 pg/mL

weight gain of 1 kg in 1 day