Med-surg Exam 2
troponin
Serum cardiac marker studies are prescribed for a client after an MI. Which laboratory test is most important for the nurse to monitor?
ambulate early and frequently
a client hospitalized with thrombophlebitis asks how to prevent it from happening again. what should the nurse teach the client?
pain when exercising and thickening of the toenails
a client is admitted to the hospital with a recurrence of chronic arterial insufficiency of the legs. which clinical manifestations does the nurse expect to identify when performing an admission history and physical?
placing the report in the client's records because this is an expected finding
a client is being prepared for discharge. the lab report indicates that she has a wbc count of 9000. what is the next nursing action?
bleeding at the arterial puncture site
a client returns from a cardiac catheterization procedure and is to remain in the supine position for 4 hours with the affected leg straight. what are these measures intended to prevent?
supplemental oxygen
a client who just returned from surgery reports shortness of breath and chest pain. which should the nurse initially administer?
heart rate
a client with a history of coronary artery disease is admitted with pneumonia. the hcp prescribed atenolol. what should the nurse monitor to determine the therapeutic effect of atenolol?
to visualize the disease process in the coronary arteries
a client with a long history of cardiovascular problems, including angina and hypertension, is scheduled to have a cardiac catheterization. during preprocedure teaching, what does the nurse explain to the client is the major purpose for the catheterization?
prevention of chronic fatigue
a client with chronic kidney disease is receiving medication to manage anemia. which primary goal should the nurse include in the care plan from this information?
decreased pulse rate decreased edema diuresis
a client with left ventricular heart failure is taking digoxin 0.25 mg/day. what changes does the nurse expect to find if this medication is therapeutically effective?
iron sulfate
a client with upper GI bleeding develops mild anemia. what should the nurse expect to be prescribed for this client?
occipital headache in the morning
a nurse is assessing a client with the diagnosis of primary hypertension. which clinical finding does the nurse identify as an indicator of primary hypertension?
hemoglobin
during a yearly physical exam a cbc is performed to determine a client's hematologic status. which lab result will the nurse check?
dependent edema in the evening
the nurse is assessing a client with the diagnosis of chronic heart failure. which clinical findings should the nurse expect the client to experience?
multiple bruises fatigue pallor
a nurse is caring for an adult with newly diagnosed acute lymphoblastic leukemia. which clinical findings does the nurse anticipate when assessing the adult?
instruct the client to stay in bed
after abdominal surgery a client suddenly reports numbness in the right leg and a "funny feeling" in the toes. what should the nurse do first?
monitor apical pulse and blood pressure
what is the most essential nursing care for a client who just had a cardiac catheterization?
extreme fatigue difficulty breathing coughing at night
The nurse is planning to teach a client with heart failure about the signs and symptoms of cardiac decomposition. Which clinical manifestations should the nurse apply?
oral contraceptives can cause thrombophlebitis
a 28 year old woman seeks advice about oral contraceptives from the nurse in her company health office. what should the nurse tell her if she is a smoker?
vitamin b12 injections
a 60 year old client with gastric cancer has a shiny tongue, paresthesia of the limbs, and ataxia. the lab results show cobalamin levels of 125 pg/ml. which medication would the nurse consider to be a high priority for the client?
conduct a complete nutritional assessment of the client
a 78 year old client comes to the health clinic presents with fatigue. the client's lab results indicate a hematocrit of 32.1% and a hemoglobin of 10.5 g/dL. which is the most appropriate nursing intervention in response to these lab results?
pain occurs in the legs while walking because there is a lack of oxygen to the muscles
a client develops a nonhealing ulcer of a lower extremity and complains of leg cramps after walking short distances. the client asks the nurse what causes these leg pain. which would be the best response by the nurse?
ferritin level
a client develops iron-deficiency anemia. which of the client's lab results should the nurse expect to find decreased?
conjunctiva palms of hands nail beds
a client has been experiencing extreme fatigue lately. the nurse suspects anemia and examines the client to identify additional clinical manifestations to support this inference. which locations on the client's body should the nurse assess?
swollen hand and fingers right upper quadrant discomfort dependent edema
a nurse is caring for a client with a diagnosis of right ventricular heart failure. the nurse expects what assessment findings associated with right sided heart failure?
reports pain associated with exercise absence of hair on the toes
a nurse is completing the admission assessment of a client with peripheral arterial disease. which assessments will the nurse expect to observe?
cigarette smoking
a nurse is conducting a health class for adults in the community. what modifiable risk factor, most closely associated with the development of coronary heart disease in both men and women, should the nurse discuss?
it accesses myocardial ischemia and perfusion
a thallium scan is prescribed for a client with a history of chest pain. which information should the nurse include when explaining the purpose of the test to the client?
an expected effect of the dye used in the procedure
following a client's cardiac catheterization, the nurse identifies that the client's urinary output is three times the client's intake amount. The client is stable otherwise. the nurse concludes that what is the cause of the the increase in the client's urinary output?
partial gastrectomy
the nurse assesses a client for the development of pernicious anemia after reviewing the client's history. which condition did the nurse most likely find in the history?
increased total iron-binding capacity (TIBC)
the nurse is caring for a client with iron deficiency anemia that has decreased hemoglobin and hematocrit levels. the nurse expects to identify what other abnormal lab level?
wound culture
the nurse is preparing to initiate iv antibiotic therapy for a client who developed an infection along the incision after having a total knee replacement. before starting the first dose of iv antibiotics, which task should the nurse ensure has been completed?
i will avoid taking aspirin and NSAIDS
the nurse provides discharge medication education to a client who has been switched from a prescription for heparin to a prescription for warfarin sodium. which client statement indicates to the nurse that teaching was effective?
continues after rest and nitroglycerin
the nurse provides discharge teaching to a client with a history of angina. the nurse instructs the client to call for emergency services immediately if the client's pain exhibits which characteristic?
70 ml
the nurse was assessing an elderly client and recorded the pulse rate as 85. after assessment the nurse determined the cardiac output as 5950. what could be the approximate stroke volume?
check the pedal pulses
two hours after a cardiac catheterization that was accessed through the right femoral route, an adult client complains of numbness and pain in the right foot. what action should the nurse take first?
avoid emotionally stressful situations
what should the nurse suggest for a client with right ventricular failure?
the monitor will record any abnormal heart rhythms while I go about my usual activities
which client statement indicates an understanding of the nurse's instructions concerning a Holter monitor?
potassium of 7.02 mEq/L
which serum laboratory values in a client with urinary problems may indicate the risk of developing muscle weakness and cardiac arrhythmias?
redness in the affected area pain in the calf localized warmth in the lower extremity
while recovering from abdominal surgery a client develops thrombophlebitis. which clinical indicator of this complication should the nurse expect to identify when assessing the client?
