cadio med surg

a nurse is caring for a client who has peripheral vascular disease (PVD) and ulcers on the toes. which of the following findings of PVD is a risk factor for ulceration of the extremities a. insufficient skin care b. dehydration c. immobility d. impaired circulation

impaired circulation

a charge nurse observing a newly licensed nurse administered an IV medication to a client who has an implanted venous access port. which of the following observations requires intervention by the charge nurse?

a solution of 5ml heparin 1000 units/ml has been prepared

a nurse on a telemetry unit is caring for a client who has an irregular radial pulse. which of the following ECG abnormalities should the nurse recognize as atrial flutter a. A.P wave occurring at 0.16 seconds before each QRS complex (normal sinus rhythm) b. atrial rate of 300/min with QRS complex of 80/min c. ventricular rate of 82/min with an atrial rate of 80/min (ventricular ectopy: premature ventricular contractions) d. irregular ventricular rate of 125/min with a wide QRS pattern(ventricular tachycardia)

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

a nurse is providing teaching about lifestyle change to a client who experienced a myocardial infarction and has a new prescription for a beta blocker. which indicate understanding

before taking my medication, i will count my radial pulse rate

a nurse is assessing a client who has an abdominal aortic aneurysm. which of the following manifestations should the nurse expect?

lower back discomfort

a nurse is reviewing the medical record of a client who has heart failure. which of the following findings should the nurse expect a. BNP of 200 pg/ml b. bradycardia c. fluid restriction of 3 L per day d. 4g sodium diet

BNP of 200 pg/ml human B-type natriuretic peptide > 100 = heart failure

a nurse is caring for a client who has acute lymphocytic leukemia and reports a fever, chills, fatigue, and pallor over the past week. when checking the client's laboratory result's laboratory result, which of the following values should the nurse identify as contributing to the client fatigue and pallor?

Hgb 6.5 g/dl

a nurse is teaching a client who has iron-deficiency anemia. the nurse should encourage the client to increase consumption of which of the following foods a. beef liver b. orange c. turnips d. whole milk

beef liver

a nurse is teaching a client who has pernicious anemia.(vit B12-dairy, protein, poultry) the nurse should encourage the client to increase consumption of which of the following foods a. eggs b. squash c. kale d. tofu

eggs

a nurse is caring for a client who has femoral thrombophlebitis and a prescription for enoxaparin which of the following actions should the nurse take a. elevate the affected leg b. place the client on bed rest c. massage the affected leg d. administer aspirin for discomfort

elevate the affected leg

manifestation of hypertension

epistaxis(nose bleed) headache dizziness facial flushing fainting

a nurse is providing discharge teaching to a client who had a sickle cell crisis. which of the following statements indicates that the client understands the instructions?

physical activity is good for me, but i need to avoid overexertion drink 3-4l per day

the nurse is reviewing the progress notes for a client who has heart failure. the provider noted some improvement in the client's cardiac output. the nurse should understand that cardiac output reflects which of the following physiologic parameters

the heart rate times the stroke volume

a nurse is providing discharge teaching for a client who has a newly inserted permanent pacemaker. which of the following instructions should the nurse include in the teaching

keep your phone 6 inches away from your pacemaker when making a call

a nurse is caring for a client who is undergoing conservative treatment for deep-vein thrombosis. the client asks the nurse what will happen to the clot. which should the nurse say

your body has a process called fibrinolysis that will eventually dissolve the clot

a nurse is assessing a client who has peripheral vascular disease and a venous ulcer on the right ankle. which of the following findings should the nurse expect in the client's affected extremity a. absent pedal pulses b. ankle swelling c. hair loss d. skin atrophy

ankle swelling

a nurse is preparing to administer packed RBCs to a client who is anemic. which of the following action should the nurse take a. insert a 23-guage angiocatheter with an IV adaptor b. check to determine the packed RBCs are less than 1 week old c. administer the packed RBCs over 6 hr period d. ask another nurse to check the packed RBCs label against the medical record e. prime the transfusion tubing with 0.9 sodium chloride

check to determine the packed RBCs are less than 1 week old ask another nurse to check the packed RBCs label against the medical record e. prime the transfusion tubing with 0.9 sodium chloride

a nurse is teaching about low-cholesterol diet a. chicken breast and corn on the cob b. shrimps and rice c. cheese omelet and turkey bacon d. liver and onions

chicken breast and corn on the cob

a nurse is assessing a client who has left-sided heart failure. which of the following findings should the nurse expect. a. pitting peripheral edema (right-sided) b. crackles in the lungs bases (pulmonary congestion and edema) c. jugular vein distention(right-sided) d. hepatomegaly (right sided)

crackles in the lungs bases

a nurse is reviewing the laboratory findings of a client who has protein-calorie malnutrition. which of the following findings should the nurse expect

decreased albumin

a nurse is assessing a client who has right-sided heart failure. which of the following findings should the nurse expert a. decreased capillary refil b. dyspnea c. orthopnea d. dependent edema

dependent edema

a nurse in a clinic is assessing the lower extremities and ankles of a client who has a history of peripheral arterial disease.(claudification) which of the following findings should the nurse expect a. pitting edema (venous insufficiency) b. areas of reddish-brown (venous insufficiency) pigmentation c. dry, pale skin with minimal body hair d. sunburned appearance with desquamation

dry, pale skin with minimal body hair

a nurse is preparing as in-service presentation about the management of myocardial infarction (MI). death following MI is often a result of the following complications a. cardiogenic shock b. dysrhythmias c. heart failure d. pulmonary edema

dysrhythmias

Artherosclerosis

elevated ldl

a nurse is assessing a client who is 85 years old. which of the following finding should the nurse identify as manifestation of myocardial infarction. a. sudden hemoptysis ;b. acute diarrhea c. frontal headache d. acute confusion

acute confusion

a nurse is caring for a client who has a peripherally inserted central catheter (PICC) in place. which of the following actions should the nurse take when handling this central venous access device

flush the line with sterile 0.9 sodium chloride b4 and after medication administration access the PICC for blood sampling. perform a heparin flush of the line at least daily when not in use

a nurse is completing an assessment on a client. which of the following findings should the nurse identify as a risk factor for coronary artery disease a. hypothyroidism b. hypertension c. diabetes mellitus d. hyperlipidemia e. Tabacco smoking

hypertension diabetes mellitus hyperlipidemia tobacco smoking

a nurse is providing teaching to a client who has anemia and a new prescription for epoetin alpha. which of the following pieces of information should should the nurse include in the teaching?

hypertension is a common adverse effect of this medication

a nurse is assessing a client who has fluid volume overload from a cardiovascular disorder. which of the following manifestations should the nurse expect a. jugular vein distension b. moist crackles c. postural hypotension d. increased heart rate e. fever

jugular vein distension moist crackles increased heart rate

a nurse is caring for a client following a stroke. which of the following actions should the nurse take first. a. obtain coagulation laboratory studies from the client b. apply pneumatic compression boots to the client c. request a referral for a speech-language pathologist b. keep the client NPO

keep the client NPO: screened for the ability to swallow to prevent aspiration

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 administering a unit of packed red blood cells (RBCs) to a client who is postoperative. the client reports inching and hives 30 min after the infusion begins. which of the following actions should the nurse take first? a. maintain IV access with 0.9% sodium chloride b. stop the infusion of blood c. send the blood container the tubing to the blood bank d. obtain a urine sample

stop the infusion of blood

a nurse is preparing an in-service presentation about assessing client who are having an acute myocardial infarction (MI). what is the most common assessment finding with acute MI a. dyspnea b. pain in the shoulder and left arm c. substernal chest pain d. palpitations.

substernal chest pain

a nurse is showin a client who has right-sided heart failure an illustration of the heart. which of the following blood vessels carry deoxygenated blood to the right atrium a. right coronary artery-- carries oxygenated blood to the heart b. left carotid artery--supplies oxygenated blood to head and neck c. aorta---carries oxygenated blood away from the left side to the heart d. superior vena cava and inferior vena cava

superior vena cava/inferior

a nurse is caring for a client who has a demand pacemaker inserted with a set rate of 72/min. which of the following finding should the nurse expect

telemetry monitoring showing QRS complexes occurring at a rate of 74/min with no pacing spikes

a nurse is preparing an inservice presentation about the basics of hematology. which of the following factors provides a stimulus for the production of RBCS. a. venous stasis (activate platelets and stimulates blood clotting) b. thrombocytopenia c. inflammation (infection trigger the production of white blood cell) d. tissue hypoxia (the kidney release erythropoietin, which stimulates the production of RBCs in the bone marrow)

tissue hypoxia (the kidney release erythropoietin, which stimulates the production of RBCs in the bone marrow)

while participating in a community health fair, a nurse is providing information to a client who has a blood pressure of 150/90 mmHg during screening. which of the following actions should the nurse take?

give the client a written record of his BP to bring to his provider

a nurse is teaching a client about dietary modifications to control blood pressure. which of the following food choices should the nurse identify as an indication that the client understand the instruction a. onion soup with salad b. vegetarian wrap with potato chip c. grilled chicken salad and fresh tomatoes d. chicken bouillon and crackers

grilled chicken salad and fresh tomatoes

a nurse is assessing a client who has deep-vein thrombosis in her left calf. which of the following manifestations should the nurse expect to find? a. hardening along the blood vessel b. absence of a peripheral pulse (arterioles) c. tenderness in the calf d. cool skin on the leg (arterioles) e. increased leg circumference

hardening along the blood vessel . tenderness in the calf increased leg circumference

a nurse is caring for a client who has emphysema and chronic respiratory acidosis. the nurse should monitor the client for which of the following electrolytes imbalances a. hyperkalemia b. hyponatremia c. hypercalcemia (kidney failure and hyperthyroidism) d. hypomagnesemia (malnutrition alcohol use disorder, diarrhea)

hyperkalemia

a nurse is monitoring the electrocardiogram of a client who has hypocalcemia. which of the following findings should the nurse expect

prolong QT interval and laryngospasm. parenthesis: tingling, numbness, tetany, seizure

a nurse is monitoring a client who had a myocardial infarction. for which of the following complications should the nurse monitor in the first 24 hr a. infective endocarditis b. pericarditis c. ventricular dysrhythmias d. pulmonary emboli

ventricular dysrhythmias

a nurse is caring for a client who has scurvy (delay wound healing). which of the following vitamin deficiencies should the nurse identify as the cause of this disease a. vitamin A--night blindness b. vitamin B3-pellagra-scaly rash c. vitamin c d. vitamin d-- ricket/osteomalacia

vitamin c

a nurse is teaching a client who has polycythemia vera about self-care measures. which of the following interventions should the nurse include a. drink at least 1 litter of fluid each day (3L) b. continuously wear support hose (just when awake) c. elevate your legs when sitting d. use dental floss daily

elevate your leg when sitting

a nurse is caring for a client who has a major burn injury and is experiencing third spacing. which of the following fluid or electrolyte imbalances should the nurse expect? a. hypokalemia b. hypernatremia c. elevated HCT (vascular dehydration) d. decreased Hgb

elevated HCT (vascular dehydration)

a nurse is assessing a client who has heart failure and is taking daily furosemide. the client's apical pulse is weak and irregular. the nurse shoulld identify these findings as manifestations of which of the following electrolytes imbalance

hypokalemia

a nurse is completing dietary teaching with a client who has heart failure and is prescribed a 2g sodium diet. which of the following statements by the client indicates an understanding of the teaching? a. i should use salt sparingly while cooking b. i can have yogurt as a dessert c. i should use baking soda when i bake d. i should use canned vegetables instead of frozen

i can have yogurt as a dessert

a nurse is providing teaching for a client who has a prescription for a low-sodium diet to manage hypertension. which of the following statements by the client indicates an understanding of the teaching a. i can snack on fresh fruit b. i can continue to eat lunchmeat sandwiches c. i can have cottage cheese with my meals d. canned soup is a good luch option

i can snack on fresh fruit

a nurse is providing discharge teaching to a client who had a new permanent pacemaker. which of the following statements by the client indicates an understanding of the teaching?

i should check my heart rate at the same time each day

a nurse is providing discharge teaching to a client who has aplastic anemia. which of the following statement indicates that the client understand the instruction

i should eliminate uncooked foods from my diet for now to avoid infection avoid aspirin to prevent infection

a nurse is teaching a client with heart disease about a low-cholesterol, diet. which of the following client statement indicates teaching was effective a. i should remove the skin from poultry b4 eating it b. i will eat seafood once per week c. i should use margarine when preparing meals d. i can use whole milk in my oatmeal

i should remove the skin from poultry b4 eating it

a nurse is caring for a client who is undergoing treatment for hypertension. which of the following statements indicates that the client is adhering to the treatment plan

i would neve have believed i could enjoy my food without salt

a nurse is completing a medication history for a client who report using fish oils as a dietary supplement. which of the following substances in fish oil should the nurse recognize as a health benefit to the client a. omega-3 fatty acids b. antioxidants c. vitamin A, D, and C d. Beta-carotene

omega-3 fatty acids

a nurse is reveiewing the menu selections of a client who has heart failure and anticipate discharge to home the following day. which of the following lunch choices should the nurse identify as an indication that the client understand his dietary instructions a. turkey or whole wheat bread b. hamburger and french fries c. frankfurter on a white roll d. macaroni and cheese

turkey or whole wheat bread

a nurse is monitoring a client for reperfusion following thrombolytic therapy to treat acute myocardial infarction (MI). which of the following indicators should the nurse identify to confirm reperfusion? a. ventricular dysrhythmias b. appearance of Q waves c. elevated ST segments d. recurrence of chest pain

ventricular dysrhythmias

a nurse is caring for a client who has an abdominal aortic aneurysm and is scheduled for surgery. the client vital signs and blood pressure 160/98 mmHg, heart rate 102/min, respirations 22/min, spO2 95%. which of the following actions should the nurse take a. administer antihypertensive medication for blood pressure b. monitor to ensure the client's urinary output is 20ml.hr c. withhold pain medication to prepare the client for surgery d. take the client's vital signs every 2 hr

administer antihypertensive medication for blood pressure

a nurse is caring for a client who has thrombocytopenia and develops epistaxis. which of the following actions should the nurse take a. have the client gently blow clots from the nose every 5 min b. instruct the client to sit with his head hyperextended c. apply ice compresses to the back of the client neck d. apply lateral pressure to the client's nose for 10 min

apply lateral pressure to the client's nose for 10 min

a nurse is preparing an automated external defibrillator (AED) for a client receiving CPR after a cardiac arrest. which of the following actions should the nurse perform first? a. press the analyze button on the machine b. stop CPR and move away from the client c. push the charge button to prepare to shock d. apply the defibrillation pads to the client's chest

apply the defibrillation pads to the client's chest

a nurse is caring for a client who has an upper gastrointestinal bleed and a hematocrit of 24%. prior to initiating a transfusion of packed red blood cell (RBCs), which of the following actions should the nurse take? a. assess and document the client's vital signs b. restart the IV with a 22-guage needle c. verify with another nurse the blood type and RH of the packed RBCs d. hang a bag of lactated ringer's IV solution e. change IV tubing to a set that has a filter

assess and document the client's vital signs . verify with another nurse the blood type and RH of the packed RBCs. change IV tubing to a set that has a filter

a nurse is assessing a client who had coronary artery bypass grafts for cardiac tamponade. which of the following actions should the nurse take a. check for hypertension b. auscultate for loud bounding heart sounds c. auscultate blood pressure for pulsus paradoxus d. check for a pulse deficit

auscultate blood pressure for pulsus paradoxus

a nurse is planning care for a client who has acute myelogenous leukemia and a platelet count of 48,000/mm3. which of the following interventions should the nurse include?

avoid IM injection: avoid anything that will increase risk of bleeding

a nurse is examining the ECG of a client who has hyperkalemia and pericarditis which of the following ECG changes should the nurse expect a. elevated ST segments b. absent P wave (atrial fibrillation and sustained ventricular tachycardia) c. depressed ST segment (hypokalemia and ventricular hypertrophy) d. varying PP intervals (irregular atrial rate and rhythm)

elevated ST segments

a nurse is providing discharge teaching to an adult female client who has infective endocarditis about how to prevent recurrence. which of the following statement by the client indicates an understanding of the teaching. a. i will ask my provider to change my contraception to an intrauterine device b. i will notify my doctor before i have dental procedure c. i will avoid using antiseptic mouthwash for oral care d. i will wear a mask when i go out in public

i will notify my doctor before i have dental procedure

a nurse is monitoring a client who has heart failure related to mitral stenosis. the client reports shortness of breath on exertion. which of the following condition should the nurse expect a. increase cardiac output b. increased pulmonary congestion c. decreased left atrial pressure d. decreased pulmonary artery pressure

increased pulmonary congestion

a nurse is planning care for a client who has pernicious anemia. which of the following interventions should the nurse include in the plan

initiate weekly injections of vitamin B12. and then decrease the injections to a monthly schedule.

a nurse is reviewing laboratory values for an adult client who has sickle cell anemia and a history of receiving blood transfusions. for which of the following complications should the nurse monitor?

iron toxicity (hemosiderosis excess iron)

a nurse is assessing a client who is receiving a unit of whole blood. which of the following findings should the nurse identify as a manifestation of a hemolytic transfusion reaction? a. bradycardia b. paresthesia c. hypertension d. low back pain

low back pain headache chest pain tachypnea, tachycardia hypotenson dark urine

a nurse is planning care for a client who has thrombocytopenia. which of the following interventions should the nurse include in plan of care a. restrict fluids to 1000 ml per day b. measure the clients abdominal girth daily c. check IV sites every 4 hr for bleeding----(2 hrs instead) d. administer an enema as needed for constipation

measure the clients abdominal girth daily

a nurse is planning care for a client who is having a percutaneous transluminal coronary angioplasty (PTCA) with stent placement. which of the following actions should the nurse anticipate in the post-procedure plan of care

monitor for bleeding (client is administered heparin during the procedure

a nurse is examining the ECG of a client who has frequent premature ventricular contractions (PVCs). which of the following QRS changes should the nurse expect to see on the client's ECG?

much greater amplitude than the usual QRS complexes

a nurse is caring for a client who is having a possible myocardial infarction (MI). which of the following findings should the nurse identify as an associated manifestation of an MI a. headache b. hemoptysis (coughing up blood) c. nausea d. diarrhea

nausea

a nurse is teaching a client who has coronary artery disease about the difference between angina pectoris and myocardial infarction (MI). which of the manifestations should the nurse identify as indications of MI a. nausea and vomiting b. diaphoresis and dizziness c. chest and left arm pain that subsides with rest (angina) d. anxiety and feelings of doom e. bounding pulse and bradypnea

nausea and vomiting b. diaphoresis and dizziness anxiety and feelings of doom

a nurse is examining the ECG of a client who is having an acute myocardial infarction. the nurse should identify that the elevated ST segments on the ECG indicate which of the following alterations a. necrosis b. hypokalemia c. hypomagnesemia d. coronary insufficiency (ventricular tachycardia)

necrosis

a nurse is caring for an older adult client who had an acute myocardial infarction (MI). when assessing this client, the nurse should identify that older adult are prone to complications of MI from poor tissue perfusion because of which of the following age-related factors a. peripheral vascular resistance increases b. the sensitivity of blood pressure-adjusting baroreceptors increases c. blood is hypercoagulable and clots more quickly d. cardiac medications are less effective

peripheral vascular resistance increases

a nurse is assessing a client for manifestations of aplastic anemia. which of the following 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

a client who has thrombocytopenia ask the nurse why platelets are so important. which of the following responses should the nurse make a. platelets help the body fight infection b. platelet help break down clots in the body (plasmin) c. platelet plug breaks in blood vessels d. platelet produce the molecules that carry oxygen

platelet plug breaks in blood vessels

a nurse is caring for a client who is postoperative following vein ligation and stripping for varicose veins. which of the following actions should the nurse take?

position the client supine with his legs elevated above his heart when in bed. -exercise 5-10min every hr -wear graduated compression stockings for up to 1 week after surgery

a nurse is caring for a client with heart failure whose telemetry reading display a flattening of the T wave or U waves which of the following laboratory 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 9.8g/dl (tachycardia) d. calcium 8.0 mg

potassium 2.8 mEq/l

a nurse is caring for a client who has hemophilia.(a bleeding disorder in which blood clots slowly and abnormal bleeding occurs caused by a deficiency in the most common clotting factors) the client reports pain and swelling in a joint following an injury. which of the following actions should the nurse take?

prepare for replacement of the missing clotting factor

a nurse is reviewing a client's repeat laboratory results 4 hr after administering fresh frozen plasma (FFP). which of the following laboratory result should the nurse review a. prothrombin time b. wbc count c. platelet count d. hematocrit

prothrombin time

a nurse is transfusing a unit of B-positive fresh frozen plasma to a client whose blood type is O-negative. which of the following actions should the nurse take?

remove the unit of plasma immediately and start an IV infusion of normal saline solution (hemolytic transfusion reaction)

a nurse is assessing a client who has an abdominal aortic aneurysm (AAA). which of the following findings indicates that the AAA is expanding a. increased BP and decreased pulse rate b. jugular vein distension and peripheral edema c. report of sudden severe back pain d. report retrosternal chest pain radiating to the left arm

report of sudden severe back pain

a nurse is assessing a client who has late-stage heart failure and is experiencing fluid volume overload. which of the following findings should the nurse expect a. weight gain of 1 kg (2.2lb) in 1 day b. pitting edema +1 c. client report of a nocturnal cough d. B-type natriuretic peptide (BNP) level of 100 pg/ml

weight gain of 1 kg (2.2lb) in 1 day

a nurse is preparing a client for a bone-marrow biopsy. which of the following pieces of information should the nurse include in preoperative teaching

you will feel a painful sensation when the doctor withdraws the marrow

a nurse is preparing a client for cardiac catheterization. which of the following pieces of information should the nurse give the client before the procedure? a. you will have to lie flat for several hours after the procedure b. you will receive medication to relax you before the procedure c. you will fell a cool sensation after the injection of the dye d. you will have to keep your leg straight after the procedure e. you will have to limit the amount of fluid you drink for the first 24 hr

you will have to lie flat for several hours after the procedure. you will receive medication to relax you before the procedure. you will have to keep your leg straight after the procedure

a nurse is assessing a client who has isotonic dehydration. which of the following findings should the nurse expect

increased hematocrit level

a nurse is assessing the hematologic system of an older adult client. the nurse should report which of the following findings to the provider as a possible indication of a hematologic disorder a. pallor b. jaundice c. absence of hair on the legs d. poor nailbed capillary refil

absence of hair on the legs

a nurse is rewarming a client following coronary artery bypas graft (CABG) surgery. for which of the following complications of the rewarming process should the nurse monitor the client a. acidosis b. infection c. hypertention d. cardiac tamponade-result from bleeding inside the pericardium

acidosis -metabolic acidosis with hypoxia occur if client rewarm to quickly

a nurse is admitting a client who is in sickle cell crisis. besides pain management, which of the following interventions should the nurse include in the client plan of care. a. flexion of the extremities b. therapeutic hypothermia c. upright positioning d. ample hydration

ample hydration

a nurse is caring for a client who has a platelet count of 50000/mm3. after discontinuing the client's peripheral IV site, which of the following actions should the nurse take a. apply warm compresses b. apply pressure to the catheter removal site for 5 min c. place the affected arm in a dependent position d. clean the insertion site with alcohol

apply pressure to the catheter removal site for 5 min. (this promotes coagulation and prevent additional blood loss)

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 (select all that apply) a. client who is postmenopausal b. a client who is a vegetarian c. a middle adult male client d. a client who is pregnant d. a toddler who is overweight

b. client who is vegetarian d. a client who is pregnant e. a toddler who is overweight

a nurse is assessing for disseminated intravascular coagulation (DIC) in a client who has septic shock secondary to an untreated foot wound. which of the following findings should the nurse expect a. bradycardia b. bleeding at the venipuncture site c. petechiae on the chest and arms d. flushed, dry skin e. abdominal distension

bleeding at the venipuncture site c. petechiae on the chest and arms abdominal distension

a nurse is completing an assessment for a client who has a history of unstable angina. which of the following findings should the nurse expect? a. chest pain is relieved soon after resting b. nitroglycerin relieves chest pain c. physical exertion does not precipitate chest pain d. chest pain last for longer than 15 min

chest pain last for longer than 15 min

a nurse is caring for a client who report calf pain. what is the first action the nurse should take a. notify the provider b. elevate the affected extremity c. check the affected extremity for warmth and redness d. prepare to administer unfractionated heparin

check the affected extremity for warmth and redness

a nurse is caring for a client who is receiving IV ampicillin and develops urticaria and dyspnea. which should the nurse do first a. elevate the client feet and leg b. administer epinephrine c. infuse 0.9 sodium chloride d. stop the medication infusion

stop the medication infusion

a nurse is caring for a client who had a myocardial infarction (left-sided heart failure) 5 days ago. the client has a sudden onset of shortness of breath and begins coughing frothy, pink sputum. the nurse auscultates loud, bubbly sounds on inspiration. which of the following adventitious breath sounds should the nurse document a. coarse crackles b. wheezes c. rhonchi d. friction rub

coarse crackles

Atherosclerosis

condition in which fatty deposits called plaque build up on the inner walls of the arteries

a client is planning care for a client during a sickle cell crisis. which of the following interventions should the nurse include in the clients plan of care?

encourage increased fluid to avoid viscosity of the blood

a nurse is assessing a client who has pericarditis . which of the following manifestation 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 and nonproductive cough

a nurse is reviewing the laboratory results of a client who has end-stage renal disease and reports fatigue. the client's hemoglobin level is 8 g/dl. the nurse should expect a prescription for which of the following medication? a. erythropoietin b. erythromycin c. filgrastim d. calcitriol (hypocalcemia who have chronic kidney disease )

erythropoietin

a nurse is providing information to a client who is scheduled for an exercise electrocardiography test. which of the following client statement indicates an understanding of the teaching a. i will not drink coffee 4 hr prior to my test b. i can eat a light meal 1 hr prior to the test----2hr c. i can have a cigarette up to 30 min prior to the test d. i will take my heart medication on the day of the test

i will not drink coffee 4 hr prior to my test

a nurse is teaching a 70 year old client about risk factors for heart failure. the client has mild asthma, diabetes mellitus, and coronary artery disease. which of the statetment by client indicate understanding (risk of heart failure increase with age)

my coronary artery disease is a risk factor for heart failure

a nurse is checking paradoxical blood pressure of a client who has a possible cardiac tamponade. in what order should the nurse complete the following steps

palpate the blood pressure and inflate the cuff above the systolic pressure deflate the cuff slowly and listen for the first audible sounds identify the first BP sounds audible on expiration and then on inspiration substract the inspiratory pressure from the expiratory pressure. inspect the jugular venous distention and notify the provider

a nurse is assessing a client who has pernicious anemia. which of the following findings should the nurse expect? a. thick, white coating on the client's tongue b. decreased pulse rate c. paresthesia's in the hands and feet d. joint pain in the extremities

paresthesia's in the hands and feet

a nurse is assessing a client who is receiving a transfusion of packed red blood cells (RBCS). which of the following findings should the nurse identify as an indication of an acute intravascular hemolytic reaction a. severe hypertension b. low body temperature c. sudden oliguria d. decreased respirations

sudden oliguria

a nurse observes tachycardia, dyspnea, cough, and distended neck veins in a client who is receiving transfusion of packed red blood cells (PRBc). which of the following interventions should the nurse use to prevent these manifestations with the client's nest transfusion

use a transfusion pump to regulate and maintain the transfusion at a slower rate

a client who just learned that he has variant (prinzmetal's )angina asks the nurse how this type of angina compares with stable angina. which reply correct a. exertion often brings on pain b. variant angina occurs randomly at various times ---with rest instead, same time every day c. variant angina can cause changes on your electrocardiogram d. reducing your cholesterol can help you experience less pain---vasospasm not atherosclerosis

variant angina can cause changes on your electrocardiogram

a nurse is caring for a client who has a new diagnosis of pernicious anemia. the nurse should expect the client's provider to prescribe which of the following medications for this client a. ferrous sulfate b. epoetin alfa c. vitamin B12 D. folic acid

vitamin B12

what to do first before giving blood

witness the informed consent document