NR 324 Final Exam Review Practice Questions

A nurse is teaching a client who has a duodenal ulcer and a new prescription for esomeprazole. Which of the following should be included in the teaching?

-Take the medication 1 hr before a meal. -Limit NSAIDs when taking this medication.

A nurse is completing an admission assessment of a client who has a small bowel obstruction. Which of the following findings should the nurse report to the provider?

-Urine specific gravity 1.040 -Hematocrit 60% -Serum potassium 3.0 mEq/L

A nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following statements should the nurse make?

"A headache is an expected adverse effect of the medication."

A nurse is providing teaching to a client about a new prescription for clotrimazole. Which of the following should the nurse include in the teaching?

"Apply the topical medication for up to 2 weeks."

A nurse is teaching a client who has a new diagnosis of pernicious anemia due to chronic gastritis. Which of the following should be included in the teaching?

A monthly injection of medication (B12) is required.

A nurse is providing discharge instructions to a client who has active tuberculosis which of the following information should the nurse include in the instructions?

A nurse is providing discharge instructions to a client who has active tuberculosis which of the following information should the nurse include in the instructions

A nurse is assessing a client who has been taking prednisone following an exacerbation of inflammatory bowel disease (IBD). Which of the following assessment findings is the highest priority?

Client reports having a sore throat

A nurse is presenting a community education program on recommended lifestyle changes to prevent angina and myocardial infarction. Which of the following changes should the nurse recommend be made first?

Smoking Cessation

A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile dysfunction. Which of the following statements should the nurse make?

You will not be able to use sildenafil if you are taking nitroglycerin. The client should not use sildenafil when taking nitroglycerin because both medications can cause vasodilation and lead to significant hypotension

A nurse is providing discharge teaching for a client who has a prescription for furosemide 40 mg PO daily. What time of day should the nurse encourage the client to take this medication?

"I should eat a lot of fruits and vegetables, especially bananas and potatoes."

A nurse is instructing a client who has angina about a new prescription for metoprolol tartrate. Which of the following statements by the client indicates understanding of the teaching?

"I will call my doctor if my pulse rate is less than 60."

A nurse is completing teaching to a client who has a new prescriptions for famotidine. Which of the following statements by the client indicates understanding of the teaching?

"I will take my pill at meal time."

A client asks a nurse, "Why am I taking nitroglycerin?" Which of the following is the best response by the nurse? a. "Nitroglycerin relieves nausea and prevents vomiting which could lead to aspiration." b. "Nitroglycerin decreases chest pain by dissolving blood clots that are occluding the arteries." c. "Nitroglycerin acts as a bronchodilator to open small airways and decrease shortness of breath." d. "Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart."

"Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart."

A nurse is admitting a client who reports nausea, vomiting, and weakness. Upon assessment, the client has dry oral mucous membranes, temperature 38.5C (101.3F), pulse 92/min, respirations 24/min, skin cool with tenting present, and blood pressure 102/64 mm Hg. His urine is concentrated with a high specific gravity. Which of the following are clinical manifestations of fluid volume deficit?

*Decreased skin turgor *Concentrated urine *Low-grade fever *Tachypnea

A nurse is caring for a client who has a laboratory finding of serum potassium 5.4 mEq/L. The nurse should assess for which of the following clinical manifestations?

*ECG changes -Tall peaked T waves -Flat P waves -Widened QRS complexes -Prolonged PRI

A nurse is reinforcing teaching with a client who has systemic lupus erythematosus (SLE) and is to begin taking methylprednisolone orally. Which of the following statements should the nurse include in the teaching?

-"Limit contact with large groups of people." Glucocorticoids cause immunosuppression and may mask infection. The client should limit contact with sources of possible infections, such as large groups of people.

A nurse is caring for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The nurse should anticipate prescriptions by the provider for which of the following medications?

-Antacids -Histamine2 receptor antagonist -Proton pump inhibitors

A nurse is caring for a client following peripheral bypass graft surgery of the left lower extremity. Which of the following client findings pose an immediate concern?

-Capillary refill of affected limb of 6 seconds -Mottled appearance of the limb

A nurse is teaching a client who has GERD. Which of the following should the client be instructed to limit in his diet?

-Coffee -Tomatoes -Chocolate

A nurse educator is reviewing expected findings in a client who has right-sided valvular heart disease with a group of nurses. Which of the following should be included in the discussion?

-Dyspnea -Client report of fatigue -Peripheral edema

A nurse is admitting an older adult client who is experiencing dyspnea, weakness, and weight gain of 2 lb, with 1+ bilateral edema of the lower extremities. Upon assessment, the client has a temperature 37.2 C (99F), pulse 96/min, respirations 26/min, oxygen saturation 94% on 3 L oxygen via nasal cannula, and blood pressure 152/96 mm Hg. Which of the following clinical manifestations are indicative of fluid volume excess?

-Dyspnea -Edema -Hypertension -Weakness

A nurse is teaching a client who has a new prescription for clopidogrel. Which of the following should be included in the teaching?

-Effects may not be apparent for several weeks -Monitor for the presence of black, tarry stools

A nurse is reinforcing teaching with a client who has asthma. Which of the following client statements indicates an understanding of budesonide and albuterol inhalers? (Select all that apply)

-I never forget to rinse my mouth after using my inhaler -Between office visits I keep a record of how many times I use my albuterol inhaler -I use my albuterol inhaler before I go swimming

A nurse is planning care for a client who has a new prescription for total parenteral nutrition (TPN). Which of the following interventions should be included in the plan of care?

-Obtain a capillary blood glucose four times daily. -Monitor vital signs three times during the 12-hr shift -Change the TPN IV tubing every 24 hr

A nurse is caring for a client who is 1 day postoperative following a hip arthroplasty. The client is exhibiting hypotension, tachycardia, and tachypnea. The nurse should recognize that these findings indicate which of the following complications?

-Pulmonary embolism Manifestations of a pulmonary embolism include hypotension, tachycardia, and tachypnea.

A nurse in the emergency department is completing an assessment of a client who has suspected stomach perforation due to a peptic ulcer. Which of the following are expected findings?

-Rigid abdomen -Tachycardia -Rebound tenderness

A nurse is caring for a client who is receiving a blood transfusion. Which of the following actions should the nurse take when there is a transfusion reaction?

-Stop the transfusion -Send the blood bag and IV tubing to the blood bank -Maintain an IV infusion with 0.9% sodium chloride

A nurse is assessing a client who has pancreatitis. His arterial blood gases reveal metabolic acidosis. Which of the following is an expected finding?

-Tachycardia -Dysrhythmia -Tachypnea

A nurse is completing the admission assessment of a client who has suspected pulmonary edema. Which of the following are expected findings?

-Tachypnea -Persistent cough -Orthopnea

A nurse is caring for a client who has a new prescription for tpn the client is to receive 2,000 kcalories per day the t-pn solution has 500 kcalories per liter the IV pump should be set at how many milliliters per hour?

167 milliliters per hour

A nurse on a medical-surgical unit is receiving change of shift report on four clients which of the following clients should the nurse identify as having the greatest risk for developing an infection?

A client who has COPD and is receiving steroid therapy because of decreased oxygenation and increased mucus production additionally taking a steroid medication increases the client's risk for infection by suppressing the immune system and masking the presence of an infection

A nurse is performing health screenings of clients at a health fair. Which of the following clients are at risk for osteoporosis? (Select all that apply.) A. A 40-year-old client who takes prednisone for asthma B. A 30-year-old client who jogs 3 miles daily C. A 45-year-old client who takes phenytoin (Dilantin) for seizures D. A 65-year-old client who has a sedentary lifestyle E. A 70-year-old client who has smoked for 50 years

A. A 40-year-old client who takes prednisone for asthma C. A 45-year-old client who takes phenytoin (Dilantin) for seizures D. A 65-year-old client who has a sedentary lifestyle E. A 70-year-old client who has smoked for 50 years

A nurse is reinforcing teaching to a client who had a wound debridement for osteomyelitis. Which ofthe following information should the nurse include in the teaching? A. Antibiotic therapy should continue for 3 months. B. Relief of pain indicates the infection is eradicated. C. Contact precautions are used during wound care. D. Dressing changes are performed using aseptic technique.

A. Antibiotic therapy should continue for 3 months.

A nurse is providing information to a client who has osteoarthritis of the hip and knee. Which of the following information should the nurse include in the information? (Select all that apply.) A. Apply heat to joints to alleviate pain. B. Ice inflamed joints following activity. C. Install an elevated toilet seat. D. Take tub baths. E. Complete high-energy activities in the morning.

A. Apply heat to joints to alleviate pain. B. Ice inflamed joints following activity. C. Install an elevated toilet seat. E. Complete high-energy activities in the morning.

A nurse is caring for a client who has meningococcal pneumonia. Which of the following personal protective equipment should the nurse use?

Mask

A nurse is collecting data on a client who has osteoarthritis of the knees and fingers. Which of the following clinical manifestations should the nurse expect to find? (Select all that apply.) A. Heberden's nodes B. Swelling of all joints C. Small body frame D. Enlarged joint size E. Limp when walking

A. Heberden's nodes D. Enlarged joint size E. Limp when walking

An emaciated homeless client presents to the emergency department complaining of a productive cough, with blood-tinged sputum and night sweats. Which action is most important for the emergency department triage nurse to implement for this client? A. Initiate airborne infection precautions. B. Place a surgical mask on the client. C. Don an isolation gown and latex gloves. D. Start protective (reverse) isolation precautions.

A. Initiate airborne infection precautions. This client is exhibiting classic symptoms of tuberculosis (TB), and the client is from a high-risk population for TB. Therefore, airborne infection precautions (A), which are indicated for TB, should be used with this client

A nurse is collecting data on a client who had an external fixation device applied 2 hr ago for a fracture of the left tibia and fibula. Which of the following findings indicate compartment syndrome? (Select all that apply.) A. Intense pain when the left foot is passively moved B. Edematous left toes compared to the right C. Hard, swollen muscle in the left leg D. Burning and tingling of the distal left foot E. Minimal pain relief following a second dose of opioid medication

A. Intense pain when the left foot is passively moved C. Hard, swollen muscle in the left leg D. Burning and tingling of the distal left foot E. Minimal pain relief following a second dose of opioid medication

A nurse is collecting data on a client who has a casted compound fracture of the right forearm. Which of the following findings is an early indication of neurovascular compromise? A. Paresthesia B. Pulselessness C. Paralysis D. Pallor

A. Paresthesia

A nurse is providing instructions on home safety for an older adult client who has osteoporosis. Which of the following information should the nurse include in the teaching? (Select all that apply.) A. Remove throw rugs in walkways. B. Use prescribed assistive devices. C. Remove clutter from the environment. D. Walk with caution on icy surfaces. E. Maintain lighting of doorway areas.

A. Remove throw rugs in walkways. B. Use prescribed assistive devices. C. Remove clutter from the environment. E. Maintain lighting of doorway areas.

A nurse is caring for a client who is receiving TPN a new bag is not available when the current infusion is nearly completed which of the following actions should the nurse take?

Administer dextrose 10% in water until the new bag arrives. TPN Solutions have a high concentration of dextrose therefore if a t-pn solution is temporarily unavailable the nurse administer dextrose 10% or 20% and water to avoid a precipitous drop in the client's blood glucose level

A nurse is caring for a client who has heart failure and reports increased shortness of breath. The nurse increases the oxygen per protocol. Which of the following actions should the nurse take first?

Assist the client into high-Fowler's position

A nurse is assessing for cardiac tamponade on a client who had a coronary artery bypass grafts. Which of the following actions should the nurse take?

Auscultate blood pressure for pulsus paradoxus

A nurse is reinforcing discharge teaching to prevent dumping syndrome for a client following a partial gastrectomy for ulcers. Which of the following information should the nurse include in the teaching?

Avoid liquids at meal times

Beta adrenergic blockers cause? A. Tachycardia B. Bradycardia C. Hypertension D. Tachypnea

B. Bradycardia

A nurse is planning care for a client who has a right hip fracture. Which of the following immobilization devices should the nurse anticipate in the plan of care? A. Skeletal traction B. Buck's traction C. Halo traction D. Gardner-Wells traction

B. Buck's traction

A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid ventricular response. Based on this finding, the nurse anticipates assisting the physician with which treatment? A. Administer lidocaine,75 mg intravenous push. B. Perform synchronized cardioversion. C. Defibrillate the client as soon as possible. D. Administer atropine, 0.4 mg intravenous push.

B. Perform synchronized cardioversion. With uncontrolled atrial fibrillation, the treatment of choice is synchronized cardioversion

A hospitalized client is receiving nasogastric tube feedings via a small-bore tube and a continuous pump infusion. He begins to cough and produces a moderate amount of white sputum. Which action should the nurse take FIRST? A. Auscultate the client's breath sounds. B. Turn off the continuous feeding pump. C. Check placement of the nasogastric tube. D. Measure the amount of residual feeding

B. Turn off the continuous feeding pump. A productive cough may indicate that the feeding has been aspirated. The nurse should first stop the feeding to prevent further aspiration.

A nurse is providing dietary teaching about calcium-rich foods to a client who has osteoporosis. Which of the following foods should the nurse include in the instructions? A. White bread B. White beans C. White meat of chicken D. White rice

B. White beans

A nurse is collecting data on a client who is scheduled for a cardiac catheterization. Which of the following laboratory levels should review prior to the procedure?

BUN

When a nurse assesses a client receiving total parenteral nutrition (TPN), which laboratory value is most important for the nurse to monitor regularly? A. Albumin B. Calcium C. Glucose D. Alkaline phosphatase

C. Glucose TPN solutions contain high concentrations of glucose, so the blood glucose level is often monitored as often as q6h because of the risk for hyperglycemia.

A 62-year-old woman who lives alone tripped on a rug in her home and fractured her hip. Which predisposing factor most likely contributed to the fracture in the proximal end of her femur? A. Failing eyesight resulting in an unsafe environment B. Renal osteodystrophy resulting from chronic kidney disease (CKD) C. Osteoporosis resulting from declining hormone levels D. Cerebral vessel changes causing transient ischemic attacks

C. Osteoporosis resulting from declining hormone levels The most common cause of a fractured hip in older women is osteoporosis, resulting from reduced calcium in the bones as a result of hormonal changes in the perimenopausal years

A nurse is caring for a client who enters the emergency department complaining of severe chest pain. Which of the following interventions should the nurse implement to determine if the client is experiencing a myocardial infarction? A. Check the client's blood pressure. B. Auscultate heart tones. C. Perform a 12-lead ECG. D. Determine if pain radiates to the left arm.

C. Perform a 12-lead ECG.

A nurse is caring for a client who has idiopathic thrombocytopenic purpura (ITP). The nurse should notify the provider and report possible small-vessel clotting when which of the following is assessed?

Cyanotic nail beds

The nurse assesses a client who has been prescribed furosemide (Lasix) for cardiac disease. Which electrocardiographic change would be a concern for a client taking a diuretic? A. Tall, spiked T waves B. Prolonged QT interval C. Widening QRS complex D. Presence of a U wave

D. Presence of a U wave A U wave is a positive deflection following the T wave and is often present with hypokalemia (low potassium level). (A, B, and C) are all signs of hyperkalemia.

A nurse is caring for a client with aplastic anemia. The nurse expects the client to have which of the following symptoms? A. headaches, paresthesias, and dizziness B. macrocytosis, low levels of vitamin B12, and shortness of breath C. vascular occlusions, fatigue, and joint pain D. pancytopenia, fatigue, and pale mucous membranes

D. pancytopenia, fatigue, and pale mucous membranes (are manifestations of aplastic anemia.) Dyspnea on exertion may also be present. In aplastic anemia, all three major blood components (red blood cells, white blood cells, and platelets) are reduced or absent. Manifestations usually develop gradually

A nurse is caring for a client experiencing an acute angina attack. The nurse should monitor the client for which of the following? A. bradycardia B. transient diastolic murmur C. Pulsus paradoxus D. transient abnormal PMI (point of maximal impulse)

D. transient abnormal PMI (point of maximal impulse) Because of the change in compliance of the left ventricle, the point of maximal impulse may be abnormal during the acute attack

A nurse is assessing a client who has hypokalemia which of the following manifestations should the nurse expect

Decreased peristalsis due to a decrease in gastrointestinal smooth muscle contraction

A nurse is preparing to administer furosemide to a client who has heart failure. Which of the following findings should the nurse report before administering the medication?

Decreased potassium

A nurse in an emergency department is admitting a client who reports dyspnea and shortness of breath. Which of the following actions is the priority for the nurse to perform prior to administering oxygen?

Determine if the client has a history of COPD. According to evidence based practice the nurse should first assess if the client has COPD. Administering oxygen can worsen chronic hypercarbia in a client who has COPD

A nurse is caring for a client who is 24 hr postoperative following abdominal surgery and has an NG tube. Which of the following actions should the nurse plan to take to decrease the risk of postoperative complications?

Encourage the client to use and incentive spirometer every hour while awake

A nurse is contributing to the plan of care for an older adult client who is at risk for osteoporosis. Which of the following interventions should the nurse include to prevent bone loss?

Encourage weight-bearing exercises

A nurse is assessing a client and suspects the client is experiencing disseminated intravascular coagulation (DIC). Which of the following physical findings should the nurse anticipate?

Epistaxis

A nurse is reviewing the medical record of a client who has systemic lupus erythematosus. Which of the following findings should the nurse expect?

Facial butterfly rash. R: A butterfly rash is a manifestation of SLE. It appears as a dry red rash on the clients cheeks and nose and can disappear during times of remission.

A nurse is teaching an older adult client about osteoporosis prevention the nurse should instruct the client that which of the following medications can increase her risk for developing osteoporosis?

Fludrocortisone due to an increase in bone resorption by osteoclasts it can also reduce intestinal absorption of calcium

A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit?

Heart rate of 110 per minute

A nurse in a clinic is caring for a client who has suspected anemia. The nurse should anticipate a prescription from the provider for which of the following tests?

Hgb

A nurse is caring for a client who has a nasogastric tube attached to low intermittent suctioning. The nurse should monitor for which of the following electrolyte imbalances?

Hypernatremia

A nurse is caring for a client who is dehydrated. Which of the following clinical manifestations should the nurse assess for that is indicative of fluid volume deficit?

Hypotension

A nurse is providing discharge teaching to a client who is to self administer heparin subcutaneously. Which of the following responses by the client indicates an understanding of the teaching?

I will use an electric razor to shave. Heparin is an anticoagulant that places the client at risk for bleeding therefore the nurse should instruct the client to use an electric razor when shaving to reduce the risk of cuts to the skin

A nurse is providing teaching for a client who has a new diagnosis of dumping syndrome following gastric surgery. Which of the following should be included in the teaching?

Increase protein in the diet

A nurse is reviewing the laboratory results of a client who has a new diagnosis of acute leukemia which of the following findings should the nurse identify as an expected finding?

Increased white blood cell count due to overproduction of white blood cells by the bone marrow

A nurse is caring for a client who is in Buck's traction. Which of the following interventions should the nurse perform to reduce skin Breakdown?

Keep the skin dry and free of perspiration

A nurse is providing discharge teaching for a client who has a prescription for furosemide 40 mg PO daily. What time of day should the nurse encourage the client to take this medication?

Morning

A nurse is collecting data from a client who has an acute myocardial infarction (MI). Which of the following clinical manifestations should the nurse expect to find? (Select all that apply.) a. Orthopnea b. Headache c. Nausea d. Tachycardia e. Diaphoresis

Nausea Tachycardia Diaphoresis

A nurse is caring for a client who has a prescription for Enalapril the nurse should identify which of the following findings as an adverse effect of the medication?

Orthostatic hypotension because dilation of arteries and veins causes orthostatic hypotension which is an adverse effect of Enalapril

A nurse is assessing for compartment syndrome in a client who has a short leg cast which of the following findings should the nurse identify as a manifestation of this condition?

Pain that increases with passive movement Compartment syndrome results from a decrease in blood flow in the extremities because of a decrease in the muscle compartment size due to a cast that is too tight

A nurse is caring for a client who is experiencing supraventricular tachycardia upon assessing the client the nurse observes the following findings heart rate 200 per minute blood pressure 78 over 40 and respiratory rate 30 per minute which of the following actions should the nurse take?

Perform synchronized cardioversion

A nurse is caring for a client who has bilateral pneumonia and an spo2 of 88% the client is dyspneic and productive cough and is using accessory muscles to breathe which of the following actions should the nurse take first?

Place the client in a high Fowler's position

A nurse is caring for a client who has disseminated intravascular coagulation (DIC). Which of the following indicates that the client's clotting factors are becoming depleted?

Platelets 100,000/mm3 Fibrinogen levels 97 mg/dL

A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the following actions should the nurse take?

Position pillows between the bony prominences.

A nurse is caring for a client with congestive heart failure whose electrocardiogram shows a flattening of the T wave. Which of the following lab results should the nurse anticipate with this EKG?

Potassium level of 2.8

A nurse is caring for a client who is receiving TPN solution. It has been 24 hr since the current bag of solution was hung, and 400 mL remains to infuse. Which of the following is the appropriate action for the nurse to take?

Remove the current bag and hang a new bag

A nurse is providing follow-up care for a client who sustained a compound fracture three weeks ago. The nurse should recognize that an unexpected finding for which of the following laboratory values is a manifestation of osteomyelitis and should be reported to the provider

Sedimentation rate. An increased sedimentation rate occurs when a client has any type of inflammatory process such as osteomyelitis

A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for Omeprazole. The nurse should instruct the client that the medication provides Relief by which of the following actions?

Suppressing gastric acid production. It is a proton pump inhibitor it relieves manifestations of gastric ulcers by suppressing gastric acid production

A nurse is observing a newly hired nurse on the unit who is preparing to administer a blood transfusion. Which of the following actions by the newly hired nurse requires intervention by the nurse?

Verifies blood compatibility and expiration date of the blood with an assistive personnel (AP)

While auscultating a client's heart sounds, the nurse hears turbulence between the S1 and S2 heart sounds. The nurse should document this finding as which of the following? a. A cardiac murmur b. A third heart sound (S3) c. An expected heart sound d. A fourth heart sound (S4)

a. A cardiac murmur

A nurse is providing teaching a client who has stable angina and a new prescription for transdermal nitroglycerin. Which of the following instructions should the nurse include? (Select all that apply.) a. Apply the patch to a hairless area and rotate sites. b. Apply a new patch each morning. c. Remove the patch for 10 to 12 hr daily. d. Apply the patch to dry skin and cover the area with plastic wrap. e. Apply a new patch at the onset of anginal pain.

a. Apply the patch to a hairless area and rotate sites. b. Apply a new patch each morning. c. Remove the patch for 10 to 12 hr daily.

A nurse is assisting with the care of an older adult client who just had a cardiac catheterization. Which nursing interventions should the nurse contribute to the client's plan of care for the next 8 hr? (Select all that apply.) a. Check peripheral pulses in the affected extremity. b. Place the client in high Fowler's position. c. Measure the client's vital signs every 4 hr. d. Keep the client's hip and leg extended. e. Have the client remain in bed up to 6 hr

a. Check peripheral pulses in the affected extremity. d. Keep the client's hip and leg extended. e. Have the client remain in bed up to 6 hr

A nurse is caring for a client following cardiac catheterization. Which of the following is an appropriate nursing action? a. Monitor pedal pulses every 15 min. b. Perform passive range of motion to the affected extremity. c. Ambulate the client when he is awake and alert. d. Keep the client in high-Fowler's position for 6 hr.

a. Monitor pedal pulses every 15 min.

A nurse is caring for a client who has a serum potassium level of 5.5 mEq/L. The provider prescribes polystyrene sulfonate (Kayexalate). If this medication is effective, the nurse should expect which of the following corrections on the client's ECG? a. Reduction of T-wave amplitude b. Reduction of P-wave duration c. Widening of the QRS complex d. Restoration of QRS-complex amplitude

a. Reduction of T-wave amplitude

A client comes to the emergency department via ambulance to report severe radiating chest pain and shortness of breath. The client appears restless, frightened, and slightly cyanotic. The provider prescribes oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels, IV fluids, and a 12-lead ECG. Which of the following actions should the nurse assisting with this client's care take first? a. Attach the leads for a 12-lead ECG. b. Obtain the blood sample. c. Initiate oxygen therapy. d. Insert the IV catheter.

c. Initiate oxygen therapy.

a nurse is collect data from a client who has right sided heart failure. which of the following findings should the nurse expect? a. frothy sputum b. dyspnea. c. orthopnea d. peripheral edema

d. peripheral edema

A nurse is caring for a client who was in a motor-vehicle accident. He is reporting chest pain and difficulty breathing. A chest x-ray reveals the client has a pneumothorax, and arterial blood gases are obtained. Which of the following findings should the nurse expect?

pH 7.06, PaO2 86 mm Hg, PaCO2 52 mm Hg, HCO3- 24 mEq/L