Quiz 7 Chapter 28/29/32

APTT 70, control APTT 35. IV pump is infusing at 50ml/hour and mrs b has observable hematuria. what action should the nurse initiate first? A. obtain a stat APTT b. stop the heparin infusion c. assess VS d. Observe the surgical site for bleeding

b

If pharmacologic therapy is initiated which lab value would indicate to the nurse that the heparinization has been reached? a. hemoglobin 9.0 b. APTT 65 secs, control 35 secs c. INR 1 d. platelets-250,000

b

At what rate should the IV pump be set to deliver the prescribed rate of infusion?

37

4. What are the hazards of administering oxygen therapy? select all that apply a. oxygen supports and enhances combustion b. oxygen can burn c. each electrical outlet in the room must be covered if not in use d. all electrical equipment in the room must be grounded to prevent fires e. solutions with high concentrations of alcohol or oil can't be used in the room

a,d,e

To which nursing dx should the nurse give the highest priority when planning care for mrs. b? a. pain related to decreased venous flow b. risk for injury related to anticoagulant therapy c. impaired physical mobility related to prescribed bedrest d. knowledge deficit related to lack of discharge teaching

b

Which nursing interventions will reduce pain related to decreased venous flow? select all that apply a. apply cold packs b. elevate the affected leg c. gently massage the affected leg d. administer NSAIDs prn for pain e. apply a warm compress

b, e

118 pulse, 36 RR, weak pulse, cyanotic nailbeds, chest pain, has developed a pulmonary embolus. Which action should the nurse implement first? a. administer oxygen b.stop the heparin infusion c. perform oral pharyngeal suctioning d. position the client on right side

a

9. The provider orders heparin therapy for a pt with a relatively small PE. The pt states "I didn't tell the doctor my complete medical history" Which condition may affect the providers decision to immediately start heparin therapy? a. Type 2 DM b. recent cerebral hemorrhage c. newly diagnosed osteoarthritis d. asthma since childhood

b

10. The nurse is caring for several pts on a general med-surg unit. The nurse would question the need for oxygen therapy for a pt with which condition? a. pulmonary edema with decreased arterial po2 levels b. valve replacement with increased cardiac output c. anemia with a decreased hemoglobin and hematocrit d. sustained fever with an increased metabolic demand

b

16. The nurse is caring for several postoperative patients with high risk for a PE. All of these pts have preexisting chronic respiratory problems. What is a unique assessment finding for a clot in the lung? a. dyspnea b. sudden dry cough c. pursed lip breathing d. audible wheezing

b

128. A client states that the health care provider said the tidal volume is slightly diminished and asks the nurse what this means. Which explanation should the nurse provide about the volume of air being measured to determine tidal volume? 1. exhaled after there is a normal inspiration 2. exhaled forcibly after a regular expiration 3. inspired forcibly above a typical inspiration 4. trapped in the alveoli after a max expiration

1

129. A nurse is instructing a client to use an incentive spirometer. What client action indicates the need for further instruction? 1. blowing vigorously into the mouthpiece 2. getting into a chair to use the spirometer 3. coughing deeply after using the spirometer 4. using lips to form a seal around the mouthpiece

1

130. A client is scheduled for a pulmonary function test. The nurse explains that during the test one of the instructions the respiratory therapist will give the client is to breathe normally. What should the nurse teach is being measured when the client follows these directions? 1. tidal volume 2. vital capacity 3. expiratory reserve 4. inspiratory reserve

1

163. A nurse is caring for a group of clients on a medical surgical unit. Which client has the highest risk for developing a pulmonary embolism? 1. obese client with leg trauma 2. pregnant client with acute asthma 3. client with diabetes who has cholecystitis 4. client with pneumonia who is immunodeficient

1 -2 risk factors: obesity and leg trauma

19. You are admitting a pt for whom a dx of pulmonary embolus must be ruled out. The pts history and assessment reveal all of these findings. Which finding supports the dx of pulmonary embolus? 1. the pt was recently in a motor vehicle crash 2. the pt participated in an aerobic exercise program for 6 months 3. the pt gave birth to her youngest child 1 year ago 4. the pt was on bed rest for 6 hours after a diagnostic procedure

1 -at risk for DVT and pulmonary embolus

162. A nurse is caring for a variety of clients. For which client is it most essential for the nurse to implement measures to prevent pulmonary embolism? 1. 59 yr old who had knee replacement 2. 60 yr old who has bacterial pneumonia 3. 68 yr old who had emergency dental surgery 4. 76 yr old who has history of thrombocytopenia

1 -decreased mobility

24. Which medication order for a client with a pulmonary embolism is most important to clarify with the prescribing physician before administration? 1. Warfarin 1.0mg PO 2. Morphine sulfate 2-4mg IV 3. Cephalexin 250mg PO 4. Heparin infusion at 900units/hr

1 -due to the trailing zero

3. The UAP tells you that a pt who is receiving oxygen at a flow rate of 6L/min by nasal cannula is reporting nasal passage discomfort. What intervention should you suggest to improve the pts comfort for this problem? 1. Humidify the pts oxygen 2. Use a simple face mask instead of a nasal cannula 3. Provide the pt with an extra pillow 4. Have the pt sit up in a chair at the bedside

1 -when the oxygen flow rate is higher than 4L/min the mucous membranes can be dried out

21. A pt with a pulmonary embolus is receiving anticoagulation with IV heparin. What instructions would you give the UAP who will help the pt with ADLs? select all that apply 1. use a life sheet when moving and positioning the pt in bed 2. use an electric razor when shaving the pt each day 3. use a soft bristled toothbrush or tooth sponge for oral care 4. use a rectal thermometer to obtain a more accurate body temp. 5. be sure the pts footwear has a firm sole when the pt ambulates

1,2,3,5 -avoid trauma to the rectal tissue which could cause bleeding

127. A nurse uses abdominal thoracic thrusts when an older adult in a senior center chokes on a piece of meat. Which volume of air is the basis for the efficacy of the abdominal thrusts to expel a foreign object in the larynx? 1. tidal 2. residual 3. vital capacity 4. inspiratory reserve

2

133. A nurse assesses that several clients have low oxygen saturation levels. Which client would benefit the most from receiving oxygen via nasal cannula? 1. has an upper respiratory infection 2. receives many visitors while sitting in a chair 3. has a NG tube for gastric decompression 4. exhibits dry oral mucous membranes from mouth breathing

2 -client is more mobile and will benefit from a less restrictive form of oxygen administration

5. You are supervising an RN who floated from the medical surgical unit to the emergency department. The nurse is providing care for a pt admitted with anterior epistaxis (nosebleed). Which directions would you clearly provide to the RN? (select all that apply) 1. position the pt supine and turned on his side 2. apply direct lateral pressure to the nose for 5 minutes 3. maintain standard body substance precautions 4. apply ice or cool compresses to the nose 5. instruct the pt not to blow the nose for several hours

2,3,4,5 -to prevent blood from entering the stomach and to avoid aspiration

126. Levofloxacin (levaquin) 750mg IVPB is prescribed for a client with pneumonia. The dose is available in 150mL of 5% dextrose and is to infuse over 90min. The administration set has a drop factor of 15drops per ml. At how many drops per minute should the nurse regulate the IVPB to infuse?

25gtt/min -150x15/90=25gtt/min

131. A nurse identifies that a clients hemoglobin level is decreasing and is concerned about tissue hypoxia. An increase in what diagnostic test result indicates an acceleration in oxygen dissociation from hemoglobin? 1. pH 2. Po2 3. Pco2 4. HCO3

3

792. After surgery a client develops a DVT and a PE. Heparin via a continuous drip at 1200 units/hr is prescribed. Several hours later, vancomycin (vancocin) 500mg IV every 12 hours is prescribed. The client has 1 IV site: a peripheral line in left forearm. What action should the nurse take? 1. stop the heparin, flush line, administer vancomycin 2. use a piggyback setup to administer the vancomycin into the heparin 3. start another IV line for vancomycin and continue the heparin as prescribed 4. hold vancomycin and tell the health care provider that the drug is incompatible with heparin

3 -incompatible in the same IV

135. A client is admitted with suspected atelectasis. Which clinical manifestation does the nurse expect to identify when assessing this client? 1. slow deep respirations 2. normal oral temp 3. dry unproductive cough 4. diminished breath sounds

4

20. Which intervention for a pt with a pulmonary embolus could be delegated to the LPN/LVN on your pt care team? 1. evaluating the pts reports of chest pain 2. monitoring lab values for changes in oxygenation 3. assessing for symptoms of respiratory failure 4. auscultating the lungs for crackles

4

72. A nurse is caring for a client in respiratory distress. The health care provider orders oxygen via a nonrebreather mask. Which mask should the nurse obtain to implement the oxygen order?

4 -can accurately deliver high concentrations of oxygen (>90%), can't be used with a high degree of humidity

125. A client is admitted to the hospital with a dx of pneumonia. List the following nursing actions in the order they should be accomplished. 1. check peak and trough levels of the antibiotic 2. insert an IV catheter to establish venous access 3. collect a sputum sample for culture and sensitivity 4. administer prescribed antibiotic IV piggyback 5. obtain data about the client's history and physical status

5,2,3,4,1

Admin IV bolus dose of heparin 80U per kg of body weight. Initiate IV infusion of 500ml of 5% dextrose in water with 25000U of heparin at a rate of 22 units of heparin per kg per hour. The heparin bolus is available in a 1000 unit/ml concentration. Mrs B weighs 187lbs. What is the correct IV bolus dose of heparin that the nurse should administer?

6.8

12. The nurse is caring for a pt receiving humidified oxygen. Which precaution does the nurse take to prevent bacterial contamination and infection? a. never drain fluid from the water trap back into the nebulizer b. always wear gloves when cleaning the pts nasal cannula c. don't allow live or cut flowers into the pts room d. administer routinely ordered antibiotic therapy

a

18. a pt is receiving warmed and humidified oxygen. In discarding the moisture formed by condensation, why does the nurse minimize the time that the tubing is disconnected? a. to prevent the pt from desaturating b. to reduce the pts risk of infection c. to minimize the disturbance to the pt d. to facilitate overall time management

a

24. The provider orders transtracheal oxygen therapy for a pt with respiratory difficulty. What does the nurse tell the pts family is the purpose of this type of oxygen delivery syste,? a. delivers oxygen directly into the lungs b. keeps the small air sacs open to improve gas exchange c. prevents the need for an endotracheal tube d. provides high humidity with oxygen delivery

a

26. a pt requires long term airway maintenance following surgery for cancer of the neck. The nurse is using a piece of equipment to explain the procedure and mechanism that are associated with this long term therapy. Which piece of equipment does the nurse most likely use for this pt teaching session? a. trach tube b. nasal trumpet c. endotracheal tube d. nasal cannula

a

After a heparin drip is discontinued and the APTT is prescribed, what is the most important order the nurse would expect next? a. platelet count b. WBC count c. renal function tests d. monitor the clients fluid intake and output

a

During heparin therapy, mrs b's APTT was monitored every 6 hours. The midnight results were APTT 120 seconds, control 35 seconds. What action should the nurse expect to initiate? a. increase the rate of infusion b. continue the rate of infusion c. decrease the rate of infusion d. recalculate the rate of infusion

a

What physical assessment should the nurse perform to assist in the dx of suspected DVT? a. measure calf circumference bilaterally b. observe for excessive bruising c. perform test for homans sign d. auscultate for bruits

a

What should the nurse tell mrs. b to avoid while on warfarin a. alcohol b. TV c. coffee d. soda

a

Which action can be delegated by the nurse to a UAP who is assigned to the nurse caring for mrs. B a. obtain a stool specimen for guaiac b. assess skin for bruising c. teach the client to use a soft toothbrush d. review the side effects of anticoagulants

a

What other steps can the nurse take to reduce post-op risk of embolization formation? select all that apply a. provide adequate hydration b. increase the use of sedation c. use elastic stockings or sequential compression devices when indicated d. mobilize and ambulate the client as early as possible e. perform routine administration of weight based heparin IV or give low molecular weight heparin when indicated

a, c,d,e`

Which interventions are preventative measures for at home? a. use a soft bristled toothbrush and avoid flossing b. shave with an electric razor instead of a blade razor c. inspect the legs and feet daily d. run a dehumidifier day and night e. continue warfarin prior to any invasive procedure f. briskly massage any red, tender areas in calf

a,b,c

15. Increased risk for oxygen toxicity is related to which factors? select all that apply a. continuous delivery of oxygen at greater than 50% concentration b. delivery of a high concentration of oxygen over 24-48 hrs c. the severity and extent of lung disease d. neglecting to monitor the pts status and reducing oxygen concentration asap e. adding continuous positive airway pressure or positive end expiratory pressure

a,b,c,d

7. The nurse is caring for several post-op pts at risk for developing PE. Which interventions does the nurse use to help prevent the development of PE in these pts? select all that apply a. start passive and active ROM exercises for the extremities b. ambulate post-op pts soon after surgery c. use antiembolism devices postop d. elevate legs in an extended position e. change pt position every 4-6 hrs f. administer drugs to prevent episodes of valsalva maneuver

a,b,c,f

5. Which parameters does the nurse monitor to ensure that a pts response to oxygen therapy gas exchange is adequate? select all that apply a. LOC b. respiratory pattern c. oxygen flow rate d. pulse oximetry e. respiratory rate

a,b,d

21. A pt requires oxygen therapy with a nasal cannula. Which interventions will the nurse teach the student nurse providing care for this pt? select all that apply a. make sure that the prongs on the nasal cannula are properly positioned in the nares b. apply a water soluble gel to the nares as needed c. adjust the flow rate between 1 and 8l/min based on how the pt is feeling d. be sure to assess that both nares are patent e. assess the pt for any changes in respiratory rate and pattern

a,b,d,e

25. A pt is at risk for aspiration. Which instructions must the nurse provide to the UAP prior to feeding the pt? select all that apply a. position the pt in the most upright position possible b. provide adequate time; don't hurry the pt c. provide sips of water or milk between bites of food to help with swallowing d. encourage the pt to tuck their chin down and move the forehead forward while swallowing e. if the pt coughs, stop the feeding until he/she indicates that the airway has been cleared

a,b,d,e

17. Which factors are considered hazards associated with oxygen therapy? select all that apply a. increased combustion b. oxygen narcosis c. oxygen toxicity d. absorption atelectasis e. oxygen induced hypoventilation

a,c,d,e

1. At what times is oxygen therapy needed for a pt? select all that apply a. to treat hypoxia b. to treat hypothermia c. to treat hypoxemia d. When the normal 35% oxygen level in the air is inadequate e. When the normal 21% oxygen level in the air is inadequate

a,c,e

1. Which are the risk factors for pulmonary embolism and DVT? select all that apply a. trauma b. swimming activity c. heart failure d. COPD e. cancer (particularly lung/prostate)

a,c,e

14. The nurse is caring for a pt with a post-op complication of PE. The pt has been receiving treatment for several days. Which factors are indicators of adequate perfusion in the pt? select all that apply a. pulse oximetry of 95% b. ABG, pH of 7.28 c. pts subjective desire to go home d. absence of pallor or cyanosis e. mental status at pts baseline

a,d,e

11. A pt is being treated with heparin therapy for a PE. The pt has the potential for bleeding with the administration of heparin. What does the nurse monitor in relation to the heparin therapy? a. lab values for any elevation of PT or PTT value b. PTT values for greater than 2.5 times the control and/or the pt for bleeding c. occurrence of a pulmonary infarction by blood in sputum d. PT values for international normalized ratio for a therapeutic range of 2-3 and/or the pt for bleeding

b

19. An older adult pt on anticoagulation therapy for a PE is somewhat confused and requires assistance with activities of daily living. Which instruction specific to this therapy does the nurse give to the UAP? a. count and report episodes of urinary incontinence b. use a lift sheet when moving or turning the pt in bed c. assist with ambulation because the pt is likely to have dizziness d. give the pt an extra blanket, because the pt is likely to feel cold

b

2. What is the most common site of origin for a clot to occur, causing a PE? a. right side of the heart b. deep veins of the legs and pelvis c. antecubital vein in upper extremities d. subclavian veins

b

24. the nurse is reviewing lab results for a pt with a new onset PE. What is the INR therapeutic range? a. 1-1.5 b. 2-3 c. 3-4.5 d. 5

b

8. The nurse suspects a pt has a PE and notifies the provider who orders an ABG. The provider is en route to the facility. The nurse anticipates and prepares the pt for which additional diagnostic test? a. ultrasound b. pulmonary angiography c. 12-lead ECG d. ventilation and perfusion scan

b

8. The pt is receiving oxygen at 5L/min by nasal cannula. What priority intervention must the nurse use at this time? a. switch to a mask delivery system b. humidify the oxygen with sterile water c. monitor for manifestations of oxygen toxicity d. add extension tubing for pt mobility

b

9. The home health nurse has been caring for a pt with a chronic respiratory disorder. Today the pt seems confused when she is normally alert and oriented x3. What is the priority nursing action? a. notify the provider about the mental status change b. check the pulse oximeter reading c. ask the pts family when this behavior started d. perform a mental status exam

b

The nurse is to administer a heparin antagonist. Which med will be administered? a. vitamin K b. protamine sulfate c. enoxaparin d. ticlopidine (ticlid)

b

21. What does the nurse monitor for in a pt with a PE? (select all that apply) a. N/V b. cyanosis c. rapid heart rate d. dyspnea e. paradoxical chest movement f. crackles in lung fields

b,c,d,f

3. To improve a pts oxygenation to a normal level, the amount of oxygen administered is based on which factors? select all that apply a. symptom management only b. pulse oximetry reading c. respiratory assessment d. the pts subjective complaints e. ABG results

b,c,e

7. A pt requires home oxygen therapy. When the home health nurse enters the pts home for the initial visit, he observes several issues that are saftey hazards related to the pts oxygen therapy. What hazards do these include? select all that apply a. bottle of wine in the kitchen b. pack of cigarettes on the coffee table c. several decorative candles on the mantelpiece d. grounded outlet with a green dot on the plate e. electric fan with a frayed cord in the bathroom f. computer with a 3 pronged plug

b,c,e

Mrs b should also be instructed to avoid which OTC products? select all that apply a. antihistamines b. aspirin, salicylates, ibuprofen and naproxen c. calcium carbonate d. acetaminophen e. antidiarrheal agents

b,d

Which actions should be implemented during the administration of low molecular weight heparin? select all that apply a. massage the site after injection to promote absorption b. use subQ sites in abdomen c. apply pressure over the site after injection to prevent bleeding d. rotate injection sites e. aspirate for blood before injecting the med

b,d

2. Which conditions will increase the bodys need for more oxygen? select all that apply a. hypothyroid b. infection in the blood c. Diabetes mellitus d. body temp of 101F e. hemoglobin level of 8.7

b,d,e

11. when a pt is requiring oxygen therapy, what is important for the nurse to know? a. pts require 1-10L/min by nasal cannula in order for oxygen to be effective b. oxygen induced hypoventilation is the priority when the paco2 levels are unknown c. why the pt is receiving oxygen, expected outcomes, and complications d. the goal is the highest Fio2 possible for the particular device being used

c

13. The nurse is administering oxygen to a pt who is hypoxic and has chronic high levels of carbon dioxide. Which oxygen therapy prevents a respiratory complication for this pt? a. Fio2 higher than usual 2-4L/min per nasal cannula b. venturi mask of 40% for the delivery of oxygen c. lower concentration of oxygen per nasal cannula d. variable Fio2 via partial rebreather mask

c

14. A pt is receiving a high concentration of oxygen as a temporary emergency measure. Which nursing action is the most appropriate to prevent complications associated with high flow oxygen? a. auscultate the lungs every 4 hours for oxygen toxicity b. increase the oxygen if the Pao2 level is less than 93 c. monitor the prescribed oxygen level and length of therapy d. decrease the oxygen if the pts condition doesn't respond

c

16. A pt is receiving warmed and humidified oxygen. The respiratory therapist informs the nurse that several other pts on other units have developed hospital acquired infections and pseudomonas aeruginosa has been identified as the organism. What does the nurse do? a. place the pt in respiratory isolation b. obtain an order for a sputum culture c. change the humidifier every 24 hours d. obtain an order to discontinue the humidifier

c

17. The nurse is caring for several pts at risk for DVT and PE. Which conditions causes the pt to be a candidate for placement of a vena cava filter? a. massive PE causing the pt to experience shock symptoms b. multiple emboli with deteriorating cardiopulmonary status c. recurrent bleeding while receiving anticoagulants d. no response to oxygen therapy and conservative management

c

22. A pt is receiving oxygen therapy through a nonrebreather mask. What is the correct nursing intervention? a. maintain liter flow so that the reservoir bag is up to 1/2 full b. maintain 60-70% Fio2 at 6-11l/min c. ensure that valves and rubber flaps are patent, functional, and not stuck d. assess for effectiveness and switch to partial rebreather mask for more precise Fio2

c

22. After receiving IV heparin anticoagulant therapy, pts are generally not discharged from the hospital without a prescription and instructions for which drug? a. protamine sulfate b. prednisone (deltasone) c. warfarin (coumadin) d. oral heparin

c

23. A pt is following up on a post-op complication of PE. The pt must have blood drawn to determine the therapeutic range for coumadin. Which lab test determines this therapeutic range? a. PTT level b. Platelets c. PT and INR d. Coumadin peak and trough

c

23. A pt with a facemask at 5L/min is able to eat. Which nursing intervention is performed at mealtimes? a. change the mask to a nasal cannula of 6L/min or more b. have the pt work around the facemask as best as possible c. obtain a provider order for a nasal cannula at 5L/min d. obtain a provider order to remove the mask at meals

c

26. A pt recently received anticoagulant therapy for complications of PE after knee surgery. The pt is now in a rehab facility and is receiving warfarin. What is the nursing responsibility related to coumadin? a. having protamine sulfate available as an antidote b. administering NSAIDs or aspirin for pain related to the knee c. teaching the pt about foods high in vitamin k d. monitoring platelets for thrombocytopenia

c

3. What is the most common cause of embolism? a. amniotic fluid b. air bolus c. blood clot d. arterial plaque

c

5. A pt in the hospital being treated for a PE is receiving a continuous infusion of heparin. When the nurse comes to take vs, the pt has blood on the front of his chest and nose and is holding a tissue saturated with blood to his nose. What is the first priority action the nurse must take? a. have the pt sit up and lean forward, pinching the nostrils b. have a pt care technician set up oral suctioning to suction excess blood from pts mouth c. stop the heparin IV infusion d. obtain lab results for prothrombin time and CBC

c

6. The nurses young neighbor who smokes is going on an overseas flight. The neighbor knows he is at risk for DVT and PE and asks the nurse for advice. What does the nurse suggest? a. exercise regularly and walk around before boarding the flight b. get a prescription for heparin therapy and take it before the flight c. drink water and get up every hour for at least 5 minutes during the flight d. Elevate the legs as much as possible during and after the flight

c

6. the pt has been on oxygen therapy at 70% for over 2 days. For which complication must the nurse monitor? a. oxygen induced hypoventilation b. hypercarbia c. oxygen toxicity d. absorptive atelectasis

c

Which communication is best for the nurse to use with the UAP? a. why didn't you obtain the stool specimen as you were assigned? b. you didn't complete your assignment with mrs. b today c. i've noticed that mrs b's stool specimen wasn't obtained d. i'll go get that stool specimen from mrs b for you

c

Which decision is most appropriate for the nurse to make regarding the administration of low dose morphine at this time? a. the dose shouldn't be given since morphine can cause respiratory depression b. the dose shouldn't be given because morphine causes side effects such as constipation c. the dose should be given because morphine reduces pain and anxiety d. the dose should be given because morphine will sedate the client

c

Which description best identifies the purpose of an adverse occurrence report? a. documentation that protects the nurse from a potential lawsuit by the client b. legal component of mrs. b's medical records c. hospital record that helps track patterns of risk to guide corrective action d. written report to the attending HCP describing the occurrence

c

Which food should the nurse instruct mrs. b to avoid when on warfarin? a. apple products b. red meats c. green leafy veggies d. nuts

c

10. A pt with a PE asks for an explanation of heparin therapy. What is the nurses best response? a. it keeps the clot from getting larger by preventing platelets from sticking together to improve blood flow b. it will improve your breathing and decrease chest pain by dissolving the clot in your lung c. it promotes the absorption of the clot in your leg that originally caused the PE d. it increases the time it takes for blood to clot therefore preventing further clotting and improving blood flow

d

13. Upon diagnosis of a PE, the nurse expects to perform which therapeutic intervention for the pt? a. oral anticoagulant therapy b. bedrest in the supine position c. oxygen therapy via mechanical ventilator d. parenteral anticoagulant therapy

d

18. A pt with a massive PE has hypotension and shock, and is receiving IV crystalloids. However, the pts cardiac output isn't improving. The nurse anticipates an order for which drug? a. Hydromorphone (dilaudid) b. alteplase (activase, tPA) c. Diltiazem (cardizem) d. Dobutamine (dobutrex)

d

19. What is the best description of the nurses role in the delivery of oxygen therapy? a. receiving the therapy report from the respiratory therapist b. evaluating the response to oxygen therapy c. contacting respiratory therapy fo the devices d. being familiar with the devices and techniques used in order to provide proper care

d

20. A pt with a PE is receiving anticoagulant therapy. Which assessment related to the therapy does the nurse perform? a. measure abdominal girth because the med causes fluid retention b. check skin turgor because dehydration contributes to anticoagulation c. monitor for N/V, and diarrhea d. Examine skin every 2 hours for evidence of bleeding

d

34. Which statement by the nursing student indicates an understanding of the purpose of administering oxygen by nasal cannula? a. with a nasal cannula, a wide range of oxygen flow rates and concentrations can be delivered b. a min. flow rate of 5L/min is needed to prevent the rebreathing of exhaled air c. it works by pulling in a proportional amount of room air for each liter flow of oxygen d. it is often used for chronic lung disease and for any pt needing long term oxygen therapy

d

What is the legal concern involved in med errors? a. assault b. fraud c. defamation d. malpractice

d

Which nursing intervention should the nurse implement to help reduce the risk for abnormal bleeding during heparin therapy? a. monitor for dysuria/diarrhea b. auscultate breath sounds regularly c. ensure that vitamin K is readily available d. maintain heparin on a continuous infusion pump

d

Which of mrs b's meds places her at increased risk for the development of DVT? a. antibiotics b. analgesics c. antiasthmatics d. oral contraceptives

d

Which route of administration should the nurse anticipate for heparin therapy? a. oral b. subQ c. IM d. IV

d

Which term should the nurse use to most accurately report that mrs. b may have developed a clot in her vein that is causing the pain and swelling in her leg? a. phlebitis b. thrombosis c. thrombitis d. thrombophlebitis

d