HESI Review

plaque formation is in arteries or veins?

arteries

A nurse is caring for a client who is receiving total parenteral nutrition (TPN).The nurse should monitor the client for which complications?

phlebitis and infection

would you give digoxin to someone with a low K level?

NO - A low potassium level with the administration of digoxin can cause digitalis toxicity, resulting in life-threatening dysrhythmias.

A client is admitted to the hospital with a diagnosis of deep vein thrombosis, and intravenous (IV) heparin sodium is prescribed. If the client experiences excessive bleeding, the nurse should be prepared to administer:

Protamine sulfate -Protamine sulfate binds with heparin sodium to form a physiologically inert complex; it corrects clotting deficits. Vitamin K counteracts the effects of drugs like warfarin sodium (Coumadin). Panheparin is an alternate name for heparin sodium. Warfarin sodium is an oral anticoagulant that interferes with the synthesis of prothrombin.

A client receiving 0.9% normal saline (NS) intravenously at keep vein open (KVO) complains of pain at the insertion site. The nurse notes that there is erythema and edema present at the access site. Based on the phlebitis scale, how should the nurse properly document the phlebitis?

TWO According to the phlebitis scale, grade two presents as pain at the access site with erythema or edema. Grade one presents as erythema with or without pain. Grade three presents as pain at access site with erythema or edema, streak formation, and palpable cord. Grade four presents at access site with erythema or edema, streak formation, palpable cord more than one inch long, and purulent drainage.

A client with end-stage renal disease is hospitalized. For what signs and symptoms of complications should the nurse monitor the client? Select all that apply.

anemia, dyspnea, anasarca