Week 5
Respiratory acidosis
A client with Chronic Obstructive Pulmonary Disease (COPD) has a blood pH of 7.25 and a partial pressure of carbon dioxide (PCO2) of 60mmHg. Which complication would the nurse suspect the clients is experiencing?
Heart rate of 98 beats/minute
A client with supra ventricular tachycardia (SVT) has a heart rate of 170 beats/minute. After treatment with diltiazem, which assessment indicates to the nurse that the diltiazem is effective?
Hemorrhage
A client, transferred to the post-anesthesia care unit after a trans-urethral resection of the prostate (TURP), and an IV line and a urinary retention catheter. During the immediate postoperative period, for which potentially critical complication would the nurse monitor?
Administration of recombinant factors
A patient is diagnosed with hemophilia. Which is an essential intervention?
"I will take my medication at the same time each day."
A patient is receiving Desmopressin for hemophilia. Which patient statement require immediate action by the nurse?
2+ edema of the extremities
A patient received Desmopressin peroperatively to maintain hemostasis during a surgical procedure. Which postoperative assessment finding indicates the patient has experiences an adverse effect of the drug?
Shut off the Heparin infusion
A patient who has been receiving an infusion of heparin has an activated partial thromoboplastin time (aPTT) of 120 seconds. What is the nurses first action?
Assess prothrombin time (PT)
A patient with Warfarin toxicity is prescribed Phytonadione. Which nurse assessment ensures patient safety?
Morphine Sulfate
A patient with hemophilia has complained of severe pain. Which is the most effective treatment?
"All blood is screened for viruses"
A patient with hemophilia is frightened about contracting human immunodeficiency virus (HIV) from therapy. How should the nurse respond to the patient?
Males
Hemophilia is a genetically based bleeding disorder seen almost exclusively in which patients?
1 to 3 minutes
Nitroglycerin sublingual tablets are prescribes for a client with the diagnosis of angina. The nurse advised the client to anticipate pain relief will begin within which period of time?
Notify the provider; the medication will need to be discontinued
The nurse is caring for a patient who is being treated with one of the coagulation modifier drugs. The patient tells the nurse that he has developed a rash. What is that nurse's highest priority action?
Pulse oxygen saturation increased
The nurse is monitoring a patient receiving Alteplase for treatment of a massive pulmonary embolism. Which finding indicates that the therapy is effective?
Clinical response
The nurse is monitoring therapy for a patient with hemophilia B. Which evaluation criterion is the most important to determine whether the medication dosage is effective?
70
The nurse is ready to begin a heparin infusion for a patient with evolving stroke. The baseline activated partial thromboplatin time (aPTT)is 40 seconds value indicates that a therapeutic dose has been achieved?
anticoagulants prevent clots from forming
The nurse is teaching a patient about therapy with anticoagulants. What is essential information to include in the teaching?
Treatment with factor VIII or IX is preferred
The nurse teaches a patient about therapy for hemophilia. What should be included in the plan?
Notify the primary care provider of this finding.
The patient is being treated with Heparin. Te nurse assesses the patient's laboratory test results and finds that the platelet count dropped to 75,000/mm3. What action will the nurse perform next?
1120
The patient's Heparin is infusing at 28mL/hr. The bag of fluid is mixed 20,000 units of Heparin in 500mL D5W. What hourly dose is the patient receiving?
Fifth
Which Korotkoff sound represents the diastolic blood pressure in an adolescent?
Tachycardia
Which cardiovascular adverse effect would the nurse associate with the use of clomiphene?
Interleukin-6
Which cytokine stimulates the liver to produce fibrinogen and protein C?
IgG
Which immunoglobulin crosses the placenta?
Monitoring the insertion site for bleeding
Which is involved in post-procedure nursing care of a child after left-side cardiac catheterization?
60bpm
Which is the minimum heart rate of 14-year-old?
Methylergonovine
Which medication may be used to treat postpartum hemorrhage?
Aminocaproic acid [Amicar]
Which medication promotes hemostasis in hemophilia A and hemophilia B by inhibition of fibrinolysis?
Medication is given IV
Which statement is true concerning factor VII administration for hemophilia A treatment?
The pulse strength is barley palpable
While assessing a client for the dorsalis pedis pulse, the nurse documents the reading as 1+. Which can be inferred from this finding?