Cardiovascular, Hematologic, and Lymphatic Systems

What should the nurse suggest for a client with right ventricular failure?

"Avoid emotionally stressful situations."

A nurse is assessing a client with a diagnosis of early left ventricular heart failure. Specific to this type of heart failure, what statement by the client would the nurse expect?

"I have trouble breathing when I walk rapidly."

The nurse is caring for a client with iron deficiency anemia that has decreased hemoglobin and hematocrit levels. The nurse expects to identify what other abnormal laboratory level?

Increased total iron-binding capacity (TIBC)

Famotidine (Pepcid) is prescribed for a client with peptic ulcer disease. The client asks the nurse what this medication does. Which action does the nurse mention when replying?

Inhibits gastric acid secretion

A thallium scan is prescribed for a client with a history of chest pain. Which information should the nurse include when explaining the purpose of the test to the client?

It assesses myocardial ischemia and perfusion.

A client develops severe bone marrow suppression related to cancer treatment. What is important for the nurse to include in the client's teaching?

Use a soft toothbrush for oral hygiene.

A client has a low hemoglobin level that is attributed to nutritional deficiency and the nurse provides dietary teaching. Which food choices highest in iron chosen by the client indicate that the nurse's instructions are effective? Select all that apply.

eggs, spinach

A client has a prescription for an antibiotic in an intravenous piggyback (IVPB) of 50 mL of D5W to run for 30 minutes. The microdrip tubing has a drop factor of 60 gtt/mL. At what rate should the nurse set the IV infusion? Record your answer using a whole number. ___gtts/min

50 ml

A client is receiving total parenteral nutrition. Which nursing assessment finding would indicate that the client has hyperglycemia?

A fruity odor to the breath

A client with multiple myeloma asks how the disease and therapy progresses. What would be appropriate to include in the client's teaching?

Blood transfusions may be necessary.

What should the nurse consider as the goal of therapy when administering allopurinol to a client with gout?

Decrease uric acid production

A nurse is caring for a client with a diagnosis of varicose veins. Which clinical findings can the nurse expect to identify when assessing this client? Select all that apply.

Reports of leg fatigue Tortuous veins in the legs Pain in lower extremities when standing