HESI(Blood and lymphatic)

A client who was in an automobile collision is now in hypovolemic shock. why is it important for the nurse to take the client's vitals signs frequently during the compensatory stage of shock? A. Arteriolar constriction occurs B. the cardiac workload decreases C. Contractility of the heart decreases D. The parasympathetic nervous system is triggered

A. Arteriolar constriction occurs

Which leukocytes is responsible for the allergic reaction? A. Basophils B. Monocytes C. Eosinophils D. Macrophages

A. Basophils

An Antigen can be a: A. toxin B. Protein on a cancer cell membrane C. Protei on a bacterial cell membrane D. Toxin, protein on a cancer cell membrane

D. Toxin, protein on a cancer cell membrane

A Thrombus is: A. The same as an embolus B. A clot that stays where it was formed C.Usually made of thrombin D.A blood clot circulating in the bloodstream

B. A clot that stays where it was formed

Metoprolol (Toprol-XL) is prescribed for a client with hypertension. For which side effect should the nurse monitor the client? A. Hirustism B. Bradycardia C. Restlessness D. Hypertension

B. Bradycardia

Antigens: A.are produced by B lymphocytes B. Can combine with antibodies C. are produced by T and B lymphocytes D. are produced by T lymphocytes

B. Can combine with antibodies

A client is receiving doxorubicin as part of a chemotherapy protocol. The nurse should assess the client for which major life-threatening side effect of doxorubicin? A.Anemia B. Cardiotoxicity C.Pulmonary fibrosis D.Ulcerative stomatitis

B. Cardiotoxicity

A nurse is evaluating the results of treatment with erythropoietin. Which assessment finding indicates an improvement in the underlying condition being treated? A. 2+ pedal pulses B. Decreased pallor C. Decreased jaundice D. 2+ deep tendon reflexes

B. Decreased pallor

A hospitalized client puts the call light on and reports a sudden onset of chest pain that feels like a pressure or weight on the chest. The client also states, "I feel nauseated and very weak." What action should the nurse take? A. call the rapid response team B. Perform a nutritional assessment C. Discuss possible sources of stress with the client D. Provide reassurance while helping the client to focus on pleasant topics

A. call the rapid response team

A client is on a cardiac monitor. The monitor begins to alarm showing ventricular tachycardia. What should the nurse do first? A. check for pulse B. start cardiac compressions C. Prepare to defibrillate the client D. Amdinister oxygen via ambu bag

A. check for pulse

A patient platelet count lab value is 18,000/mm3. What is the most appropriate nursing intervention for this patient? A. institute bleeding precautions B. provide oral hygiene four times per day C.order a high protein diet D. Request an order for oxygen per nasal cannula

A. institute bleeding precautions

Nitroglycerin sublingual tablets are prescribed for a client with the diagnosis of angina. The client asks the nurse how long it should take for the chest pain to subside after nitroglycerin is taken. What should the nurse tell the client? A.1 to 3 minutes B.4 to 5 minutes C. 30 to 45 minutes D. 20 to 45 minutes

A.1 to 3 minutes

The parent of a 5-month old infant with heart failure questions the necessity of weighing the baby every morning. What does the nurse say to explain the importance this information to the infants condition? A.Fluid retention B.Kidney function C.nutritional status D.medication dosage

A.Fluid retention

A nurse is preparing to teach a client to apply a nitroglycerin patch(Nitro-Dur) as prophylaxis for angina. Which instruction should the nurse include in the teaching plan? A. Apply the patch on a distal extremity B. Remove the previous patch before applying the new one C. Massage the area gently after applying the patch to the skin D. Apply a war compress to the site before attaching the patch

B. Remove the previous patch before applying the new one

B cells: A. bind to antigens to form cytoxics cells B. have specific antibodies in their cell membranes C. are responsible for cell-mediated immunity D. spend time developing in the thymus

B. have specific antibodies in their cell membranes

A client admitted to the hospital has edematous antes. what should the nurse do to best reduce edema of the lower extremities? A. Restrict fluid B. Elevate the legs C. Apply elastic bandages D. Do range of motion exercises

B. Elevate the legs

While being prepared for surgery for a ruptured spleen, a client complains of feeling light-headed. The client's color is pale and the pulse is rapid. What should the nurse conclude about the client's condition? A. hyperventilating B. Going into shock C. Experiencing anxiety D. Developing an infection

B. Going into shock

during a yearly physical exam a complete blood count is performed to determine a clients hematological status. The nurse recalls that the CBC is composed of several test, one of which is the level of what? A. Blood glucose B. Hemoglobin C. C-reaction protein D. Blood urea nitrogen

B. Hemoglobin

A client hospitalized for heart failure is receiving digoxin (Lanoxin) and will continue taking the drug after discharge. What should be included in the plan of care for the next few days? A. monitor vital signs and encourage a vigorous aerobic exercise program B. taking the apical pulse before drug administration and teaching the client how to count the pulse C.contacting social services for a home health nursing consultation D. providing written material on the adverse effects of the medication

B. taking the apical pulse before drug administration and teaching the client how to count the pulse

A male client with aortic stenosis is scheduled for a valve replacement in two days. He tells the nurse, "I told my wife all she needs to know if I don't make it." What response is most therapeutic? A.Men your age do very well B. you are worried about dying C.I know you are concerned, but your surgeon is excellent D.Ill get you a sleeping pill tonight because I know you will need it

B. you are worried about dying

The spouse of a client who had emergency coronary artery bypass surgery asks why there is a dressing on the client's left leg. What does the nurse explain? A. this is the access site for the heart-lung machine B. a filter is inserted in the left to prevent embolization C.A vein in the leg was used to bypass the coronary artery D. There arteries in the extremities are examined during surgery

C.A vein in the leg was used to bypass the coronary artery

When assessing a client with heart failure, the nurse asks when the client most notices an increase in symptoms. Which activity should the nurse expect will cause the client the greatest distress? A. getting up from bed B. walking to visit the next door neighbor C.Climbing a flight of stairs D.Leaving the table immediately after a meal

C.Climbing a flight of stairs

A client with an inferior myocardial infarction has a heart rate of 120 beats per minute. Which goal achievements are priority? A.Increase left ventricular filling and improve cardiac output B.Decrease oxygen needs of the vital organs and prevent cardiac dysrhythmias C.Decrease the workload on the heart and promote maximum coronary artery filling D.Increase venous return to the right atrium and increase pulmonary arterial blood flow

C.Decrease the workload on the heart and promote maximum coronary artery filling

A client asks a nurse why captopril (Capoten) was prescribed. What specific drug classification should the nurse include in the explanation to the client? A. Diuretic B. Sedative C. hypnotic D. antihypertensive

D. antihypertensive

A client with a dysrhythmia is admitted to telemetry for observation. In the morning, the client asks for a cup of coffee. What is the nurse's best response? A. hot drinks such as coffee are not good for your heart B. coffee is not permitted on the diet that was prescribed for you C. you cannot have coffee. I can bring you a cup of tea if you like D. coffee has caffeine, which can affect your heart. it should be avoided

D. coffee has caffeine, which can affect your heart. it should be avoided

To prevent thrombus formation after most surgeries what should the nurse plan to do? A. keep the client bed watched to elevate the knees B.have the client dangle the legs off the side of the bed C.have the client use an incentive promoter ever hour D. encourage the client to ambulate with assistance every few hours

D. encourage the client to ambulate with assistance every few hours

A client with hypertension is to follow a 2-gram sodium diet. which client statement provides evidence that the nurse's dietary instructions are understood? A. my fluid intake should be restricted B.i should limit the number of daily food servings C. salt should not be used during cooking but can be used at the table D. labels on prepackaged foos products should be evaluated before purchase

D. labels on prepackaged foos products should be evaluated before purchase

A nurse observes a window washer falling 25 feet (7.6 m) to the ground. The nurse rushes to the scene and determines that the person is in cardiopulmonary arrest. What should the nurse do first?

feel for pulse

The nurse is providing postprocedure care to a client who had a cardiac catheterization. The client begins to manifest signs and symptoms associated with embolization. Which action should the nurse take? A. Monitor vitals signs more frequently B. Notify the primary health care provider immediately C. Apply a warm moist compress to the incision site D. Increase the intravenous fluid rate by 20mL/hr

B. Notify the primary health care provider immediately

Four days after the clients total hip arthroplasty, the nurse is preparing to transfer the client to a rehabilitation center. Before admission the client took warfarin sodium(Coumadin) daily for a history of pulmonary embolus. While hospitalized the client received subcutaneous heparin two times daily. The nurse does not see any anticoagulant therapy listed on the clients transfer prescription. What should the nurse do? A. Contact the health care provider to determine what anticoagulant therapy should be prescribed for this client B. Arrange for a supply of heparin for the client to take to the rehab center C. Explain to the client that anticoagulant therapy will no longer be needed D. Instruct the client to talk about anticoagulant need with the health care provider at the rehabilitation center

A. Contact the health care provider to determine what anticoagulant therapy should be prescribed for this client

A client is to be transferred from the coronary care unit to a progressive care unit. The client asks the nurse," Are you sure I'm ready for this move?" From this statement the nurse determines that the client most likely is experiencing what? A.Fear B.Depression C.Dependency D.Ambivalence

A. Fear

During a physical assessment of a patient with thrombocytopenia, the nurse would expect to find: A. Petechiae and purpura B. Jaundices sclera and skin C.Splenomegaly D. tender, enlarged lymph nodes

A. Petechiae and purpura

A couple would have to worry about their next child having erythroblastosis fettles if: A. The baby was Rh-positive and the mother was Rh- negative. B. Their first child was Rh-negative C. Both parents are Rh-positive D. Both parents are Rh-negative

A. The baby was Rh-positive and the mother was Rh- negative.

A nurse identifies that a client who had a myocardial infarction is struggling with an alteration in self-concept. The nurse intervenes to promote client autonomy. The behavior that demonstrates an increase in client autonomy is when the client does what? A. actively participates in providing self care B. verbalizes realistic expectations of caregivers C. Discuss necessary lifestyle changes with family D. lists the indicators o recovery after a myocardial infarction

A. actively participates in providing self care

Which assessment should the nurse obtain before administering digoxin (Lanoxin) to a client? A. apical heart rate B. Radial pulse on the left side C. Radial pulse in both right and left arms D. Difference between apical and radial pulse

A. apical heart rate

A client is diagnosed with hypertension that is related to atherosclerosis. Which information should the nurse consider when planning care for this client? A.Lipid plaque formation occurs within the arterial vessels B. Renin cause a gradual decrease in arterial pressure C. Development of atheroma within the myocardium is characteristics D. Mobilization of free fatty acid from adipose tissue

A.Lipid plaque formation occurs within the arterial vessels

While caring for a client who had an open reduction and internal fixation of the hip, the nurse encourages active leg and foot exercises of the unaffected leg every two hours. The nurse explains that these exercises will help do what?A.Prevent clot formation B.Reduce leg discomfort C.Maintain muscle strength D.Limit venous inflammation

A.Prevent clot formation

A client with angina pectoris is scheduled for a stress echocardiogram. The nurse explains that the echocardiogram is a? A. Tool used solely to determine the cause of chest pain B. Noninvasive approach to assess cardiovascular status C. modality of minimal value in planning treatment for angina D. Test that is invasive that measures the body reaction to progressive increase exertion

B. Noninvasive approach to assess cardiovascular status

A client receives a prescription for nitroglycerin sublingual as needed for anginal pain. What should the nurse include in the teaching about this medication? A. To facilitate absorption, drink a large glass of water B. Place the tablet under the tongue or between the cheek and gums C. it takes 30 to 45 minutes for the nitroglycerin to achieve its effect D. if dizziness occurs take a few deep breaths and lean the head back

B. Place the tablet under the tongue or between the cheek and gums

A client is diagnosed with heart failure and is admitted for medical management. Which statement made by the client may indicate worsening heart failure? A."I am unable to run a mile now." B."I wake up at night short of breath." C. "My shoes seem larger lately." D. "My wife says I snore very loudly."

B."I wake up at night short of breath."

A primary healthcare provider prescribes atenolol 20 mg by mouth four times a day for a client who has had double coronary artery bypass surgery. What information is most important for the nurse to include in the discharge teaching plan for this client? A. Drink alcoholic beverages in moderation B.Avoid abruptly discontinuing the medication C.Increase the medication if chest pain develops D. Report a pulse rate less than seventy beats per minute

B.Avoid abruptly discontinuing the medication

The nurse is providing care for a client that had an endarterectomy one month ago. The nurse explains the reason that clopidogrel (Plavix) is being prescribed. The nurse concludes that the teaching is understood when the client says? "The medication will: A.Limit inflammation around my incision." B.Help prevent further clogging of my arteries." C.Lower the slight fever I have had since surgery." D.Reduce the discomfort I feel at the surgical incision."

B.Help prevent further clogging of my arteries.

another term for platelets is: A. fibrinogen B.Thrombocytes C. Erythrocytes D. Leukocytes

B.Thrombocytes

Where should the nurse expect the first heart sound (s1) to be the loudest wen auscultating a clients heart? A. base of the heart B.apex of the heart C. left lateral border D. right lateral border

B.apex of the heart *Auscultation at the client's apex reveals that S1 is louder than S2. S1 is softer than S2 when the nurse listens at the base of the client's heart.

A client who has a hemoglobin of 6gm/dL is refusing blood because of religious reason. What is the most appropriate action by the nurse? A. Call the chaplain to convince the client to receive the blood transfusion B. Discuss the case with coworkers C. Notify the primary health care provider of the clients refusal of blood products D.Explain to the client that they will die without the blood transfusion

C. Notify the primary health care provider of the clients refusal of blood products

Which process involves replacing dead and decomposed tissue with fresh collagen tissue? A.Incision B. Irrigation C. granulation D. Evisceration

C. granulation

what should a nurse do to decrease or control the sensory and cognitive disturbance that can occur after a client has open heart surgery? A. restrict family visits B. withhold analgesics meds C. plan maximum periods of rest D. keep the room light on most of the time

C. plan maximum periods of rest

A client with newly diagnosed multiple myeloma asks, "How long do you think I have to live? A. let me ask your primary doctor for you B I can understand why you are worries C. tell me about your concerns right now D. it depends on whether the tumor has spread

C. tell me about your concerns right now

A patient is admitted with Polycythemia vera. The patient Hgb value us 20g/dL, which treatment will the nurse anticipate to be ordered? A.Platelet transfusion B.Whole blood transfusion C.Plebotomy with removal of 800mL D. Vitamin B12 injection

C.Plebotomy with removal of 800mL

The nurse is caring for a client who has an occlusion of the left femoral artery and is scheduled for an arteriogram. Which clinical finding is most significant when assessing the left extremity before the arteriogram? A. Mottling of the leg B.coolness of the foot C.absence of the pedal pulse D. thickening of the toenails on the foot

C.absence of the pedal pulse

A child with leukemia who is undergoing chemotherapy is susceptible to tectal ulcerations. What should the nurse recommend to the parents that will lessen the severity of this problem? A. Encourage lying on the abdomen when in bed B.Have the Child wear cotton underpants at night C. Apply rectal ointment liberally four times a day D. Clean the Childs perianal area after each bowel movement

D. Clean the Childs perianal area after each bowel movement

The day after surgery a client is encouraged to ambulate. The client angrily asked the nurse,"why am I being made to walk so soon after surgery?' What does the nurse explain is the primary purpose of early ambulation? A. To promote healing of the incision B. To lower the incidence of urnary tract infection C. To use energy to help client sleep better at night D. To keep blood from pooling in the legs to prevent clots

D. To keep blood from pooling in the legs to prevent clots

Basophils and lymphocytes have this characteristics in common. A. both are leukocytes and the are granular B. both are granular leukocytes C. both are thrombocytes D. both are leukocytes

D. both are leukocytes