Test 2 AC Adaptive Quizzes

Which diagnosis increase the risk for the development of the PE? A. Atrial fibrillation B. Forearm laceration C. Migraine headache D. Respiratory infection

A. Atrial fibrillation

Which assessment finding would the nurse expect when a client is diagnosed with left sided congestive heart failure? SELECT ALL THAT APPLY Dyspnea Crackles Frequent cough Peripheral Edema Jugular Distention

Dyspnea Crackles Frequent cough

When assessing a client with right ventricular heart failure the nurse would expect which of the following findings? (SELECT ALL THAT APPLY) Dependent edema Swollen hands and fingers Collapsed neck veins Right upper quadrant discomfort Oliguria

Dependent edema Swollen hands and fingers Right upper quadrant discomfort

Which statement by a client is consistent with the diagnosis of heart failure? A. I see sports before my eyes B. I am tired at the end of the day C. I feel bloated when I eat a large meal D. I have trouble breathing when I climb a flight of stairs

D.I have trouble breathing when I climb a flight of stairs

Which nursing action would be included in the plan of care when a client is admitted with thrombocytopenia? SELECT ALL THAT APPLY Avoid intramuscular injections Institute neutropenic precautions Monitor the white blood cell count Administer prescribed anticoagulants Avoid intramuscular injections Examine the skin for ecchymotic areas

Avoid intramuscular injections Examine the skin for ecchymotic areas

When a client with a suspected pulmonary embolism is scheduled for a spiral computed tomography CT scan, which action would the nurse take before the procedure? A. Check the client's blood glucose levels B. Obtain informed consent from the client C. Assess if the client is allergic to shellfish D. Instruct the client to remove dentures

C. Assess if the client is allergic to shellfish

Which laboratory test result would the nurse expect to be decreased in a client with iron defianccy anemia? a. Ferritin level B. Platelet count C. WBC count D. total iron binding capacity

a. Ferritin level

When performing a focused assessment on a client with a possible diagnosis of iron deficency anemia, which locations would the nurse examine? SELECT ALL THAT APPLY Sclera Nail beds Conjunctivae Palms of hands Bony prominences

Nail beds Conjunctivae Palms of hands

Which manifestation would the nurse include when the parents of a child who has just been diagnosed with hemophilia A ask what symptoms of bleeding should they look for in the future? SELECT ALL THAT APPLY Nosebleeds Blood in the urine Painful or swollen joints Easy bruising Frequent fevers Fast clotting of injuries Dark colored tarry stools

Nosebleeds Blood in the urine Painful or swollen joints Easy bruising Dark colored tarry stools

Which finding would the nurse expect when assessing a client with peripheral arterial disease? SELECT ALL THAT APPLY Pallor of feet Warm extremities Ulcers on the toes Thick, Hardened skimn Delayed capillary refill

Pallor of feet ulcers on the toes delayed capillary refill

A 60 year old client with gastric cancer has a shiny tongue, paresthesias of the limbs with ataxia. The laboratory results show cobalamin levels of 125 pg/ml. Which medication would the nurse expect to be presribed for the client? A. Oral hydroxzyurea B. Vitamin B 12 injections C. Oral iron supplements D. Erythropoietin injections

B. Vitamin B 12 injections

When the nurse needs to determine atrial rate and rhythm which component of the EKG will be used? A. P waves B. PR interval C. T waves D. QRS complex

A. P waves

Which client statement demonstrates an understanding of cyanocobalamin (vitamin b 12) presribed for pernicious anemia? A. I should have a vitamin B 12 Injection every month B. Ill take vitamin b 12 supplements every morning with my breakfast C. Ill eat a diet high in green vegetables D. I will increase my intake of processed foods fortified with vitamin b 12

A. I should have a vitamin B 12 Injection every month

Which response will a nurse give to the parents of a child which sickle cell anemia who ask about their child taking iron supplements to help teat the anemia? A. Taking supplements will not help this condtion B. It is advised that iron be taken with orange juice to aid in absorption C. An over- the- counter multivitamin with iron should meet the needs of the child D. It is advised that liquid iron supplements be given through a straw to prevent staining the teeth

A. Taking supplements will not help this condtion

A pregnant client with iron-deficiency anemia is prescribed iron supplements daily. To help the client increase iron absorption, the nurse would suggest the client eat foods high in which substance? A. Vitamin C B. Fat content C. Water content D. Vitamin B complex

A. Vitamin C

Information about which vitamin would be included when teaching a client with atrial fibrillation about a new prescription for warfarin? A. Vitamin K B. Vitamin D C. Vitamin B 1 D. Vitamin B 12

A. Vitamin K

Which teaching would the nurse provide a client with a newly diagnosed pancytopenia cause by chemotherapy? A. Begin a program of vigorous mouth care B. Avoid traumatic injury and expose to infection C. Increase oral fluid intake to at lease 3 L/day D. Report unusual tingling sensations in the extremities

B. Avoid traumatic injury and expose to infection

Which medication presribed for a client with an acute episode of heart failure would the nurse question? A. Diuretic B. Beta Blocker C. Long-acting nitrate D, Angiotensin Receptor Blocker

B. Beta blocker

Which cause would a nurse suspect is responsible for warmth, redness, and tenderness indetified at the clients IV site? A. Rapid fluid delivery B. Phlebitis C. Allergic response D. Infiltration

B. Phlebitis

Which clotting factor would a nurse explain is deficient to the parents of a child newly diagnosed with hemophilia A? A. Factor II B. Factor XII C. Factor IX D. Factor VIII

D. Factor VIII

Which dietary choice would the nurse teach for client with peripheral arterial disease? SELECT ALL THAT APPLY Limit salt intake Choose foods high in calcium Eat whole-grain breads Use liquid vegetable oils Reduce fresh fruits and vegetables Avoid processed meats

Limit salt intake Eat whole-grain breads Use liquid vegetable oils Avoid processed meats

Which laboratory finding would the nurse expect in a toddler with iron deficency anemia in addition to decreased hemoglobin and hematocrit levels? SELECT ALL THAT APPLY Microcytic red bloods cells Hyperchromic red bloods cells Low total iron-binding capacity Slightly reduced reticulocyte count Increased erythrocyte sedimentation rate

Microcytic red blood cells Slightly reduced reticulocyte count

A client sustains a crushing injury to the lower left leg, and a below the knee amputation is performed. For which common clinical manifestation of a pulmonary embolus would the nurse assess for in this client? SELECT ALL THAT APPLY Sharp chest pain Acute onset of dyspnea Pain in the residual limb Absence of the popliteal pulse Blanching of the affected extremity

Sharp chest pain Acute onset of dyspnea

When taking the health history for a client admitted with heart failure which assessment finding will the nurse expect the client to report? A. losing weight over the past week B. Tingling in the upper extremities C. Using several pillows at night to sleep D. Wheezing when exposed to dust or pollen

C. Using several pillows at night to sleep

Which action would the nurse take first when caring for a client with a possible pulmonary embolus? A. Auscultate the chest B. Obtain the vital signs C. Elevate the head of the bed D. Notify the rapid response team

C. Elevate the head of the bed

The nurse caring for a child with low platelet count would monitor the chikds urine for the presence of which component? A. Protein B. Glucose C. Eryhtrocyes D. Lymphocytes

C. Eryhtrocyes

When caring for a client with a possible pulmonary embolism, the nurse will anticipate preparing the client for which test? A. Chest X-ray B. Thoracic ultrasound C. Helical computed tomography CT D. Magnetic resonance imaging MRI

C. Helical computed tomography CT

Which finding in a client with right calf venous thrombosis is most important to communicate to the hcp? A. Severe right calf pain B. Right calf redness and swelling C. Oxygen saturation of 89% D. Heart rate of 136 beats/minute

C. Oxygen saturation of 89%

Which action will the nurse take for a client with a suspected PE? SELECT ALL THAT APPLY Administer oxygen at high flow rates Notify the rapid response team Lower the head of the client's bed Place the client on a cardiac monitor Anticipate rapid administration of warfarin

Administer oxygen at high flow rates Notify the rapid response team Place the client on a cardiac monitor

Which explanation would the nurse include when teaching a client with heart failure about the reason for a low sodium diet? A. Body weight control B. Decreased fluid retention C. Lowering of BP D. Prevention of hypernatremia

B. Decreased fluid retention

Which statement indicated that the client has a correct understanding of the condition after the nurse has finished teaching a client about sickle cell anemia? A. I have abnormal platelets B. I have abnormal hemoglobin C. I have abnormal hematocrit D. I have abornoaml white blood cells

B. I have abnormal hemoglobin

Which possible complication would a nurse monitor for when a client develops a venous thrombosis in the left calf? A. Emoblic stroke B. Pulmonary Embolism C. Myocardial infarction D. Ischemia of the left foot

B. Pulmonary Embolism

After reviewing a clients complete blood cell count, which finding would be most important for a nurse to communicate to the hcp? A. Hematocrit 41% B. Hemoglobin 12 g/dl C. Platelet count 75,000 mm3 D. WBC count 51000 mm3

C. Platelet count 75,000 mm3

Which mechanism would the nurse attempt to increase to prevent postoperative deep vein thrombosis? A. Coagulability of the blood B. Velocity of the venous return C. Effectiveness of the internal respiration D. Oxygen carrying capacity of the blood

B. Velocity of the venous return

Which presribed treatment would the nurse question when a client who has sickle cell anemia has been admitted with acute chest syndrome? A. Oxygen administration B. Daily folic acid tables C. Daily iron supplement D. Morphine sulfate as needed

C. Daily iron supplement

Which action would the nurse take to prevent venous thrombus formation after abdominal surgery>? A. Keep the client in a gatch bed to elevate the knees B. Have the client dangle the left off the side of the bed C. Help the client use a incentive spirometer every hour D. Encourage the client to ambulate multiple times day

D. Encourage the client to ambulate multiple times day

Which action would a nurse perform first for a client with a dysthymia? A. Monitor oxygen saturation B. Establish a intravenous access C. Adminster oxygen via a nonrebreather mask D. Ensure airway-breathing-circulation

D. Ensure airway-breathing-circulation

Which dietary choices by a client with iron deficiency anemia indicate that the nurses dietary teaching has been effective?SELECT ALL THAT APPLY Scrambled eggs Baked potato Steamed carrots Spinach salad Dried apricots Sliced oranges

Scrambled eggs Baked potato Spinach salad Dried apricots