ALLLL the med-surg ATI questions :')
A nurse is providing teaching about lifestyle changes to a client who experienced a myocardial infarction and has a new prescription for a beta blocker. Which of the following client statements indicates an understanding of the teaching? "I should eat foods that are high in saturated fat." "Before taking my medication, I will count my radial pulse rate." "I will exercise once a week for an hour at the health club." "I will stop taking my medication when my blood pressure is within a normal range."
"Before taking my medication, I will count my radial pulse rate."
A nurse is completing dietary teaching with a client who has heart failure and is prescribed a 2 g sodium diet. Which of the following statements by the client indicates an understanding of the teaching? "I should use salt sparingly while cooking." "I can have yogurt as a dessert." "I should use baking soda when I bake." "I should use canned vegetables instead of frozen."
"I can have yogurt as a dessert."
A nurse is providing discharge teaching to a client who has aplastic anemia. Which of the following statements indicates that the client understands the instructions? "I need to stay active to prevent blood clots in my legs." "If I have a bad headache, I can take aspirin to get rid of it." "I should eliminate uncooked foods from my diet for now." "I should eat more iron-fortified cereal to strengthen my blood."
"I should eliminate uncooked foods from my diet for now."
A nurse is teaching a client with heart disease about a low-cholesterol diet. Which of the following client statements indicates the teaching was effective? "I should remove the skin from poultry before eating it." "I will eat seafood once per week." "I should use margarine when preparing meals." "I can use whole milk in my oatmeal."
"I should remove the skin from poultry before eating it."
A nurse is providing information to a client who is scheduled for an exercise electrocardiography test. Which of the following client statements indicates an understanding of the teaching? "I will not drink coffee 4 hr prior to my test." "I can eat a light meal 1 hr prior to the test." "I can have a cigarette up to 30 min prior to the test." "I will take my heart medication on the day of the test."
"I will not drink coffee 4 hr prior to my test."
A nurse is providing discharge teaching for a client who had a bone marrow transplant and has thrombocytopenia. Which of the following statements indicates that the client understands the precautions he must take at home? "I'll stick with soft foods for now." "My family will be bringing me fresh flowers today." "I'll use a new disposable razor each day." "I'll blow my nose more often to avoid nosebleeds."
"I'll stick with soft foods for now."
A nurse is teaching a 70-year-old client about risk factors for heart failure. The client has mild asthma, diabetes mellitus, and coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching? "My diabetes will not increase my risk of heart failure." "My asthma makes it more likely for me to have heart failure." "My age does not increase my risk of heart failure." "My coronary artery disease is a risk factor for heart failure."
"My coronary artery disease is a risk factor for heart failure."
A nurse is preparing a client for a bone-marrow biopsy. Which of the following pieces of information should the nurse include in preoperative teaching? "You'll receive heavy sedation, so you might even sleep during the procedure." "You'll have to lie on your back throughout the procedure." "You'll feel a painful, pulling sensation when the doctor withdraws the marrow." "Expect the procedure to take about an hour."
"You'll feel a painful, pulling sensation when the doctor withdraws the marrow."
A nurse is preparing a client for cardiac catheterization. Which of the following pieces of information should the nurse give the client before the procedure? (Select all that apply.) "You'll have to lie flat for several hours after the procedure." "You'll receive medication to relax you before the procedure." "You'll feel a cool sensation after the injection of the dye." "You'll have to keep your leg straight after the procedure." "You'll have to limit the amount of fluid you drink for the first 24 hr."
"You'll have to lie flat for several hours after the procedure." "You'll receive medication to relax you before the procedure." "You'll have to keep your leg straight after the procedure."
A nurse is preparing to transfuse 250 mL of packed red blood cells (RBCs) to a client over 4 hr. A blood administration set is available that delivers 10 gtt/mL. The nurse should set the manual blood transfusion to deliver how many gtt/min? (Fill in the blank with the numeric value only, round the answer to the nearest whole number, and use a leading zero if applicable. Do not use a trailing zero.)
10
A charge nurse is observing a newly licensed nurse administer an IV medication to a client who has an implanted venous access port. Which of the following observations requires intervention by the charge nurse? A dressing is not applied to the port site after use. A 22-gauge non-coring needle is used to access the port. Blood return is noted prior to administering the medication. A solution of 5 mL heparin 1,000 units/mL has been prepared.
A solution of 5 mL heparin 1,000 units/mL has been prepared.
A nurse is assessing the hematologic system of an older adult client. The nurse should report which of the following findings to the provider as a possible indication of a hematologic disorder? Pallor Jaundice Absence of hair on the legs Poor nailbed capillary refill
Absence of hair on the legs
A nurse is caring for a client who has an abdominal aortic aneurysm and is scheduled for surgery. The client's vital signs are blood pressure 160/98 mmHg, heart rate 102/min, respirations 22/min, and SpO2 95%. Which of the following actions should the nurse take? Administer antihypertensive medication for blood pressure Monitor to ensure the client's urinary output is 20 mL/hr Withhold pain medication to prepare the client for surgery Take the client's vital signs every 2 hr
Administer antihypertensive medication for blood pressure
A nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin subcutaneous. Which of the following actions should the nurse take?
Administer the medication at the same time each day.
A nurse is assessing a client who has peripheral vascular disease and a venous ulcer on the right ankle. Which of the following findings should the nurse expect in the client's affected extremity? Absent pedal pulses Ankle swelling Hair loss Skin atrophy
Ankle swelling
A nurse is caring for a client who has thrombocytopenia and develops epistaxis. Which of the following actions should the nurse take? Have the client gently blow clots from the nose every 5 min Instruct the client to sit with his head hyperextended Apply ice compresses to the back of the client's neck Apply lateral pressure to the client's nose for 10 min
Apply lateral pressure to the client's nose for 10 min
A nurse is preparing an automated external defibrillator (AED) for a client receiving CPR after a cardiac arrest. Which of the following actions should the nurse perform first? Press the analyze button on the machine Stop CPR and move away from the client Push the charge button to prepare to shock Apply the defibrillator pads to the client's chest
Apply the defibrillator pads to the client's chest
A nurse is caring for a client who has an upper gastrointestinal bleed and a hematocrit of 24%. Prior to initiating a transfusion of packed red blood cells (RBCs), which of the following actions should the nurse take? (Select all that apply.) Assess and document the client's vital signs Restart the IV with a 22-gauge needle Verify with another nurse the blood type and Rh of the packed RBCs Hang a bag of lactated Ringer's IV solution Change IV tubing to a set that has a filter
Assess and document the client's vital signs Verify with another nurse the blood type and Rh of the packed RBCs Change IV tubing to a set that has a filter
A nurse on a telemetry unit is caring for a client who has an irregular radial pulse. Which of the following ECG abnormalities should the nurse recognize as atrial flutter? P waves occurring at 0.16 seconds before each QRS complex Atrial rate of 300/min with QRS complex of 80/min Ventricular rate of 82/min with an atrial rate of 80/min Irregular ventricular rate of 125/min with a wide QRS pattern
Atrial rate of 300/min with QRS complex of 80/min
A nurse is assessing a client who had coronary artery bypass grafts for cardiac tamponade. Which of the following actions should the nurse take? Check for hypertension Auscultate for loud, bounding heart sounds Auscultate blood pressure for pulsus paradoxus Check for a pulse deficit
Auscultate blood pressure for pulsus paradoxus
A nurse is planning care for a client who has acute myelogenous leukemia and a platelet count of 48,000/mm^3. Which of the following interventions should the nurse include? Avoid IM injections Assess the client for ecchymosis once per shift Do not allow the client to have visitors Encourage daily flossing between teeth
Avoid IM injections
A nurse is in a provider's office is providing teaching to a client who has a urinary tract infection and a new prescription for ciprofloxacin. Which of the following instructions should the nurse include
Avoid taking magnesium containing antacids with this medication.
A nurse is teaching a client who has iron-deficiency anemia. The nurse should encourage the client to increase consumption of which of the following foods? Beef liver Oranges Turnips Whole milk
Beef liver
A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. For which of the following adverse effects should the nurse instruct the client to notify the provider? Select all that apply.
Calf pain, numbness in the arms and intense headache.
A nurse is caring for a client who is receiving plasmapheresis through a venous access site. Which of the following actions should the nurse take?
Check electrolyte levels before and after therapy.
A nurse is preparing to administer a blood transfusion to a client who has anemia. Which of the following actions should the nurse take first?
Check for the type and number of units of blood to administer.
A nurse is preparing to administer packed RBCs to a client who is anemic. Which of the following actions should the nurse take? (Select all that apply.) Insert a 23-gauge angiocatheter with an IV adaptor Check to determine the packed RBCs are less than 1 week old Administer the packed RBCs over a 6-hr period Ask another nurse to check the packed RBCs' label against the medical record Prime the transfusion tubing with 0.9% sodium chloride
Check to determine the packed RBCs are less than 1 week old Ask another nurse to check the packed RBCs' label against the medical record Prime the transfusion tubing with 0.9% sodium chloride
A nurse is caring for a client who has hypothyroidism. Which of the following manifestations should the nurse expect
Constipation
A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect? Pitting peripheral edema Crackles in the lung bases Jugular vein distention Hepatomegaly
Crackles in the lung bases
A nurse is reviewing the laboratory findings of a client who has protein-calorie malnutrition. Which of the following findings should the nurse expect? Decreased albumin Elevated hemoglobin Elevated lymphocytes Decreased cortisol
Decreased albumin
A nurse is assessing a client who has right-sided heart failure. Which of the following findings should the nurse expect? Decreased capillary refill Dyspnea Orthopnea Dependent edema
Dependent edema
A nurse in an emergency department is admitting a client who reports dyspnea and shortness of breath. Which of the following actions is the priority for the nurse to perform prior to administering oxygen?
Determine if the client has a history of COPD.
A nurse is assessing a client who has pericarditis. Which of the following manifestations should the nurse expect? Bradycardia with ST-segment depression Relief of chest pain with deep inspiration Dyspnea with hiccups Chest pain that increases when sitting upright
Dyspnea with hiccups
A nurse is preparing an in-service presentation about the management of myocardial infarction (MI). Death following MI is often a result of which of the following complications? Cardiogenic shock Dysrhythmias Heart failure Pulmonary edema
Dysrhythmias
A nurse is caring for a client who has femoral thrombophlebitis and a prescription for enoxaparin. Which of the following actions should the nurse take? Elevate the affected leg Place the client on bed rest Massage the affected leg Administer aspirin for discomfort
Elevate the affected leg
A nurse is caring for a client who has a major burn injury and is experiencing third spacing. Which of the following fluid or electrolyte imbalances should the nurse expect? Hypokalemia Hypernatremia Elevated Hct Decreased Hgb
Elevated Hct
A nurse is caring for an adult male client who is undergoing screening tests for atherosclerosis. Which of the following laboratory findings should the nurse identify as an increased risk for this disorder? Cholesterol level 195 mg/dL Elevated HDL levels Elevated LDL levels Triglyceride level 135 mg
Elevated LDL levels
A nurse is examining the ECG of a client who has hyperkalemia. Which of the following ECG changes should the nurse expect? Elevated ST segments Absent P waves Depressed ST segments Varying PP intervals
Elevated ST segments
A nurse is planning care for a client during a sickle cell crisis. Which of the following interventions should the nurse include in the client's plan of care? Maintain the client's knees and hips in a flexed position Apply cold compresses to painful joints Withhold opioids until the crisis is resolved Encourage increased fluid intake
Encourage increased fluid intake
A nurse is caring for a client who has severely elevated blood pressure. Which of the following findings should the nurse identify as a manifestation of hypertension? Vertigo Epistaxis Exophthalmos Spondylolisthesis
Epistaxis
A nurse is reviewing the laboratory results of a client who has end-stage renal disease and reports fatigue. The client's hemoglobin level is 8 g/dL. The nurse should expect a prescription for which of the following medications? Erythropoietin Erythromycin Filgrastim Calcitriol
Erythropoietin
A nurse is reviewing the medical record of a client who has systemic lupus erythematosus. Which of the following findings should the nurse expect?
Facial butterfly rash.
A nurse is preparing to present a program about atherosclerosis at a health fair. Which of the following recommendations should the nurse plan to include? Select all that apply.
Follow a smoking cessation program maintain an appropriate weight eat a low-fat diet and increase fluid intake.
While participating in a community health fair, a nurse is providing information to a client who has a blood pressure of 150/90 mmHg during screening. Which of the following actions should the nurse take? Give the client a written record of his BP to bring to his provider Encourage the client to go to the nearest emergency department Instruct the client to follow-up with a provider within 6 months Explain to the client that he is not at risk unless he has manifestations of hypertension
Give the client a written record of his BP to bring to his provider
A nurse is caring for a client who is post-operative following a total hip arthroplasty. Which of the following laboratory values should the nurse report to the provider?
HGB of 8.
A nurse is caring for a client who has acute lymphocytic leukemia and reports a fever, chills, fatigue, and pallor over the past week. When checking the client's laboratory results, which of the following values should the nurse identify as contributing to the client's fatigue and pallor? Magnesium 2.0 mEq/L Hgb 6.5 g/dL WBC count 9.6/mm3 Creatinine 0.8 mg/dL
Hgb 6.5 g/dL
A nurse is caring for a client who has emphysema and chronic respiratory acidosis. The nurse should monitor the client for which of the following electrolyte imbalances? Hyperkalemia Hyponatremia Hypercalcemia Hypomagnesemia
Hyperkalemia chronic respiratory acidosis can result in high potassium
A nurse completing an assessment on a client. Which of the following findings should the nurse identify as a risk factor for coronary artery disease? (Select all that apply.) Hypothyroidism Hypertension Diabetes mellitus Hyperlipidemia Tobacco smoking
Hypertension Diabetes mellitus Hyperlipidemia Tobacco smoking
A nurse is assessing a client who has heart failure and is taking daily furosemide. The client's apical pulse is weak and irregular. The nurse should identify these findings as manifestations of which of the following electrolyte imbalances? Hypokalemia Hypophosphatemia Hypercalcemia Hypermagnesemia
Hypokalemia
A nurse is providing teaching to an older adult female client who has stress incontinence and a BMI of 32. Which of the following statements by the client indicates an understanding of the teaching?
I am dieting to lose weight.
A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for erythropoietin. Which of the following statements by the client indicates an understanding of the teaching?
I am taking this medication to increase my energy level.
A nurse is providing teaching to a client who has anemia and a new prescription for an oral iron supplement. Which of the following statements by the client indicates an understanding of the teaching?
I will eat more high-fiber foods.
A nurse is teaching a client who has venous insufficiency about self-care. Which of the following statements should the nurse identify as an indication that the client understands teaching?
I will wear clean graduated compression stockings everyday.
A nurse is monitoring a client who has heart failure related to mitral stenosis. The client reports shortness of breath on exertion. Which of the following conditions should the nurse expect? Increased cardiac output Increased pulmonary congestion Decreased left atrial pressure Decreased pulmonary artery pressure
Increased pulmonary congestion
A nurse is planning care for a client who has pernicious anemia. Which of the following interventions should the nurse include in the plan? Administer ferrous sulfate supplementation Increase dietary intake of folic acid Initiate weekly injections of vitamin B12 Initiate a blood transfusion
Initiate weekly injections of vitamin B12
A nurse is reviewing laboratory values for an adult client who has sickle cell anemia and a history of receiving blood transfusions. For which of the following complications should the nurse monitor? Hypokalemia Lead poisoning Hypercalcemia Iron toxicity
Iron toxicity
A nurse is assessing a client who has fluid volume overload from a cardiovascular disorder. Which of the following manifestations should the nurse expect? (Select all that apply.) Jugular vein distension Moist crackles Postural hypotension Increased heart rate Fever
Jugular vein distension Moist crackles Increased heart rate
A nurse is caring for a client following a stroke. Which of the following actions should the nurse take first? Obtain coagulation laboratory studies from the client Apply pneumatic compression boots to the client Request a referral for a speech-language pathologist Keep the client NPO
Keep the client NPO
A nurse is teaching a client who has iron-deficiency anemia. The nurse should encourage the client to increase her consumption of which of the following foods? Lentils Avocados Cabbage Broccoli
Lentils
A nurse is performing a cardiac assessment for a client who had a myocardial infarction 2 days ago. Which of the following actions should the nurse take first after hearing the following sound?
Listen with the client on his left side.
A nurse is assessing a client who is receiving a unit of whole blood. Which of the following findings should the nurse identify as a manifestation of a hemolytic transfusion reaction? Bradycardia Paresthesia Hypertension Low back pain
Low back pain
A nurse is assessing a client who has an abdominal aortic aneurysm. Which of the following manifestations should the nurse expect? Midsternal chest pain Thrill Pitting edema in lower extremities Lower back discomfort
Lower back discomfort
A nurse is planning care for a client who has thrombocytopenia. Which of the following interventions should the nurse include in the plan of care? Restrict fluids to 1,000 mL per day Measure the client's abdominal girth daily Check IV sites every 4 hr for bleeding Administer an enema as needed for constipation
Measure the client's abdominal girth daily
A nurse is planning care for a client who is having a percutaneous transluminal coronary angioplasty (PTCA) with stent placement. Which of the following actions should the nurse anticipate in the post-procedure plan of care? Instruct the client about a long-term cardiac conditioning program Administer scheduled doses of acetaminophen Check for peak laboratory markers of myocardial damage Monitor for bleeding
Monitor for bleeding
A nurse is caring for a client who is having a possible myocardial infarction (MI). Which of the following findings should the nurse identify as an associated manifestation of an MI? Headache Hemoptysis Nausea Diarrhea
Nausea
A nurse is teaching a client who has coronary artery disease about the difference between angina pectoris and myocardial infarction (MI). Which of the following manifestations should the nurse identify as indications of MI? (Select all that apply.) Nausea and vomiting Diaphoresis and dizziness Chest and left arm pain that subsides with rest Anxiety and feelings of doom Bounding pulse and bradypnea
Nausea and vomiting Diaphoresis and dizziness Anxiety and feelings of doom
A nurse is completing a medication history for a client who reports using fish oil as a dietary supplement. Which of the following substances in fish oil should the nurse recognize as a health benefit to the client? Omega-3 fatty acids Antioxidants Vitamins A, D, and C Beta-carotene
Omega-3 fatty acids
A nurse is caring for an older adult client who had an acute myocardial infarction (MI). When assessing this client, the nurse should identify that older adults are prone to complications of MI from poor tissue perfusion because of which of the following age-related factors? Peripheral vascular resistance increases. The sensitivity of blood pressure-adjusting baroreceptors increases. Blood is hypercoagulable and clots more quickly. Cardiac medications are less effective.
Peripheral vascular resistance increases.
A nurse is assessing a client for manifestations of aplastic anemia. Which of the following findings should the nurse expect? Plethoric appearance of facial skin Glossitis and weight loss Jaundice with an enlarged liver Petechiae and ecchymosis
Petechiae and ecchymosis
A nurse is caring for a client who is 12 hours post-operative following a total hip arthroplasty. Which of the following actions should the nurse take?
Place a pillow between the clients legs.
A nurse is caring for a client who has a leg cast and is returning demonstration on the proper use of crutches while climbing stairs. Identify the sequence the client should follow when demonstrating crutch use.
Place body weight on the crutches
A nurse is caring for a client who has hemophilia. The client reports pain and swelling in a joint following an injury. Which of the following actions should the nurse take? Obtain blood samples to test platelet function Prepare for replacement of missing clotting factor Administer aspirin for the client's pain Place the bleeding joint in the dependent position
Prepare for replacement of missing clotting factor
A nurse is monitoring the electrocardiogram of a client who has hypocalcemia. Which of the following findings should the nurse expect? Flattened T waves Prolonged QT intervals Shortened QT intervals Widened QRS complexes
Prolonged QT intervals
A nurse is reviewing a client's repeat laboratory results 4 hr after administering fresh frozen plasma (FFP). Which of the following laboratory results should the nurse review? Prothrombin time WBC count Platelet count Hematocrit
Prothrombin time
A nurse is assessing a client who has an abdominal aortic aneurysm (AAA). Which of the following findings indicates that the AAA is expanding? Increased BP and decreased pulse rate Jugular vein distention and peripheral edema Report of sudden, severe back pain Report of retrosternal chest pain radiating to the left arm
Report of sudden, severe back pain
A nurse is providing follow-up care for a client who sustained a compound fracture three weeks ago. The nurse should recognize that an unexpected finding for which of the following laboratory values is a manifestation of osteomyelitis and should be reported to the provider
Sedimentation rate.
A nurse is administering a unit of packed red blood cells (RBCs) to a client who is postoperative. The client reports itching and hives 30 min after the infusion begins. Which of the following actions should the nurse take first? Maintain IV access with 0.9% sodium chloride Stop the infusion of blood Send the blood container and tubing to the blood bank Obtain a urine sample
Stop the infusion of blood
A nurse is caring for a client who is receiving IV ampicillin and develops urticaria and dyspnea. Which of the following actions should the nurse take first? Elevate the client's feet and legs Administer epinephrine Infuse 0.9% sodium chloride Stop the medication infusion
Stop the medication infusion
A nurse is preparing an in-service presentation about assessing clients who are having an acute myocardial infarction (MI). What is the most common assessment finding with acute MI? Dyspnea Pain in the shoulder and left arm Substernal chest pain Palpitations
Substernal chest pain
A nurse is assessing a client who is receiving a transfusion of packed red blood cells (RBCs). Which of the following findings should the nurse identify as an indication of an acute intravascular hemolytic reaction? Severe hypertension Low body temperature Sudden oliguria Decreased respirations
Sudden oliguria
A nurse is reviewing the progress notes for a client who has heart failure. The provider noted some improvement in the client's cardiac output. The nurse should understand that cardiac output reflects which of the following physiologic parameters? The percentage of blood the ventricles pump during each beat The amount of blood the left ventricle pumps during each beat The amount of blood in the left ventricle at the end of diastole The heart rate times the stroke volume
The heart rate times the stroke volume
A nurse is assessing a client who has Graves disease. Which of the following images should indicate to the nurse that the client has exophthalmos?
The nurse should identify an outward protrusion of the eyes is exophthalmos a common finding of graves disease.
A nurse is preparing an in-service presentation about the basics of hematology. Which of the following factors provides a stimulus for the production of RBCs? Venous stasis Thrombocytopenia Inflammation Tissue hypoxia
Tissue hypoxia
A nurse is reviewing the menu selections of a client who has heart failure and anticipates discharge to home the following day. Which of the following lunch choices should the nurse identify as an indication that the client understands his dietary instructions? Turkey on whole-wheat bread Hamburger and french fries Frankfurter on a white roll Macaroni and cheese
Turkey on whole-wheat bread
A nurse is monitoring a client for reperfusion following thrombolytic therapy to treat acute myocardial infarction (MI). Which of the following indicators should the nurse identify to confirm reperfusion? Ventricular dysrhythmias Appearance of Q waves Elevated ST segments Recurrence of chest pain
Ventricular dysrhythmias
A nurse is monitoring a client who had a myocardial infarction. For which of the following complications should the nurse monitor in the first 24 hr? Infective endocarditis Pericarditis Ventricular dysrhythmias Pulmonary emboli
Ventricular dysrhythmias
A nurse is caring for a client who has a new diagnosis of pernicious anemia. The nurse should expect the client's provider to prescribe which of the following medications for this client? Ferrous sulfate Epoetin alfa Vitamin B12 Folic acid
Vitamin B12
A nurse is caring for a client who has scurvy. Which of the following vitamin deficiencies should the nurse identify as the cause of this disease? Vitamin A Vitamin B3 Vitamin C Vitamin D
Vitamin C
A nurse is assessing a client who has late-stage heart failure and is experiencing fluid volume overload. Which of the following findings should the nurse expect? Weight gain of 1 kg (2.2 lb) in 1 day Pitting edema +1 Client report of a nocturnal cough B-type natriuretic peptide (BNP) level of 100 pg/mL
Weight gain of 1 kg (2.2 lb) in 1 day
A nurse is reviewing the laboratory results of a client who has aplastic anemia. Which of the following findings indicates a potential complication?
White blood cell count of 2000.
A nurse is preparing to transfuse a unit of packed red blood cells (RBCs) for a client who has anemia. Which of the following actions should the nurse take first? Hang an IV infusion of 0.9% sodium chloride with the blood Compare the client's identification number with the number on the blood Witness the informed consent document Obtain pretransfusion vital signs
Witness the informed consent document
A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile dysfunction. Which of the following statements should the nurse make?
You will not be able to use sildenafil if you are taking nitroglycerin.
A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. After ensuring a patent Airway which of the following interventions is the priority
applying oxygen via face mask
A nurse is preparing an in-service presentation about assessing clients who are having an acute myocardial infarction (MI). What is the most common assessment finding with acute MI? dyspnea pain in the shoulder and left arm substernal chest pain palpitations
substernal chest pain
A nurse is assessing for disseminated intravascular coagulation (DIC) in a client who has septic shock secondary to an untreated foot wound. Which of the following findings should the nurse expect? (Select all that apply.) Bradycardia Bleeding at the venipuncture site Petechiae on the chest and arms Flushed, dry skin Abdominal distension
Bleeding at the venipuncture site Petechiae on the chest and arms Abdominal distension
A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the following results should the nurse expect?
Paco2 of 56.
A nurse is assessing a client who has isotonic dehydration. Which of the following findings should the nurse expect? increased hematocrit level bradycardia distended neck veins decreased urine specific gravity
increased hematocrit level
A nurse is teaching a client who has pernicious anemia. The nurse should encourage the client to increase consumption of which of the following foods? Eggs Squash Kale Tofu
Eggs
A nurse is caring for a client who is undergoing treatment for hypertension. Which of the following statements indicates that the client is adhering to the treatment plan? "I would never have believed I could get used to enjoying my food without salt." "My blood pressure device at home usually shows about 156 over 98 or so." "I make sure I take my blood pressure medicine when I have headaches." "My blood pressure pills are very expensive. Could I take a cheaper medication?"
"I would never have believed I could get used to enjoying my food without salt."
A nurse is checking paradoxical blood pressure of a client who has a possible cardiac tamponade. In what order should the nurse complete the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Palpate the blood pressure and inflate the cuff above the systolic pressure Deflate the cuff slowly and listen for the first audible sounds identify the first bp sounds audible on expiration and then on inspiration subtract the inspiratory pressure from the expiratory pressure inspect for jugular venous distention and notify the provider
