ECG

The nurse administers furosemide 40 mg IV bid. What is a PRIORITY assessment for the nurse to make prior to administration of the furosemide? a.Muscle weakness. b.Metabolic acidosis. c.Increased apical heart rate. d.Hypertension.

a

The nurse cares for a client several hours after insertion of a central venous access device (CVAD) in the subclavian vein. An IV of 0.9% sodium chloride is infusing through the line at 75 mL/hr. The client becomes restless and reports shortness of breath. The nurse should take which action FIRST? a. Elevate the head of the bed to 90°. b. Check the IV flow rate and insertion site. c. Obtain equipment for insertion of a chest tube. d. Reassure the client that things will improve.

a

One side effect of Atropine can be: a.Bradycardia b.Tachycardia c.Arrhythmia d.V tach

b

The nurse cares for a client receiving atorvastatin. Which value indicates to the nurse that treatment with atorvastatin is effective? a.Serum triglyceride level 210 mg/dL (2.4 mmol/L). b.Low-density lipoprotein (LDL) cholesterol 100 mg/dL (2.6 mmol/L). c.Serum cholesterol 220 mg/dL (5.7 mmol/L). d.High-density lipoprotein (HDL) level 25 mg/dL (0.7 mmol/L).

b

The nurse cares for the client receiving propranolol. What is the MOST important question for the nurse to ask? a."Have you experienced a dry cough early in the morning?" b."How would you describe your breathing?" c."Have you noticed an increase in your urine output?" d."Describe your sleep pattern to me."

b

What is different about Sinus Tachycardia from other tachycardic rhythms? a.Starts abruptly b.Starts and ends slowly c.Ends abruptly d.Starts and ends abruptly

b

Sinus tachycardia causes a decrease in __________, which results in a decrease in cardiac output. a.Heart rate b.Conductivity c.Stroke volume d.Reciprocal value

c

The nurse instructs a client taking clopidogrel 75 mg daily. Which statement by the client indicates understanding about the instructions? a."I can continue to take ibuprofen pills for my arthritis pain while taking clopidogrel." b."It will be necessary for me to have blood test monitoring done while I am taking clopidogrel." c."I should not continue to take ginkgo for my memory problems while taking clopidogrel." d."I will need to take a daily multivitamin pill every day while taking clopidogrel."

c

The nurse instructs an elderly client about the use of clonidine hydrochloride transdermal patches. Which statement by the client indicates further teaching is required? a."When I get out of bed in the morning, I move slowly so I don't get dizzy." b."One time I put the adhesive patch on my right arm, and the next time I put it on my left arm." c."I remove the adhesive patch before I take my shower each morning and put on a new one in the evening." d."Sometimes the medicine makes me feel sleepy in the middle of the day, so I take a short nap."

c

The nurse prepares to administer the initial dose of losartan 25 mg to a client. What is the PRIORITY action for the nurse to take? a.Give the medication with a high protein snack. b.Determine if the client is following a weight reduction diet. c.Instruct the client to sit on the edge of the bed before ambulating. d.Tell the client to inform health care providers if a dry cough develops.

c

Which rhythm is most common after normal sinus rhythm? a.Sinus Tachycardia b.Sinus Bradycardia c.Atrial Fibrillation d.Atrial Flutter

c

Which rhythm is most common with acute inferior wall MI? a.Sinus arrhythmia b.Sinus tachycardia c.Sinus bradycardia d.Sinus rhythm

c

The nurse administers packed cells to a client. Rank the following nursing activities in the correct order from first activity to last activity. a. The nurse starts an IV with a 19-gauge needle. b. The nurse begins the transfusion at a slow rate. c. The nurse obtains a history of transfusion reactions. d. The nurse obtains the blood product from the blood bank.

c a d b

A community health nurse is teaching a group of adults about hypertension. What is a risk factor that the nurse should mention? a.Cardiac dysrhythmias b.Hyponatremia c.Hyperkalemia d.Dyslipidemia

d

The home care nurse receives 4 phone messages. Which of the message should the nurse return FIRST? a.A client diagnosed with multiple sclerosis takes prednisone daily and reports constant hunger. b.A client diagnosed with hypothyroidism takes levothyroxine every morning and reports heart palpitations. c.A client diagnosed with tuberculosis takes rifampin and reports orange urine. d.A client diagnosed with atrial fibrillation takes metoprolol tartrate daily and reports coughing and wheezing.

d

The home care nurse visits an elderly client diagnosed with heart failure. The client's blood pressure is 130/80, apical pulse 65 per minute, and respirations 16 per minute. The client denies shortness of breath but reports nausea for the past 3 days. The client takes digoxin 0.25 mg daily and spironolactone 50 mg daily. Which action by the nurse is BEST? a. Instruct the client to increase intake of potassium-rich foods. b. Encourage the client to increase fluid intake. c. Plan a return visit in 3 days. d. Contact the health care provider.

d

The nurse instructs a client receiving warfarin 5 mg orally daily. It is MOST important for the nurse to include which statement in the teaching? a."You need to have your blood drawn weekly for a complete blood count." b."Use canola oil for your cooking and eat more brussel sprouts and spinach every week." c."You will be at greater risk for bleeding 48 hours after you begin taking the warfarin." d."Check with your health care provider before taking acetaminophen on a regular basis."

d