A nurse is evaluating a client's repeat laboratory results 4 hr after administering
fresh frozen plasma (FFP). Which of the following laboratory values
... [Show More] should the
nurse review?
A. WBC count
B. Prothrombin time
C. Platelet count
D. Hematocrit - B. Prothrombin Time
A nurse is caring for a client who had a myocardial infarction 5 days ago. The
client has a sudden onset of shortness of breath and begins coughing frothy, pink
sputum. The nurse auscultates loud, bubbly sounds on inspiration. Which of the
following adventitious breath sounds should the nurse document?
A. Wheezes
B. Coarse crackles
C. Rhonchi
D. Friction rib - B. Coarse crackles
A nurse is collecting data from 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?
A. Omega-3 fatty acids
B. Antioxidants
C. Vitamins A, D and C
D. Beta-carotene - A. Omega-3 fatty acidsA nurse is reinforcing discharge teaching with a client who has a new permanent
pacemaker. Which of the following information should the nurse include in the
teaching?
A. "Avoid lifting both arms above your head when dressing."
B. "Use your cell phone on the same ear as the pacemakers site is located."
C. "Avoid travel by airplane."
D. "Hiccups are an expected outcome of having a pacemaker." - A. "Avoid lifting
both arms above your head when dressing."
A nurse is assisting in the plan of 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 postoperative plan of care?
A. Reinforce teaching with the client about a long-term conditioning program
B. Administer scheduled doses of acetamonophen
C. Check for peak laboratory markers of myocardial damage
D. Initiate an aspirin regimen - D. Initiate an aspirin regimen
A nurse is preparing to transfuse 250 mL of packed red blood cells (RBCs) to client
over 4 hr. Available is a blood administration set that delivers 10 gtt/mL. The nurse
should set the manual blood transfusion to deliver how many gtt/min? (Round to
nearest whole number) - 10 gtt/min
A nurse is assisting in collecting data from a client who has a history of unstable
angina. Which of the following findings should the expect?
A. The client reports chest pain when at rest
B. Nitroglycerin relieves chest pain
C. Physical exertion does not precipitate chest pain
D. Chest pain lasts less than 5 min - A. The client reports chest pain when at restA nurse in a clinic is collecting data from a client who has a history of peripheral
arterial disease. Which of the following findings on the client's lower extremities
should the nurse expect?
A. Pitting edema
B. Areas of reddish-brown pigmentation
C. Cool, pale skin with minimal body hair
D. Sunburned appearance with desquamation - C. Cool, pale skin with minimal
body hair
A nurse is reinforcing teaching about lifestyle changes with a client who had a
myocardial infarction and has a new prescription for a beta blocker. Which of the
following client statements indicates an understanding of the teaching?
A. "I should eat foods high in saturated fat."
B. "Before taking my medication, I will check my blood pressure and radial pulse
rate."
C. "I will exercise once a week for an hour at the health club."
D. "I will stop taking my medication when my blood pressure is within a normal
range. - B. "Before taking my medication, I will check my blood pressure and
radial pulse rate."
A nurse is collecting data from a client who has pericarditis. Which of the
following manifestations should the nurse expect?
A. Bradycardia
B. Relief of chest pain with deep inspiration
C. Dyspnea
D. Chest pain that increase when sitting upright - C. DyspneaA nurse is assisting in monitoring a client who has a myocardial infarction. For
which of the following complications should the nurse monitor in the first 24
hours?
A. ineffective endocarditis
B. Pericarditis
C. Ventricular dysrhythmias
D. Pulmonary emboli - C. Ventricular dysrhythmias [Show Less]