ATI MEDICAL SURGICAL: CARDIOVASCULAR AND HEMATOLOGY CORRECT QUESTIONS AND ANSWERS A nurse is evaluating a clients repeat laboratory results 4 hr after
... [Show More] administering fresh frozen plasma (FFP). Which of the following laboratory values should the nurse review? - Prothrombin time—the nurse should review the client’s prothrombin time after the administration of FFP, which is plasma rich in clotting factors. FFP is administered to treat acute clotting disorders. The desired effect is a decrease in the 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? - Coarse crackles—a client who had a recent myocardial infarction is at risk for left-sided heart failure. Crackles are breath sounds caused by movement of air through airways partially or intermittently occluded with fluid and are associated with heart failure and frothy sputum. Crackling sounds are heard at the end of inspiration and are not cleared by coughing. 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 this client? - Omega- 3 fatty acids—fish oil contain omega- 3 fatty acids, which can help lower the risk of cardiovascular disease and stroke by decreasing triglyceride levels. A 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? - Avoid lifting both arms above your head when dressing—the nurse should reinforce that the client should avoid lifting her arm or should on the side of the pacemaker because dislodgement of the pacer leads can occur. 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? - Initiate an aspirin regimen—the nurse should plan to initiate an aspirin regimen or another antiplatelet agent. The antiplatelet medication maintains the patency of the stent by reducing platelet aggregation. [Show Less]