NSG 280 Practice Questions (Questions Only)2020

A client with atrial fibrillation who is receiving maintenance therapy of warfarin sodium has a prothrombin time (PT) of 35 seconds and an international normalized ratio (INR) of 3.5. On the basis of these laboratory values, the nurse anticipates which prescription? A. Adding a dose of heparin sodium B. Holding the next dose of warfarin C. Increasing the next dose of warfarin D. Administering the next dose of warfarin The nurse is performing an admission assessment on a client with a diagnosis of detached retina. Which sign or symptom is associated with this eye disorder? A. Total loss of vision B. Pain in the affected eye C. A yellow discoloration of the sclera D. A sense of a curtain falling across the field of vision The nurse is monitoring a client in active labor and notes that the client is having contractions every 3 minutes that last 45 seconds. The nurse notes that the fetal heart rate between contractions is 100 beats/minute. Which nursing action is most appropriate? A. Notify the health care provider (HCP). B. Continue monitoring the fetal heart rate. C. Encourage the client to continue pushing with each contraction. D. Instruct the client's coach to continue to encourage breathing techniques. What is the most appropriate nursing action to help manage a manic client who is monopolizing a group therapy session? A. Ask the client to leave the group for this session only. B. Refer the client to another group that includes other manic clients. C. Tell the client to stop monopolizing in a firm but compassionate manner. D. Thank the client for the input, but inform the client that others now need a chance to contribute. The nurse working in a long-term care facility is assessing a client who is experiencing chest pain. The nurse should interpret that the pain is most likely caused by myocardial infarction (MI) on the basis of what assessment finding? A. The client is not experiencing dyspnea. B. The client is not experiencing nausea or vomiting. C. The pain has not been relieved by rest and nitroglycerin tablets. D. The client says the pain began while she was trying to open a stuck dresser drawer. The nurse identifies that a client is having occasional premature ventricular contractions (PVCs) on the cardiac monitor. The nurse reviews the client's laboratory results and determines that which result would be consistent with the observation? A. Serum chloride level of 98 mEq/L (98 mmol/L) B. Serum sodium level of 145 mEq/L (145 mmol/L) C. Serum calcium level of 10.5 mg/dL (2.75 mmol/L) D. Serum potassium level of 2.8 mEq/L (2.8 mmol/L) The nurse creating a plan of care for the client demonstrating paranoia should include which interventions in the plan of care? Select all that apply. A. Ask permission before touching the client B. Provide a warm, social approach to the client C. Eliminate all unnecessary physical contact with the client D. Defuse any anger or verbal attacks with a nondefensive stance E. Use simple and clear language when communicating with the client.