A nurse in a provider's office is reviewing the medical records of B, D, E
a group of clients. The nurse should identify that which of the
following clients are at risk for iron deficiency? A client who is a vegetarian might require additional iron because of the limited
availability of iron in vegetable sources. During pregnancy, maternal blood volume
A. A client who is postmenopausal increases, and the fetus requires iron. Therefore, the RDA of iron for clients who are
B. A client who is a vegetarian pregnant is increased to 27 mg/day. Toddlers who are overweight might get most of
C. A middle adult male client their calories from milk and from foods that are not considered healthy, which places
D. A client who is pregnant toddlers at risk of iron-deficiency anemia.
E. A toddler who is over weight
A nurse is administering a loop diuretic to a client who has 3+ B
pitting edema in the lower extremities. Which of the following
actions should the nurse take? The nurse should monitor the client for ototoxicity, and the client should report any
manifestations of hearing impairment while on the loop diuretic. The nurse should use
A. Weigh the client weekly caution when a loop diuretic is used in conjunction with other ototoxic medications
B. Monitor the client for ototoxicity such as aminoglycoside antibiotics.
C. Place the client on a 24-hour urine collection analysis
D. Monitor for hypoglycemia
A nurse is assisting with the preparation of an in-service C
presentation about collecting data from clients who are having
acute myocardial infarction (MI). The nurse should identify that Evidence-based practice indicates that the most common manifestation of acute MI is
the most common finding of acute MI is which of the following? substernal chest pain that does not subside with rest or with nitroglycerin. Therefore, nurses
should make pain management with morphine a priority to reduce myocardial oxygen
A. Dyspnea demand and increase oxygenation.
B. Pain in the shoulder and left arm
C. Substernal chest pain
D. Palpitations
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A nurse is caring for a client who has femoral thrombophlebitis The nurse should elevate the client's affected leg when the client is in bed to reduce
and a prescription for enoxaparin. Which of the following inflammation.
actions should the nurse take?
A. Elevate the affected leg
B. Place the client on bed rest
C. Massage the affected leg
D. Administer aspirin for discomfort
A nurse is caring for a client who has severely elevated blood B
pressure. Which of the following findings should the nurse
identify as a manifestation of hypertension? Epistaxis is a manifestation of elevated blood pressure. Hypertension is often
asymptomatic, but when it is severely elevated, it can also cause headaches, dizziness,
A. Vertigo facial flushing, and fainting.
B. Epistaxis
C. Exophthalmos
D. Spondylolisthesis
A nurse is caring for a client who is undergoing conservative A
treatment for deep-vein thrombosis. The client asks
the nurse what will happen to the clot. Which of the following Fibrinolysis is a process that breaks a clot down over time in the body. It is a treatment
responses should the nurse make? option for clots that are not immediately life-threatening.
A. "Your body has a process called fibrinolysis that will
eventually dissolve the clot."
B. "Your body has a mechanism that will keep the clot stable in
its present location."
C. "The clot will break into tiny fragments and float harmlessly
in your bloodstream."
D. "Treatment with hepar
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