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The nurse is caring for a client admitted with diabetes mellitus,
malnutrition, osteomyelitis, and alcohol misuse who has a serum
amylase level of 280 units/L and a serum lipase level of 310 units/L. To
which of the following diagnoses does the nurse attribute these findings?
- ANSWER ✔✔Alcohol Misuse
The health care provider prescribes lactulose for a client with hepatic
encephalopathy. Which of the following assessment parameters should
,the nurse monitor for effectiveness of this medication? - ANSWER
✔✔Decreased ammonia levels
The family of a client newly diagnosed with hepatitis A asks the nurse
what they can do to prevent becoming ill themselves. Which of the
following responses by the nurse is most appropriate? - ANSWER
✔✔"An injection of immune globulin will need to be given to prevent or
minimize the effects from this exposure."
The nurse is planning care for a client with cirrhosis. Which of the
following nursing diagnoses is priority? - ANSWER ✔✔Ineffective
breathing pattern related to pressure on diaphragm and reduced lung
volume
Normal serum bilirubin levels lie between: - ANSWER ✔✔5.1 and 17
mcmol/L
Which if the following is a possible cause of loss of capture in a
pacemaker? - ANSWER ✔✔Battery depletion
A patient in the coronary care unit develops ventricular fibrillation. The
first action of the nurse should take is to: - ANSWER ✔✔Initiate
cardiopulmonary resuscitation
, A patient has a diagnosis of acute myocardial infraction, and his cardiac
rhythm is sinus bradycardia with six to eight premature ventricular
contractions (PVCs) per minute. The pattern that the nurse recognize as
the most characteristic of PVC is: - ANSWER ✔✔A wide, distorted
QRS complex
A patient's cardiac rhythm is sinus bradycardia with a heart rate of 34
beats/minute. If the bradycardia is symptomatic, the nurse would expect
the patient to exhibit: - ANSWER ✔✔Shortness of breath
When computing a heart rate from the ECG tracing, the nurse counts 15
of the small blocks between the R waves of a client whose rhythm is
regular. From these data, which of the following rates should the nurse
calculate as the client's heart rate? - ANSWER ✔✔100 beats/minute
Which of the following statements best describes the electrical activity of
the heart represented by measuring the PR interval on the ECG? -
ANSWER ✔✔The length of time for the electrical impulse to travel
from the SA node to the Purkinje fibres
The nurse obtains a 6-second rhythm strip and charts the following
analysis: atrial rate 70, regular; ventricular rate 40, regular; QRS 0.04
second; no relationship between P waves and QRS complexes; atria
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