HESI Cardio Rationales

HESI Cardio Rationales A client is discharged with a prescription for sustained-release nitroglycerin. What should the nurse teach the client about sustained-release nitroglycerin? 2 4 View Topics Stats Issue with this question? A client is admitted with thrombocytopenia. What specific nursing actions are appropriate to include in the plan of care for this client? (Select all that apply.) 2 3 Incorrect 4 Administer prescribed anticoagulants. Correct Examine the skin for ecchymotic areas. Intramuscular injections should be avoided because of the increased risk of bleeding and possible hematoma formation. Decreased platelets increase the risk of bleeding, which leads to ecchymoses. Neutropenic precautions are for clients with decreased white blood cells (WBCs), not platelets. Thrompbocytopenia refers to decreased platelets, not WBCs. Anticoagulants are contraindicated because of the increased bleeding risk. 28%of students nationwide answered this question correctly. View Topics Stats Issue with this question? An older adult is brought to the emergency department after being found in the street without a coat during a snowstorm. What actions should the nurse implement? (Select all that apply.) Incorrect 1 Massage extremities. Correct Obtain a rectal temperature. Correct Assess the fingers for areas of frostbite. Correct Determine client's level of consciousness. Correct Ask for client identification. A rectal temperature provides the most accurate temperature. Older adults have less subcutaneous fat and inefficient temperature regulating mechanisms, which makes them vulnerable to extremes in environmental temperature. The extremities are more distal sites of circulation and are at increased risk for frostbite. Hypothermia decreases cerebral perfusion, which will result in confusion and a decreased level of consciousness. Getting client identification will help in learning more about the client's previous health history and contacting family members. Massage is contraindicated because it may injure tissues that have sustained frostbite. 30%of students nationwide answered this question correctly. View Topics Stats Issue with this question? A client comes to the emergency department reporting symptoms of the flu. When the health history reveals intravenous drug use and multiple sexual partners, acute retroviral syndrome is suspected, and a test for the human immunodeficiency virus (HIV) is performed. Which clinical responses are associated most commonly with this syndrome? (Select all that apply.) 2 3 Constipation Correct4 Swollen lymph glands Incorrect 5 Oropharyngeal candidiasis Development of HIV-specific antibodies (seroconversion) is accompanied by a flulike syndrome called acute retroviral syndrome. This syndrome includes malaise, swollen lymph glands, fever, sore throat, headache, nausea, diarrhea, muscle/joint pain, or a diffuse rash. It occurs one to three weeks after infection and may continue for several months. Acute retroviral syndrome over time is followed by the early-chronic, intermediate-chronic, and late-chronic stages of HIV infection. Development of HIV-specific antibodies, accompanied by flulike syndrome, includes swollen lymph glands. Confusion is associated with the intermediate-chronic and late-chronic stages of HIV infection when the individual develops AIDS-dementia complex or opportunistic infection that affects the neurological system. Diarrhea, not constipation, is associated with this syndrome. Oropharyngeal candidiasis occurs during the intermediate-chronic stage of HIV infection. Test-Taking Tip: Avoid looking for an answer pattern or code. There may be times when four or five consecutive questions have the same letter or number for the correct answer. 29%of students nationwide answered this question correctly. View Topics Stats Issue with this question? A client develops iron deficiency anemia. Which of the client's laboratory test results should the nurse expect to be decreased? 3 4 View Topics Stats Issue with this question? The nurse is conducting a nutrition class for a group of clients with congestive heart failure (CHF). It would be most important for the nurse to explain the importance of: 2 3 Eating a low-calorie diet to reduce weight 4 Recognizing which products are high in cholesterol View Topics Stats Issue with this question? A client arrives at the outpatient clinic with a painful leg ulcer, and the nurse performs a physical assessment. Which clinical findings in the lower extremity support a diagnosis of an arterial ulcer? (Select all that apply.) View Topics Stats Issue with this question? When a client has a myocardial infarction, one of the major manifestations is a decrease in conductive energy provided to the heart. What is most important for the nurse to assess that has a direct relationship to the action potential of the heart? 1 3 View Topics Stats Issue with this question? When developing a plan of care for a client who had a cardiac catheterization via a femoral insertion site, the nurse should include: 1 Ambulating the client two hours after the procedure 2 Checking the vital signs every 15 minutes for eight hours Keeping the client nothing by mouth for four hours after the procedure Maintaining the supine position for a minimum of four hours View Topics Stats Issue with this question? Laboratory results of a client's blood after chemotherapy indicate bone marrow depression. What should the nurse encourage the client to do? (Select all that apply.)