EXPERT VERIFIED SOLUTIONS |LATEST 2024/2025
A nurse is showing a client who has right-sided heart failure an illustration of the heart. Which of the
following blood vessels carry deoxygenated blood to the right atrium
A. Right coronary artery
B. left carotid artery
C. Aorta
D. superior vena cava - ✔✔D. superior vena cava
A nurse is caring for a client who has a platelet count 50,000/mm^3. After discontinuing the client's
peripheral IV site, which of the following actions should the nurse take?
A. Apply warm compress
B. Apply pressure to the catheter removal site for 5 min
C. place the affected arm in a dependent position
D. Clean the insertion site with alcohol - ✔✔B. Apply pressure to the catheter removal site for 5 min
A nurse is examining the ECG of a client who has frequent premature ventricular contractions (PVCs).
Which of the following QRS changes should the nurse expect to see on the client's ECG?
A. Narrower than usual QRS complexes
B. Much greater amplitude than the usual QRS complexes
C. Same polarity as the usual QRS complexes
D. Immediate resumption of the usual rhythm - ✔✔B. Much greater amplitude than the usual QRS
complexes
A nurse is administering a unit of pack red blood cells (RBCs) to a client who is postoperative. The client
reports itching & hives 30 minutes after the infusion begins. Which of the following actions should the
nurse take first?
A. Maintain IV access w/ 0.9% sodium chloride
B. Stop the infusion of blood
C. Send the blood container & tubing to the blood bank
, D. Obtain a urine sample - ✔✔B. Stop the infusion of blood
A nurse is teaching about a low-cholesterol diet to a client who had a myocardial infarction. Which of
the following meal selections by the client indicates an understanding of the teaching?
A. Chicken breast & corn on the cob
B. Shrimp & rice
C. Cheese omelet & turkey bacon
D. Liver & onions - ✔✔A. Chicken breast & corn on the cob
A nurse is checking paradoxical blood pressure of a client who has a possible cardiac tamponade. In
what order should the nurse complete the following steps?
A. Identify the first BP sound audible on expiration & then on inspiration
B. Subtract the inspiratory pressure from the expiratory pressure
C. Deflate the cuff slowly & listen for the first audible sound
D. inspect for jugular venous distention & notify the provider
E. Palpate the blood pressure & inflate the cuff above the systolic pressure. - ✔✔E. Palpate the blood
pressure & inflate the cuff above the systolic pressure.
C. Deflate the cuff slowly & listen for the first audible sound
A. Identify the first BP sound audible on expiration & then on inspiration
B. Subtract the inspiratory pressure from the expiratory pressure
D. inspect for jugular venous distention & notify the provider
A nurse is monitoring a client for reperfusion following thrombolytic therapy to treat acute myocardial
infarction (MI). Which of the following indicators should the nurse identify to confirm reperfusion?
A. Ventricular dysrhythmias
B. Appearance of Q waves
C. Elevated ST segments
D. Recurrence of chest pain - ✔✔A. Ventricular dysrhythmias