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A client with a history of heart failure and atrial fibrillation reports a nine-pound weight gain
in the last two weeks. The nurse interprets that the most likely cause of this sudden weight
gain is:
1
Fluid retention
2
Urinary retention
3
Renal insufficiency
4
Abdominal distention - -Fluid retention
A male client with aortic stenosis is scheduled for a valve replacement in two days. He tells
the nurse, "I told my wife all she needs to know if I don't make it." What response is most
therapeutic?
1
"Men your age do very well."
2
"You are worried about dying."
3
"I know you are concerned, but your surgeon is excellent."
4
"I'll get you a sleeping pill tonight because I know you will need it." - -You are worried
about dying
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A client with a tentative diagnosis of pernicious anemia is scheduled for a Schilling test.
Which body process associated with vitamin B12 is assessed with the Shilling test?
1
Storage
2
Digestion
3
Production
4
Absorption - -Absorption
An African American woman is diagnosed with primary hypertension. She asks, "Is
hypertension a disease of African American people?" What is the nurse's best response?
1
"The prevalence of hypertension is about equal for women of all races."
2
"The higher-risk population is composed of African American men and women."
3
"The highest-risk population consists of older Caucasian American men and women."
4
"The prevalence of hypertension is greater for African American women than for African
American men." - -The higher-risk population is composed of African American men
and women.
A nurse in the post-anesthesia care unit is caring for a client who received a general
anesthetic. Which finding should the nurse report to the health care provider?
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1
Client pushes the airway out.
2
Client has snoring respirations.
3
Respirations of 16 breaths/min are shallow.
4
Systolic blood pressure drops from 130 to 90 mm Hg - -Systolic blood pressure drops
from 130 to 90 mm Hg
During a yearly physical examination a complete blood count (CBC) is performed to
determine a client's hematological status. The nurse recalls that the CBC is composed of
several tests, one of which is the level of:
1
Blood glucose
2
Hemoglobin (Hb)
3
C-reactive protein
4
Blood urea nitrogen (BUN) - -Hemoglobin (Hb)
A client who is receiving multiple medications for a myocardial infarction complains of
severe nausea, and the client's heartbeat is irregular and slow. The nurse determines that
these signs and symptoms are toxic effects of:
1
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Digoxin (Lanoxin)
2
Captopril (Capoten)
3
Morphine sulfate (MS Contin)
4
Furosemide (Lasix ) - -Digoxin (Lanoxin)
The nurse evaluates that the client understands the teaching regarding the use of vitamin
B12 injections to treat pernicious anemia when the client states, "I must take the drug:
1
When feeling fatigued."
2
Until my symptoms subside."
3
Monthly, for the rest of my life."
4
During exacerbations of anemia. - -Monthly, for the rest of my life."
A client is admitted to the emergency department with crushing chest pain. A diagnosis of
acute coronary syndrome is suspected. The nurse expects that the client's initial treatment
will include which medication?
1
Gabapentin (Neurontin)
2
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